Recent suicide attempt (overdose) following conflict with next of kin; Chronic and acute suicidal ideation; increased frequency of attempts in 2024/25; Extreme hopelessness (“100% belief things won’t improve”); PTSD symptoms: nightmares, flashbacks, intrusive memories, hypervigilance; ASD-related communication challenges and black-and-white thinking; Fear of upcoming surgery due to trauma triggers; Difficulty in relationships; distress triggered by perceived misunderstanding or withdrawal of support., Premature birth, delayed milestones, early concerns around ADHD; Mother with bipolar disorder and inconsistent caregiving; Abuse from mother (physical, emotional); family history of trauma; Strict, controlling father; lack of extended family support; Critical and invalidating family environment; Childhood bullying and recurrent friendship difficulties; ASD and ADHD contributing to long-term communication, sensory and social vulnerabilities., Argument with next of kin before suicide attempt; Negative interaction with best friend leading to increased suicidal urges; Upcoming medical procedure triggering trauma fears; Recent absence from services/missing person report. Inpatient admission stress and relational triggers with staff., Hopelessness reinforced by lack of perceived progress. Catastrophising, rumination, emotional dysregulation. PTSD symptoms maintaining high arousal and distress. Black-and-white thinking impacting problem-solving and future planning. Family estrangement and lack of supportive relationships. Long-standing experiences of invalidation.Previous therapy difficulties (CBT not helpful; DBT challenging).Communication differences leading to misunderstandings with professionals., Engagement with services (recovery team, inpatient staff). High academic achievement and perseverance through adversity. Insight into her own ASD and trauma triggers. Motivation to seek specialist autism support. Ability to articulate her difficulties in structured settings..

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