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No one realized - in fact he often went without realizing - that his baseline anxiety approached panic on a regular basis.As soon as he was out of bed, existential angst was his constant companion.'I spoke to him about being disabled so was under the impression that he was aware I was disabled and I had been to the BBC as a disabled employee.I assumed he would know that I had been on the scheme.'The hearing was told her problems came to a head during a meeting to discuss the 2012 Rethink Festival, advertised by the BBC as an 'event to explore the essential issues of faith, philosophy and ethics'.After even minor social interactions he routinely found himself exhausted, and would retreat to soothing, isolated activity: sculpture, writing, woodworking. In fact, the only person to suspect he was on the spectrum was his wife, who puzzled endlessly about this curious man. Yet he ignores my birthday and hangs up before saying goodbye.He's so charming with others, yet so silent at home.Yet they feel shut out, left pining for connection with this special person who remains unreachable.
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However he did not start off as stereotypically autistic. Contrary to the stereotyoes of adults on the spectrum, my patient displayed no "meltdown" behavior, was keenly (TOO keenly) aware of people's reactions to him and exhibited no bizarre special interests or encyclopedic knowledge of vaccuum models.
In fact, initially he presented as many of my patients do: shy, articulate, witty. In fact, "Joe", as we'll call him, socialized quite well.
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They often do not feel the need to express love, and the NT partner can help them understand that this is important. As young adults, they are often emotionally immature and have poor social skills.