this post was submitted on 09 Aug 2024
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Neurodivergence
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And (edit: traditional) CBT is widely known to not be effective (and in fact often harmful) for autistic individuals. There is no "winning" over autism, you can only learn to live with it, and its limitations.
I used to have the mindset of "not letting autism restrict me". It led to two rounds of severe burnout, depression, cPTSD, and anxiety, lasting multiple years, as well as severe skill loss.
Uhm I don't know your cultural background but at least around where I am the "own limitations" part is a crucial element of the therapy aspect. Accept your own limits to and work with your strengths.
Managing and accepting restrictions is what is thought here for therapists (at least the fields I'm in closer contact with.
This "widely knowing" people are at least not scientists as the last meta study I am aware of basically says "not enough data": https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265021/
That said: there is a high risk of discussing local variations on various therapy approaches and it's even highly likely I'd guess that you're absolutely correct for your medical cultural background and my lense is highly dissorted (from your pov) by my own.
A lot of CBT is built around 'cognitive distortions' this is the main crux of the issue as a lot of autistic people/those who are autistic will be telling a therapist their experiences and then the therapist will think it's a cognitive distortion when it isn't.
There are newer types of CBT that are autism friendly/aware, but it's unlikely for your average therapist to 1; be trained in them and 2; be aware of, and able to spot autism in a patient.
I've had multiple therapists and psychiatrists where, despite them having many years experience I was their first autistic patient.
Perhaps it is different elsewhere in the world, but that's how it is in Denmark.
That's very good to know, thank you for sharing! I have only insights into the behavior therapy arm of occupational therapy due to personal contacts there. I can imagine what you describe though because I heard more than one story of "what's wrong with that doctor/therapist, sending that kid with (insert ridiculous diagnostic)".