Alex – Interview 04b

Alex was diagnosed with classic autism aged three years old. She lives independently in an adapted house, with some care assistance. A few years ago she was injured in a road accident and, as a result, now has epilepsy.

Alex was diagnosed with classic autism when she was three years old and was non verbal until she was over five. She was very well supported throughout school and achieved goodGCSE’s and A Levels. The transition to adult services has been problematic, however, and Alex has been caught in the gap between learning disability services and mental health services. Her IQ has been measured at 70 which is too high for her to be supported by learning difficulty services but she has found that mental health services do not have much understanding of autism.

While Alex functions very well in some areas, like sequencing, she has very poor living skills and daily functioning because she finds processing instructions difficult, has sensory processing disorder, so is unable to cross roads safely and an unrealistic sense of danger. These difficulties make everyday life problematic for Alex who attends a day centre four days a week and has a PA (through Direct Payments) for a few hours a week. Alex has just received support from an on call care company who she can call on for support 24/7.

Alex lives independently in an adapted house rented from a housing association. She has a care plan that specifies the limits to what she can do without support. She is not supposed to go further than her corner shop without someone with her, for example, as she is in danger of being run over. She was badly injured in a road accident a few years ago and, as a result, now has epilepsy. She is also not supposed to answer the door after 9pm in the evening. Alex is happy living on her own, though it has taken her quite a while to get used to it. When she first moved in, she didn’t eat for 13 days as it didn’t cross her mind. Although careworkers called in to check on her, they failed to ask her if she was eating. Alex feels she now has a very good care package now, though she sometimes feels constrained by the limits imposed on her.

She has online friends she has met through an autism forum and enjoys art, watching DVDs, playing on the computer and walking her dog. Alex writes a blog called ‘Autism through my eyes.

Alex now attends a day service that meets her needs after six years of trying different provision.

Age at interview 28

Gender Female

Age at diagnosis 3

Close relationships are Alex’s idea of ‘hell. She can cope well with relationships on the internet.

Age at interview 28

Gender Female

Age at diagnosis 3

Alex’s care plan includes a weekly list of microwaveable meals but doesn’t always want to eat.

Age at interview 28

Gender Female

Age at diagnosis 3

Alex is very trusting but is more accepting now when people lie.

Age at interview 28

Gender Female

Age at diagnosis 3

Alex’s social worker admits she has no understanding of autism which is ‘scary.

Age at interview 28

Gender Female

Age at diagnosis 3

Alex describes her experiences of direct payments and commissioned services.

Age at interview 28

Gender Female

Age at diagnosis 3

Alex thinks she ‘fakes understanding’ sometimes and social care professionals don’t really…

Age at interview 28

Gender Female

Age at diagnosis 3

It has taken a long time for Alex to get an appropriate care package. She had a long period of…

Age at interview 28

Gender Female

Age at diagnosis 3

Alex recommends some books but thinks that whether people will enjoy the books depends on where…

Age at interview 28

Gender Female

Age at diagnosis 3

Alex’s new carers didn’t notice that she hadn’t eaten for 13 days when she first lived on her own.

Age at interview 28

Gender Female

Age at diagnosis 3

Alex describes what she has done since she left school.

Age at interview 28

Gender Female

Age at diagnosis 3

Alex has online friends who help her by checking that she has eaten or locked her doors.

Age at interview 28

Gender Female

Age at diagnosis 3

When Alex is unwell, she withdraws from everyday life significantly and watches DVDs for 10 hours…

Age at interview 28

Gender Female

Age at diagnosis 3

Alex talks about the hazards she may encounter within her home or in her neighbourhood and her…

Age at interview 28

Gender Female

Age at diagnosis 3

the diagnosis didn’t get Alex sweets, drinks or toys so didn’t interest her.

Age at interview 28

Gender Female

Age at diagnosis 3

Alex explains her ‘autistic’ responses to some situations and why she tries to cover these up.

Age at interview 28

Gender Female

Age at diagnosis 3

A psychologist is helping Alex to overcome her fear of germs which has made her feel she could…

Age at interview 28

Gender Female

Age at diagnosis 3