Rose Matthews Profile picture
Mar 28, 2022 15 tweets 6 min read Read on X
#Thread
Apart from parenting children we rarely discuss being #autistic AND being a #carer.
I have personal and professional experience, and I’m interested in why it’s under explored.
Search ‘autistic carer’ and it’s assumed we’re the one being cared for.
#AutismAcceptanceWeek
1/
I’m focusing here on caring for relatives, family members, or friends.
It’s something many of us find ourselves doing with no training or support.
My first experience of being a carer was as a young adult.
Back then (the early 1980s) the term ‘carer’ hadn’t even been invented.
2/
One of the hardest things was being unrecognised and unsupported by professionals.
My partner had severe mental health issues and I might as well have been invisible.
Even after my existence was acknowledged no one had direct contact with me.
I was left to try and cope alone.
3/
It didn’t go well.
We were living in substandard accommodation, in a hostile environment, scraping by with hand outs from relatives which made my partner feel dreadful.
No dignity.
No respect.
No hope for the future.
A grindingly miserable existence one of us didn’t survive.
4/
I was unrecognised as an autistic person, and as a carer.
This lived experience shaped my career as a social worker, and as an academic.
I researched the experiences of family carers, and became a member of The Standing Commission on Carers (I was Rose Barton in those days).
5/
People in their 50s and 60s are most likely to be #carers.
This is an aspect of being autistic that has not been adequately acknowledged or researched.
We need to be more than just ‘aware’ of issues associated with ageing, autism and informal care giving.
#AutismAcceptanceWeek
6/
The barriers we face when trying to access services ourselves are replicated when we seek support for other people.
In spite of having worked for social services, charities, and the NHS, I still find it extremely challenging.
And it can sometimes be a matter of life and death.
7/
This morning I helped organise an urgent GP appointment, pre-operative assessment, and Covid booster vaccination for my partner.
When he becomes seriously unwell his life depends on me making the right decisions.
I gladly accept this responsibility, but I also need support.
8/
I had a carer’s assessment while I was waiting for my autism diagnosis.
Instead of sticking to a script, the assessor let me talk about everything that was going on for me, including what was happening at work.
They helped me to see what was wrong, and how I could address it.
9/
They also arranged for me to have some self care sessions (I chose aromatherapy massage from a long list of varied options).
I felt cared about and cared for, and that helped me to carry on being a carer.
Caring often becomes a mutual activity as couples age. It has for us.
10/
Things don’t always work out neatly though. While I was having radiotherapy on my hands my partner was being treated in a hospital hundreds of miles away.
I felt a bit miffed that he couldn’t be there for me, as well as feeling disappointed that I couldn’t be there for him.
11/
My autism diagnosis just before my 59th birthday was a complete revelation.
It’s obvious to us now why I need to rely on my partner a bit more at certain times.
He’s had a carer’s assessment too and, while we don’t get any regular support, we know who to contact in a crisis.
12/
There are so many aspects of being an older #autistic person that are almost completely unexplored.
We need more research on a far wider range of experiences so the right support and services can be put in place.
#AutismAcceptanceWeek
#AutismAcceptanceMonth
#ageing
#autism
13/
It was good to see ageing related questions in Chris Bonnello’s Autistic Not Weird @AutisticNW 2022 survey.
I hope other researchers follow suit, so that ageing-related autism research is no longer an under explored ‘niche’.
autisticnotweird.com/autismsurvey/
#AutismAcceptanceWeek
14/end
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More from @NortherlyRose

Apr 3
#Thread
#Autism awareness and acceptance really matter because stigma, prejudice, and lack of trauma informed, ‘experience sensitive’ approaches perpetuate structural inequalities and injustices.
In my locality #SocialCare needs of autistic adults come under the #MH service.
1/
I saw an unqualified Assistant Psychologist in the #CMHT after my #autism diagnosis.
I wanted help with the existential crisis of late autism diagnosis but ended up being gaslighted.
I realised what was going on and discharged myself after explained what iatrogenic harm meant.
2/
A few months ago a combination of factors (none of them to do with mental health) meant that I needed social care support.
Because I am #Autistic I was told that my assessment would be carried out by the MH team.
I was so traumatised by my last contact with them I declined.
3/
Read 13 tweets
Feb 18
#Thread
Adjusting to a very late in life #autism discovery.
How my life has changed 5+ years on.
Like many #Autistic people I had experienced repeated episodes of #burnout and #trauma.
By the time I reached my late 50s I was exhausted.
I had no energy to get going again.
1/
This quiet breakdown could easily have gone unnoticed or been explained by a number of other things.
I’d always been quirky and different, a highly sensitive, deeply empathic person.
My distress could have been attributed to a personality issue, or to anxiety
and depression.
2/
Through good fortune and serendipity I found my way to a service that helped me to start making sense of my life.
The process of acceptance, adjustment, and self-advocacy has continued since then.
It’s not enough for me to adapt, other people need to make accommodations too.
3/
Read 16 tweets
Jan 2
I feel blessed to have reached the age of 64 with much of my life still intact.
When everything began to unravel in my 50s it wasn’t clear why.
My career (which had been reasonably successful, if somewhat disjointed) got derailed.
My personal life started falling apart too.
1/
Without understanding why this was happening, it would have been impossible to remedy the situation.
I’d have carried on pulling at the loose threads until there was nothing left at all.
Discovering that I was #Autistic gave me the answers I needed to start to repair my life.
2/
What needed fixing wasn’t me, it was my living and working environments, and communication between me and other people.
Although I’d realised that interpretation and translation prevented misunderstandings, I hadn’t recognised my language and culture were distinctly Autistic.
3/
Read 7 tweets
Nov 16, 2022
I’m celebrating the 4th #autieversary #autiversary of getting my v late in life #autism diagnosis today.
Here’s a thread of some of the #threads I’ve written along the way, starting with my 1st anniversary when I wrote about my beloved dogs.
#ActuallyAutistic
#AutisticTwitter
1/
Nearly two years on from my #diagnosis I wrote about how much I had discovered about #autism and myself.
2/
On the second anniversary of my #autism diagnosis I wrote a thread about #bullying (not realising that it was my #autieversary at the time). It was very appropriate though, as bullying and abuse have had a huge impact on me, especially in adulthood.
#ActuallyAutistic
3/
Read 8 tweets
Oct 29, 2022
#Thread
Rebuilding a career after a late in life autism diagnosis.
Personal reflections of a very late discovered #ActuallyAutistic person, 4 years on.
1/
Burnout was a factor in me finally finding out I was autistic.
I’d become overwhelmed and exhausted.
I’d drifted to a halt, and then couldn’t get going again.
I was overloaded by being bullied at work, being in perimenopause, unresolved trauma and my partner’s serious illness.
2/
A demanding new job immediately after my diagnosis didn’t kickstart recovery from burnout like it would have done previously.
What the psychologist had told me about taking ‘baby steps’ was true, even though I didn’t want it to be.
I finally realised I couldn’t afford not to.
3/
Read 23 tweets
Oct 14, 2022
#Thread
Why it’s sometimes difficult to know how unwell I am.
A personal autistic perspective.
I’ve been feeling rotten since Sunday, with some kind of respiratory illness.
After 3 years of respite from colds and flu it came as a bit of a shock.
I haven’t had Covid yet either.
1/
I wasn’t too worried to begin with, as my partner was ill before me.
After 2 or 3 days he started to feel better, and I assumed I’d be the same.
Unfortunately I’ve been getting steadily worse.
Less energy.
More coughing.
Less desire to eat.
More sleeplessness.
Strange pains.
2/
I’m almost always in some kind of pain so that in itself isn’t a reliable indicator of being unwell.
Nor is severe fatigue, which occurs so regularly it seems normal.
I rely on objective symptoms like fevers, rashes and swellings.
Tests are a bonus, if they are available.
3/
Read 21 tweets

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