Autism, health and depression

Whilst people with autism are often in good physical health, mental health problems can be common.
Several people we talked with had health conditions including diabetes, eczema and food intolerances. Alex developed epilepsy after a road accident which was a consequence of her inability to judge distance and speed effectively. She has a medic alert bracelet and her local hospital have ‘grab sheets’ which provide different levels of information about her condition. She says that most health professionals pay little attention to these.

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

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A few people had food intolerances which could cause them discomfort. Gail sticks to a diet of fruits, vegetables, meat, potatoes and rice to avoid getting stomach aches. Ian has become obsessed with his weight since his mum remarked that he was getting fat. He checks his weight every day and tries to walk as much as possible.

Miranda has an intolerance to eggs and yeast and so finds it difficult to eat out.

Age at interview 49

Mental health problems such as anxiety and depression were common among the people we talked with. Most said they had experienced depression in late adolescence/early adult life and several people had occasionally felt suicidal or tried to take their own lives. Christopher summarised his depression as an outcome of how people have treated him in the past;

‘Loneliness, anger and frustration and, just unhappiness really. Just all of those into a big searing stew pot of despair.’

James became significantly depressed as a child and ended up in a psychiatric ward.

Age at interview 22

Gender Male

Age at diagnosis 12

Some people related their depression to the difficulties they had with relationships, periods of unemployment or, in a few cases, debt.

John became depressed when he stopped working and felt that everything was pointless.

Age at interview 65

Gender Male

Age at diagnosis 62

A few people talked about self-harming and two women ‘wandered in and out of bulimia and anorexia’. Several people described being bullied either at school or at work. Peter said:

‘I was very good at hiding depression from my mum and dad. When I was bullied at school I used to always come home happy or that’s what they thought’.

Harriet talks about taking an overdose and self harming during her adolescence.

Age at interview 49

Catherine wrote a letter to her mum saying she wanted to kill herself and had years of therapy…

Gender Male

Some people had tried to commit suicide by taking overdoses. One man, for example, took an overdose after gambling away his life savings. His wife was unaware of what he had done; he described thinking at the time:

‘What am I going to do? You know, I am not working. I am not possibly having an income. How am I going to occupy my time? I won’t be able to live the way I have lived up till now on retirement money and so on. It all sort of came together and the last thing I thought of is sitting down and saying to [wife] ‘Look, I have been a stupid so and so. I have spent our money and what are we going to do now then? Let’s work it out’.’

Another man who had got into a lot of debt and tried unsuccessfully to do extra overtime to clear it, became very depressed. He said:

‘It never really clicked with me, I could actually go and see dad and say ‘I’m in a lot of trouble here’. And then everything just built up.’

Daniel linked his suicidal thoughts to periods when he was physically ill and he thought there was a link between his health and periods of depression.

Margaret constantly worries about Daniel killing himself after he took an overdose a few years ago.

Gender Male

Age at diagnosis 11

Mark describes how he resolved to do ‘normal people things’ after taking an overdose during the…

Age at interview 27

Gender Male

Age at diagnosis 26

Some people were seeing psychologists to help them with their depression and others took antidepressants. One man said:

‘And so I was quite depressed and that is maybe when I got onto risperidone. They didn’t agree with me. I can’t remember. I have got so much stuff. I could set up my own chemist.’

An expert in autism has helped Simon deal with his depression.

Age at interview 22

Gender Male

Age at diagnosis 5

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Russell would prefer a cure for his depression rather than daily medication.

Age at interview 21

Gender Male

Age at diagnosis 12

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John has concentration problems that have been eased with antidepressants but he would like…

Age at interview 47

Gender Male

Age at diagnosis 45

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Accessing appropriate support for their depression was generally difficult.

Christopher says finding a decent mental health service is like trying to find the Scarlett…

Age at interview 17

Gender Male

Age at diagnosis 14

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Learning to understand what needs to happen to keep himself happy and healthy has been important to John L.

Age at interview 39

Gender Male

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