Breast cancer and autism

Hello

i am mum to a 33 year old autistic young woman. I detected a lump in her breast  two weeks ago and she was seen at the local breast unit yesterday. She is non verbal and has very elevated sensory issues and with over stimulation can become very aggressive and upset

She did very well with the initial consultation as we were able to manage her anxiety (mum and sister) and were able to let them know her special needs beforehand. 

She was seen by a doctor and then had a scan and they say she has breast cancer and it’s also in her lymph glands. There were no consultants available but I am told they will discuss her treatment on Thursday. They were unable to carry out a biopsy due to her anxiety 

The idea of chemo or radiation is inconceivable as she can’t even have her teeth cleaned without full sedation. It’s only in the dentist that we have ever been able to take blood samples.  We briefly talked about sedation for biopsy and then potentially for mastectomy, discussing the issues involved with managing pain and drains

With them saying it’s in her lymph I worry about carrying out an invasive procedure and putting her through such a fearful and anxiety producing procedure if anything has spread elsewhere. Even at this stage they suggested a full body scan would be out of the question which to me makes no sense. I feel it would be important to know the full position before making any plans. I am probably ahead of myself but worrying that the discussions that take place will not involve anyone considering the challenges my daughter faces. She doesn’t understand the situation and we are focusing on keeping everything positive and upbeat to prevent her worrying. Our focus after much discussion with limited information is about maintaining quality of life and happiness rather than quantity of life at huge cost and trauma to her. 

Has anyone been in a similar position and able to offer advice? 

I would be very grateful for any guidance to help us navigate this situation. 

Thank you 

Parents
  • Hi,

    I have a daughter who is autistic who is 26, like your daughter non-verbal and highly anxious due to her not understanding the world around her.   I also work with young adults who have complex needs.  I am not going through the same as you but the fear of my daughter ever getting ill is so distressing as she has refused treatment and had to be sedated to deal with any situations even the dentist.     She recently got cellulitus and they could not take any blood or give her the antibiotics by IV,  we did manage orally. 

    I am lucky as she responds better to male nurses or doctors and I have taken a NOW and NEXT symbols with me, which helps a little also a DVD player.   Does your daughter have PA's?  Most hospitals have a designated team which are for vulnerable patients to make sure they and the families are supported throughout treatment.

    Hope this helps

  • Thank you - your reply really does help and your daughter sounds very similar. My daughter is totally distracted and engages better with males as she has all her hormones firing - she loves a flirt. 

    I will enquire in the hospital about the LD team. Our previous visit re cervical screening was a disaster with security being called as she had a melt down. She does have PAs and 24 hour support but for these initial appointments I need to take part to speak for her. 

  • I have given up any hope of a smear or even having a mammogram in the future, for my daughter.   Most of the autistic young adults I know respond better to a male figure!!    My daughters PA is amazing and I sometimes have asked her to take my daughter on my behalf to appointments but this is different for you, every appointment is necessary for you to attend.   I have come across some amazing nurses and doctors who try to understand the needs of people with challenging and complex behaviour but this is not always the case, that is why most hospitals have introduced a team to support those who need it.    You are her voice, have you got the Power of Attorney for her Health and Wellbeing?   I know this is very hard to get but it maybe something to look into.

    Please let me know how you get on.  Unless you live with someone who have complex needs due to their disability its hard to understand the challenges as a family we face, but there is plenty of people out there who will support you and your daughter to the challenges ahead and hopefully give you the help and support you all need.

    x

Reply
  • I have given up any hope of a smear or even having a mammogram in the future, for my daughter.   Most of the autistic young adults I know respond better to a male figure!!    My daughters PA is amazing and I sometimes have asked her to take my daughter on my behalf to appointments but this is different for you, every appointment is necessary for you to attend.   I have come across some amazing nurses and doctors who try to understand the needs of people with challenging and complex behaviour but this is not always the case, that is why most hospitals have introduced a team to support those who need it.    You are her voice, have you got the Power of Attorney for her Health and Wellbeing?   I know this is very hard to get but it maybe something to look into.

    Please let me know how you get on.  Unless you live with someone who have complex needs due to their disability its hard to understand the challenges as a family we face, but there is plenty of people out there who will support you and your daughter to the challenges ahead and hopefully give you the help and support you all need.

    x

Children
No Data