The title of this blog post is actually the same as the title of a book I had a contract for but withdrew – due to me only having enough content for two chapters!! This was in 2006 and would have been my second book. If you google me on Goodreads, it is still there for some reason, despite it having never existed!
The history of the Yennski publications back catalogue notwithstanding, the issue of alcohol and other drugs issues for autistic people remains an issue for many of us.
When I was diagnosed as autistic in 1994 the belief among clinicians seems to have been that autistic people were all rules-focussed and health conscious. However, I was not. I found myself in the psychiatric ward when I was 21 – due to drug-induced psychosis which turned into lifelong schizophrenia. There was a young boy in hospital who was diagnosed as autistic and he fitted most of the stereotypes around at the time. He told me off for smoking on one occasion. He did his schoolwork while in hospital. The head psychiatrist saw this boy as autistic because he fitted the stereotype, but I certainly didn’t so in his eyes at least I was a neurotypical drug addict! [In fact my diagnosis summary stated that I fulfilled ‘all the DSM IV criteria for Asperger Syndrome’ so the clinical psychologist who diagnosed me at least was pretty convinced about my autism and no other clinician has questions it in over 30 years.]
Along with having drug issues in the 1990s I also had, well, prison issues! The stereotype of autism at the time was certainly not a drug addict or a criminal. Hindsight – and greater understanding of the rich diversity of autistic experience – tells me that I was not atypical in my substance abuse issues – many other autistic people battle with addiction.
The other thing I have learned around this is that there’s a level of nuance around these topics. It isn’t really the case that drugs and alcohol are always bad or that anyone with an addiction issue needs to take the twelve-step approach and never partake again. That is true for some people but not all. I had a major alcohol issue between 2003-2007 mostly because I was drinking to be accepted by my public housing estate neighbours – many of whom had issues with aochol. When I moved away, I stopped drinking excessively. I am now quite capable of having one glass of wine and leaving it at that. I have not been drunk since 2011. However, for many, abstinence is essential in order to stay clean and sober.
Also, for some people, recreational drug use isn’t actually a problem. They do it occasionally and can take it or leave it. In addition, some autistic people use things like cannabis to help what chronic pain or other physical health issues. Some people use ketamine for pain or depression and people with ADHD often get prescribed amphetamines to help with focus and managing issues related to ADHD. Substance abuse tends to involve doing something to fill a metaphorical ‘void’ of some form or other, such as emotional pain or trauma. I wouldn’t ever say there is a blanket ‘drugs are bad m’kay’ because it is not that simple. For me I can’t go near cannabis or amphetamines because using those pretty much always results in me getting very unwell and having to stop work for six months at a time but for others these drugs can make a big positive difference.
There are some reasons why autistic people may be more likely to have an issue with drugs or alcohol. One of them is self-medication. This is what I did when I was younger, I had experienced trauma and wanted to block out all emotions, so I used drugs and alcohol excessively. Other people use drugs or alcohol because it is easier to socialise with neurotypical people if everyone is drunk or high. Others use drugs or alcohol to be included and fit in with others who have similar issues – like I did in my public housing place. Others use drugs and alcohol for the purpose of consistency. You don’t need to worry about your mood when you are drunk or high, and you know how you will feel when drinking alcohol or using drugs. Some people have passionate interests focussed on addiction and some get involved because a close friend or partner is involved in drugs and alcohol.
Strategies to help people overcome substance abuse issues need to be tailored to the individual’s needs – which is particularly the case with autistic people. As with other things, behaviour is communication. This means if you understand the reason for the behaviour, it will be that much easier to address it.
For me, I had major issues with drug and alcohol use between 1995-2007. People would tell me that I should stop and I always dismissed this. To an outsider it would have looked like I wasn’t taking their statements on board but actually I was – it is just that they and I didn’t realise that this was happening! I eventually got to the point where I could see that my substance use behaviour was not very helpful and at that point, I remembered all the words from those in my life who were concerned. Addiction is one of those things which seems to be best addressed through the passage of time and the opportunity to reflect. I think this is true for autistic people as much as others.










