Autistic Burnout & Substance Use
[cw: alcohol, addiction, unhealthy coping behaviors]
Two AuDHD mental health professionals discuss burnout and alcohol on their Divergent Conversations podcast:
PATRICK CASALE:Ā I think one thing that we're not touching on and that's important to name too, is when you are in autistic burnout, substance use is going to ramp up, drastically.Ā
DR. MEGAN NEFF:Ā Absolutely, absolutely.
PATRICK CASALE:Ā And I noticed that for me that I was [on a] retreat in New Orleans...surrounded by 20 people that I had to be on for the entire time, so alcohol was my best friend at that moment...To have some semblance of small talk, alcohol has to be the lubricant for me.
And acknowledging that is the realization of like, you have to pay attention to that for yourselves, for any of you who are listening, like, whatever the substance of choice or process of choice is, because it can get dangerous very quickly, and it can get out of hand very, very quickly, too.
MEGAN NEFF:Ā Yeah, yeah, yeah. So, this is interesting. This isn't something I've talked too much about...But I have struggled with disordered relationship to alcohol in the past, and particularly around burnout.Ā
So, it's interesting. I'm curious about ā there's something I've noticed. So, my spouse and I respond really different to alcohol. For me, it energizes me. For them, he's like ready to go to sleep after a glass or two of wine, or beer, or whatever it is. I noticed among autistic people ā and this is totally anecdotal ā I noticed that it tends to be more energizing for them, which I'm really curious about.Ā
So, for me, I often used it to energize and as like liquid dopamine. So, if I had papers to grade or some tedious task, and I was in burnout, then I'd be like, "Oh, well, I'll pair it with some wine tonight." ...
So, I think whether it's socializing, because it takes a sensory edge off and it makes socializing easier, or whether it's to try and motivate us, or because it gives us this kind of faux sense of regulation and energy, I think there's so many reasons we're really vulnerable to, particularly, I would say alcohol during burn out.
PATRICK CASALE:Ā I agree 100% with everything you just said, including the energizing component. And you know, there's such a cost to it too, because you don't sleep well, and then you throw in alcohol into the mix. And I mean, it's just so challenging.Ā
...You talk about sensory soothing a lot, and you talk about skills and techniques to kind of manage burnout when you're in it. And I'm just curious about things that our listeners who may not be mental health professionals and have access to the things that we do, that they can do when they're experiencing some of this stuff.
MEGAN NEFF:Ā ...So, on one, I think, identifying those self-soothers that are like faux self-soothers. Like, they're self-soothing in the moment, but they're actually making your burnout worse. So, things like alcohol use or other substance use. I would think identifying those and really targeting those things, because those create a cycle, a loop that then perpetuate the burnout.Ā
And I think for a lot of people working with a medical provider or mental health therapist when they're targeting those self-soothers that are actually in the long run causing more harm, it can be really helpful to work with someone around those things.Ā