OTnews August 2020 | Page 35

NEURODIVERSITY FEATURE exercise and I make sure that I have my safe zone to enter when I’m feeling exhausted. My safe zone could be a person (and it is typically) who I feel I can be myself with, and who is accepting of my ways, or it is simply Netflix, which provides distraction and a continued structure to see my world.’ Despite the impact on her daily function, Michelle’s condition enables her to be creative. ‘I become frustrated at the unwanted inattention to my tasks. Yet, that inattention enables me to think outside of the box, make wider connections and see the world very differently. ‘At times this is a blessing, especially with my research, and if I am in a hyper-focus it is so effective, but also scary, because I do become lost in time, and at the other end, I really don’t know what happened in that time zone or space when concentrating on something that is fascinating and challenging. Diana Sheridan, a dementia specialist occupational therapist, was diagnosed as dyspraxic three years ago. Having also had a bilateral hearing impairment since age four, she experiences debilitating episodes of anxiety and depression which impact on attention and concentration. A recent audiology appointment illustrates this perfectly. ‘Anxiety makes me doubt all the preparation I’ve done the night before,’ she says.’ I have the nagging doubt that I am not actually appropriately prepared. ‘Yet again I go through everything I prepared the night before and anxiety makes me repeat the checklist: bag, purse, glasses/hearing aid cases, door and car keys, mobile phone. ‘Despite giving myself plenty of time (which seems to slow down and speed up with confusing irregularity), parking is an issue, making me late for my appointment. ‘I get through the appointment with a new audiologist, whose manner makes it difficult for me to judge if he is a jokey sort or otherwise. Anxiety makes me doubt my judgement about others and I don’t trust my ability to read non-verbal body language. ‘I’m told I need two hearing aids, not just the one that I have spent most of my 50 years of life adjusting to wearing. I feel deflated, shocked, fearful of the ageing process, and I’m already anticipating more difficulty communicating at even a basic level.’ She adds: ‘I want to retreat to the safety of home, but try to re-focus on practical things; tea and biscuits to collect and calm my thoughts.’ Diana’s manager supported her in getting a dyspraxia diagnosis three years ago, however she admits that she has been in denial since that initial diagnosis. ‘Living with several conditions has impacted significantly on my mental health; accepting, later in life, that I have a disability and justifying the need for help has resulted in feelings of isolation and imposter syndrome. ‘Practically, it has necessitated significant time off due to depressive episodes, and menopause has exacerbated the impact. I wonder if I will ever get back to feeling me again and not expending so much energy just to focus and get through each day, which sometimes feels like trying to see a beacon through fog, whilst wading through treacle.’ Sarah Selvaggi Hernandez, autistic advocate and an occupational therapist in the US, is autistic and says that she is ‘finally learning to navigate the diverse landscape of my neurology’. Reflecting on a recent experience, she says: ‘We are a therapeutic foster home that specifically supports neurodiverse children. A few days ago, two young, non-speaking autistic sisters came to stay with us for as long as they and their family needs. ‘I have never washed, conditioned, and combed through a little Black girl’s curly hair. I have watched YouTube videos, talked to my Black friends, reached out to my community, and spent the last few days touching their hair gently to acclimatise my new little friends to my touch. ‘Their hair needs significant attention and I am committed to doing so in the most compassionate way possible. With soft words and warm water, we are successful and we get them dressed for a visit that, during bath time, had been cancelled. ‘Mindfulness pairs well with my sensory practices; I mentally scan my body to give gentleness awareness to the signs of my stressed neurology… to some, it seems as though I am staring into nothing when I am internally channelling chants of healing pressure with every deep and steady breath.’ OTnews August 2020 35