- Joined
- Jul 27, 2022
Andy getting raped and tortured by a crew of Black Isrealites would be funny as hell.
Horrorcow Andrew Ditch / Andy Ditch / The Poopsquatch - Middle-aged diaper and scat enthusiast. Pretends to be autistic so that his mother will change his diaper.
- Thread starter The_Cranker
- Start date
- Joined
- Oct 11, 2014
About as funny as it is likely to happen. Hush now, the grownups are talking.
- Joined
- Jul 5, 2024
Edit: God fucking danmit my scuffed keyboard. Posted too soon my bad.
I read through the thread (didn't fully watch all the videos) and have some questions:
I read through the thread (didn't fully watch all the videos) and have some questions:
I couldn't find references to this Michael guy or him having been molested before this page. Can anyone point me to the first post/video where this is discussed?
So is he confirmed as not being Joe now?
Also couldn't find prior references to this, is it in a video?
"[people with autism are] smarter than the average person" That's not correct. Many autistic people, especially low funcitoning, are legitimately retarded. Not Andy though because he doesn't have autism.
- Joined
- Apr 16, 2021
- Joined
- Jul 27, 2022
Alhamdulilah Andy you are an abomination who should die from middle eastern fall damage.
- Joined
- Jan 27, 2019
I was curious about what the document was that he showed in the video. It looks like he convinced his psychologist to write an appeal letter after other doctors felt he was faking the autism and denied him a diagnosis. It was pretty interesting, mainly for demonstrating that Andy doctor shops and wanted this new doctor to not look at his past medical records. This Dr. Kopfer seems to think Andy does have autism, but a milder form. In a way, it would be the ultimate monkey paw punishment if Andy did have Autism, but he wasn't happy with being a level 1 Asperger loser and exaggerated and made up symptoms to look like what he thinks a level 3 is like. But this very faking and exaggeration denied him any diagnosis at all. I see why Andy thought this document was 'proof' of his Autism, since this one doctor believes he has it, but it also mentions the many, many other times he was tested and found to be a dirty faker so LOL at Andy for using this as proof.
If anyone cares, I've transcribed the document below for ease of reading:
If anyone cares, I've transcribed the document below for ease of reading:
Psychological Evaluation (East Amherst Psychology Group)
Name: Andrew Ditch
DOB: 6/7/85
Date of evaluation: 7/28/21 & 8/5/21
Andrew is a 36 year old male who I previously evaluated in 2020. He is currently applying for services from OPWDD with the assistance of Giuseppina Bugenhagan, his outreach specialist from Western New York Independent Living Inc. He reports that he has been denied services, and the most recent decision dated June 10, 2021 indicated that the information provided in his application did not support a qualifying diagnosis or adaptive functioning deficits attributable to a qualifying diagnosis as the reason for the denial. Ms. Bugenhagan and Andrew are contesting this decision and have contacted the Disability Rights Office of New York for assistance. They have also requested that I address the concerns raised by the OPWDD Eligibility Committee in the denial of services. I met with Ms. Bugenhagan and Andrew on July 28th to discuss these issues. I have also been able to arrange a phone interview with Andrews parents, Janet and Thomas Ditch, in order to obtain additional information that may clarify his diagnosis.
In my report from December 2020, I detailed the findings from my evaluation of Andrew, which included the administration of a number of psychometric measures of Autism (including both scales required by OPWDD and other supplementary measures of Autism), clinical interview and observation, and review of records that were available to me at the time. The findings were supportive of a clinical diagnosis of an Autism Spectrum Disorder (ASD). The OPWDD review committee determined that my findings were insufficient to confirm the diagnosis, and although the reasons were unclear, this was apparently due to the findings of a number of previous assessments conducted throughout Andrews childhood and early adulthood which did not appear to support the diagnosis. Andrew has a long history of emotional and behavioral disturbances and he has had multiple contacts with mental health agencies and community providers throughout his lifetime. At the time of my evaluation, I did not have access to many of his records, as Andrew stated that he wanted the evaluation to be focused on his current functioning and did not want my results to be influenced by previous assessments and his mental health history. My report did acknowledge his longstanding emotional mental health history and numerous psychiatric diagnoses, as Andrew reported in our conversations and also in his numerous email communications.
Presently, I have been asked to review and comment on a number of reports that were not available to me at the time of my evaluation, and those were forwarded to me by Ms. Bugenhagan. Included were a number of reports from Dr. David Lichter dated from 2014 to 2020. Dr. Lichter, who has treated Andrew for his Tourette’s for a number of years, includes ASD in his diagnosis list. In his reports, he notes a number of symptoms that would be consistent with ASD. In 2014, he noted that Andrew had “a need to have things always his way,” and the presence of focused interests. In a 2019 consult, Andrew was accompanied by his father who reported a number of childhood characteristics that which led to a suspicion that Andrew was Autistic: hand flapping and rocking movements, tendency to play with toys in an unusual manner, focused interests, difficulty maintaining eye contact, and difficulty keeping friends. Dr. Lichter also notes that Dr. Richard Wolin had previously diagnosed Andrew with Autism. I have reviewed Andrews discharge summary from Horizons, where Dr. Wolin treated Andrew. Dr. Wolin changed Andrews diagnosis to Autism in October 2017 and removed the existing diagnosis of Schizoaffective Disorder in June 2018 due to his belief that Autism was the primary diagnosis. In November 2020, Dr. Lichter noted that Andrew continued to experience significant anxiety associated with his Tic disorder and ASD. It is interesting to note that he prescribed Memantine (an agent used for individuals with Alzheimer's and dementia) for Andrew, based on recent evidence supporting the use of this medication in individuals with Autism.
I have also been provided with reports from Dr. Justin Naylor of Western New York Center for Children and Families Psychological and Educational services from 2019 to 2020. In 2019, Andrew was referred for an evaluation of Autism by his care coordinator at the time. His mother accompanied Andrew to the evaluation and was able to provide some background information and complete the Social Communication Questionnaire, a measure of Autism. Dr. Naylor noted that some symptoms of Autism had been present when Andrew was younger. He had speech and language deficits and did not talk much in complete sentences until he was about nine years old, and often used odd phrases. He has always had difficulties with conversational skills. The score of 20 on the SCQ exceeded the established cut-off score of 15.
In January 2020, Dr. Naylor again evaluated Andrew for possible ASD. He administered the ADOS-2, an observational measure used to identify individuals with Autism. The results indicated a combined Communication and Social Interactions score of 13, which exceeds the Autism classification cut-off of 10. His parents were present during the evaluation and again shared their recollections of Andrew when he was a child. According to Dr. Naylor, their initial concerns arose when Andrew was around two years old and were related to his language difficulties. Andrew was described as shy when he was a youngster, and he would typically not approach other children. He would, however, engage with his cousins in a typical manner and generally got along with them. His parents also noted the presence of repetitive behavior, rocking, and spinning as a child. In his review of records from ECMC and the Stanley Falk School, Dr. Naylor noted that there were “one or two” documents referencing the exhibition of symptoms of Autism, but that the majority were absent of any reference to this condition. His parents claimed that they brought their suspicions of Autism to healthcare providers and teachers when he was young, but because of his behavioral issues, Autism was overlooked and “he fell through the cracks.” Apparently, the equivocal evidence of Autism as a child and adolescence led to Dr. Naylors inability to render a diagnosis of ASD.
Dr. Michael Santa Maria had evaluated Andrew on two occasions in August 2012 and November 2018. I have been provided with a report of the more recent evaluation. Dr. Santa Maria is clear that Andrews primary diagnosis is Schizoaffective Disorder, Depressive Type, and that he does not find evidence of ASD. Although two Autism measures were administered (the Social Communication Questionnaire and the Childhood Autism Rating Scale) and the resulting scores fell within the positive range for Autism, Dr. Santa Maria maintained that the test results were secondary to the information obtained in clinical interview and observations, which are “suggestive of other concerns.” Andrews clinical history “is reflective of prominent thought disturbance of a nature not characteristic of ASD.” Dr. Ralph Benedict from ECMC conducted a neuropsychological consultation in April of 2019 and was also unable to render a diagnosis of ASD due to “the absence of reliable history and confidence in patients report of symptoms.” Dr. Benedict offers the impression that Andrew was “exaggerating or fabricating symptoms,” which would make diagnosis difficult. While he acknowledges that Andrew may have had a childhood onset disorder, such as ASD, he did not have enough information to say so with certainty.
Obviously, Andrew presents with a rather complicated clinical picture. Certainly, there are prominent mental health concerns that have been longstanding. Andrew also has a documented history of developmental disorders, including Tourette’s, speech and language difficulty, and ADHD. Less certain is the presence of an ASD. Evidence for ASD has been accumulating in recent years. Psychometric test results from three separate examiners show consistent score profiles that fall within the significant range for Autism. A number of providers have identified ASD as a primary or secondary diagnosis. As noted above, Dr. Wolin had changed Andrews diagnosis to ASD and Dr. Lichter has concurred with this diagnosis, and this is factored into his treatment protocols. It is also noteworthy that Andrew shows a number of symptoms in the restrictive, repetitive, and stereotypical behavior group (for example, unusual hand and body mannerisms, sensory preferences and aversions, resistance to change, and “insistence on sameness”), the presence of which often is informative in discriminating ASD from other conditions.
It appears that the major concern is the paucity of evidence from childhood that Andrew would fit into the Autism Spectrum. In particular, there have been a number of contacts with mental health agencies and medial providers that have not apparently entertained or explored the possibility of an Autism Disorder. The Ditches have suspected Autism when Andrew was very young and voiced their suspicions to Andrews teachers and doctors, but there was no follow up. As a child, in addition to Tourette’s and Social Language Disorder, he also displayed significant emotional and behavioral dysfunction, “meltdowns,” and aggressive behavior. I suspect that these latter symptoms were far more prominent at the time and thereby directed his diagnosis and treatment. Although Autistic features may have been present which could underlie and hinder his adjustment, his behavior and emotional symptoms were given priority by service providers.
Unfortunately, many children and adolescents with ASD, particularly those with mild forms or high-functioning autism, may evade early detection, and this would be more likely to occur when they show behaviors that could be attributed to other conditions. Research has shown that individuals with ASD have a relatively high rate of co-morbid conditions. Compared with their neurotypical peers, it has been found that ASD individuals may be more than five times as likely to have received at least one psychiatric diagnosis and are also more likely to have visited a psychiatrist or emergency ER services for psychiatric reasons. Multiple studies have found high rates of comorbidities in individuals with Autism, and estimates indicate that upwards of 90% of children/adolescents with autism also meet criteria for another psychiatric disorder and may have multiple (three or more) diagnoses. In adults, studies have shown that at least 4 of 10 individuals with ASD have been diagnosed with current psychiatric disorders and that at least 7 of 10 have met lifetime criteria for a psychiatric diagnosis. Anxiety, depression, and OCD appear to be the most frequently occurring diagnoses. Presentation of symptoms related to these conditions can lead to diagnostic overshadowing in that Autistic symptoms may be interpreted as part of the psychiatric condition and not a separate condition. This may be more likely to occur in mental health settings where practitioners generally have little experience in detecting or evaluating signs of Autism. There may also be a reluctance to add additional diagnoses, particularly when unable to adequately evaluate its presence.
While there is considerable evidence for ASD at the present time, the absence of adequate information from childhood appears to be a factor in OPWDDs decision to deny services. In order to establish a diagnosis of ASD, there must be evidence that symptoms were present in the early developmental years. During my earlier evaluation, I requested to meet with Andrews mother to discuss his early development and explore the reasons that she had suspected an Autism diagnosis early on. However, I was unable to do so, as the scheduled session was canceled. When I met with Andrew via Telehealth on July 28, I asked if I could contact his mother once again, and he offered his verbal consent. On August 5th, I conducted a phone interview with Ms. Ditch (his father was also present) in which I administered the Autism Diagnostic Interview- Revised (ADI-R), a well established measure of Autism which, incidentally, is an instrument recommended by OPWDD in order to establish an Autism diagnosis. The ADI-R allows for the assessment of symptoms which occur both currently and during the early development years. During my interview with Ms. Ditch, the focus of questioning was on the latter, and in particular, when Andrew was four to five years old. The information obtained on the ADI-R is organized into three symptom groups that are consistent with current DSM criteria; qualitative abnormalities in reciprocal social interaction, qualitative abnormalities in communication, and the presence of restricted, repetitive, and stereotypical behavior patterns. Ratings in each symptom group are computed and then compared with recommended cut off scores. Obtained scores that meet or exceed their respective cut-offs are considered to be indicative of Autism. As can be seen below, all scores exceed their cut-offs:
Qualitative Abnormalities in Reciprocal Social Interaction: Obtained score 19, cut off 10.
Qualitative Abnormalities in Communication: Obtained score 18, cut off 8.
Restricted, Repetitive, and Stereotypical Behavior Patterns: Obtained score 8, cut off 3
Total score: 4. Cut off 1.
According to Ms. Ditch, she and her husband first became concerned when Andrew was around 18 months old due to his rocking and jumping behaviors. There were also speech delays. He said his first word (kitty) when he was about one, but this was a solitary event as he did not speak again for some time. He was not able to put words together into meaningful phrases until he was at least three years old. With these delays, he was referred to the Language Development Program where he remained for four years. She also notes a number of other language anomalies, including repetitions, neologisms, pronominal reversals, and verbal rituals. Social communication was also delayed as Andrew would not engage in reciprocal small talk or conversation. This is a key marker for Autism and for Andrew, this has been longstanding. Reflecting on his current social abilities, Andrew claims “people confuse me” and that he “takes things differently” when others talk to him. Conversations tend to be one sided and he struggles to understand what others are saying when communicating with them. As a child, Andrew would play with toys but not as intended. For example, rather than playing with Matchbox toys in typical manner, he would persist in lining them up. He would smile on occasion, but his range of facial expressions was limited. Eye contact was always a problem, and his parents would always have to remind him to look at others when talking. He did play with other children but only in simple games and his social activity was suggestive of parallel play. He would occasionally respond when other children approached him, but he would not initiate contact with them. He had a few friends throughout his childhood, but these relationships appear to be somewhat superficial.
With regard to the behavioral symptoms, Ms. Ditch reports a number of repetitive and ritualistic tendencies, including spinning wheels on his bike, lining up toys, touching items (for example, eating utensils) in a certain way, and performing self-care tasks in a ritualized manner. Circumscribed interests have always been present; currently Andrew is preoccupied with weather and weather related information. As a child there were a number of sensory preferences (smells, soft fabrics) and sensory aversions (noise, clothing textures, physical contact, and light.) Hand/finger mannerisms (twisting hands, drumming, and some flapping) along with rocking and jumping up and down were also present. Ms. Ditch recalls that Andrew would get quite upset when these actions were interrupted. Andrew also has always had problems dealing with change in routine and environment, and he would often react to these changes with “meltdowns.”
As reported in my evaluation from 2020, Andrew shows significant deficits in adaptive skills, and his measure abilities fall well below expected levels considering his age and cognitive functioning. It is also clear that his adaptive deficits were present at a young age due to his prolonged language deficits, Tourette’s, and social/interpersonal difficulties. Deficits in communication/conversational abilities, interpersonal and social functioning, and overall self-management may be considered as more reflective of an autism disorder than a mental health condition.
The findings here provide additional evidence that symptoms of Autism were evident during Andrew’s developmental years and are supportive of a diagnosis of ASD. It is my hope that with this information, the OPWDD Eligibility Committee will reconsider his application for services.
Paul M. Kopfer, Ph. D
Licensed Psychologist
Name: Andrew Ditch
DOB: 6/7/85
Date of evaluation: 7/28/21 & 8/5/21
Andrew is a 36 year old male who I previously evaluated in 2020. He is currently applying for services from OPWDD with the assistance of Giuseppina Bugenhagan, his outreach specialist from Western New York Independent Living Inc. He reports that he has been denied services, and the most recent decision dated June 10, 2021 indicated that the information provided in his application did not support a qualifying diagnosis or adaptive functioning deficits attributable to a qualifying diagnosis as the reason for the denial. Ms. Bugenhagan and Andrew are contesting this decision and have contacted the Disability Rights Office of New York for assistance. They have also requested that I address the concerns raised by the OPWDD Eligibility Committee in the denial of services. I met with Ms. Bugenhagan and Andrew on July 28th to discuss these issues. I have also been able to arrange a phone interview with Andrews parents, Janet and Thomas Ditch, in order to obtain additional information that may clarify his diagnosis.
In my report from December 2020, I detailed the findings from my evaluation of Andrew, which included the administration of a number of psychometric measures of Autism (including both scales required by OPWDD and other supplementary measures of Autism), clinical interview and observation, and review of records that were available to me at the time. The findings were supportive of a clinical diagnosis of an Autism Spectrum Disorder (ASD). The OPWDD review committee determined that my findings were insufficient to confirm the diagnosis, and although the reasons were unclear, this was apparently due to the findings of a number of previous assessments conducted throughout Andrews childhood and early adulthood which did not appear to support the diagnosis. Andrew has a long history of emotional and behavioral disturbances and he has had multiple contacts with mental health agencies and community providers throughout his lifetime. At the time of my evaluation, I did not have access to many of his records, as Andrew stated that he wanted the evaluation to be focused on his current functioning and did not want my results to be influenced by previous assessments and his mental health history. My report did acknowledge his longstanding emotional mental health history and numerous psychiatric diagnoses, as Andrew reported in our conversations and also in his numerous email communications.
Presently, I have been asked to review and comment on a number of reports that were not available to me at the time of my evaluation, and those were forwarded to me by Ms. Bugenhagan. Included were a number of reports from Dr. David Lichter dated from 2014 to 2020. Dr. Lichter, who has treated Andrew for his Tourette’s for a number of years, includes ASD in his diagnosis list. In his reports, he notes a number of symptoms that would be consistent with ASD. In 2014, he noted that Andrew had “a need to have things always his way,” and the presence of focused interests. In a 2019 consult, Andrew was accompanied by his father who reported a number of childhood characteristics that which led to a suspicion that Andrew was Autistic: hand flapping and rocking movements, tendency to play with toys in an unusual manner, focused interests, difficulty maintaining eye contact, and difficulty keeping friends. Dr. Lichter also notes that Dr. Richard Wolin had previously diagnosed Andrew with Autism. I have reviewed Andrews discharge summary from Horizons, where Dr. Wolin treated Andrew. Dr. Wolin changed Andrews diagnosis to Autism in October 2017 and removed the existing diagnosis of Schizoaffective Disorder in June 2018 due to his belief that Autism was the primary diagnosis. In November 2020, Dr. Lichter noted that Andrew continued to experience significant anxiety associated with his Tic disorder and ASD. It is interesting to note that he prescribed Memantine (an agent used for individuals with Alzheimer's and dementia) for Andrew, based on recent evidence supporting the use of this medication in individuals with Autism.
I have also been provided with reports from Dr. Justin Naylor of Western New York Center for Children and Families Psychological and Educational services from 2019 to 2020. In 2019, Andrew was referred for an evaluation of Autism by his care coordinator at the time. His mother accompanied Andrew to the evaluation and was able to provide some background information and complete the Social Communication Questionnaire, a measure of Autism. Dr. Naylor noted that some symptoms of Autism had been present when Andrew was younger. He had speech and language deficits and did not talk much in complete sentences until he was about nine years old, and often used odd phrases. He has always had difficulties with conversational skills. The score of 20 on the SCQ exceeded the established cut-off score of 15.
In January 2020, Dr. Naylor again evaluated Andrew for possible ASD. He administered the ADOS-2, an observational measure used to identify individuals with Autism. The results indicated a combined Communication and Social Interactions score of 13, which exceeds the Autism classification cut-off of 10. His parents were present during the evaluation and again shared their recollections of Andrew when he was a child. According to Dr. Naylor, their initial concerns arose when Andrew was around two years old and were related to his language difficulties. Andrew was described as shy when he was a youngster, and he would typically not approach other children. He would, however, engage with his cousins in a typical manner and generally got along with them. His parents also noted the presence of repetitive behavior, rocking, and spinning as a child. In his review of records from ECMC and the Stanley Falk School, Dr. Naylor noted that there were “one or two” documents referencing the exhibition of symptoms of Autism, but that the majority were absent of any reference to this condition. His parents claimed that they brought their suspicions of Autism to healthcare providers and teachers when he was young, but because of his behavioral issues, Autism was overlooked and “he fell through the cracks.” Apparently, the equivocal evidence of Autism as a child and adolescence led to Dr. Naylors inability to render a diagnosis of ASD.
Dr. Michael Santa Maria had evaluated Andrew on two occasions in August 2012 and November 2018. I have been provided with a report of the more recent evaluation. Dr. Santa Maria is clear that Andrews primary diagnosis is Schizoaffective Disorder, Depressive Type, and that he does not find evidence of ASD. Although two Autism measures were administered (the Social Communication Questionnaire and the Childhood Autism Rating Scale) and the resulting scores fell within the positive range for Autism, Dr. Santa Maria maintained that the test results were secondary to the information obtained in clinical interview and observations, which are “suggestive of other concerns.” Andrews clinical history “is reflective of prominent thought disturbance of a nature not characteristic of ASD.” Dr. Ralph Benedict from ECMC conducted a neuropsychological consultation in April of 2019 and was also unable to render a diagnosis of ASD due to “the absence of reliable history and confidence in patients report of symptoms.” Dr. Benedict offers the impression that Andrew was “exaggerating or fabricating symptoms,” which would make diagnosis difficult. While he acknowledges that Andrew may have had a childhood onset disorder, such as ASD, he did not have enough information to say so with certainty.
Obviously, Andrew presents with a rather complicated clinical picture. Certainly, there are prominent mental health concerns that have been longstanding. Andrew also has a documented history of developmental disorders, including Tourette’s, speech and language difficulty, and ADHD. Less certain is the presence of an ASD. Evidence for ASD has been accumulating in recent years. Psychometric test results from three separate examiners show consistent score profiles that fall within the significant range for Autism. A number of providers have identified ASD as a primary or secondary diagnosis. As noted above, Dr. Wolin had changed Andrews diagnosis to ASD and Dr. Lichter has concurred with this diagnosis, and this is factored into his treatment protocols. It is also noteworthy that Andrew shows a number of symptoms in the restrictive, repetitive, and stereotypical behavior group (for example, unusual hand and body mannerisms, sensory preferences and aversions, resistance to change, and “insistence on sameness”), the presence of which often is informative in discriminating ASD from other conditions.
It appears that the major concern is the paucity of evidence from childhood that Andrew would fit into the Autism Spectrum. In particular, there have been a number of contacts with mental health agencies and medial providers that have not apparently entertained or explored the possibility of an Autism Disorder. The Ditches have suspected Autism when Andrew was very young and voiced their suspicions to Andrews teachers and doctors, but there was no follow up. As a child, in addition to Tourette’s and Social Language Disorder, he also displayed significant emotional and behavioral dysfunction, “meltdowns,” and aggressive behavior. I suspect that these latter symptoms were far more prominent at the time and thereby directed his diagnosis and treatment. Although Autistic features may have been present which could underlie and hinder his adjustment, his behavior and emotional symptoms were given priority by service providers.
Unfortunately, many children and adolescents with ASD, particularly those with mild forms or high-functioning autism, may evade early detection, and this would be more likely to occur when they show behaviors that could be attributed to other conditions. Research has shown that individuals with ASD have a relatively high rate of co-morbid conditions. Compared with their neurotypical peers, it has been found that ASD individuals may be more than five times as likely to have received at least one psychiatric diagnosis and are also more likely to have visited a psychiatrist or emergency ER services for psychiatric reasons. Multiple studies have found high rates of comorbidities in individuals with Autism, and estimates indicate that upwards of 90% of children/adolescents with autism also meet criteria for another psychiatric disorder and may have multiple (three or more) diagnoses. In adults, studies have shown that at least 4 of 10 individuals with ASD have been diagnosed with current psychiatric disorders and that at least 7 of 10 have met lifetime criteria for a psychiatric diagnosis. Anxiety, depression, and OCD appear to be the most frequently occurring diagnoses. Presentation of symptoms related to these conditions can lead to diagnostic overshadowing in that Autistic symptoms may be interpreted as part of the psychiatric condition and not a separate condition. This may be more likely to occur in mental health settings where practitioners generally have little experience in detecting or evaluating signs of Autism. There may also be a reluctance to add additional diagnoses, particularly when unable to adequately evaluate its presence.
While there is considerable evidence for ASD at the present time, the absence of adequate information from childhood appears to be a factor in OPWDDs decision to deny services. In order to establish a diagnosis of ASD, there must be evidence that symptoms were present in the early developmental years. During my earlier evaluation, I requested to meet with Andrews mother to discuss his early development and explore the reasons that she had suspected an Autism diagnosis early on. However, I was unable to do so, as the scheduled session was canceled. When I met with Andrew via Telehealth on July 28, I asked if I could contact his mother once again, and he offered his verbal consent. On August 5th, I conducted a phone interview with Ms. Ditch (his father was also present) in which I administered the Autism Diagnostic Interview- Revised (ADI-R), a well established measure of Autism which, incidentally, is an instrument recommended by OPWDD in order to establish an Autism diagnosis. The ADI-R allows for the assessment of symptoms which occur both currently and during the early development years. During my interview with Ms. Ditch, the focus of questioning was on the latter, and in particular, when Andrew was four to five years old. The information obtained on the ADI-R is organized into three symptom groups that are consistent with current DSM criteria; qualitative abnormalities in reciprocal social interaction, qualitative abnormalities in communication, and the presence of restricted, repetitive, and stereotypical behavior patterns. Ratings in each symptom group are computed and then compared with recommended cut off scores. Obtained scores that meet or exceed their respective cut-offs are considered to be indicative of Autism. As can be seen below, all scores exceed their cut-offs:
Qualitative Abnormalities in Reciprocal Social Interaction: Obtained score 19, cut off 10.
Qualitative Abnormalities in Communication: Obtained score 18, cut off 8.
Restricted, Repetitive, and Stereotypical Behavior Patterns: Obtained score 8, cut off 3
Total score: 4. Cut off 1.
According to Ms. Ditch, she and her husband first became concerned when Andrew was around 18 months old due to his rocking and jumping behaviors. There were also speech delays. He said his first word (kitty) when he was about one, but this was a solitary event as he did not speak again for some time. He was not able to put words together into meaningful phrases until he was at least three years old. With these delays, he was referred to the Language Development Program where he remained for four years. She also notes a number of other language anomalies, including repetitions, neologisms, pronominal reversals, and verbal rituals. Social communication was also delayed as Andrew would not engage in reciprocal small talk or conversation. This is a key marker for Autism and for Andrew, this has been longstanding. Reflecting on his current social abilities, Andrew claims “people confuse me” and that he “takes things differently” when others talk to him. Conversations tend to be one sided and he struggles to understand what others are saying when communicating with them. As a child, Andrew would play with toys but not as intended. For example, rather than playing with Matchbox toys in typical manner, he would persist in lining them up. He would smile on occasion, but his range of facial expressions was limited. Eye contact was always a problem, and his parents would always have to remind him to look at others when talking. He did play with other children but only in simple games and his social activity was suggestive of parallel play. He would occasionally respond when other children approached him, but he would not initiate contact with them. He had a few friends throughout his childhood, but these relationships appear to be somewhat superficial.
With regard to the behavioral symptoms, Ms. Ditch reports a number of repetitive and ritualistic tendencies, including spinning wheels on his bike, lining up toys, touching items (for example, eating utensils) in a certain way, and performing self-care tasks in a ritualized manner. Circumscribed interests have always been present; currently Andrew is preoccupied with weather and weather related information. As a child there were a number of sensory preferences (smells, soft fabrics) and sensory aversions (noise, clothing textures, physical contact, and light.) Hand/finger mannerisms (twisting hands, drumming, and some flapping) along with rocking and jumping up and down were also present. Ms. Ditch recalls that Andrew would get quite upset when these actions were interrupted. Andrew also has always had problems dealing with change in routine and environment, and he would often react to these changes with “meltdowns.”
As reported in my evaluation from 2020, Andrew shows significant deficits in adaptive skills, and his measure abilities fall well below expected levels considering his age and cognitive functioning. It is also clear that his adaptive deficits were present at a young age due to his prolonged language deficits, Tourette’s, and social/interpersonal difficulties. Deficits in communication/conversational abilities, interpersonal and social functioning, and overall self-management may be considered as more reflective of an autism disorder than a mental health condition.
The findings here provide additional evidence that symptoms of Autism were evident during Andrew’s developmental years and are supportive of a diagnosis of ASD. It is my hope that with this information, the OPWDD Eligibility Committee will reconsider his application for services.
Paul M. Kopfer, Ph. D
Licensed Psychologist
Last edited:
- Joined
- Jan 20, 2023
Well unless I'm missing something, I always assumed Andy was always showing doctors his medical paperwork. So if that's the case why would he hide it now? Or maybe whenever he doctor shops and he doesn't get the answer he wants then he brings his shit.
Or maybe this was a one time thing? who could even guess with Andy
Or maybe this was a one time thing? who could even guess with Andy
- Joined
- Jan 7, 2020
If it weren't for the endless psychological torture Andy dumps on his family, I'd say that the system deserves the Andys of the world. The fact someone like him can continue to exist outside of being a drugged out shell of a human being in a padded cell is an example of how the system has failed.
- Joined
- Jan 27, 2019
Andy didn’t want this Dr. Kopfer to see his past records because it shows his many other instances of being tested and found to not have Autism.
“At the time of my evaluation, I did not have access to many of his records, as Andrew stated that he wanted the evaluation to be focused on his current functioning and did not want my results to be influenced by previous assessments and his mental health history.”
He probably is also trying to hide the fact that other doctors have flat out stated he’s faking symptoms:
“Dr. Benedict offers the impression that Andrew was “exaggerating or fabricating symptoms,” which would make diagnosis difficult.”
Tootsie Bear
kiwifarms.net
- Joined
- Jun 24, 2014
I agree. A few pages back someone shared a video where Andy had the cops called on him because he spat in the meatloaf. While his father was talking with the cops, he mentioned how no one would take Andy and even doctors are skeptical of his autism diagnosis.
- Joined
- Nov 8, 2017
- Highlight
- #591
You could get fit by taping this retard's face onto a punching bag. In fact, this sounds like an amazing idea.
Fully Eshay Skits Bruh V4
kiwifarms.net
- Joined
- Apr 24, 2023
So why don't his parents actually kick him out?
- Joined
- Jul 14, 2018
- Joined
- Jan 20, 2023
And nothing of value would be lost
- Joined
- Nov 10, 2013
If I had to guess? Shame. Not to mention, they enable him. They are a part, if not a giant reason, as to why he continues the charade. If they didn't go along with it he would have likely stopped ages ago.
- Joined
- Oct 11, 2014
They also control Andrew's tardbux. That's a good chunk of monthly income they would have to give up and being retired, they don't have a whole lot of that to begin with.
- Joined
- Jun 12, 2024
Can someone please explain to me the schizophrenic affective diagnosis. I really don’t see it. It’s not like he used drugs heavily or it runs directly in the family tree, maybe there is an unknown aunt or uncle his parents refer to for possible gene carryover? The only sticking point is childhood trauma which I really don’t think would’ve given Andy schizophrenia as he was his brother’s abuser and not vice versa.
He doesn’t match most of the symptoms of schizophrenia especially the 5 main negative symptoms. He throws on an affect but doesn’t speak monotonously in tone, he can selectively speak and pull out his brain bank dictionary to pull out long words even if he doesn’t quite know what they mean, he definitely can feel pleasure which is why he keeps shitting himself and making others wash his diaper rash, and he has the motivation to go out of his way to fulfill his goals of being a diaper wearing retard trying to worm his way into a group home.
Can someone please tell me why I’m wrong? I feel like the schizoaffective diagnosis is just throwing Andy a bone in attempts that Andy will leave medical professionals alone after getting any mental disability diagnosis.
He doesn’t match most of the symptoms of schizophrenia especially the 5 main negative symptoms. He throws on an affect but doesn’t speak monotonously in tone, he can selectively speak and pull out his brain bank dictionary to pull out long words even if he doesn’t quite know what they mean, he definitely can feel pleasure which is why he keeps shitting himself and making others wash his diaper rash, and he has the motivation to go out of his way to fulfill his goals of being a diaper wearing retard trying to worm his way into a group home.
Can someone please tell me why I’m wrong? I feel like the schizoaffective diagnosis is just throwing Andy a bone in attempts that Andy will leave medical professionals alone after getting any mental disability diagnosis.
Individualism Incarnate
kiwifarms.net
- Joined
- Sep 23, 2019
From what I understand, schizoaffective disorder is all the social problems of schizophrenia (basically autism-lite) but without the hallucinations or the disordered thought.
- Joined
- Jul 9, 2021
Apparently when they try and get serious about sticking to it he shows up continuously and breaks in. They’re old an on limited income, he tard raged and broke a 600 lb door at the hospital when he didn’t get what he wanted. He’s probably done untold amounts of damage to their home.
- Joined
- Jan 27, 2019
Yeah, I think it’s a combination of his parents don’t want to deal with his chimpouts caused by kicking him out, and parental guilt. The letter from the psychologist shows that Andy has always had issues and his parents did think something was wrong from a young age. While he is faking an intellectual disability for whatever reason, they understand that he is a tard on some level and probably feel bad dumping him off at an underpass to die.
His dad has made it clear that while they don’t want Andy, they do want to dump him somewhere safe. The only problem is no shelter or hospital will take him. In order to get rid of him for good, they would need to evict him and then constantly call the police on him and press charges/get a restraining order when he breaks back into the house. I’ve noticed that while his parents call the cops on him constantly, they never try to press charges. I think that’s a step they aren’t willing to take. Both because they are old and fighting to get rid of Andy would be a headache, and because they may feel bad as parents sending their son to jail and the streets.
Things will only heat up when his parents die or go to assisted living. I don’t see his brother being as willing to tolerate Andy.