Tired of avoiding my overwhelming confidence that I'm autistic, I need support and standard therapy/meds have plateaued
Not diagnosed autistic. 32m. I do already have a diagnosis of bipolar and ADHD and anxiety disorder. And delayed phase sleep disorder. Deep history of depression but it seems it's turned more into anxiety as I've gotten older. Since at least high School I figured I'm likely autistic but until recently figured it's the least of my concerns.
I have a report from the second grade that states I have severe issues socializing, didn't understand how to play with other kids, I'm unable to pay attention, and I'm not able to communicate my needs. Aaaaannnd their opinion was that there is absolutely nothing wrong with me.
I have always had chronic anxiety. It's gotten worse over the years and in the last 2 years I've had four teeth chip apart because of clenching. I've started wearing my mouthguard constantly despite my speech impediment. I was a very late talker. I've always been extremely shy. In school I would sit out and take a zero when I had to do a presentation, because I would lock up, sweat profusely, and actually blackout. I forced myself to public speak at one point in my 20s and the same thing happened. I've always struggled to make friends and have rarely actually had one. When I start a new job it takes me over 6 months to become comfortable with my coworkers. When I do meet somebody I like, there is an immediate connection and none of the issues. I was on a second date with a girl and after dinner we were sitting talking and she said do you want to do anything. I noted that she was looking at me very very weird. I didn't get why she was doing that so I suggested bowling. She said no I'll just go home and I said yeah it's been a long day. 2 years later I was thinking about it and realized what she was getting at. I have numerous stories exactly like that.
While there are things that distract me like scrolling and playing with my dog etc which can be calming when I'm doing them; only certain deeply sensory activities can actually calm me down. Unhealthy examples include: getting intoxicated (history of drug/ alcohol abuse, 2 weeks and 4 years sober respectively.), self harm (it's been 6 years unless you count excessive irresponsible exercise), drifting (been awhile/can't anymore), etc. The only healthy example I can think of are exercise (which I deeply love but it's hard to moderate and it's also extremely hard to initiate, and I can only keep it up if I get into routine which is so difficult). I have a habit that I call sauna-ing which deeply helps in the moment and can slightly calm me down. This is when I go into the bathroom and turn off the lights and run the shower on full hot and just sit next to it. I've been doing this for 2 to 3 hours a day lately.
I definitely fixate on things
I absolutely have arfid.
I can't get a meaningful sleep unless I'm in my own bed. I hate driving vehicles that I'm not familiar with despite loving driving. I moved back home and having to use a different kitchen completely puts me off from even trying to cook which is a huge struggle to start with.
I thrive so hard when I have routine and structure. When I was 20 I went to a long-term transitional rehab for a year and a half. Every 20 year olds worst nightmare right? IT WAS AMAZING. I've been to rehab three times and psych ward three times and enjoyed every stay at each. Especially rehab. I wish I could go rn.
When I get overwhelmed I shut down. 6 months ago my step dad passed away, my mother has severe PTSD and alcoholism. She wasnt doing great before he passed and could not handle it. She started drinking more and I knew that she wasn't going to make it long. I spent 2 months with her convincing her to go to rehab. Lots and lots of yelling with the combined PTSD and drinking. Eventually I said I did everything I could and went home. She called 2 Days later, willing to go to rehab, I don't think she had another week if that if she continued. Since she agreed to be sober and go to rehab I moved back, she can't do this alone and I'm more than happy to be doing this. Thankfully she has another house she is staying at so I have my space in my home I half grew up in. I spent the last 2 months myself getting sober. It was hell. Definitely the hardest time I've ever had getting sober.
I'm burnt out even though I absolutely loathe that term for some reason I don't know. I can't be productive. I can't sleep even though I'm fairly confident I'm fully through detox from weed. I'm so tired but my RLS keeps me up. There's so much to do around the house. I have a lot of medical issues and I found a couple doctors but I need to find about four more and finding doctors is my personal hell. Navigating insurance, and the phone calls. I have such incredible anxiety about phone calls. But I really really need to find and make these doctor's appointments and get all my stuff put away and there's so much to be fixed around the house.
I have been in therapy continuously for 3 years and for most of my life before that, from as early as I can remember because of the divorce and the court mandated that which I'm sure genuinely helped and I'm thankful for. I see a psychiatrist. I really loved my last one but my new one seems not great, he changed my ADHD meds even though they were working well for me, among other issues.
I'm spending hours a day sauna-ing. I can't bring myself to be productive in any way. I'm eating only because of Clif bars and freezer foods and take out. My teeth hurt so bad. The last couple days it's actually been causing my whole face to hurt, despite the mouth gaurd
I can't help but think I cant get myself out of this because I'm likely autistic and I'm not getting treatment / using techniques that I should assuming that's the case. I love CBT and I've done a lot of it and it's really helped, but reframing my thoughts isn't doing anything rn. Medication doesn't do anything. (It does, a lot, I would probably be in a much much worse place if I wasn't on my meds, but it doesn't solve whatever I'm experiencing).
I'm so overwhelmed and I can't function. I don't know what to do. I've decided I'm going to talk to both my doctors this week and if I can't get some sort of improvement by next week I'm going to start smoking weed again. I'm worried I'm going to do something worse if this gets worse or doesn't improve. I don't want to do anything harmful but I know it's a possibility if things get dark enough. And I extremely don't want to start smoking weed again but something's got to give. I would go to the hospital but that's just for stabilization, I'll go there if it gets to that point, but I don't see how it would help me. Same with rehab and IOP. Been to IOP 3 times as well, I know all the skills. I can't execute them, and when I do they don't help in a meaningful way.
I feel like there is a level of care missing between hospital and therapy. I understand that's IOP but I don't think I would get anything out of a group structure like that. Yes you get therapy while there but I don't think I would take to the therapy with someone I just met and know I will not be seeing them for long.
Tomorrow morning I'm going to start looking into getting tested. And message my psychiatrist for a sooner appointment.
What am I to do in the meantime. Do you think I'm overthinking it and this is all stemming from anxiety and adhd? Is burn out real? Is if possible that I'm decent at managing when things are okay but with this increased stress and burnout, it's a different story? I just want help and don't know what to do. I'm so passionate about getting better. I was so excited to get sober finally. I don't know what to do.
May the wind always be at your back
Edit to add: I can't relax. Its an ongoing problem but it is full blown right now. I cannot sit down and make art. I can't watch a movie. There isn't much else I even do to relax besides get high and watch YouTube. I doomscroll but that's not helpful in any way. I think part of it is my insane level of self criticism: I need to be productive and don't deserve to indulge, I'm not even doing anything so why would I need to relax. I also very much feel like I don't even have the energy, physically but mostly mentally, to even do such basic things like meditate, journal, or watch a movie.
2nd edit lol: what is this? It's not a crisis/ episode which would require hospitalization. Been there done that. But it's also very very much not a: I'll be patient these things take time trust the process... There is no process there is no work being done which would cause progress and eventual relief. I don't get it.