Rose Matthews Profile picture
May 14, 2022 17 tweets 5 min read Read on X
🧵 #Thread
Since discovering I’m #ActuallyAutistic I’ve realised energy, empathy and emotion aren’t infinite.
If I keep exceeding my limits I’ll meltdown, shutdown, or #burnout.
Self-awareness, boundaries and regulation are vitally important to wellbeing, and survival.
1/
One of the challenges is recognising when my reserves are running low.
This often only becomes apparent when some tiny thing, like temporarily misplacing my phone, causes great distress.
It’s an early warning sign, an indicator that some kind of urgent action is necessary.
2/
For those of us who have parenting or caring responsibilities taking time out to prioritise our own needs is often very difficult.
This applies to exacting employment situations too.
Even if the option of self care exists, we may deny ourselves if we don’t feel we deserve it.
3/
Others’ disbelief about disability is part of the problem.
Not everyone experiences being autistic this way.
But many of us feel disabled by lack of autism awareness, acceptance and accommodations.
It’s difficult to assert legitimate rights in a hostile, sceptical environment.
4/
I remember being on an over crowded commuter train at King’s Cross after being caught up in a crush on the London Underground.
Because I don’t look obviously disabled it wasn’t clear why I was struggling and needed more personal space.
I was wearing a sunflower lanyard though.
5/
Even after I said I was struggling with the proximity of other people because I was autistic and having a meltdown I saw passengers giving each other eye-rolls.
One man said “oh it’s ‘autism’ is it?” in a sarcastic, disbelieving way.
‘Micro-aggressions’ are incredibly common.
6/
It is hard to be assertive and keep on asking for what we need when it so often leads to a knock back.
I phoned the hospital ward my partner was on recently:
“I’m autistic and this means I need the post operative care information you just gave me verbally in writing”.
Ignored.
7/
I know how much pressure NHS staff are under but failing to provide accessible information is a false economy.
After 3 nights at home my partner was readmitted as an emergency and spent the next 4 nights in hospital on a drip.
I’m articulate so perhaps they didn’t believe me.
8/
Not being believed is one of the hardest things.
Not being believed when we say we might be autistic.
Not being believed when we report physical symptoms.
Not being believed when we say we’re being bullied or abused.
Not being believed when we say we’re thinking about suicide.
9/
Being seen as unreliable witnesses about our experiences is a form of ‘testimonial injustice’.
Implying that autistic people can’t be trusted to give honest accounts of ourselves strikes at the core of who we are.
Being doubted is demeaning, undermining and infantilising.
10/
It’s also incredibly dangerous.
The threads we hold onto are fragile. Sometimes we don’t realise how close to the edge we are.
The lack of appropriate #autism #crisis services is scandalous.
How can autistic people be expected to endure when all hope is taken away from us?
11/
We often rely on autistic peers for support, but they have limited capacity and need to prioritise self-care.
Informal peer support isn’t a substitute for properly funded and resourced services.
We need them and we need them now.
This is a matter of justice and human rights.
12/
I’m fortunate in having some part time paid work at the moment which means I can pay for private psychotherapy.
I explored what was available via the NHS but my area had no autism appropriate option.
Psychotherapy isn’t an indulgence, it’s a necessity after decades of abuse.
13/
It’s how I’m learning to recognise emotional and empathic limits, and maintain healthy boundaries.
But psychotherapy doesn’t address structural issues: the systemic injustices and inequalities we experience simply because we’re autistic.
That’s why activism is important too.
14/
Evidence is essential too and I’m fortunate to be involved in research projects where autistic people are working alongside academics, some of whom are also autistic.
The pressure for change is mounting.
The best chance of achieving it is through combined, concerted efforts.
15/
We need to raise individual and collective #ActuallyAutistic self worth to the point where we all know what we deserve and refuse to settle for less.
Connecting gives us strength and means we don’t feel like we’re battling alone.
Solidarity with autistic people everywhere.
16/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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