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Tuesday, August 08, 2017

Flashbacks, ASD and a loved one in the room



Flashbacks can happen anywhere, anytime, but  when they ignite while  a person is interfacing with a loved one, what does that other person experience?

One occasion of emotional flashback, confounded by ASD, follows.


Image result for free clipart for to do listImage result for free image bathroomFriday night, my husband and I devoted our "date night" to looking at some items in preparation for a DIY bathroom remodel.  Tile, tub, mirror, toilet --nearly everything was  in need of replacing.  While the work will be done by my husband and son, I have pretty much assumed the role, after some discussion,  of the designer.  I had done some research .  I had a list in hand: what we needed to buy today;  what could wait.   Keenly aware of the holiday weekend sales, I wanted to pick up anything we were pretty sure about before the sales prices lapsed.  

Notably,  the toilet model we had already chosen, based on one we used in a previous remodel. It happens to be an unusually heavy piece.  For reasons of limited garage space, I had decided that it would be best left at the store until we actually needed it.  [That sale was ongoing for the next few months.  No rush.]




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Note:  For purposes of this discussion, I will use the term flashback to refer to emotional flashbacks, such as occur in complex PTSD. For more information about emotional flashbacks or CPTSD,  please see Pete Walker's very helpful website.  http://pete-walker.com/flashbackManagement.htm

ASD- abbreviation for Autism Spectrum Disorder, for which I have a diagnosis.  For those unfamiliar with the impact of ASD on an otherwise functional adult, I have emboldened in purple aspects of this story which I believe are particularly confounded by ASD in me.


-----STORYTIME, continued------


Walking through the store, we were working pretty well together.  We looked at a washing machine (it was on the list); medicine cabinets; tubs of various sizes. Pat wanted to look at the toilet again. "Fine, I'll see you in the tile section."  Eventually, we'd exhausted the choices to consider in this store. I left Patrick in conversation with one of the retired contractor/sales people, telling him I was going to the paint counter. 


Image result for valspar sweet melonMy paint chip in hand, I waited.  Standing around waiting is hard for me.  But, I kept reminding myself that I was an adult: I could do this. There was nobody else in line except the guy who was being helped already and apparently somebody in absentia, whose large order was in process.   Yet, I strained to determine if the two sales people had even noticed me standing there.  Likely they had, but no eye contact had transpired.  I felt nervous. Impatient. Fidgety. Unsure how to be sure that they were aware of me, lest somebody else pull up and get their attention before me.  
Image result for free image shopping cartIn this harried state of mind, I perceived Patrick out of the corner of my eye, rolling his cart in my direction.  All-efficiency, he started to say something about, "just buying that toilet now."  

Stunned, deafened, blinded by an unidentified-by-me flashback state, I tried to talk him out of it, while continuing to focus my attention on the main thing: keeping my place in line. My befuddled words probably sounded something like, "No!"   
For his part, he couldn't see what the big deal was. "After all, we're here now: why not buy the toilet and take it home with us?"  he thought.
My thoughts,  unspoken:  Well, first it wasn't on the list. [The paint, on the other hand, and even the washer, were on the list.]
Second, it's too heavy to have kicking around in the garage.
Importantly, I'd already decided that we would not buy that toilet until later, when we needed it.

I got my paint sample.

Patrick finally gave up his quest, but not before trying a number of alternate ways to press home his point.  By now, I was really upset. Stunned.  

I was seething mad.  The trouble seemed to be with him, although I was pretty sure he hadn't done anything particularly wrong.
After checking out, the next item of business was to be dinner.

Oh, grand.  Go out to dinner now? 

Pat suggested a place to go. He doesn't usually suggest a place, so to reinforce that behavior, I said, "Fine,"  although I truly didn't want to go to that restaurant.  I was mad;  shutting down. 

Seated in the restaurant, Patrick offered an observation: he thought I might be in a flashback.
Oh, good grief. Now he's calling it?  [He has been reading Pete Walker's book*, to his credit]. 

But, flashback work isn't a discussion with one's spouse.  I needed to get myself grounded and do some breathing: work the 13 steps to flashback management. [See www.pete-walker.com*]
We ate our dinner. My eating disorder scrambled by the flashback,  I ate very mindlessly, consuming much of Patrick's dinner, reaching across the table and dipping into his mousaka with my fork.  At this point, boundary-wise, I was beyond caring what I was doing. 

Once we'd eaten, I asked if we could go straight home, so I could process the flashback.  Pat was fine with that. As we circumnavigated the city on the interstate,  I was quiet, feeling depleted, exhausted, spent, powerless, unmoored.  What was there to say? 

Once home,  to his credit, Patrick decided to take a walk while I tried to settle myself.  No more had I gotten semi-grounded than I became aware of utter exhaustion and headed upstairs to ready myself for sleep. 
 . 
By the next morning, I had realized a few things. Yes, this was certainly a flashback.  I haven't had a  flashback this strong for quite awhile.  But as my little summary of healthy living is, "No rush; no crisis; you are safe,"  this scene hit my big five:  time (we have to hurry and get this toilet!);  crisis (the sale is going to pass us by!); safety (Defined in ASD as predictability quotient: in this case it reads, "You might have thought you had a good idea of the evening's agenda but, ha!  Here's an item you didn't anticipate;" and space (the garage/where you keep your car will be filled to the brim with remodel items, including this very heavy toilet, even though the fellows haven't "broken ground" yet.) If that weren't enough, money is clearly involved here (gotta get that sale!)  No wonder I was quite undone.  Not even to mention that this "bomb" was dropped  while I was studiously attending to the all-consuming task of waiting at the counter.   

Part II:  So, what about Patrick?

It seems to me a sign of recovery that I even raise the question.  It's very not-ASD of me to think about his position.  But I was curious, once I leveled off into adulthood.  What goes through his mind when I disappear into a flashed back state?  Especially if his behavior is what triggered it, as was the case here.  He agreed to an interview so I could write this piece.

JO:  Pat, what was your experience when I reacted so strongly to your idea about buying the toilet the other night?  Where did you feel it?  What did it feel like? Did you experience any emotions? thoughts? What did you anticipate would happen next?  When and how did you figure out I was in a flashback state?

Pat's response:
"The first thing I noticed was that you were not in your adult state.  Typically, when I make a suggestion, you counter the idea, and so on. Back and forth. This is normal.  In this instance, there was no dialogue at all.  You had a frightened, confused look on your face and you made very direct eye contact: your "I am really serious here," face.  When you go head to head on something, you usually make eye contact."
He continued, drawing on the vast knowledge he has of ASD from 30+ years working in the field of special education, including time as a Teacher Consultant on behalf of students on the Autism Spectrum.
"It's normal with ASD that one gets defensive when things are "wrong" or "not planned."  The person with ASD usually reacts very strongly, "This cannot happen! This is not right!"  For you, it seems that when something is not in the program (of expectations), you revert into your child state."

Switching to past tense and third person, he continued.  

 "The scene was so simple.  I thought, 'Joan's  waiting in the paint line.  While she's waiting, I can buy the toilet, get it into my car and then meet her at the check-out.  We can leave together.'"
 I expected her to say, "OK, Dear."
But, instead, I was met with  this wall of resistance.  I tried the" ask; rephrase, ask again" technique that sometimes helps me figure out what the push-back is about. 

"I felt impatient.  In my stomach, I felt fear and anxiety."
"I struggled with pride.  I perceived judgmentalism, criticism, condemnation;  I was tempted to believe that I was a bad person for upsetting Joan."
"I asked myself, do I keep pushing here, or do I back off? I did not back off immediately. I noticed that didn't seem to help my cause. Finally, I reasoned, "If this is a flashback, it won't budge because of a rational argument. "
"Eventually, I realized that it was unnecessary and unfruitful to keep pushing. But, I couldn't discern what the big deal was.  Finally, I decided it was not the time or place to try to figure that out. I perceived that Joan was no longer interfacing with me as an adult.    As I tried to attune to what was going on with her, I felt flashback-ish.  There would be no reasoning together for awhile. So I dropped it."

The  interview process, all very rational, helped us toward resolution of the interpersonal conflict that arose in the midst of the flashback.
My personal work with the flashback steps helped me calm down and recollect myself into my adult state.
[Just in time to process another completely different flashback a few days later.]


 --This post is copyright 2017 by the author, Joan K. O'Connell, all rights reserved---