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Supporting an autistic man with OCD to improve his social confidence and wellbeing

Actions and outcomes

MX referred into North Wales IAS for support to improve his social confidence. MX was experiencing difficulties with understanding his autism in relation to his OCD and this would cause numerous arguments between him and his mother as they both had very different ideas and standards of what was clean and organised.

 

MX was realising that he had been coping with his issues for numerous years beforehand. His routine of completing certain tasks in a particular order was being noticed by others and until someone questioned why he did this in a certain way, it never really meant anything to MX.

 

The initial consultation/meeting was done over teams due to the Covid pandemic. This wasn’t ideal, but MX was ok with this.

 

When MX discussed his routines and rituals, the practitioner and MX decided to break this down into a flow chart and then a mind map of what this meant to MX and whether this could be looked at from a different perspective. MX felt more at ease knowing that the practitioner working with him was Autistic and that they understood his intentions and were able to think in a similar way about how MX’s approach to and thought process about tasks could be altered and whether the frequency was necessary.

 

MX was a pilot client that North Wales used a new software called “Inspiration” with. This software allows you to create a virtual mind map on the PC, just like you would in person on a piece of A4  or A3 paper. The advantages of the software are that you can add or remove colour and also redesign the document whilst having another copy open.

 

MX enjoyed his final mind map and felt it would be really useful for him in the future. MX and the practitioner worked together to break his difficulties down into 6 areas and then branched off these with solutions and ideas within the mind map that could help him to think about what actions he would need to take to resolve these difficulties.

Feedback

MX is a football coach with a local disability football team and he has said that the support he has received has helped him with interacting with the team. His social confidence issues had prevented him from joining in with team ‘banter’, as he doesn’t always get other people’s views and opinions. MX has learnt that he can be selective with what he wants to share and should not feel obligated to tell people things he is not comfortable with. He has been able to understand how he can set boundaries and this has been reflected in team members displaying signs of respect and no longer “over stepping boundaries “ with MX.

 

MX has noticed that he is now able to create new lesson plans and is able to be more adpatable in his thinking. This is in comparison to his approach before, where he felt things had to be done in a particular way with no negotiation of change.

 

MX has progressed to his 3rd level of coaching since accessing Support with North Wales IAS. He was hindered at level 2 before as he was unable to show how activities could be diversified e.g. progressed and adapted for a more able class or simplifying to suit a participant with an injury rehabilitation. The work that MX did with North Wales IAS allowed MX to understand why he did things in a particular way and looked at different perspectives to help him to better cater for varying ability levels.

 

MX’s home and work balance is less stressful now as he realises that processes are in place for a reason and they don’t need repeating any more than necessary eg: washing the dishes more than once and sanitising surfaces when they have already been cleaned thoroughly prior to use. He has been able to create a schedule where he can do his washing, sometimes with support and has learnt that he can’t always have access to the washing machine when he needs it, so he has developed forward planning as a new strength.

 

MX thanked the practitioner for their intervention and support, which he found especially helpful when other services had let him down as he didn’t fall into any  criteria for support. Until he worked with his practitioner he felt lost and misunderstood.

 

By understanding his needs and harnessing his strengths he is now a level 3 football coach and is teaching others how to be a coach and also how to be aware of signs and traits of Autism in others.

 

 

Lessons Learned

Embrace the use of Technology – mind mapping tool “Inspiration“ was a success in collating what the client and practitioner wanted to talk about. It also acted as a memory jogger and encourage MX to think of his own ideas.

 

Working in partnership with parents can be great to begin with and gives a good insight into home life, but it is much better to work with the client early in the process so that they don’t become too reliant on parents answering for them.

 

By discussing the idea of MX working with the practitioner independently without his mum, it prepared him for the transition from meetings with his mum present and meant he felt more ready and prepared. This was effective as the mind map was full of MX’s own ideas and areas for improvement, which contributed to the success of the outcomes.

Information

Health Board:
Betsi Cadwaladr University Health Board
n/a
Integrated Autism Service:
North Wales IAS
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