anbuend wrote:
Wow, needing step by step instructions with pictures for every task is severe? Interesting. (Not questioning it, just another note in my head that my experiences when certain of my problems were much less severe were not, actually, as mild as I sometimes feel like they were.)
Yes, I would consider someone to have severe difficulties with executive functioning (assuming that is the issue for them) if they need step-by-step directions with pictures for daily tasks (e.g., brushing teeth), at least for adults. It certainly would have been considered evidence of severe executive functioning deficits in the brain-injured patients I worked with at rehab. I do know that daily self-care is difficult for many autistics however, so maybe the descriptions/scale is different.
Also, I wonder if you have ever tried music therapy. The rhythm of the music was very helpful for many of the Parkinson's patients at the hospital I worked at (e.g. for gait training), particularly to decrease freezing. Also, I wonder whether it would be possible to practice some tasks over and over to music so that the music itself could cue you for the different parts of it. Music therapy is just awesome in general for many, many different problems, including apraxia and aphasia. I was fortunate enough to co-treat with an excellent music therapist for a couple hours twice a week and I was able to observe what a difference it made for many patients. Just a thought, since I know you have that Parkinson-like movement disorder.
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Not all those who wander are lost... but I generally am.