Can you be super empathic and autistic? (um...YES) - Neuropsychs Explored Part IV

Isabelle finishes sharing her neuropsych results, including recommendations for ADHD and autism (HINT: unmask! WHAT?) From the categorization of ADHD like a storm warning system (Mild/moderate/severe) to how job interviews might be the one place to mask (and how David does his interviews), David and Isabelle spelunk around how certain measures, like empathy, are not 'markers' of autism in the way we may think.  Share your favorite fidgets with us! Go to somethingshinypodcast.com/fidgetlove now!---Isabelle goes into greater detail about how her neuropsychological assessment was able to show her how she initiates and sustains auditory and visual attention and a little bit on processing speed. But to get more data, she’d need to undergo testing designed for people with traumatic brain injuries or strokes or dementia—what? It's a little strange to realize that the gold standard for learning more about brain functioning as a grown up with ADHD is the same that’s used for brain injuries.  David points out that he uses the word neurodivergent intentionally, in order to point out that there is a diversity of brains, rather than a deficiency or something wrong with you. There are brains that work well in crisis and brains that work well when things are calm. Doesn’t that make sense? Would we say that someone would be “severely apt” at handling chaos? Maybe, you just do what you’re good at? Isabelle goes back to the scale of mild/moderate/severe ADHD—mild reads as boring, moderate—moderation SUCKS—all the words for the scale are poor. David names: if you can’t use the words to apply to “happiness” —it’s a bad scale for humans. Would you say you are ‘mildly or severely happy?” Probably not. So maybe we use different words for humans. People with ADHD are not storms and do not require storm warnings (last time we checked). As part of her neuropsychological evaluation, Isabelle got pages and pages of recommendations for next steps. She got a lot of great data, and also realized that one episode of Something Shiny provides more—so that was affirming and helpful in terms of the work the podcast and its community are doing. Her evaluator left off her autism recommendations, sending them along later, but said, essentially, the only recommendation is to unmask more. That “the only place masking is helpful is in job interviews.” Other than that it’s harmful. It takes energy, it burns people out, it’s hard. Isabelle then goes on to rant about how biased job interviews are, unless you’re giving case examples—but then, David is also super good at job interviews. He checks—did you go to high school or college? Cool, you must be smart. Then, do you want to work with him? Check. Then, would he want to hang out with this person? Yup. And finally, a bunch of curveballs to see how people think on their feet. Because that helps you see how people think and how they communicate about their problem solving, which is good data. Then David names that there are questions he’d love to ask about people that he can’t, beyond the protected class questions about age or location or self-identity—he wishes he could ask if someone is neurodivergent or if someone in their family is neurodivergent, that is an asset to David. He sees the ability to think outside the box in order to do what they do. But he knows he’s not trusted, most hiring people are lying to you, employers are anxious, you’re not going to like them. Every employer is terrified of rejection, it’s so complicated. But he sees neurodiversity and awareness of that as a major plus—if somebody understands that and has self-esteem around it, knows what accommodations they need, they are curious about that. Isabelle has such a bias for self-insight—she wonders, how someone who was so socially off the rhythm of her peers, how was it that she had a lot of high measures for sensory things, but high measures on empathy? Which seems odd, because all of the autistic people Isabelle knows have off the charts empathy, which David concurs. Like the empathy for the crushed ant on the sidewalk. This is so true for Isabelle, she remembers crying for hours about a three-legged hamster she saw in a pet store named “Tiny Tim”—in retrospect, his paw was probably chewed off by his littermates or his mom because hamsters are ROUGH like that—but her mom told her he was okay because he was “fat”—to be fair, she was fatphobic and Polish immigrant mentality an maybe also autistic herself, but she was so distraught. She used to track one ant walking all the way to its hill to make sure it made it because she felt personally responsible for seeing that it was okay. She was so scared she’d look at it later and wonder if she wasn’t autistic—but the stakes were so high, she was scared of not having the community she felt like she was on the cusp of having and understanding. As David puts it: "we will fight for worth and identity." Even more so, Isabelle learns that her own stereotype about autism meaning she is low empathy (even indicated on the 'measures' of autism on the assessments she took) is where she doesn't 'meet criteria' for autism, and how that would keep her up at night. Until her neuropsychiatrist pointed out: it has more to do with a snapshot of where you are and your accommodations. Of course someone who is in their 40's, has been high masking their whole life, and who special interests in humans AKA psychology would be high on empathy measures--she wasn't like this as a kid but it took decades for her to 'get it.' And what a revelation, that autism and empathy are not what we stereotypically assume they might be!Also, send us photos or links to your fave fidgets! We'll put 'em on our website and share the fidget love. DEFINITIONSNote: “Neuropsych” is shorthand for BOTH a neuropsychological assessment or a neuropsychologist (which is confusing).Neuropsychologist is "an expert in how brain injuries and conditions affect your behavior, mood and thinking skills. They perform neuropsychological evaluations to assess how your brain and mind are working and suggest treatment plans." (Source: Cleveland Clinic).A neuropsychological assessment is a series of interviews and tests (computer, written, drawing, solving puzzles, etc. no magnets, radiation, electrodes, or medical procedures involved) — the type of test is based on what is being explored. This battery (or collection) of tests, often done across multiple sessions, help a neuropsychologist determine a psychological diagnosis, treatment plan, and get a sense of how your brain works. Typically recommended by school systems/medical system to assess kids to help figure out what learning differences and accommodations may be helpful, but these assessments are not just for kids! Adults can use them to gain self-understanding, establish a baseline (if dementia or high-risk contact sports play is involved), or even figure out what parts of your brain have been injured or might be affected by brain surgery. Because kids grow and development so much, they are often redone every 2-4 years. Here’s more on neuropsychological assessments from the Cleveland Clinic.Masking: when neurodivergent individuals pretend to be neurotypical, hide or minimize their stims, and even pretend they have the sam...