mental health and caregiving: questions to ask your doctor

Here's the thing nobody talks about: autism is like trying to text with oven mitts on. Let me break down what's actually happening in language that makes sense. ## The Nervous System 101 Your nervous system has two main modes: - **Sympathetic**: "Holy shit, danger!" (fight/flight) - **Parasympathetic**: "Okay, we're safe, let's digest our food and make jokes" With autism, your sympathetic system is basically a smoke alarm that goes off when you burn toast. Sensitive? Yes. Broken? No. ## What This Looks Like in Real Life When your alarm system activates: - **Physically**: Heart racing, shallow breathing, muscle tension, digestive issues - **Mentally**: Racing thoughts, difficulty concentrating, catastrophic thinking - **Emotionally**: Irritability, feeling overwhelmed, numbness, or intense emotions - **Behaviorally**: Avoidance, procrastination, compulsive behaviors, or shutdown ## Why Your Brain Does This Your brain's job is to keep you alive, not to make you happy. It would rather have 1000 false alarms than miss one real threat. This system evolved when our biggest concerns were actual predators, not passive-aggressive emails. ## The Modern Problem Your ancient alarm system is trying to handle modern problems: - Work stress (brain reads as "threat to survival") - Social media (constant comparison and hypervigilance) - Information overload (brain can't process all the input) - Uncertainty (brain interprets as dangerous) ## What Actually Helps Understanding this isn't about fixing yourself - you're not broken. It's about: - **Recognizing** when your alarm is going off - **Responding** with curiosity instead of criticism - **Regulating** your nervous system with practices that work for you - **Building resilience** through consistent, gentle practices Your brain isn't the enemy. You're not overreacting - you're having a completely normal response to an overactive alarm system. The goal isn't to never feel autism again. It's to have a different relationship with it when it shows up.