Recent assessment notes (leak): The numbers in the document online link to sources and examples including videos and past medical records.
Subject: Concerning Andrew Ditch's Case
To: Adult Protective Services, Crisis Services, Case Workers, and/or other professionals handling Andrew Ditch’s case.
This document concerns Andrew Ditch, who is seeking services in your county. I believe his APS worker is Deanne Bell, and a man named Daryl. I also believe he has a support coordinator named Tyler. I have a degree in psychology from the University of Colorado at Boulder with a focus in abnormal psychology. I have spent over 20 years studying diseases, disorders, and general abnormal psychology as a personal interest. My IQ is over 140, which is considered in the superior or genius range. I also have an eidetic memory, often referred to as a photographic memory by laypersons. Additionally, I have higher-functioning Autism, diagnosed as Asperger’s before the DSM changes that reclassified it as Autism Spectrum Disorder (ASD). I have interacted with many individuals on the spectrum, both high and low functioning, verbal and non-verbal, in group and support settings.
I will be objective and have no strong opinion on Andrew either way. However, based on my observations, I do not believe Andrew is capable of working and I believe he is mentally ill. I do not believe that his core problems are related to any form of Autism.
Background:
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Andrew had an undescended testicle and a documented thyroid disease. I believe he has a hormonal imbalance, possibly from birth, which may have resulted in imbalanced testosterone levels due to genetic and/or environmental factors. This could also contribute to his behavioral issues, obesity, and diabetes1.
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Andrew was diagnosed with Oppositional Defiant Disorder (Conduct Disorder) as a child and Antisocial Personality Disorder in adulthood. Informally, he would be considered a sociopath with a lack of charisma often associated with psychopaths. He has a long history of rule-breaking, conflicts with authority, and legal issues1.
Andrew’s Core Goals and Behaviors:
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Andrew's primary goal seems to be his desire for "help," which manifests as an obsessive need to wear diapers and be changed as a baby. This includes a desire to be bathed like a baby, specifically having staff or family clean his butt and groin areas. He uses an Autism diagnosis as a means to this end. Evidence suggests that he has a diaper and/or poop fetish. This is supported by his own online posts, including a video of him masturbating into a soiled diaper. Although his mother stated that he had urinary incontinence as a child, his current behavior indicates that he has developed a diaper and poop fetish later on2.
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Any perceived challenge to this core goal triggers aggressive and defensive behaviors. Even the suggestion that he should learn to care for himself provokes a strong negative response2. He does not want to change his own diaper, clean himself, or bathe, and may inflict self-harm leading to rashes and sepsis. Despite his claims to need help, he has posted videos showing that he can do these tasks himself. Family statements and videos also suggest that he was more independent in the past2.
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He fabricates stories about how businesses helped him with his toilet routine at work. He worked in fast food for over two years each at two different jobs, and another job for over one year, suggesting that he was capable of more than he claims2.
Andrew’s Modus Operandi:
When challenged, Andrew uses a variety of manipulative tactics, including:
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Yelling and repeating phrases such as “you say that I fake”3.
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Appealing to authority and citing rules and laws3.
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Using circular arguments and word games to manipulate others3.
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Using reverse psychology and self-endangering behavior to manipulate3.
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Making legal threats and calling the police to get his way3.
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Creating chaos and exhaustion to force compliance3.
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Threatening self-harm to manipulate, including running into traffic or taking pills3.
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Recording interactions to threaten and manipulate, using word games and legal threats3.
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Making false claims of abuse and mistreatment when challenged3.
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Trying to eliminate anyone who challenges him with complaints and calls3.
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Overwhelming staff with calls, emails, and paperwork3.
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Accusing those who do not comply of not doing their job3.
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Playing people against each other to divide and conquer3.
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Exhibiting “Karen” behavior, constantly calling and manipulating3.
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Never being happy or content, always finding something to complain about3.
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Considering a "guardian" as a slave3.
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Never forgetting or forgiving perceived "wrongs" and wanting to sue3.
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Claiming everyone has abused him, including his family3.
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Resorting to tantrums and acting out3.
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Willing to risk life and liberty to get his way3.
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Doxing and leaking personal information of others3.
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Exposing others to gross or inappropriate content for manipulation, such as sending pictures of his genitals, posting pictures and videos of poop, and engaging in voyeurism3.
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Pathologically lying and manipulating3.
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Lying about medical history and forging documents, including with AI3.
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Faking conditions such as schizophrenia3.
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Coercing others to misrepresent his needs3.
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Appearing smart and self-aware despite claims of incapacity3.
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Being an unreliable narrator who lies and exaggerates. He researches Autism extensively and can manipulate test results. He was diagnosed as a medical malingerer3.
Why Andrew Does Not Need the Level of Care He Demands:
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He is a pathological liar and manipulator, admitting to faking conditions for secondary gain4.
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His claims are based on a diagnosis of severe Autism, not supported by his childhood medical records. Severe Autism is unlikely to be missed in early childhood. His behaviors suggest ulterior motives for care, possibly for sexual gratification4.
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His claims can be disproven, with video evidence contradicting his verbal claims. There is a noticeable evolution of his communication and behaviors over time, progressing to an almost toddler-like speech pattern4.
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His work history is inconsistent with severe Autism. He worked for long periods in fast food and computer repair4.
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He claims to not be able to cross streets but travels across state lines4.
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He claims to not be able to change his diaper or wash himself, but evidence suggests otherwise4.
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He claims to not be able to use a microwave or stove but has cooked in the past and has worked in fast food4.
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He claims not to feel hunger, yet is morbidly obese and overeats4.
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He claims to not feel hot or cold, yet has been caught in this lie4.
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He claims to be sensitive to noise, but video evidence shows him at a heavy metal concert4.
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He self-inflicts rashes and sores to support his need for hygiene assistance. He admitted to sitting in his soiled diaper for sexual gratification4.
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He is too self-aware to be severely Autistic, uses a faulty definition for terms like Echolalia and Tourette’s, and displays manipulative and self-serving behaviors4.
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He is a prolific researcher of conditions and laws to support his goals4.
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He does the opposite of his claims4.
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He has been caught using red dye to fake infections4.
What Andrew Actually Needs:
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Anger management and emotional regulation. He needs mental health counseling, rather than focusing on his supposed neurological condition5.
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Social skills5.
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Accountability for his actions, recognizing his bad behaviors, and attempting change5.
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Honesty. His dishonesty makes it difficult to determine his true needs. While he may have some difficulty with toilet routines, he may be capable of cleaning up after himself5.
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Structure in daily living, such as planning his day, shopping, and other life skills that do not involve other people performing his hygiene for him5.
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Help managing his impulsive spending5.
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Group home or outpatient setting, without assistance with hygiene or diaper changes5.
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Life skills training, including cooking and meal planning5.
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Understanding that his behavior will lead to injury, incarceration, or institutionalization5.
Possible Conditions:
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Antisocial Personality Disorder (Sociopath)6
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Munchausen syndrome / Malingering6
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Narcissistic Personality Disorder (?)6
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Coprophilia6
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Pedophilia6
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Potential other sexual paraphilias (Voyeurism & Exhibitionism) or adult diaper fetish6
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Dependent Personality Disorder / Learned Helplessness (?)6
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High Functioning Autism or ASD (?)6
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Other delusions and paranoia – He believes that his critics are police officers, family members, etc.6
Reasons for Disagreeing with Schizoid Personality Disorder (SPD) Diagnosis:
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SPD has similar symptoms to Autism, which he may have been trying to present7.
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People with SPD rarely express strong emotions, which is not consistent with Andrew7.
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People with SPD often have no interest in sex, while Andrew has demonstrated a clear interest7.
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People with SPD avoid social activities, especially phone calls, which is the opposite of Andrew’s behavior7.
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SPD individuals are indifferent to praise or criticism, while Andrew is very reactive to criticism7.
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Andrew may have a cousin condition of SPD, with paranoid delusions, potentially Schizotypal Personality Disorder, but not SPD7.
If you click on the High Functioning Autism sources and more information it says the following.
"I conceded that he may actually have a form of higher-functioning autism. However, it's almost impossible to know this for sure because of his dishonesty and manipulation. He also has done research on the testing for ASD which would make an accurate diagnosis more difficult. He would use such information to distort it into him having severe autism instead of the potential truth of him having high-functioning autism. This is similar to how he distorts having urinary incontinence into claiming he is pooping himself and needs to be changed due to fecal incontinence. I am reluctant to even speculate or give him the benefit of the doubt because of his wordplay, manipulation, and distortion of facts. Andrew’s brother, Joseph, is diagnosed with Asperger's, now classified as high-functioning ASD (Autism Spectrum Disorder)."
Click on Guardian.
"Andrew views a guardian as someone he can control, manipulate, and incessantly complain to, essentially seeing them as a slave or surrogate parent who must carry out his will. This perception may stem from a dependent personality disorder and/or learned helplessness1. Furthermore, Andrew would likely use the guardian as a scapegoat, blaming them for his shortcomings and any negative event in his life1. If things don't go his way, he would accuse the guardian of abuse. Even if he is responsible for something, such as destroying his medicine or tearing up his diapers, he would claim the guardian was at fault1. Andrew also envisions the guardian as an "attack dog," someone who will sue and silence anyone he feels has wronged him1. He would even want the guardian to pursue legal action against his own father for alleged abuse1. Essentially, Andrew desires a proxy or avatar to act on his behalf, bearing all responsibility and accountability that he refuses to accept for himself1."
