Autistic Women & medical conditions thread 🧵 RE: Common #Medical symptoms and conditions in #autisticgirls #autisticwomen
By @sbaroncohen et. al I feel this research study has implication on #autisticgirls #gender #ROGD #trans #detrans In my #Autism clinic it has
been common to hear about #puberty #Dysphoria
Menstrual problems, #PMDD #PCOS & #endometriosis What is really nice for clinicians is when we see research that backs up our clinical work. In consideration Of #gender distress #dysphoria #ROGD we should be considering this research ImageImageImage
In making clinical decisions that impact #autisticgirls #autisticwomen with #ROGD #trans #detrans This July 2021 study looked at common medical conditions in #autistic females.
For some time, researchers have been investigating #sexbias in #autism diagnosis. #Medical
We have known about the involvement of sex-specific endocrine mechanisms during #prenatal development. Previously a #testosterone wash of the brain has been discussed. How do #hormones affect health throughout #autistic women’s lives, across the lifespan?
This study examined the association of #autism and #autistic traits with conditions and symptoms
Related to the sex-steroid system in adult women. 1230 women (361 autistic), aged 15–77years, reported on #autistic traits and their own #medical history.
Their Medical diagnoses and symptoms were grouped by unsupervised factor analysis, and associations with autism diagnosis and autistic traits were explored. This study found conditions related to #steroid #hormones function are more frequent in #autistic women. #critical
and that they correlate with #autistic traits were largely con- firmed. 1. They found that BMI, reproductive system diagnoses, prediabetes symptoms, irregular #puberty onset, and #menstrual irregularities were significantly more frequent in #autisticwomen This is meaningful
2. #autism in women may be part of a wider syndrome of #endocrine dysfunction that specifically includes imbalances in the sex-steroid system. In addition, reproductive system diagnoses, prediabetes symptoms, menstrual length, and irregular #puberty onset
were more predictive of #autistic traits than excessive menstrua- tion symptoms.
Common Reproductive system diagnoses include: PCOS, PMS, anovulation, ovarian cancer & uterine cancer) were found to be significant predictors of both having an #autism diagnosis & autistic traits
The clinical implications impact both #autistic individuals and #healthcare providers. Evidence suggests evidence #women with conditions linked to sex-steroids may be more likely to have #autism #aspergers
Physicians should consider associations between sex-steroid-related health conditions and #autism when performing #healthcare maintenance checks and/or screenings for autism. Also #autistic females should also be made aware of the possibility of accompanying #medical conditions,
This allows for #autisticgirls #autisticwomen to recognize symptoms of sex-steroid imbalance and #prediabetes and to then be able to better advocate for themselves during healthcare visits. This is critical for the healthcare needs of #autisticgirls and woman.
The results suggest heightened vulnerability, and lower access to medical care. We find that conditions related to steroid hormones function are more frequent in autistic women and that they correlate with autistic traits.
It is important for maintenance checks and/or screening for autism is recommended. The study may be found below and should be required reading for all #autisticparent #autisticgirls #women and the knowledge provided in age approximate ways to autistic girls
I am now doing up a medical question telated to this study and including it in my comprehensive assessment and diagnosis for puberty #autisticgirls and #autisticwomen
👉🏻 researchgate.net/publication/35… Please share with your family members, your doctors, the autism community and the gender Dysphoria community.
Some clinical limplications of this study are that #pubertal or #prepubertal or #teenage autistic girls and women experience more severe medical conditions, pain they may misunderstand as Dysphoria and if they don’t know what is happening to them, they may
misunderstand this for something else, they May want to stop the #puberty process because it is so #painful, may think being a male is easier, may want to escape these medical conditions and/or be unaware of them. It is important to explore, ask questions, be curious & be aware

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More from @TaniaAMarshall

Jan 25
#Narcissism thread 🧵 15 (more) questions to ask yourself if you are questioning whether someone is a #narcissist
1. Do they devalue, diminish, demonise or harshly judge you or act as the righteous ‘authority’ figure with you regardless of their age, status or employment? 🚩
Are they #superior? For e.g. A non lawyer preaching to a lawyer about law. 2. Are they #defensive? Do they seem only interested in trying to prove that they are right & you are wrong, in a defensive mode? 🚩They are #competitive not co-operative. Co-operation is a must #healthy
3. Do they demand #attention from you? For e.g., insisting on having the conversation when it’s convenient for them only &/or use emotional #manipulation to ensure conversation happens on ‘their’ terms? They may not answer the question, go off topic, deflect, defensive, accuse 🚩
Read 23 tweets
Jan 24
#Suicide by Clinic-Referred #Transgender #Adolescents in the United Kingdom. Great piece here urging us to reflect upon & think about, if evidence based #science is still your thing. Biggs (2022) conclusion asks us to question #medical responsibility. researchgate.net/publication/35…
How do we know if we are acting responsibly when we are offering ‘information’? What information are we offering? What if that information is on risk for #selfharm & #suicide? As a part of our daily #dutyofcare part of the #safeguarding process?
What about if that information is relied upon when we obtain parental consent for intervention with #children & #adolescents? What if that information isn’t true, is inaccurate, exaggerated, inflated, distorted? #science
Read 7 tweets
Jan 23
1. #Narcissism Thread: What is the quickest way to tell if someone is a #narcissist? 🚩Raise a concern with them. Hands down this works Every. Single. Time. #Narcissists are unable to manage conflict. By conflict, I mean be cooperative & problem solve concerns or disagreements
2. I mean being held accountable or addressing a concern with the genuine interest in resolving it. Resolving issues are important to healthy relationships, #trust boundaries & safety. When issues remain unresolved between #Psychology #abused
3. Couples, family members, groups, organisations, it leads to #resentment, #anger & #contempt. This is why: Say you raise an issue with your partner that’s of a concern to you. Your partner disagrees 🚩 & it doesn’t seem like she is listening to you. 🚩You keep trying to express
Read 25 tweets
Jan 23
Notes from my book: Receiving many messages, DM’s & emails over ‘safeguarding’. I have worked in this industry for 30 years. Safeguarding chapter: #MentalHeath professionals are human & make mistakes, because they are human. They are first & fore-mostly trained in #safeguarding
Their ethos is to ‘Do No Harm’. Most people don’t understand what this means. #Therapists & mental health professionals disagree on many issues. They are divided on what safeguarding means to them #Childsafety & #childprotection have always been fraught by #childsafety challenges
In 2015, I began raising #safeguarding concerns with My regulatory board & the #psychology organisations. These were serious concerns. Over those years, I was ignored, brushed off, #silenced or told it wasn’t a problem. The Australian Senate held an #inquiry into our regulatory
Read 25 tweets
Jan 22
#Civil and intelligent conversation That involves #criticalthinking skills,self-regulation, #reflection, mutual respect respectful debate, direct conversation are #socialskills all research based Scientific evidence is highly encouraged here. I encourage this on my
Twitter feed to engage in civil #discourse
To #question everything, to be self-aware and insightful,
to allow open #transparent #ooen conversations & discourse free of denial, not listening, talking over others, not letting them finish their sentences, being angry and rageful.
These #behaviors do nothing to advance any cause. #Safeguarders & mediators are very important to the well-being of children miners and disabled adults. when it comes to #childsafety anyone who mocks child safety needs to seriously reflect and/or take A child safety course.
Read 15 tweets
Jan 19
Involving children in your paraphilliac transvestism fetishism is, at best, a non-contact sexual offence and a safeguarding issue. Involving children in your tranvestitie fetishism is a safeguarding issue. Need I go on #safeguarding @children
Our very basic response to is that paraphilias emerge when masturbation fantasies become addictive & uncontrolled & therefore do not naturally occur in pre pubescent boys who have yet to masturbate? Why are sexualised behaviours in pre pubescent boys not seen as red flags? #abuse
I don’t understand this. Why are #therapists clinicians and #psychologists not be trained that safeguarding is a part of their job! Why aren’t children being safeguarding by clinicians? It is your job! #childsafety
Read 10 tweets

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