How do I make therapy work if I’m very intellectualized/self aware and have rigid thinking due to autism?
I’m taking the leap to help my mental health as I’m just swinging from phases of no issues to borderline crisis for a while now. Here’s the thing- I feel like I am going to hit some roadblocks with therapy for a couple reasons.
First: I have autism. Not on paper, as I had to abandon my diagnosis journey due to issues with finding providers who will assess adults. My other medical providers believe it to be incredibly likely that I have it, due to certain lifelong behaviors that I’ve exhibited. One of the issues I struggle with because of my autism is being extremely inflexible. I have terrible difficulties changing my mind on something once the pathway has been set. It makes it hard for me to seriously make changes in my life and changes in my cognition. I know this is a keystone of a lot of therapies, and I wonder how I am supposed to work through anything when I have an unusually hardwired brain.
Second: I feel like I am overly intellectual and aware of my issues. I’ve already done the “this is what makes me anxious and I know that what I’m thinking is irrational” but I can’t go beyond that. Trying to reframe things just gets me in a cycle of what ifs and whataboutisms as my brain tries to justify the feeling regardless of the logic I present it with. My main issues are anxiety and suspected OCD. When I start having intrusive thoughts I try to out logic them because I know they are irrational but I think my way back into irrationality. For instance, I’ll get worried that I have a blood clot. Then I’ll tell myself that blood clots are incredibly unlikely in my age group. But then the fear that I’m the exception will come in, then the fear I’ll die because I thought my way out of a fear. I have zero tolerance for uncertainty. I’d like to be right, and when there is no right, I suffer.
Third: I don’t know how well I’d go through with any changes I’d have to make. Like I said in my first point, I’m really rigid and I don’t know how successful I’d be at anything that requires changing my life. Some of this is the autism and some of this has to do with the fact I’m just not really good at being a person.
Fourth: I have zero clue how I’m not supposed to be anxious about the bad things in my life, and I’ve had a lot of bad things. My life is kinda just constant impending doom. There’s things I cannot change that will objectively have a negative impact on my life for the foreseeable future. I don’t like that I have to live this way and don’t like that I’m just expected to accept it.
Anyway, these things make me a bit apprehensive of therapy. I want to try it in conjunction with meditation, hopefully to find a new mindset or cope until the material conditions of my life improve, if they improve. I want to become a better person but I feel like I can just tell I will give up on the legwork. Am I being too pessimistic? What are some changes I can make even before therapy that will improve my outcomes? Is there a certain therapy that will help me better than others?