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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

New view on mental health

353 replies

Finallylostit · 06/04/2025 17:40

Read this today. This Doctor is refreshingly honest and a thought provoking perspective on the explosion in the mental health industry

www.dailymail.co.uk/health/article-14576559/REAL-cause-explosion-autism-depression-psychiatrist-DR-ALISTAIR-SANTHOUSE.html

OP posts:
Thread gallery
7
Mightymoog · 07/04/2025 12:00

Riaanna · 07/04/2025 11:58

Only its impact does have a range. That’s the point being made.

Autism, just so you know, is also black and white. You are or you are not.

i was talking about the diagnosis.
maybe red properly before jumping down peoples' throats

MuffinsOrCake · 07/04/2025 12:01

Riaanna · 07/04/2025 11:56

And for those who actually are autistic? What’s your point here? That an open was kept by professionals? That you rely on social media for parenting advice?

I don't understand the question. My child does not have autistic diagnosis but some of her presentations do fall within ND presentations but they are in the past now. I am posting here as everyone else, sharing my experience as individual. I have her autism friends parents who do what I do - combined effort, read online and see the professionals as per need, etc. Is there anything more I can help with....or do people just want certain types of opinions but my experience does not sit well in your worldview therefore you are saying what. Precision of terms please

P0ndl1f3 · 07/04/2025 12:02

MuffinsOrCake · 07/04/2025 11:40

Like for example one of our teens suddenly developped what looks like PDA. And everyone shouting on a forum: yeaahhhh, it is PDA. They were masking all this time. ( observe, people give me a diagnosis on a forum - I am there only for info not to get a diagnosis. )

Some more rounded people suggest that no, they are just a teenager. So it turned our my child had just a phase of being a bit obstinate and as I come from a traditional culture, I have a bit of authoritative demeanour, so the way I speak comes across sometimes bossy.

So there it is. Breath now, England. You can be as different as you want, no need of labels.

Aren’t you supposed to be discussing your child’s issue with professionals as opposed to forums.

PineappleChicken · 07/04/2025 12:04

For the one millionth time the autism spectrum is NOT a gradient / linear thing. It does NOT go from mild to severe.
It is more like the colour spectrum with different elements/symptons. The degree to which those with autism experience those symptoms can vary. Someone can experience one element much more than another element. This is where the ‘spiky’ profile term comes from.
Some may experience all symptoms/difficulties to a high degree all of the time. They are generally the people with very high care needs.
Some will experience high degree of a few symptoms all of the time and a mid-low or fluctuating degree of other symptoms. Their care needs may vary from very high to high to moderate depending on what the symptoms are.
Some will experience moderate degree in most with fluctuations to high or lower depending on what it is. Their care needs may vary.
Some will experience moderate to low degree in most and high in one area. Their care needs are lower.
Some will experience fluctuations of low to moderate degree in most areas with occasional fluctuations towards higher. Their support needs are fairly low.
The support needs of autistic people vary, but they all still have autism.
I have low support needs most of the time in terms of actual care. I do need support for quite a few things but I rely on my parents for that generally and I am fortunate that I can pay for support to manage household chores.
I have also been able to develop a lot of strategies, routines and coping mechanisms that help me manage. If all of that was to fail my support needs would likely increase.
Obviously, when you compare me to someone with very high support needs it would be clear they experience more symptoms to a greater severity than I do. That’s obvious!
But, I am still autistic and do not deserve to be spoken about in the disparaging way that some people do.
If you are desperate to use mild and severe terminology to imply some are ‘faking’ or to determine who is more ‘worthy’ of support it would be more accurate to say autism is a spectrum made up of a series of individual linear scales of symptoms within it.

Riaanna · 07/04/2025 12:05

Mightymoog · 07/04/2025 12:00

i was talking about the diagnosis.
maybe red properly before jumping down peoples' throats

Again go back and read. The person replied back and said that autism, like Down syndrome has a range in terms of impact. And is black and white in that you have it. Or you do not. You are being deliberately obtuse at this point.

MuffinsOrCake · 07/04/2025 12:05

The nursery worker listen so many massive labels etc and was so nasty ( I even do not understand why - one of the things in England some try to make you feel horrible just because your child has come up with delays or presentations of things health wise????). Then the health visitor and later school SENCO, ed phychologist etc said: well, we resolved it with just one page of advice, so therefore we are standing with the mother who is against overdiagnosing.

For whoever claiming there is not over-diagnosing, sorry, yes, there is. Nursery managers especially love to play little gods and tear the life and joy out of you

MuffinsOrCake · 07/04/2025 12:06

listed. She listed not concerns, but she tried to come up with labels. Like hello, who are you , you are not even medically trained to be a care assistant.

Riaanna · 07/04/2025 12:09

MuffinsOrCake · 07/04/2025 12:01

I don't understand the question. My child does not have autistic diagnosis but some of her presentations do fall within ND presentations but they are in the past now. I am posting here as everyone else, sharing my experience as individual. I have her autism friends parents who do what I do - combined effort, read online and see the professionals as per need, etc. Is there anything more I can help with....or do people just want certain types of opinions but my experience does not sit well in your worldview therefore you are saying what. Precision of terms please

I am currently experiencing presentations that are consistent pregnancy. Bloated. Moody. Nausea. Sore breasts. I am not pregnant. Just experiencing some of the symptoms that can be associated with pregnancy. The fact that you’re child, who is not autistic, experiences some things that some autistic children / adults experience is completely irrelevant and nothing to do with this thread. Any more than my presentation of pregnancy has any place in discussions around pregnancy.

You seem to be suggesting that there is no such thing as autism because your child isn’t diagnosed? Or questioning the validity / point of diagnosis? From the perspective of a person with no actual direct experience beyond having a child who is not…?

Wildflowers99 · 07/04/2025 12:09

Riaanna · 07/04/2025 12:05

Again go back and read. The person replied back and said that autism, like Down syndrome has a range in terms of impact. And is black and white in that you have it. Or you do not. You are being deliberately obtuse at this point.

Down syndrome is black and white because you either have an extra copy of the chromosome, or you don’t. Which 1 factor determines whether a person is autistic or not?

WhereIsMyJumper · 07/04/2025 12:10

MuffinsOrCake · 07/04/2025 12:05

The nursery worker listen so many massive labels etc and was so nasty ( I even do not understand why - one of the things in England some try to make you feel horrible just because your child has come up with delays or presentations of things health wise????). Then the health visitor and later school SENCO, ed phychologist etc said: well, we resolved it with just one page of advice, so therefore we are standing with the mother who is against overdiagnosing.

For whoever claiming there is not over-diagnosing, sorry, yes, there is. Nursery managers especially love to play little gods and tear the life and joy out of you

I’ve seen this happened to friends myself and completely believe you!

Riaanna · 07/04/2025 12:10

MuffinsOrCake · 07/04/2025 12:05

The nursery worker listen so many massive labels etc and was so nasty ( I even do not understand why - one of the things in England some try to make you feel horrible just because your child has come up with delays or presentations of things health wise????). Then the health visitor and later school SENCO, ed phychologist etc said: well, we resolved it with just one page of advice, so therefore we are standing with the mother who is against overdiagnosing.

For whoever claiming there is not over-diagnosing, sorry, yes, there is. Nursery managers especially love to play little gods and tear the life and joy out of you

Nursery managers cannot diagnose.

Riaanna · 07/04/2025 12:10

Wildflowers99 · 07/04/2025 12:09

Down syndrome is black and white because you either have an extra copy of the chromosome, or you don’t. Which 1 factor determines whether a person is autistic or not?

You’re now moving the goal posts.

Stonefromthehenge · 07/04/2025 12:10

Wildflowers99 · 06/04/2025 19:38

I’m yet to see any high quality science which supports the idea of neurodiversity as we know it today.

Where have you looked? Do you have access to science journals? I do. There is an enormous amount of scientific research going on into neurodiversity. If you're interested, and I suspect you really aren't, ADHD UK will have some useful links.

Wildflowers99 · 07/04/2025 12:12

Stonefromthehenge · 07/04/2025 12:10

Where have you looked? Do you have access to science journals? I do. There is an enormous amount of scientific research going on into neurodiversity. If you're interested, and I suspect you really aren't, ADHD UK will have some useful links.

That’s research. Not definitive conclusions.

Mightymoog · 07/04/2025 12:12

Riaanna · 07/04/2025 12:05

Again go back and read. The person replied back and said that autism, like Down syndrome has a range in terms of impact. And is black and white in that you have it. Or you do not. You are being deliberately obtuse at this point.

i don't get you.
Am i responsible for another person's reply?
You jumpoed on me for no reason except to be offended and now you've realised I actually said nothig wrong and you're talking nonsense about other posters.
I'mnot replying to you again

Mightymoog · 07/04/2025 12:13

Riaanna · 07/04/2025 12:10

You’re now moving the goal posts.

no, that's what I was saying too

Riaanna · 07/04/2025 12:13

Mightymoog · 07/04/2025 12:12

i don't get you.
Am i responsible for another person's reply?
You jumpoed on me for no reason except to be offended and now you've realised I actually said nothig wrong and you're talking nonsense about other posters.
I'mnot replying to you again

You asked what you had done that caused offence. I answered. Now you’re attacking me for answering.

Riaanna · 07/04/2025 12:14

Mightymoog · 07/04/2025 12:13

no, that's what I was saying too

Apologies someone else decided to get involved and speak for you and I got lost.

CautiousLurker01 · 07/04/2025 12:17

Wildflowers99 · 07/04/2025 12:12

That’s research. Not definitive conclusions.

Erm… there’s a great big section at the end of every piece of research labelled ‘Conclusion’… these, as a body of research when results are replicated, inform practice and approaches to diagnosis, assessment, treatment and support strategies.

So, yeah, research is really significant and there is tonnes and tonnes of it (some of it linked further up the thread, including the summary article in the New Scientist on p1/2).

WhereIsMyJumper · 07/04/2025 12:19

IMO, of course Autism exists. There is no argument there.

My wondering would be, what other conditions could present as autism but actually aren’t? I won’t pretend to know too much of what I am talking about, but if you read the diagnostic criteria for ASD (as with conditions like ADHD) there are other circumstances that could cause a great many of the ‘symptoms’ listed there. Trauma, anxiety, and yes, in some cases, bad parenting.

If I am sneezing and have a runny nose, do I have allergies? Hayfever? A cold? All can cross over and appear similar but are not the same. And treatment is different for each.

MuffinsOrCake · 07/04/2025 12:22

Riaanna · 07/04/2025 12:09

I am currently experiencing presentations that are consistent pregnancy. Bloated. Moody. Nausea. Sore breasts. I am not pregnant. Just experiencing some of the symptoms that can be associated with pregnancy. The fact that you’re child, who is not autistic, experiences some things that some autistic children / adults experience is completely irrelevant and nothing to do with this thread. Any more than my presentation of pregnancy has any place in discussions around pregnancy.

You seem to be suggesting that there is no such thing as autism because your child isn’t diagnosed? Or questioning the validity / point of diagnosis? From the perspective of a person with no actual direct experience beyond having a child who is not…?

you are fighting with the wrong person. NOWHERE IN ALL MY POSTS IN AM SUGGESTING WHAT YOU ARE IMPLYING AT ME. now leave my username

Riaanna · 07/04/2025 12:23

MuffinsOrCake · 07/04/2025 12:22

you are fighting with the wrong person. NOWHERE IN ALL MY POSTS IN AM SUGGESTING WHAT YOU ARE IMPLYING AT ME. now leave my username

You’re on a post about ASD making multiple comments about your daughter who is not ASD with references to labelling. What is your point?

MuffinsOrCake · 07/04/2025 12:25

in here. Read all my posts - written in the clearest of English. There is not a statement I am stating autism does not exist in the UK. However people who want their kids labelled as such and some lousy hot air heads without correct training and lazy to dedicate proper time and attention to you and are in the their desk job for the pay package, - yes, this does exist

P0ndl1f3 · 07/04/2025 12:25

Riaanna · 07/04/2025 12:23

You’re on a post about ASD making multiple comments about your daughter who is not ASD with references to labelling. What is your point?

This!

Sunnygreen · 07/04/2025 12:25

PineappleChicken · 07/04/2025 12:04

For the one millionth time the autism spectrum is NOT a gradient / linear thing. It does NOT go from mild to severe.
It is more like the colour spectrum with different elements/symptons. The degree to which those with autism experience those symptoms can vary. Someone can experience one element much more than another element. This is where the ‘spiky’ profile term comes from.
Some may experience all symptoms/difficulties to a high degree all of the time. They are generally the people with very high care needs.
Some will experience high degree of a few symptoms all of the time and a mid-low or fluctuating degree of other symptoms. Their care needs may vary from very high to high to moderate depending on what the symptoms are.
Some will experience moderate degree in most with fluctuations to high or lower depending on what it is. Their care needs may vary.
Some will experience moderate to low degree in most and high in one area. Their care needs are lower.
Some will experience fluctuations of low to moderate degree in most areas with occasional fluctuations towards higher. Their support needs are fairly low.
The support needs of autistic people vary, but they all still have autism.
I have low support needs most of the time in terms of actual care. I do need support for quite a few things but I rely on my parents for that generally and I am fortunate that I can pay for support to manage household chores.
I have also been able to develop a lot of strategies, routines and coping mechanisms that help me manage. If all of that was to fail my support needs would likely increase.
Obviously, when you compare me to someone with very high support needs it would be clear they experience more symptoms to a greater severity than I do. That’s obvious!
But, I am still autistic and do not deserve to be spoken about in the disparaging way that some people do.
If you are desperate to use mild and severe terminology to imply some are ‘faking’ or to determine who is more ‘worthy’ of support it would be more accurate to say autism is a spectrum made up of a series of individual linear scales of symptoms within it.

People can understand all that and still say (accurately) that some people are affected more severely than others though. That their autism impacts their life to a greater degree than it does others.

The problem is if you do say that, some people tend to jump down your throat pretty quickly, in a way they wouldn’t if you said someone has mild vs severe asthma, for example.

I do know a lot goes on behind closed doors and I also hate the way some assume that someone who is verbal with no learning difficulties has ‘mild’ autism. Some people fitting this description are disabled to an extent they will never live independently.

I mean the word ‘mild’ just isn’t great here. I think that’s the issue. Because everyone diagnosed has significant issues so it’s a provocative word to use.
That said, ‘mild’ is usually considered good when used to describe other conditions 🤔