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Introduction - Mom to 21 year old w/multiple dx

Momofone23

New Member
Hello, I'm so happy to have found this forum. I'm a single mom to a 21 year old son who lives with me full-time. He has a VERY complex profile and we are at the point now where I'm desperately trying to find him the help/support he needs to have any chance for a viable future. I'm hoping maybe some of you can help with some tips and guidance.

My son is not technically diagnosed with ASD, however he has a laundry list of other diagnoses, including Social Communication disorder, Tourette's, OCD, GAD, learning disabilities, and severe executive functioning and visual/spatial deficits. The HUGE challenge in his case is that he presents as a young man who has none of the above, yet he is so significantly impaired in ways that create very frustrating challenges for him in day to day life.

I'd like to share an analogy that I have shared with his psychologist and some close friends to help them understand the challenges and frustrations my son is dealing with and how we can get him the help and support he needs in order to have a viable future.

It's as if he has an invisible wheelchair that not only can others not see unless they have enough time to spend with him one-to-one across different settings, but he himself is unable and unwilling to see his invisible chair. He so desperately, with EVERY fiber of his being, wants to be just like every neurotypical 21 year old, of course who doesn't, so I totally get it. When he looks in the mirror each day all he can see is the handsome, talented young man that everyone else sees. He's not driving yet, and not sure when that will be an option, so imagine going out in the world each day with this invisible wheelchair stuck to you. Everywhere you go you constantly run into obstacles and can't figure out why. You look and talk just like your peers and others, you can get up on stage and sing and perform with amazing stage presence and charisma, you can spit out incredible song lyrics, you are articulate, friendly, sociable and outgoing. So what the heck is wrong? Why do you keep running into walls wherever you go....socially, relationships, attempts at employment, when you were in school, academics, and the list goes on. And on. And on.

You have the voice of an angel and incredible musical talents and set your sights on being the next pop sensation. You have the musical talent to do that, but you have no analytical skills, no street smarts, no business savvy, no ability to plan ahead even for 2 hours sometimes. You have a thin skin, significant impulse control, frustration, and emotional regulation issues, not to mention severe executive functioning and visual/spatial challenges. You hear these terms and will easily repeat them to others, but you really don't understand, and don't want to understand what they mean and how they impact you.

As time goes by, and you continue focusing all of your efforts on your music, which by now has become your entire identity, the wheels on your invisible chair begin to start rusting and it's becoming increasingly difficult for you to move about in the world. The harder you try the more difficult it becomes, especially when you are watching all of your peers pass you by. Going to college, driving, getting jobs, living on their own, girlfriends, boyfriends, etc.

Doctors, therapists, specialists, have struggled to understand your complex profile and how to help, but most end up being stumped in the end. In many ways you are almost savant-like. You have a high-average IQ and have single-handedly taught yourself sophisticated music recording software, and have incredible songwriting and vocal gifts. One minute you are sitting at your computer spitting out song lyrics and recording a song, and the next minute you are doing things like washing off your pills that just fell on the floor because they were dirty. Or racking up hundreds of $ in overdraft charges because you can't even pay attention to what you have in your small bank account. Or walking into a screen door you had just closed yourself a minute earlier. Or looking at a tall glass with a crack all the way down the side, and not understanding why it is dangerous to handle or drink out of.

No one aside from your mom (me) and people like your home-based social worker really see the extent of your impairments, not even you. Your mom has to keep a photo journal in order to get doctors, therapists, etc. to believe what she is seeing day to day because you present the complete opposite of how you function.

Okay, that's a MUCH longer analogy than I set out to write, sorry!! Bottom line, it's become apparent to myself and my son's current psychologist, and others working with him that his only hope is to find a mentor/coach that can essentially shadow him from morning to night each day across different settings to help him learn the critical life skills and other skills he will need to even be semi self-sufficient. Meanwhile back at the farm, I'm his emotional punching bag and it's gotten to the point of being unbearable. Unfortunately there are no other family members my son can live with and he's nowhere near the point of being able to function on his own.

Up until this point he has been unwilling to fully accept and acknowledge his disabilities and impairments, which in turn has been holding him back from moving forward in his life. Predictions from professionals say that he will likely need some level of support for the rest of his life, but everyone's hope is that once he actually sees and accepts his invisible wheelchair that with the right support and guidance he can eventually graduate to invisible crutches that he might just need here and there.

So my big question is HOW and what do we do to help my son understand and accept his invisible wheelchair so he can move forward? I've been unable to work for the past 5+ years just trying to manage his care and fight for the supports that he needs with the school district, and now with the county/government. He already has SSI, Medicaid, etc., and is on the wait list for a waiver. My hope and prayer is that I can get him the help and support he desperately needs so that both of us can have hope for a viable future ahead. Would love any suggestions on what we can do at this point to help my son. Thanks so much!
 
welcome.png
 
Is he on here? Being that he is 21, I would love it if he would come on and talk to us. I would feel uncomfortable talking about him behind his back. He seems like a thoughtful, sensitive, intelligent young man. See if he can set up an account?
 
Hello, I'm so happy to have found this forum. I'm a single mom to a 21 year old son who lives with me full-time. He has a VERY complex profile and we are at the point now where I'm desperately trying to find him the help/support he needs to have any chance for a viable future. I'm hoping maybe some of you can help with some tips and guidance.

My son is not technically diagnosed with ASD, however he has a laundry list of other diagnoses, including Social Communication disorder, Tourette's, OCD, GAD, learning disabilities, and severe executive functioning and visual/spatial deficits. The HUGE challenge in his case is that he presents as a young man who has none of the above, yet he is so significantly impaired in ways that create very frustrating challenges for him in day to day life.

I'd like to share an analogy that I have shared with his psychologist and some close friends to help them understand the challenges and frustrations my son is dealing with and how we can get him the help and support he needs in order to have a viable future.

It's as if he has an invisible wheelchair that not only can others not see unless they have enough time to spend with him one-to-one across different settings, but he himself is unable and unwilling to see his invisible chair. He so desperately, with EVERY fiber of his being, wants to be just like every neurotypical 21 year old, of course who doesn't, so I totally get it. When he looks in the mirror each day all he can see is the handsome, talented young man that everyone else sees. He's not driving yet, and not sure when that will be an option, so imagine going out in the world each day with this invisible wheelchair stuck to you. Everywhere you go you constantly run into obstacles and can't figure out why. You look and talk just like your peers and others, you can get up on stage and sing and perform with amazing stage presence and charisma, you can spit out incredible song lyrics, you are articulate, friendly, sociable and outgoing. So what the heck is wrong? Why do you keep running into walls wherever you go....socially, relationships, attempts at employment, when you were in school, academics, and the list goes on. And on. And on.

You have the voice of an angel and incredible musical talents and set your sights on being the next pop sensation. You have the musical talent to do that, but you have no analytical skills, no street smarts, no business savvy, no ability to plan ahead even for 2 hours sometimes. You have a thin skin, significant impulse control, frustration, and emotional regulation issues, not to mention severe executive functioning and visual/spatial challenges. You hear these terms and will easily repeat them to others, but you really don't understand, and don't want to understand what they mean and how they impact you.

As time goes by, and you continue focusing all of your efforts on your music, which by now has become your entire identity, the wheels on your invisible chair begin to start rusting and it's becoming increasingly difficult for you to move about in the world. The harder you try the more difficult it becomes, especially when you are watching all of your peers pass you by. Going to college, driving, getting jobs, living on their own, girlfriends, boyfriends, etc.

Doctors, therapists, specialists, have struggled to understand your complex profile and how to help, but most end up being stumped in the end. In many ways you are almost savant-like. You have a high-average IQ and have single-handedly taught yourself sophisticated music recording software, and have incredible songwriting and vocal gifts. One minute you are sitting at your computer spitting out song lyrics and recording a song, and the next minute you are doing things like washing off your pills that just fell on the floor because they were dirty. Or racking up hundreds of $ in overdraft charges because you can't even pay attention to what you have in your small bank account. Or walking into a screen door you had just closed yourself a minute earlier. Or looking at a tall glass with a crack all the way down the side, and not understanding why it is dangerous to handle or drink out of.

No one aside from your mom (me) and people like your home-based social worker really see the extent of your impairments, not even you. Your mom has to keep a photo journal in order to get doctors, therapists, etc. to believe what she is seeing day to day because you present the complete opposite of how you function.

Okay, that's a MUCH longer analogy than I set out to write, sorry!! Bottom line, it's become apparent to myself and my son's current psychologist, and others working with him that his only hope is to find a mentor/coach that can essentially shadow him from morning to night each day across different settings to help him learn the critical life skills and other skills he will need to even be semi self-sufficient. Meanwhile back at the farm, I'm his emotional punching bag and it's gotten to the point of being unbearable. Unfortunately there are no other family members my son can live with and he's nowhere near the point of being able to function on his own.

Up until this point he has been unwilling to fully accept and acknowledge his disabilities and impairments, which in turn has been holding him back from moving forward in his life. Predictions from professionals say that he will likely need some level of support for the rest of his life, but everyone's hope is that once he actually sees and accepts his invisible wheelchair that with the right support and guidance he can eventually graduate to invisible crutches that he might just need here and there.

So my big question is HOW and what do we do to help my son understand and accept his invisible wheelchair so he can move forward? I've been unable to work for the past 5+ years just trying to manage his care and fight for the supports that he needs with the school district, and now with the county/government. He already has SSI, Medicaid, etc., and is on the wait list for a waiver. My hope and prayer is that I can get him the help and support he desperately needs so that both of us can have hope for a viable future ahead. Would love any suggestions on what we can do at this point to help my son. Thanks so much!

Your son sounds a lot like my wife as she is sociable, outgoing, friendly, and with extreme musical talent (can play any song after hearing it once or twice), but she has severe executive function and visual/spatial issues, which affected her severely in terms of academics and employment, and in term of making friendships, having relationships, and driving.

As much as I love her, and see the great in her, it can be difficult as she lacks in common sense, too, and with difficulties at analyzing and planning as well. She has emotional regulation and impulsivity issues and can get frustrated easily. And so she has low tolerance for stress, the exact opposite for me, for most all of those things.

So, it can be challenging for sure to know what to do. The first step is correct or complete diagnostics, as that could make things more clearer, in knowing how to proceed, and in getting the right support and direction. You mentioned OCD and GAD, as two of the conditions. Well, my wife seems to have OCD issues from the surface, in terms of keeping all paperwork and needing to constantly write things down and have lists to remember, and she was diagnosed long ago with GAD, as she gets anxious over things she cannot control.

And she was diagnosed in the past with Borderline
Personality and Bipolar, too, but things did not add up, regarding those diagnoses. For over twenty five years every treatment they tried failed, and if anything things worsened because of such, leading to suicidal issues, apathetic or more aggressive state, life threatening allergic reactions, psychosis, and so on. And after marriage with me, she never had depression and suicidal issues. So, only after nine hours of medical testing a year and a half ago did they find out it was ADHD.

That explained everything: the executive function issues, the impulsiveness and emotional regulation issues, the scattered thinking, the hyperfocus issues, the problems planning and carrying out tasks, the memory and concentration issues, the difficulties prioritizing, and so on. I am not saying your son has ADD or ADHD, but it would not shock me, as medical persons misdiagnose or underdiagnose all the time, as sometimes they see the details and not the big picture, or the big picture and not the details. They often cannot put two and two together.

Some conditions respond very favorly to medication. You might want to consider comprehensive neuropsychological testing for that condition I mentioned, just to rule that in or out. I know from the surface it could look like a possibility for Aspergers, too, as the extreme singing talent and hyperfocus is there, and because of the diagnosed OCD as those with Aspergers can have routines or rituals, and because of the emotional regulation issues and some practical life skills problems which can be apart of ASD, but I would not rule out being tested for the ADD or ADHD, too. My wife tested very very high as an Aspie, but is not. That tells you those ASD and ADHD have many similar features.
 
Hi, and welcome! :) I'm glad you've joined us. Are you in the US? Sending you and your son good thoughts for today.
 
Hello, I'm so happy to have found this forum. I'm a single mom to a 21 year old son who lives with me full-time. He has a VERY complex profile and we are at the point now where I'm desperately trying to find him the help/support he needs to have any chance for a viable future. I'm hoping maybe some of you can help with some tips and guidance.

My son is not technically diagnosed with ASD, however he has a laundry list of other diagnoses, including Social Communication disorder, Tourette's, OCD, GAD, learning disabilities, and severe executive functioning and visual/spatial deficits. The HUGE challenge in his case is that he presents as a young man who has none of the above, yet he is so significantly impaired in ways that create very frustrating challenges for him in day to day life.

I'd like to share an analogy that I have shared with his psychologist and some close friends to help them understand the challenges and frustrations my son is dealing with and how we can get him the help and support he needs in order to have a viable future.

It's as if he has an invisible wheelchair that not only can others not see unless they have enough time to spend with him one-to-one across different settings, but he himself is unable and unwilling to see his invisible chair. He so desperately, with EVERY fiber of his being, wants to be just like every neurotypical 21 year old, of course who doesn't, so I totally get it. When he looks in the mirror each day all he can see is the handsome, talented young man that everyone else sees. He's not driving yet, and not sure when that will be an option, so imagine going out in the world each day with this invisible wheelchair stuck to you. Everywhere you go you constantly run into obstacles and can't figure out why. You look and talk just like your peers and others, you can get up on stage and sing and perform with amazing stage presence and charisma, you can spit out incredible song lyrics, you are articulate, friendly, sociable and outgoing. So what the heck is wrong? Why do you keep running into walls wherever you go....socially, relationships, attempts at employment, when you were in school, academics, and the list goes on. And on. And on.

You have the voice of an angel and incredible musical talents and set your sights on being the next pop sensation. You have the musical talent to do that, but you have no analytical skills, no street smarts, no business savvy, no ability to plan ahead even for 2 hours sometimes. You have a thin skin, significant impulse control, frustration, and emotional regulation issues, not to mention severe executive functioning and visual/spatial challenges. You hear these terms and will easily repeat them to others, but you really don't understand, and don't want to understand what they mean and how they impact you.

As time goes by, and you continue focusing all of your efforts on your music, which by now has become your entire identity, the wheels on your invisible chair begin to start rusting and it's becoming increasingly difficult for you to move about in the world. The harder you try the more difficult it becomes, especially when you are watching all of your peers pass you by. Going to college, driving, getting jobs, living on their own, girlfriends, boyfriends, etc.

Doctors, therapists, specialists, have struggled to understand your complex profile and how to help, but most end up being stumped in the end. In many ways you are almost savant-like. You have a high-average IQ and have single-handedly taught yourself sophisticated music recording software, and have incredible songwriting and vocal gifts. One minute you are sitting at your computer spitting out song lyrics and recording a song, and the next minute you are doing things like washing off your pills that just fell on the floor because they were dirty. Or racking up hundreds of $ in overdraft charges because you can't even pay attention to what you have in your small bank account. Or walking into a screen door you had just closed yourself a minute earlier. Or looking at a tall glass with a crack all the way down the side, and not understanding why it is dangerous to handle or drink out of.

No one aside from your mom (me) and people like your home-based social worker really see the extent of your impairments, not even you. Your mom has to keep a photo journal in order to get doctors, therapists, etc. to believe what she is seeing day to day because you present the complete opposite of how you function.

Okay, that's a MUCH longer analogy than I set out to write, sorry!! Bottom line, it's become apparent to myself and my son's current psychologist, and others working with him that his only hope is to find a mentor/coach that can essentially shadow him from morning to night each day across different settings to help him learn the critical life skills and other skills he will need to even be semi self-sufficient. Meanwhile back at the farm, I'm his emotional punching bag and it's gotten to the point of being unbearable. Unfortunately there are no other family members my son can live with and he's nowhere near the point of being able to function on his own.

Up until this point he has been unwilling to fully accept and acknowledge his disabilities and impairments, which in turn has been holding him back from moving forward in his life. Predictions from professionals say that he will likely need some level of support for the rest of his life, but everyone's hope is that once he actually sees and accepts his invisible wheelchair that with the right support and guidance he can eventually graduate to invisible crutches that he might just need here and there.

So my big question is HOW and what do we do to help my son understand and accept his invisible wheelchair so he can move forward? I've been unable to work for the past 5+ years just trying to manage his care and fight for the supports that he needs with the school district, and now with the county/government. He already has SSI, Medicaid, etc., and is on the wait list for a waiver. My hope and prayer is that I can get him the help and support he desperately needs so that both of us can have hope for a viable future ahead. Would love any suggestions on what we can do at this point to help my son. Thanks so much!
I had to crash and burn for the umpteenth time before I realized there was something wrong. After I was forced to realize something was off and ASD was the possibility, then I looked into it and was blown away by how much it explained, how much I shared with these other people - then there was the power of finding my "tribe". From then on, I have been focused on figuring out how to make things work after learning more about myself and the differences between myself and others without ASD. I hope your son will soon find his tribe.
 
Your son sounds a lot like my wife as she is sociable, outgoing, friendly, and with extreme musical talent (can play any song after hearing it once or twice), but she has severe executive function and visual/spatial issues, which affected her severely in terms of academics and employment, and in term of making friendships, having relationships, and driving.

As much as I love her, and see the great in her, it can be difficult as she lacks in common sense, too, and with difficulties at analyzing and planning as well. She has emotional regulation and impulsivity issues and can get frustrated easily. And so she has low tolerance for stress, the exact opposite for me, for most all of those things.

So, it can be challenging for sure to know what to do. The first step is correct or complete diagnostics, as that could make things more clearer, in knowing how to proceed, and in getting the right support and direction. You mentioned OCD and GAD, as two of the conditions. Well, my wife seems to have OCD issues from the surface, in terms of keeping all paperwork and needing to constantly write things down and have lists to remember, and she was diagnosed long ago with GAD, as she gets anxious over things she cannot control.

And she was diagnosed in the past with Borderline
Personality and Bipolar, too, but things did not add up, regarding those diagnoses. For over twenty five years every treatment they tried failed, and if anything things worsened because of such, leading to suicidal issues, apathetic or more aggressive state, life threatening allergic reactions, psychosis, and so on. And after marriage with me, she never had depression and suicidal issues. So, only after nine hours of medical testing a year and a half ago did they find out it was ADHD.

That explained everything: the executive function issues, the impulsiveness and emotional regulation issues, the scattered thinking, the hyperfocus issues, the problems planning and carrying out tasks, the memory and concentration issues, the difficulties prioritizing, and so on. I am not saying your son has ADD or ADHD, but it would not shock me, as medical persons misdiagnose or underdiagnose all the time, as sometimes they see the details and not the big picture, or the big picture and not the details. They often cannot put two and two together.

Some conditions respond very favorly to medication. You might want to consider comprehensive neuropsychological testing for that condition I mentioned, just to rule that in or out. I know from the surface it could look like a possibility for Aspergers, too, as the extreme singing talent and hyperfocus is there, and because of the diagnosed OCD as those with Aspergers can have routines or rituals, and because of the emotional regulation issues and some practical life skills problems which can be apart of ASD, but I would not rule out being tested for the ADD or ADHD, too. My wife tested very very high as an Aspie, but is not. That tells you those ASD and ADHD have many similar features.

Thanks so much for your very informative and helpful response. I actually forgot to mention that my son also has ADHD (inattentive type). And boy, it sure does sound like your wife has very similar challenges to my son. He has had God knows how many evaluations, including a full neuropsych about 3 years ago. All pretty much come back with the same diagnoses and challenges. He also have a very slow processing speed (4%). But again to meet him see him function on the surface one would never have a clue of any of this.

The neuropsych who did the eval I sought out specifically because he specializes in evaluation and diagnosing ASD and Aspergers. My son is involved in a music therapy program and there are a lot of parents there with kids and young adults on the spectrum, so I'm around them a lot and have seen and heard a lot of the behaviors. I thought for sure my son's neuro-psych would come out with an ASD or Asperger's dx, but he didn't fit the diagnostic criteria for either.

When my son was around 14 he developed an extremely severe case of Tourette's and OCD that got so bad he could barely function. The tics were so severe that he got down to almost 100 pounds and his arms were covered in friction burns from the tics. He started spelling half of his words because hearing himself say his own words caused tic outbursts, and pretty much anything started causing tics. It eventually got so bad that he had to be hospitalized in a special program out of state and then spent nearly 2 years in treatment there and at a few other residential centers. Thankfully the tics are pretty non-existent now, and the OCD is much more mild, however he lost a good 3 years of critical development time because he was so profoundly ill his brain pretty much shut down. He was already behind to begin with before all of that.

He's been on two medications for several years for the TS and OCD and we've tried others here and there to help with the ADHD, anxiety, and other issues, but so far either he has intolerable side effects or the medications don't help at all.
 
I had to crash and burn for the umpteenth time before I realized there was something wrong. After I was forced to realize something was off and ASD was the possibility, then I looked into it and was blown away by how much it explained, how much I shared with these other people - then there was the power of finding my "tribe". From then on, I have been focused on figuring out how to make things work after learning more about myself and the differences between myself and others without ASD. I hope your son will soon find his tribe.

So glad that you have found your way and your "tribe." My son has several friends with ASD, Aspergers, and many other life challenges through a music therapy program he's very involved with, which has been a lifesaver! But I guess in his mind because he's not technically ASD, Aspergers, etc., he still wants to see himself as completely neuro-typical, mainstream.
 
Is he on here? Being that he is 21, I would love it if he would come on and talk to us. I would feel uncomfortable talking about him behind his back. He seems like a thoughtful, sensitive, intelligent young man. See if he can set up an account?

Thanks, let me give that some thought. It could be a little dicey for him because while he's chronologically 21 he is nowhere near that in emotional maturity, and he's also pretty emotionally fragile, so not sure how it would work. I'm actually his legal guardian, which I applied for just before he turned 18 with his full agreement because we all knew there was no way he could even begin to manage his own affairs. Thanks again for the suggestion, I'll definitely give it some more thought :)
 
Thanks so much for your very informative and helpful response. I actually forgot to mention that my son also has ADHD (inattentive type). And boy, it sure does sound like your wife has very similar challenges to my son. He has had God knows how many evaluations, including a full neuropsych about 3 years ago. All pretty much come back with the same diagnoses and challenges. He also have a very slow processing speed (4%). But again to meet him see him function on the surface one would never have a clue of any of this.

The neuropsych who did the eval I sought out specifically because he specializes in evaluation and diagnosing ASD and Aspergers. My son is involved in a music therapy program and there are a lot of parents there with kids and young adults on the spectrum, so I'm around them a lot and have seen and heard a lot of the behaviors. I thought for sure my son's neuro-psych would come out with an ASD or Asperger's dx, but he didn't fit the diagnostic criteria for either.

When my son was around 14 he developed an extremely severe case of Tourette's and OCD that got so bad he could barely function. The tics were so severe that he got down to almost 100 pounds and his arms were covered in friction burns from the tics. He started spelling half of his words because hearing himself say his own words caused tic outbursts, and pretty much anything started causing tics. It eventually got so bad that he had to be hospitalized in a special program out of state and then spent nearly 2 years in treatment there and at a few other residential centers. Thankfully the tics are pretty non-existent now, and the OCD is much more mild, however he lost a good 3 years of critical development time because he was so profoundly ill his brain pretty much shut down. He was already behind to begin with before all of that.

He's been on two medications for several years for the TS and OCD and we've tried others here and there to help with the ADHD, anxiety, and other issues, but so far either he has intolerable side effects or the medications don't help at all.

Other similarities are showing too, as I forgot to say my wife is very sensitive to any medications, and she may have developed tarkdive dyskinesia, with uncontrollable jerking muscle spasms in her jaw and left leg which flairs and subsides to stressors, caused from one of her psychiatric medications long ago she took. Of course the medical community will not blame the medications, but research says that was likely the case for her. And her body is also so sensitive to heat, allergens, and humidity, with her having many rashes and scratching episodes, etc. Tourette's though is not uncommon for those with ADHD or ASD, besides those sensory or environmental sensitivities each shares.

Our eight year old Autistic son and I take singing lessons, and my wife had taken piano lessons, and the vocal music/piano teacher who is about age thirty or so, that we see or went to respectively has a severe case of ADHD, with exact signs and symptoms as my wife. She originally tried to be a nurse, but could not handle that she said because of her ADHD issues, and she has had difficulties with relationships despite her great looks and personality being so friendly. It is because she has those hidden life skill and behavioral and executive problem and focus issues you talked about, that show up not in public but private and with those who see things up close, and so she hyperfocuses on her music, and is making herself a career there, living with her parents for the time being.

Like my wife, this music instructor is very gifted with the piano, and can play anything after hearing it the first time. Their hyperfocused mind picks up on those music pitches and details easily, but for nearly everything else not musical, details are scary or jumped over by them because of the disorganized or scattered mind. So, they can seem a bit clueless about many things. I pick up on details for everything easily, and I analyze everything. Like, when the vocal instructor was either jumping over steps in teaching me, going too fast, or going out of order, or focusing too much on one thing, I started asking her questions, and then she eventually apologized and saying her mind processed some things slower, but other things like music quicker. She admitted then about her condition.

This vocal instructor is a very superb singer too. So, that reminded me of your son as well. She has a sweet, melodic voice and has perfect pitch. She is a soprano, and loves developing thus persons' high voices, and she loves teaching opera type music the best, so I admit the fit is not ideal for me, but her love for music is so strong and the intensity so much there, that she enjoys teaching other styles too. She currently has about thirty students, and she does a vocal and piano recital each year for them. So, your son might want to consider a career as a private vocal/music instructor, if his interests seem to be largely music centered.

In another post you mentioned your son was emotionally fragile and could be seen as more young and with difficulty living alone. I admit, my wife I see as the same, as under meltdown, she can act very childish, and she would have severe difficulties living alone because of her severe ADHD and handling stressors alone. She went straight from living with her mother, to life with me. I guess I am her life coach, as her mother never was. I encourage her though to pursue her interests to the fullest, and to be more mindful of every day details, and show her how, though, some things you cannot teach obviously. In the meantime, I try to help make her life easier, and for her to focus on her strengths, like her social and outgoing nature, humor, creativity, and general thinking, and her talents. Everyone, regardless of condition, can offer much good to this world.
 
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MomofOne, pleased to meet you! My best suggestion is to
1. Consult with him about that you want to get him support to achieve his dreams--both those he has now, and the goals he might develop in the future.
2. Make an appointment for him with a *neuropsychologist* who specializes in ASD testing. They usually also specialize in ADHD testing, learning profile testing, etc. This will be located at a large city hospital. The wait for testing may be a few months.... just a heads-up. The testing will take hours, so plan R&R for him following. Test results may take two weeks.
With his likely ASD diagnosis in hand, you can next
3. Apply to your state's Department of Developmental Services, found on their .gov website for your state. Be sure to send in all the documentation they ask for. The wait for adult autism services may be short or long. A service coordinator comes to your home.
4. This is where your son gets to really do well! The service coordinator will
a.) Find a local autism agency for him. This is huge! He may get support staff hours, may join social groups to connect with others his age, get support and advocacy for employment, etc.
b.) Have a Supports Intensity Scale (SIS) meeting for him. This can be life-transforming. He meets with you, a tester, his service coordinator, folks from the autism agency which will be supporting him, and anyone else in his life he wants there. EveRhone on his team gets to answer questions about specific in-home, in-community, in-Education, in-employment, etc. areas he may need support in. His goals, aspirations, and strengths are what drives this meeting, even though it's about determining where supports are needed. The testing meeting is hours and hours long! A supports Intensity scale for him is the positive result. THIS helps tailor his supports going forward! It gets re-done every two years, I think.

These services of varying degrees of regional availability exist for autistic people in the US of any age.
Having a support team supporting and advocating prevents repeated job losses. <----- Important.
It also helps us feel good about ourselves, because the whole approach is STRENGTHS-BASED.
Oh yeah.... being around those in an autism agency can be very healing for the self-esteem. Those working at such agencies see our autism as a positive. They help support our challenges, while focusing on our amazing strengths.

I'm wishing you and your son best success! :)
 
I read through your post and my heart goes out towards you. I don’t have kids so not much I can add there.

I have done coaching and mentoring for folks with Aspergers and others, though it absolutely has to start from an individual’s desire to change and grow.
 
MomofOne, pleased to meet you! My best suggestion is to
1. Consult with him about that you want to get him support to achieve his dreams--both those he has now, and the goals he might develop in the future.
2. Make an appointment for him with a *neuropsychologist* who specializes in ASD testing. They usually also specialize in ADHD testing, learning profile testing, etc. This will be located at a large city hospital. The wait for testing may be a few months.... just a heads-up. The testing will take hours, so plan R&R for him following. Test results may take two weeks.
With his likely ASD diagnosis in hand, you can next
3. Apply to your state's Department of Developmental Services, found on their .gov website for your state. Be sure to send in all the documentation they ask for. The wait for adult autism services may be short or long. A service coordinator comes to your home.
4. This is where your son gets to really do well! The service coordinator will
a.) Find a local autism agency for him. This is huge! He may get support staff hours, may join social groups to connect with others his age, get support and advocacy for employment, etc.
b.) Have a Supports Intensity Scale (SIS) meeting for him. This can be life-transforming. He meets with you, a tester, his service coordinator, folks from the autism agency which will be supporting him, and anyone else in his life he wants there. EveRhone on his team gets to answer questions about specific in-home, in-community, in-Education, in-employment, etc. areas he may need support in. His goals, aspirations, and strengths are what drives this meeting, even though it's about determining where supports are needed. The testing meeting is hours and hours long! A supports Intensity scale for him is the positive result. THIS helps tailor his supports going forward! It gets re-done every two years, I think.

These services of varying degrees of regional availability exist for autistic people in the US of any age.
Having a support team supporting and advocating prevents repeated job losses. <----- Important.
It also helps us feel good about ourselves, because the whole approach is STRENGTHS-BASED.
Oh yeah.... being around those in an autism agency can be very healing for the self-esteem. Those working at such agencies see our autism as a positive. They help support our challenges, while focusing on our amazing strengths.

I'm wishing you and your son best success! :)

Thanks so much for all of your helpful information. Unfortunately (or I guess fortunately) we've pretty much done everything on your list. The neuropsych who evaluated my son about 3 years ago I sought out specifically for his speciality in evaluating and diagnosing ASD, Aspergers. He's very highly regarded in his speciality and is also on the roster at NIH. Even though my son has many behaviors/traits that you would typically see with ASD, surprisingly he did not fit the diagnostic criteria based on the evaluation, and others prior. He did fit the criteria for "Social Communication Disorder," which is a newer dx that is sort of a "cousin" to ASD, but not ASD.

He qualified for a Developmental Disability Waiver, however there is a long wait list here in VA. I got him bumped up to a "Prioirty 1" on the wait list, but even with that, there's no way to know when he'll get a waiver. I'm working pretty much 24/7 to try and coordinate services for him as he's entitled to some services because he is on the waitlist. He also has SSI and Medicaid, but there are not a whole lot of help for the most part.
 
I read through your post and my heart goes out towards you. I don’t have kids so not much I can add there.

I have done coaching and mentoring for folks with Aspergers and others, though it absolutely has to start from an individual’s desire to change and grow.

Thanks so much! Yes, I totally agree with you, and I think that is my son's biggest challenge at this juncture. However, there's also somewhat of a catch-22 in that it's almost impossible for him to see or understand just how impaired he is and the critical life skills he's missing because he has not had the life experience to know what is missing, if that makes sense. But to put him out there so he can gain the life experience can only be done with a very high level of support in place, and it will take a LONG time and a lot of one-to-one work and repetitiveness. I know that even with a neuro-typical person or young adult, in the best of circumstances, the pre-frontal cortex does not fully develop until around age 25. So when you have that to begin with and then you add in everything my son is dealing with it makes it extremely challenging, and scary!!
 
Other similarities are showing too, as I forgot to say my wife is very sensitive to any medications, and she may have developed tarkdive dyskinesia, with uncontrollable jerking muscle spasms in her jaw and left leg which flairs and subsides to stressors, caused from one of her psychiatric medications long ago she took. Of course the medical community will not blame the medications, but research says that was likely the case for her. And her body is also so sensitive to heat, allergens, and humidity, with her having many rashes and scratching episodes, etc. Tourette's though is not uncommon for those with ADHD or ASD, besides those sensory or environmental sensitivities each shares.

Our eight year old Autistic son and I take singing lessons, and my wife had taken piano lessons, and the vocal music/piano teacher who is about age thirty or so, that we see or went to respectively has a severe case of ADHD, with exact signs and symptoms as my wife. She originally tried to be a nurse, but could not handle that she said because of her ADHD issues, and she has had difficulties with relationships despite her great looks and personality being so friendly. It is because she has those hidden life skill and behavioral and executive problem and focus issues you talked about, that show up not in public but private and with those who see things up close, and so she hyperfocuses on her music, and is making herself a career there, living with her parents for the time being.

Like my wife, this music instructor is very gifted with the piano, and can play anything after hearing it the first time. Their hyperfocused mind picks up on those music pitches and details easily, but for nearly everything else not musical, details are scary or jumped over by them because of the disorganized or scattered mind. So, they can seem a bit clueless about many things. I pick up on details for everything easily, and I analyze everything. Like, when the vocal instructor was either jumping over steps in teaching me, going too fast, or going out of order, or focusing too much on one thing, I started asking her questions, and then she eventually apologized and saying her mind processed some things slower, but other things like music quicker. She admitted then about her condition.

This vocal instructor is a very superb singer too. So, that reminded me of your son as well. She has a sweet, melodic voice and has perfect pitch. She is a soprano, and loves developing thus persons' high voices, and she loves teaching opera type music the best, so I admit the fit is not ideal for me, but her love for music is so strong and the intensity so much there, that she enjoys teaching other styles too. She currently has about thirty students, and she does a vocal and piano recital each year for them. So, your son might want to consider a career as a private vocal/music instructor, if his interests seem to be largely music centered.

In another post you mentioned your son was emotionally fragile and could be seen as more young and with difficulty living alone. I admit, my wife I see as the same, as under meltdown, she can act very childish, and she would have severe difficulties living alone because of her severe ADHD and handling stressors alone. She went straight from living with her mother, to life with me. I guess I am her life coach, as her mother never was. I encourage her though to pursue her interests to the fullest, and to be more mindful of every day details, and show her how, though, some things you cannot teach obviously. In the meantime, I try to help make her life easier, and for her to focus on her strengths, like her social and outgoing nature, humor, creativity, and general thinking, and her talents. Everyone, regardless of condition, can offer much good to this world.

Your wife is very lucky to have you! And I guess that is actually one of my biggest concerns in my son's case. The truth is that it would be much easier if he were a female in so many respects, especially when it comes to thinking of longterm relationships, marriage, kids, etc. I shudder to even think about what will happen in his future because I cannot fathom how he will even be able to support himself let alone a wife and/or family. The problem is that he so desperately wants to have a girlfriend and a meaningful relationship, but it would take an angel in disguise to be able to fully comprehend his challenges and to have the patience to work with them and around them.

His dad (my ex) was only diagnosed later in life with ADHD, post divorce. He had many of the same characteristics of my son as far as impulse control, no analytical skills, and for the most part living in a fantasy world much of the time. However, he did have enough executive functioning skills, street smarts, and social skills to be able to maintain jobs, live on his own without supports, and basically manage to get by. Unfortunately my son does not have those abilities. Bottom line, my biggest fear is that the older he gets and the more he realizes his limitations—especially with relationships and being self-sufficient—the more at risk he is going to be with depression and other mental health issues.

I try my best to take things day by day and be optimistic and have faith, but it's really hard when the reality of my son's challenges are right in front of my eyes on a daily basis. I do believe that he could eventually acquire a lot of the critical life skills he's missing, but it's going to take years to get to that point and I'm not sure he will be capable of being that patient.
 

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