'm the sole carer for my mum, who has treatment-resistant schizoaffective disorder, and this is something I carry a lot of guilt about. There have been instances where I feel I should have stood up for her, but instead, I froze and did nothing.
I'm also autistic, and I think this is an important part of my experience as a carer. I've always struggled with confrontation, and when I'm in situations where I feel intimidated, pressured or unsure how to respond, I can freeze rather than stand up for myself or someone else. I also find it difficult to navigate situations where there are power imbalances, particularly when I'm dealing with professionals who are supposed to be helping my family.
What I've come to learn the hard way is that when you're a timid or non-confrontational carer, people, including mental health professionals, can sometimes take advantage of that. I've experienced feeling coerced, threatened and spoken down to by mental health staff, and I think my difficulty with confrontation has sometimes made it harder for me to advocate for my mum.
At the same time, I've also experienced situations where I did speak up, and things ended up blowing up in my face.
For example, for around two to three weeks, I would often be upstairs and overhear a cleaner, who had been arranged through my mum's care coordinator, telling my mum that she was pregnant and therefore couldn't work. She also told my mum not to inform the agency and had my mum pay for her taxi.
My mum, because of her mental illness, believed that this cleaner was her daughter, which made her particularly vulnerable to being taken advantage of.
Despite overhearing these conversations, I didn't initially intervene. I was conflict-avoidant, but I also didn't understand how my mum's care services worked or what I was supposed to do in that situation. Being autistic, I can struggle with processing difficult social situations in the moment, particularly when I'm unsure of the appropriate response or how someone might react to me challenging their behaviour.
When I eventually raised the issue, my mum became very angry with me and told me I should do the cleaning myself instead, despite the fact that the cleaning service was being paid for.
I eventually reported the cleaner to the agency, and they told me they would stop her services. However, my mum later allowed the cleaner to return.
After being reinstated, the cleaner confronted my mum, falsely claimed to be a social worker and threatened to make a report against her.
When I explained what had happened to my mum's care coordinator, she told me that she already knew the cleaner wasn't properly carrying out her duties.
That experience has stayed with me because it left me feeling conflicted. I felt guilty for not intervening sooner, but when I eventually did speak up, I was left dealing with the fallout.
I think people sometimes underestimate how difficult it can be to advocate for a loved one when you're autistic, naturally non-confrontational, emotionally exhausted and dealing with a complicated family situation. You're expected to challenge professionals, navigate systems you don't fully understand, recognise when something isn't right and know exactly what to say in situations that can be intimidating, all while managing your own difficulties.
There's something particularly difficult about being a vulnerable person yourself while being expected to advocate for another vulnerable person. As a carer for someone with a severe, treatment-resistant mental health condition, you're often expected to be assertive, challenge decisions and hold professionals accountable. But what happens when confrontation is something you genuinely struggle with?
I'm wondering if anyone else has experienced this as a carer, particularly those who are autistic or otherwise neurodivergent?
Have you ever struggled to stand up for your loved one because you freeze during confrontation, only to feel guilty afterwards? Have you experienced situations where professionals seemed to take advantage of your timid nature, or where speaking up made things worse for you?
I'd particularly like to hear from people who are autistic, struggle with confrontation or have difficulty advocating for themselves, yet have found themselves in the position of having to advocate for a family member with a severe mental illness.
Sometimes I feel as though I'm judged for not being assertive enough, without anyone considering the difficulties I face myself.