Latest / Aspergers & Autism Podcast [The Aspie World] AuDHD / Autism Spectrum Why the ‘Levels’ System Gets It All Wrong
Transcript
- 0:00Hey guys, in this video me and Marla are going to be discussing
- 0:03what's beyond the autism levels. There's a lot of information out
- 0:06there and some of it is useless, outdated, and actually frankly,
- 0:10some of it's missing. Hey guys, welcome back to the
- 0:12Asky world. My name is Dan and this is
- 0:14Marla, a service dog for autism. She's just a pup, so I thought
- 0:18I'd welcome her to the channel so you guys can see what she's
- 0:21like and she may just be goofing about because puppies do.
- 0:23Now guys, what I wanted to discuss in this video is because
- 0:26there are many different types of diagnostic criteria for
- 0:29autism in terms of you can get autism inspection.
- 0:31So the level 1, level 2, Level 3 Asperger's syndrome, which is
- 0:35not really used that often anymore, but also there's ADHD,
- 0:38OCD, there's very different bits within that and it all becomes
- 0:42quite confusing. Now.
- 0:44Some of the levels actually are failing is because the level
- 0:47model of saying 1-2 or three doesn't actually fit everybody.
- 0:50And what this means is a level 1 autistic individual could be
- 0:54someone who was displaying things like they hold down a
- 0:56job, they have a relationship, they don't struggle with many
- 0:59difficulties, but they do have social interaction impairments
- 1:02and they qualify for autism spectrum and disorder diagnosis.
- 1:05Right. However, the diagnostic criteria
- 1:08for autism spectrum sort of level 2 would be somebody who
- 1:10has a bit more high support needs.
- 1:12They're still able to converse, talk verbally, explain
- 1:16themselves. The problem they have is that
- 1:17they also have higher needs where they may not be able to
- 1:21use social communication that well.
- 1:23They may be having difficulties in, you know, they may have to
- 1:26take medication. They may have other comorbids
- 1:28like Co occur alongside autism, could have other issues and
- 1:31mental health issues. And so we categorize autistic
- 1:34individuals diagnosis into those three spots.
- 1:37So Level 3 would be someone who, you know, verbally non
- 1:40commutative, umm, struggles intensely with executive
- 1:45dysfunction. You know, maybe they don't know
- 1:46how to go to the bathroom on their own.
- 1:47Maybe they need 24 hour support, supervision, high medication for
- 1:51a comorbid, another Co occurring diseases or issues.
- 1:54Now, the other thing to think about here, and This is why I
- 1:57think these levels are kind of failing us, especially doctors.
- 1:59What I what I think about this is that there are factions
- 2:02between that you can have someone who, who displays traits
- 2:06of autism spectrum solar level 1 and level 2, but doesn't really
- 2:08fit into each of those categories.
- 2:10So they'd be in the middle. And I have this with my stepson,
- 2:12you know, he fits kind of in the middle.
- 2:13And then you could have somebody who is like an autism spectrum,
- 2:16solar level 2 diagnosis, but they also are displaying really
- 2:21high needs, like a Level 3 autism diagnosis, even though
- 2:24they don't have a diagnosis of Level 3.
- 2:26So it's kind of somewhere in between the middle.
- 2:28What I found is that these levels are oversimplification of
- 2:33the diagnosis process. And I understand why because we
- 2:36have to categorize people into some areas, but actually beyond
- 2:38that, we don't look at what implications are happening to
- 2:42that person. Like one of the biggest
- 2:44struggles I have as AI was diagnosed with Asperger
- 2:46syndrome, which is a level 1 diagnosis.
- 2:48But then I had a RE evaluation and I said I had a level 2
- 2:50autism right when I had a RE autism evaluation, which is
- 2:53weird because then I'm somewhere between one and two guys.
- 2:56I've been using an app to organise my life called
- 2:57Trustworthy. And it's an amazing app.
- 2:59Now Trustworthy is an app that you can download that you can
- 3:01store your passwords, you can, you can upload documents to it,
- 3:04legal documents to it, driver's licenses, have reminders,
- 3:06birthdays, everything you need. It's kind of like the family
- 3:09operating system. And I love it, right?
- 3:11Because it reminds me when people's birthdays are.
- 3:13It reminds me that I do have car insurance numbers only to buy it
- 3:15twice because my audio HD brain goes crazy.
- 3:18So if you're interested in checking out Trustworthy, go to
- 3:21the link in my bio and the description down below to check
- 3:23out Trustworthy. If I'm somewhere between 1:00
- 3:25and 2:00, then where does that leave me?
- 3:27I'm simple things like this. One of the biggest struggles I
- 3:29have is OCD, but not routines and rituals.
- 3:32Like I say, people love routines and rituals, right?
- 3:35But the OCD part of it kicks my butt.
- 3:38And so I know you relate to this.
- 3:40Like if you guys have really bad OCD, let me know in the comments
- 3:42down below and say, Ma, I have OCD.
- 3:46That's what kind of really think you think about it.
- 3:47You say what, what's 1 of the biggest things that impairs you?
- 3:49OK, we all know that we all struggle with social
- 3:50interactions. But hey, OCD also kicks my butt
- 3:53on a crazy level, right? And so this kind of goes into
- 3:57the other realms of the kind of like that mislabeling, this
- 4:00misrepresentation when people don't know, like they say, I'm a
- 4:02lot of inspections sort of level 1.
- 4:04What does that mean? People don't even know.
- 4:05People don't know what this means, you know, unless you're a
- 4:07clinical psychologist, you don't know what I mean.
- 4:09So you say I have autism. And when you say you have
- 4:11autism, people are like, oh, well, I don't understand how you
- 4:14like autism. When I see Level 3 autistics,
- 4:15you know, and it's really interesting because then they
- 4:18say, you know, people will say, oh, you're not high functioning,
- 4:21right? What is it?
- 4:21What is it? You know, you're just masking or
- 4:23whatever. Now look, there are hidden costs
- 4:26of appearing OK or normal to the outside world, right?
- 4:29And the costs involved with this are very simple.
- 4:32So Miles, taking a quick break, the cost involved, very, very
- 4:34simple. If someone thinks that you're
- 4:36normal or you're dealing OK, you get treated as if everything is
- 4:40fine and that you don't have additional accommodations, even
- 4:43though they don't understand what masking is.
- 4:44So it's again above the levels. So when you have a level 1
- 4:47autistic, level 2 autistic, and when masking or basically
- 4:50masking is kind of pretending to be a character that we can deal
- 4:53with in a real life situation that would normally cause such
- 4:55distress in many other people, then the masking actually causes
- 4:58other people to just dismiss our needs and our additional help
- 5:01that we may need, right. And by saying this, a lot of
- 5:05people say, well, you know, you're high functioning, but
- 5:09what the hell does that even mean?
- 5:10You know, there, there is no, because we are low functioning
- 5:13in other areas, right? And those are kind of derivative
- 5:15terms that people don't really use that much anymore.
- 5:18But with emotional and physical tolls on an autistic person,
- 5:21masking is kind of one of the bad guys.
- 5:22Now. I talk about this a lot and how
- 5:24you can help overcoming the the issues.
- 5:27Because think about this, right? Masking.
- 5:30If you're masking all the time and you suddenly stop masking
- 5:32and people turn away from you, this may give you a negative
- 5:35impact of being your true self. And we all want to be our true
- 5:37self. Why wouldn't we want to be our
- 5:38true self? So you could be masking and then
- 5:40somebody says to you, oh, hey, you're different lately.
- 5:44And you're yeah, you know, I'm stop masking or pretending to be
- 5:46somebody. I'm not just a fit in.
- 5:47I'm actually me. I'm who I am.
- 5:49And then a certain friend says I'm out.
- 5:51You know, you're not, you're not the person I thought you were.
- 5:53What the heck is going on in this instance, in that protocol,
- 5:56that means that those people don't know who you are.
- 5:58And then you get to feel, Oh no, no, I shouldn't be who I am and
- 6:01you forget who you are. This is terrible and it
- 6:03diminishes confidence. Now, I talk about this
- 6:06exclusively in one of my programmes, but if you want
- 6:08access to learning more about that, specifically if you just
- 6:11go to the link down in my bio or if you go to the link in the
- 6:15description and download the Bulletproof Brain for Autistic
- 6:18Individuals PDF starter Kit. There's a free download there
- 6:21where it just helps you to kind of like really build confidence
- 6:23in the inside out, which is why this happens, right?
- 6:26So you can definitely go check that out.
- 6:27And so we we think about this, right?
- 6:30Think about it. Autism isn't basically a
- 6:31straight line. And it also is a spectrum kind
- 6:34of, but it's not a spectrum like a rainbow.
- 6:36It's a spectrum like a speckles everywhere, right?
- 6:40Small speckles, big speckles. Imagine having, you know, semi
- 6:43circle on screen and then you get paint on a paintbrush and
- 6:46you sprinkle it everywhere. There'll be big blobs, small
- 6:48blobs. This is also the spectrum.
- 6:50Sometimes it'll be big, sometimes it'll be small,
- 6:52sometimes the user profile will be different.
- 6:54You know, we are all individuals whilst being under the umbrella
- 6:58of being autistic, having a neurodivergent brain type.
- 7:00And I think this is fascinating because it covers all things
- 7:03like, you know, fluctuating support needs.
- 7:05Sometimes you could have someone who's hypersensitive to
- 7:07something and hypersensitive to other things, but in the same
- 7:10person, it's more complex. We keep simplifying autism when
- 7:13it's actually way more complex than we typically give it credit
- 7:18for, which is why I think that a lot of therapy and a lot of like
- 7:23the support we have come from people who are clinical
- 7:26psychologists or professionals or not autistic individuals
- 7:29hunts why I coach no one alone, all right?
- 7:31I run programs on my website. Autism has many things that come
- 7:34with it, you know, like sensory processing differences,
- 7:37executive dysfunction, executive function.
- 7:39Some autistic individuals could be great with mechanics or
- 7:41mathematics, but then terrible at making sandwiches.
- 7:43There are so many factional different pieces within him.
- 7:47We have to look at the autistic individual as an individual,
- 7:49right? And the neurodiversity, the,
- 7:52the, the levels of having neurodiversity could, could
- 7:54range, right? And so again, like it's, it is a
- 7:56spectrum, but it's, it's a speckled spectrum.
- 7:58I'm going to try and paint this picture and put it on here.
- 8:00I'm not sure how I'll do it, but I will.
- 8:02And so if you, if you just categorize everyone to those 3
- 8:07pains, like 1-2 and three, you'll never understand how to
- 8:10support those people. What we should be doing is
- 8:11looking at the person individually and saying, OK,
- 8:13they have this diagnosis, which is your basic guideline of a
- 8:16level 1, level 2 and then saying what are the five main support
- 8:20categories within this diagnostic criteria?
- 8:23That's going to change the game. Now I want to hear from you
- 8:25guys. This is this is true.
- 8:26I I want to know your thoughts on it.
- 8:28What are your opinions? Level 1-2 and three are these
- 8:29old? Are they gone?
- 8:30What what's the difference these days?
- 8:32I'm clueless like we need to re look at the diagnostic ideas,
- 8:37the levels of autism and really think about it.
- 8:40Faction those off, make them more for the person.
- 8:44Comment down below, I want to check it.
- 8:45Read it and I'll respond to every single comment.