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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think most autistic people can’t claim PIP?

428 replies

Bluefell · 26/03/2024 17:02

Specifically adults with high functioning autism, level 1 autism, Asperger’s, whatever you want to call it. Maybe you have qualifications, maybe you are married or have kids, maybe you even have a job or drive a car. Do you get PIP?

I have autism and I’m being told I’m not eligible for PIP because I’m “too functional” and I “don’t have any care needs”. I manage on my own (with the help of various adjustments and the support of my DH) but I’ve never worked full time because I find it too overwhelming.

I’m being told that other autistic people receive PIP to enable them to work part-time because they find that work burns them out. So why don’t I receive PIP for the same reason? I’m also being told that people get PIP to pay for counselling to help them cope with autism, or to pay for food deliveries (because the supermarket overwhelms them), or to pay for therapy which helps them to integrate socially and mask better. I would equally benefit from those things but I can’t get PIP.

AIBU to think that most high functioning autistic people like me aren’t able to get PIP? Or is everyone else except me getting it?

OP posts:
LadyKenya · 28/03/2024 19:16

GoodnightAdeline · 28/03/2024 19:01

What better way? I’m not being obtuse but surely explaining your limitations has to be part of the assessment?

I mean I don't know how exactly, but for a start most people's GPs are aware of their conditions, and how they are affected by them. Instead of sitting in front of Joan, at the assessment , who happens to be a physiotherapist, when the person trying to claim is suffering from heart failure, and a mental health issue, would it not be better to have more GP input?

WaitingForMojo · 28/03/2024 19:20

LadyKenya · 28/03/2024 19:16

I mean I don't know how exactly, but for a start most people's GPs are aware of their conditions, and how they are affected by them. Instead of sitting in front of Joan, at the assessment , who happens to be a physiotherapist, when the person trying to claim is suffering from heart failure, and a mental health issue, would it not be better to have more GP input?

I don’t think my gp knows who I am, let alone how my autism affects me.

I think you’re right that the process is horrible. I don’t know what the alternative would be though.

LadyKenya · 28/03/2024 19:32

I see@WaitingForMojo . I just thought that most people's conditions, and disabilities would be noted on their medical records. I guess I am remembering my old Doctor, and how he knew quite a lot about my medical history, and how I was managing with things.

TigerRag · 28/03/2024 19:45

Your diagnoses will be noted but I remember a GP once saying that she has no idea how I'm really affected as I rarely see anyone for long term health problems

LadyKenya · 28/03/2024 19:53

Yes, I suppose there will be people who would rarely go to their GP, and, just for want of a better phrase, get on with it@TigerRag . As you have said, you sadly do not have a diagnosis at present either, so I am not sure how that would work, when trying to apply.

colouredball · 28/03/2024 19:58

LadyKenya · 28/03/2024 19:53

Yes, I suppose there will be people who would rarely go to their GP, and, just for want of a better phrase, get on with it@TigerRag . As you have said, you sadly do not have a diagnosis at present either, so I am not sure how that would work, when trying to apply.

What would be the point in me going to the GP to list all the things I need help with? It's not like the NHS is giving any help for the vast majority of autistic people. It's very much a case of 'here is your diagnosis, off you pop'

Same with my physical health problems, they are diagnosed and treated but the GP doesn't need to know how I am affected daily, they just need to know X problem needs Y medication

LakieLady · 28/03/2024 19:58

User373433 · 28/03/2024 18:56

Myself and 2 of my children have diagnosis of ASD or ADHD or both, I've never tried to claim for any of us, although we would very much benefit. Mostly that we would be able to skip queues at busy venues but the requirement is always proof of DLA/PIP. But I just can't face the forms.

Do any of the autism charities offer help with the forms? In my nearest city, there is a local charity supporting people with ASD and they will help with PIP forms.

People with ADHD often qualify for PIP, too. The distraction factor can make it very difficult for people with ADHD to cook safely, or to follow a conversation properly, or to take in complex written information effectively. I have a niece with ADHD and EUPD, and I helped her get enhanced daily living and standard mobility.

WaitingForMojo · 28/03/2024 20:03

LadyKenya · 28/03/2024 19:32

I see@WaitingForMojo . I just thought that most people's conditions, and disabilities would be noted on their medical records. I guess I am remembering my old Doctor, and how he knew quite a lot about my medical history, and how I was managing with things.

My diagnoses would be on my records and my prescription for adhd meds. But they wouldn’t have a clue how my diagnoses affect me.

LadyKenya · 28/03/2024 20:30

Then GPs input will not suffice for everyone. But the system at the moment is not working too well either. So we run the gauntlet with it, as it is currently.

ntmdino · 28/03/2024 22:17

miniaturepixieonacid · 28/03/2024 17:14

TigerRag - Yes, I know needs vary, of course. But, as a generalisation, a disability should, by definition, cause difficulty and inconvenience. Which can often be alleviated, if only slightly, by money. So I'm wondering whether it would actually be any more expensive to just award it automatically to all disabled people and save the application process which is both expensive and difficult. I suppose the idea is a bit like that universal income idea which was deemed impractical. So most likely this is too, I'm just musing. I'm not sure about not being able to get a diagnosis though. Surely if someone is disabled enough to be struggling with everyday function then there is something diagnosable causing the difficulty?

Disabilities are not diagnosed, conditions are. Which of course can be variable
Isn't that just semantics? Disabilities are caused by conditions.

Therein lies the problem (the "not being able to get a diagnosis" part). It's functionally impossible to get an autism diagnosis on the NHS if you're an adult these days, not least because GPs are often unwilling to "waste" resources when - in their eyes - there is no available support for autistic adults.

That's exactly what my GP gave me as a reason for refusing my request for an assessment referral.

And even if you do get on the waiting list, it'll be years before you get there. If somebody needs the diagnosis for PIP because they can't work, then what are they supposed to do in the meantime?

And it's complicated by the fact that autism isn't a static condition. Somebody who's perfectly capable of holding down a job in their 30s can often find it far more challenging in their 40s, and downright impossible as they move into their 50s.

WaitingForMojo · 28/03/2024 23:22

I was diagnosed with autism as an adult on the nhs. I was lucky. Many people can’t access this. And in my local area, the wait is currently over five years.

I paid privately for adhd assessment. Had I not, I still wouldn’t have that diagnosis.

Other conditions take a long time from onset to diagnosis. I understand that endometriosis diagnosis averages years. My dd has been waiting over two years to see a Consultant for suspected endo.

Chronic Fatigue syndrome takes ages to diagnose, I believe.

I have a friend who has been having neurological assessments for 3 years and no firm diagnosis yet.

Accessing diagnosis is complicated and takes time. Sometimes it isn’t accessible at all. Doesn’t make someone less impaired.

doppelganger2 · 29/03/2024 07:14

Therein lies the problem (the "not being able to get a diagnosis" part). It's functionally impossible to get an autism diagnosis on the NHS if you're an adult these days, not least because GPs are often unwilling to "waste" resources when - in their eyes - there is no available support for autistic adults.

but you don't need a diagnosis for PIP. It's based on your difficulties and the extra help you need, not diagnosis.

TigerRag · 29/03/2024 09:26

But from experience you're taken more seriously with a diagnosis they've heard of

ArseInTheCoOpWindow · 29/03/2024 09:34

The advice l was given was go to your gp before you apply and make them aware of your limitations.

I did this, my gp wrote me a letter. I sent it to PIP ( still no diagnosis at this point)

l was awarded full rate first time.

ntmdino · 29/03/2024 09:54

doppelganger2 · 29/03/2024 07:14

Therein lies the problem (the "not being able to get a diagnosis" part). It's functionally impossible to get an autism diagnosis on the NHS if you're an adult these days, not least because GPs are often unwilling to "waste" resources when - in their eyes - there is no available support for autistic adults.

but you don't need a diagnosis for PIP. It's based on your difficulties and the extra help you need, not diagnosis.

This is true. However, if you don't have a diagnosis and your GP refuses a referral on the grounds that no support is available (which is very common, as I mentioned), then they're definitely not going to write a letter for a PIP application, which means your PIP application is much more likely to be rejected.

A diagnosis isn't required for PIP, but without it the chances are massively reduced.

LadyKenya · 29/03/2024 09:58

As I said in pp my old GP was aware of my difficulties, but going by some of the replies I have had, it would seem that this is not necessarily the norm. Why on earth should the GP know these things? some may wonder. In my experience it has helped me with some situations I have encountered, where my GP was able to help, precisely because they knew.

weirdowithweirdhealthproblems · 24/04/2024 04:25

Hi OP - there's a charity called Kester Disability Rights that can help you with a PIP claim - I think it's no win no fee but you should check. I think I read on their website that they'd never lost a case where the applicant had autism. They say that that day will likely come but so far there record seems very good (going on what I read when I was going through the process a while back so again it might have changed) - I'd definitely look into it - you sound like you should be eligible from what I understand and it's just a question of managing to navigate the system. They're utter bastards for the way they use people's disabilities against them to stop them from claiming.

HazeyGazey · 01/05/2024 11:21

Bluefell · 26/03/2024 17:06

DWP and the PIP assessor who conducted my assessment.

No one gets PIP for having a particular condition or diagnosis. It's how your disability affects you.
If your anxiety is preventing you from being able to go out, mix with people, cope with social interaction, you may be entitled to Pip.
54% of pip applicants are turned down. The DWP are very dishonest. The private companies that do the assessments are looking to refuse you. They do lie on thier reports.
Get support from your local neighbourhood team, or from the CAB. There's a good website called 'benefits and work' and the scope chat forums have good advice on how to fill out pip forms, how to appeal a pip refusal etc.

HazeyGazey · 01/05/2024 11:26

greasypolemonkeyman · 26/03/2024 17:16

Nobody gets pip for burnout. That's ridiculous and there isn't even a related question on the forms about such things so there is literally no criteria for it.

What you can get pip for is the actual care needs that are listed on the forms when they ask you if you need help. That is ALL they care about.

Do you need help to prepare or take nutrition? To toilet or shower? To make a journey? To socialise?

Pip is not there to make up a short fall of wages, it's there to cover the costs of care needs and you don't seem to have any?

You're right to say nobody gets pip for any diagnosis, but for the care needs that diagnosis generates. However, what makes you think a person suffering burn out has no care needs?

HazeyGazey · 01/05/2024 11:31

pinkmushroom5 · 26/03/2024 17:26

Being autistic doesn't automatically mean you get PIP, and nor should it, especially as we are (rightly) moving towards it being identified as a difference rather than a disability.

Obviously, autism quite often also comes with disabilities and difficulties with daily living. But purely a diagnosis of autism in itself is not a disability.

Burnout isn't a reason to get PIP. I have anxiety and also can't work full time - I certainly wouldn't expect to receive PIP for that, because I get by OK.

Benefits are for people who can't cope without them. You can cope, so you don't need them.

Autism IS a disability.

Naanonaa · 01/05/2024 11:32

HazeyGazey · 01/05/2024 11:31

Autism IS a disability.

Yes. It literally is a disability

WaitingForMojo · 01/05/2024 11:35

It is a disability under the Equality Act. Some autistic people don’t identify as disabled. I personally do, and I don’t feel that’s incompatible with viewing autism as a difference not a deficit. Many disabilities are differences imo.

WaitingForMojo · 01/05/2024 11:37

pinkmushroom5 if your anxiety significantly impacts your ability to carry out the tasks specified in the PIP descriptors, you are eligible.

It doesn’t matter whether you, or I, or anyone else think someone SHOULD be eligible, PIP is a statutory entitlement, not a handout. What matters is legal eligibility, not personal opinion.

HazeyGazey · 01/05/2024 11:48

GoodnightAdeline · 26/03/2024 18:19

But it’s self reported and a lot of it based on MH issues rather than something with concrete pathological evidence. If I say I can’t make a meal because of MH issues, how can they disprove this?

It's not 'self reported'
You needs lots of evidence from gp, mental health team, support agencies etc.

ScentOfSawdust · 01/05/2024 12:27

Both my daughters have autism.

One's able to live independently, can cook and shop for herself (although will always use self check-outs so she doesn't have to talk to anyone), can travel independently (although chose to walk everywhere when she moved to a new city as she didn't know what she needed to say to the bus driver) and needs our support for life admin. She finds things draining and hard, but manages.

The other loves to cook, but if something goes slightly wrong (water splashes when she puts pasta in the pan; top layer of cake starts slipping off) she will go into an autistic shut down and self-harm. She needs help to wash her hair because water on her face will send her into an autistic shut down and self-harm. She needs me to make appointments for her as she can't speak to anyone on the phone, and I have to accompany her to doctor's appointments as when they ask her why she's there she shuts down. She's fine getting the bus for a journey she knows, as long as nothing goes wrong. If it detours or terminates early she'll have a meltdown and has previously then gone to buy paracetamol and taken an overdose.

The first has never considered applying for PIP, the second is waiting to hear, but the assessor has recommended she's awarded both care and mobility components. The decision isn't made on the disability, it's on the impact on the individual's life.

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