Psychiatric assessment in congenital blindness, ASD and ID: experience from two clinical cases

Advances in Mental Health and Intellectual Disabilities, Ahead of Print. Purpose Psychiatric assessment in adults with autism spectrum disorder (ASD) and intellectual disability (ID) is complex and challenging. With co-occurring congenital blindness, this complexity is increased. Systematic knowledge about psychiatric assessment in this combination of challenges is virtually non-existing, and there is little guidance available for clinicians faced with this task. The paper aims to discuss these issues. Design/methodology/approach Experiences from comprehensive psychiatric assessments in two adults with congenital blindness, ASD, and ID are explored and discussed. Findings Adaptation of assessment procedures usually employed for individuals with ASD and ID involved no major alteration, but co-operation between mental health and visual impairment professionals was important, as was the involvement of the families of the individuals in question. In both cases, the patient met criteria for an anxiety disorder, underlining the vulnerability and the challenges involved in living with this combination of challenges. Research limitations/implications There is an urgent need for research into mental health issues for this group, including case studies describing successful treatment or intervention for these issues. Practical implications Psychiatric assessment in individuals with this combination of challenges may be feasible, but requires involvement of professionals specializi...
Source: Advances in Mental Health and Intellectual Disabilities - Category: Disability Source Type: research