💀 Horrorcow Andrew Ditch / Andy Ditch / The Poopsquatch - Middle-aged diaper and scat enthusiast. Pretends to be autistic so that people will change his diapers.

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pooterino said:
By the way (can't remember if it has been posted here before but)... nobody in the biz of dealing with 'adult diapers' actually calls them 'diapers.'

This is pretty much purely an Andy sexual gratification thing. Every person who works with the incontinent (at least in the US) calls them "briefs." Adult briefs. As in "oh Janet it looks like we need to get you a new brief." Or a nurse saying to a CNA "go grab a stack of large/yellow briefs" (they are often color coded by size). The wording is explicitly communicated to healthcare workers because calling them 'diapers' is 'infantilizing' and 'degrading.' It simply is not allowed.

Andy knows this as every professional he's ever interacted with would have talked like this. He just refuses to comply to norms because it makes him hard.
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Well most 40 year old men don't refer to their incontinence as 'not being potty trained' but here we are
 
Click reply to view said:
In Ireland, there are several stories of people so despised even heaven and hell rejected them, and they were cursed to wander the Earth, despised and mocked by all who see them.

So business as usual for Andy.
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IIRC this is what the Mormons believe happened to Cain, and for some reason to do with his curse he's covered in hair, so whenever anyone sees Bigfoot or Sasquatch, they're just seeing him. It'd be an appropriate fate for Andy, since we already call him the Poopsquatch.
 
pooterino said:
By the way (can't remember if it has been posted here before but)... nobody in the biz of dealing with 'adult diapers' actually calls them 'diapers.'

This is pretty much purely an Andy sexual gratification thing. Every person who works with the incontinent (at least in the US) calls them "briefs." Adult briefs. As in "oh Janet it looks like we need to get you a new brief." Or a nurse saying to a CNA "go grab a stack of large/yellow briefs" (they are often color coded by size). The wording is explicitly communicated to healthcare workers because calling them 'diapers' is 'infantilizing' and 'degrading.' It simply is not allowed.

Andy knows this as every professional he's ever interacted with would have talked like this. He just refuses to comply to norms because it makes him hard.
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Exactly. In the medical/healthcare/homecare field, you can't call them "diapers", regardless of patient/receiver of care's preference.

For 1. It's against general moral policy.
2. It is degrading to some, though euphemisms (to me) aren't any better.

Andy doesn't care though. If it satisfies his sick fetish, everything else doesn't matter. He has said in the past that he doesn't want to be "diaper-shamed", but his entire history suggests the opposite. Of course, this is the same motherfucker who says, "I dun wanna half aw-tizum anymurr!", when he didn't even have it to begin with.

A-Stump said:
Well most 40 year old men don't refer to their incontinence as 'not being potty trained' but here we are
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Andy doesn't have incontinence. Or at least I don't believe he does. He has twisted that story out of more proportions than a truck frame could manage.
 
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Gotta love that vacant, dead inside stare.
 
A-Stump said:
https://youtube.com/watch?v=-52kI41Agbs
Well most 40 year old men don't refer to their incontinence as 'not being potty trained' but here we are
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His whining makes me irrationally angry. Most people with autism do their best to mask their quirks and issues, and this fat fucking slob makes a mockery of it. I would say that I hope Andrew gets hit by a car, but it’d probably write the car off, plus it’d be too much paperwork for the driver.
 
cmpyt said:
Exactly. In the medical/healthcare/homecare field, you can't call them "diapers", regardless of patient/receiver of care's preference.

For 1. It's against general moral policy.
2. It is degrading to some, though euphemisms (to me) aren't any better.

Andy doesn't care though. If it satisfies his sick fetish, everything else doesn't matter. He has said in the past that he doesn't want to be "diaper-shamed", but his entire history suggests the opposite.
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Spot on.

I dont call them diapers, rather I call them pads or undies just to give someone a bit of normality. it was one of the first things we discussed as student nurses. The patients dignity is at risk and you want to minimise that.

Andy's a fat faggot. He wants people to call them diapers so he can screech about being shamed. the sooner he contracts sepsis and dies from an infected ass wound, the better.
 
Fetid Queef said:
Spot on.

I dont call them diapers, rather I call them pads or undies just to give someone a bit of normality. it was one of the first things we discussed as student nurses. The patients dignity is at risk and you want to minimise that.

Andy's a fat faggot. He wants people to call them diapers so he can screech about being shamed. the sooner he contracts sepsis and dies from an infected ass wound, the better.
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And he doesn't deserve any considerations we would give someone with actual reason to use them.

If you drink metamucil, eat tons of fiber pills, and then take laxatives, and that's the reason you need diapers, then no one should feel sorry for you.

Its like when someone expects me to feel bad for indians who die when they play on train tracks.
 
Doggo said:
His whining makes me irrationally angry. Most people with autism do their best to mask their quirks and issues, and this fat fucking slob makes a mockery of it. I would say that I hope Andrew gets hit by a car, but it’d probably write the car off, plus it’d be too much paperwork for the driver.
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Hes the worst.
 
Ilabelle21 said:
Let's take a closer look on the wall...

View attachment 8672152

What the fuck is this

Is Andy's idea of decor putting up baby anatomy diagrams on his wall?
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I saw this one two. I first thought all those things were his 'visual aides' so he could remember how to fold shirts an' shit. Clearly that's not the case.

I can't really say for sure what it is, but if I had to guess, it looks like andy laminated and posted all his fake childhood illness records.

EDIT: no, that's not the case. The other ones are too far away to read, but the one on the far right is titled "summery play guide for kids."

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And then you have this one where andy's got what looks like pictures of kids faces and he's got them circled and crossed out, and written shit about them.

the only other one I can make out is this one:

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Which looks like a comic about a tism kid getting over stimulated.
 
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New AIslop vids, seems Piggy is possibly malding about some recently received bad news. Reformatted for readability.

TL;DR: First transcript is a snoozer with Andrew complaining about his woes with doctor shopping and his AAC going away.

The second transcript reveals Andy is still very much seething over Tom no longer being compliant with his horseshit medical charade.
E:
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2nd call has a porthole glimpse into Tom's hell.

https://youtube.com/watch?v=RhDsR4NqlPIhttps://youtube.com/watch?v=RhDsR4NqlPI
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Hello my friends, my family and my fans.
I am Andrew Ditch. I have been diagnosed with autism and intellectual disability. Today I want to talk about a really important topic. This is very important for millions of other adults with autism.
This topic shows how incompetent the medical and mental health field really is.
You go to doctor when something bothers you like when physical pain, stomach problems, or even when your behaviors are not seen as the social norm. This is where I start with how incompetent doctors are in identifying autism and intellectual disability and how they often can use masking as a way to misrepresent someone's behaviors as non-compliance or argumentative rather than part of their intellectual disability or developmental disability.

Autism specific expertise — what it actually means​

A clinician with autism specific expertise understands behavior is communication instead of non-compliance. They ask:
  • What is the unmet need?
  • What is the sensory load?
  • What is the communication barrier?
  • What is the executive function demand?
Below is a deeper, clearer and more practical expansion of behavior as communication, one of the most essential components of true autism specific expertise. This section shows exactly how a competent clinician interprets behavior, what questions they ask, and what this looks like in real life.

Autism specific expertise — what it actually means​

Behavior as communication​

A clinician with autism specific expertise does not see behavior as defiance, resistance, manipulation, or non-compliance.
They understand that all behavior communicates something, especially when communication, sensory, or executive function demands exceed capacity.
Instead of asking why won't you do this, they ask what is this behavior telling me.
Below is what that looks like in practice.

1. What is the unmet need?​

Autistic behavior often reflects:
  • overwhelm
  • confusion
  • fatigue
  • pain
  • hunger
  • need for predictability
  • need for clarity
  • need for downtime
  • need for control in a chaotic environment
Real life example
A client cancels sessions last minute.
Non-expert interpretation:
You're avoiding therapy.
Autism informed interpretation:
What need wasn't met? Were they overloaded? Did they need more predictability? Was the day too demanding? Did they need written reminders?
The clinician explores the context, not the behavior problem.

2. What is the sensory load?​

Autistic distress often comes from:
  • bright lights
  • loud noises
  • strong smells
  • crowded spaces
  • unpredictable environments
  • clothing discomfort
  • temperature issues
Real life example
A client becomes irritable and stops responding during session.

Non-expert interpretation:
You're being oppositional.

Autism informed interpretation:
What sensory input is overwhelming right now?

Is the room too bright?
Is the HVAC humming?
Is the chair uncomfortable?
Is the client hungry or overstimulated?
Sensory overload is a neurological event, not a behavioral choice.

3. What is the communication barrier?​

Autistic communication differences include:
  • difficulty with rapid verbal processing
  • difficulty finding words under stress
  • literal interpretation
  • loss of speech during overload
  • need for written or AAC communication
  • difficulty answering abstract questions
Real life example
A client goes silent when asked, How did that make you feel?

Non-expert interpretation:
You're stonewalling.

Autism informed interpretation:
What communication barrier is happening?
Do they need more processing time?
Do they need the question rephrased?
Do they need a visual or written prompt?
Are they in shutdown?
Silence is communication. It signals overload, not defiance.

4. What is the executive function demand?​

Executive function challenges affect:
  • planning
  • initiation
  • task switching
  • working memory
  • organization
  • follow-through
  • time management
Real life example
A client doesn't complete therapy homework.
Non-expert interpretation:
You're not motivated.

Autism informed interpretation:
What executive function demand was too high?

Was the task too vague?
Was it too many steps?
Do they need visual supports?
Do they need reminders?
Was the task emotionally overwhelming?

Executive function disability is not non-compliance.

What this looks like in a real therapy session​

Client:
I didn't do the worksheet.

Non-expert clinician:
You need to try harder.

Autism competent clinician:
Let's figure out what got in the way. Was it sensory overload? Was the task unclear? Did it require too many steps? Did you need more support or reminders?

The clinician collaborates rather than blames.

The core insight​

Autism specific expertise means the clinician understands that behavior is information, not defiance.
They ask:
  • What is the unmet need?
  • What is the sensory load?
  • What is the communication barrier?
  • What is the executive function demand?
This approach:
  • prevents misdiagnosis
  • reduces shame
  • improves safety
  • builds trust
  • makes therapy accessible
  • supports real progress
It transforms therapy from punitive to supportive, from fixing behavior to understanding the person.

No required autism training in mental health licensure​

Across psychology, psychiatry, counseling and social work, autism training is not required for licensure.
Graduate programs may offer zero to five hours of autism content, usually child focused.
Adult autism, sensory processing, AAC, shutdowns, meltdowns, and executive function disability are almost never covered.

Systemic effect​

Clinicians graduate fully licensed yet unprepared to:
  • recognize autistic distress
  • adapt therapy
  • distinguish autism traits from mental health symptoms
Below is a deeper, clearer and more comprehensive expansion of this point written in a way that captures the systemic failure, the real world consequences, and the structural reasons behind the lack of autism specific expertise in mental health licensure.
This version is ready for use in reports, advocacy materials, presentations or training modules.

No required autism training in mental health licensure across psychology, psychiatry, counseling and social work​

There's a striking and dangerous gap.
Autism training is not required for licensure in most jurisdictions.
This means clinicians can legally practice for decades without ever learning how autism presents in adults.
This is not a small oversight. It is a structural flaw that shapes the entire mental health system.

Licensure requirements do not include autism​

Across major mental health professions:
  • Psychologists
  • Psychiatrists
  • Licensed Professional Counselors (LPCs)
  • Licensed Clinical Social Workers (LCSWs)
  • Marriage and Family Therapists (MFTs)
There is no mandated autism training for licensure or renewal.

What this means​

A clinician can complete a doctorate in psychology without learning how autistic adults communicate distress.
A psychiatrist can prescribe medication for autistic patients without ever being trained in autistic sensory profiles or shutdowns.
A social worker can run crisis interventions without knowing how autistic trauma differs from neurotypical trauma.
The system assumes autism is a niche specialty, not a core competency.

Graduate programs offer minimal autism content​

Most graduate programs provide 0–5 hours of autism education.
Content is almost entirely child-focused and centered on:
  • early childhood signs
  • behavioral interventions
  • developmental milestones
  • school-based supports

What is missing​

  • adult autism
  • masking and camouflaging
  • sensory processing differences
  • shutdowns and meltdowns
  • autistic trauma pathways
  • AAC and alternative communication
  • executive function disability
  • autistic burnout
  • intersectional disparities
  • how autism interacts with mental health conditions
Clinicians graduate knowing how to identify autism in a 4-year-old boy, but not in a 28-year-old woman, a 40-year-old Black man, or a non-speaking adult.

Adult autism is almost entirely absent from training​

Even when autism is mentioned, it is framed as:
  • a childhood disorder
  • a developmental delay
  • a behavioral issue
  • something outgrown or treated in childhood
This leaves clinicians unprepared to recognize:
  • autistic burnout
  • masking collapse
  • sensory-driven panic
  • shutdowns mistaken for stonewalling
  • meltdowns mistaken for anger issues
  • literal communication mistaken for lack of insight
  • executive function disability mistaken for non-compliance
Adult autism is treated as an afterthought or not treated at all.

No training in sensory processing or AAC​

Most clinicians receive zero training in:
  • sensory overload
  • sensory pain
  • sensory-based trauma
  • how sensory environments affect therapy
  • AAC
  • typing, devices, writing, text-based communication
  • adapting therapy for non-speaking or intermittently speaking client
This leads to:
  • misinterpretation of sensory distress as anxiety or behavior
  • forcing eye contact
  • forcing verbal processing
  • dismissing AAC as less valid
  • escalating overload instead of reducing it
Without sensory and communication training, clinicians cannot accurately interpret autistic distress.

No training in shutdowns, meltdowns, or executive function disability​

Shutdowns and meltdowns are core autistic experiences.
Yet clinicians are rarely taught:
  • what they look like
  • what triggers them
  • how to prevent them
  • how to respond safely
  • how to distinguish them from psychiatric symptoms
Executive function disability is also misunderstood.
Clinicians often mislabel:
  • task paralysis as avoidance
  • missed appointments as lack of motivation
  • difficulty with forms as non-compliance
  • slow processing as resistance
These misunderstandings lead to misdiagnosis and inappropriate treatment.

Systemic effect — clinicians graduate unprepared​

Because autism is not required in licensure or training, clinicians enter the field unable to recognize autistic distress.
They:
  • misinterpret autistic traits as mental health symptoms
  • apply neurotypical therapy models without adaptation
  • escalate sensory overload instead of reducing it
  • miss trauma, depression, anxiety, and suicidality
  • unintentionally harm autistic clients
  • contribute to diagnostic overshadowing
  • reinforce stigma and bias
  • push autistic adults into crisis systems instead of preventive care
This is not an individual clinician failure.
It is a system design failure.

The core insight​

When autism training is optional, inconsistent or absent, the entire mental health system becomes unsafe for autistic adults.
Clinicians graduate:
  • fully licensed
  • legally qualified
  • confident in their skills
yet unprepared to recognize, interpret, or treat autistic distress.

This gap is one of the root causes of:
  • misdiagnosis
  • inappropriate treatment
  • crisis escalation
  • trauma in care
  • avoidance of the mental health system
  • increased suicide risk
Autism specific expertise is not a specialty.
It is a basic competency that should be required for safe ethical mental health practice.

If you're interested in disability topics such as treatment, support, accommodations, and rights, like this video and subscribe for more inclusive content.
I will talk to you on my next.


My doctor asked me:
“When were you happiest?”
My answer was:
When I was able to work part-time with proper supports.
At work I had help with:
  • hygiene
  • toileting
  • step-by-step instructions
  • reminders
  • redirection
Those supports allowed me to function.
My father claims the reason I was happy was money, but that is not true.
Because of guardianship, I never controlled my own money anyway.
What made me happy was acceptance and support.

My Goals​

I do not want to be treated like a baby.
I want to:
  • work
  • go into the community
  • make friends
  • reduce behavior issues
But my father interprets my support needs as me wanting people to do everything for me.

Childhood Records and Developmental History​

My records show longstanding issues beginning in early childhood.

Sensory Processing (1993 Mental Health Record)​

  • difficulty interpreting social and environmental cues
  • auditory and visual processing problems
  • bowel and urinary incontinence
  • poor coordination
  • motor sluggishness
  • difficulty functioning in chaotic environments

Motor and Writing Difficulties (School Records)​

School evaluations suggested difficulty manipulating a pencil and producing legible writing due to motor coordination problems.
Weaknesses included:
  • visual motor speed
  • attention
  • concentration

Social Interaction​

Records indicate:
  • preference to work alone
  • difficulty forming relationships
  • difficulty initiating interactions
  • problems understanding friendships
  • preference for interacting with younger children

Restricted and Repetitive Behaviors​

Reports described:
  • repetitive blinking and movements
  • narrow interests
  • difficulty adapting to change
  • fixation on weather and technology
However, improvements occurred in highly structured environments.

Communication Delays​

According to records:
  • speech was delayed
  • I did not speak in full sentences at age four
  • I did not begin speaking until age five
Language development programs significantly improved communication.

Self-Injury and Safety Issues​

Childhood records documented:
  • head banging
  • self-biting
  • elopement (running away)

Hygiene and Incontinence​

Records also document:
  • poor hygiene
  • soiling incidents
  • bowel and urinary incontinence
Medical records show diagnoses including:
  • encopresis
  • enuresis
  • fecal smearing
Treatments included diapers and medications.
These issues existed at ages 8, 17, and 19, making claims that I “fake” these issues unrealistic.

Work History​

Reported earnings:
  • 2001 — $164.80
  • 2003 — $216.30
  • 2004 — $2,024.10
  • 2005 — $7,378.50
  • 2006 — $10,016.60
  • 2007 — $11,671.24
  • 2009 — $1,137.87
  • 2010 — $1,161.77
  • 2012 — $840.34
These amounts show that employment was limited by disability.

Responsibility of Parents​

As parents, they were responsible for providing care ordered by doctors.
When supports were removed and my needs ignored, it created the conditions that led to my behavior struggles.

Timeline Summary​

Early Life​

  1. 1988–1991 — Language Development Program school for autism
  2. 1991 — Moved to public school and lost specialized supports
  3. Speech delay until around 1990
  4. Brother Joe had severe asthma
  5. Mother had back surgery
  6. Father worked three jobs
  7. Lack of structured support at home
Because of autism, I need consistent structure and environment.

Hospitalizations and Services​

  • 1992 — First admission to WNYCPC
  • 1993 — Additional admissions
  • 1994–1998 — Group home through OPWDD
  • 2001–2005 — Special education services

Adulthood Events​

  • 2004 — First job at McDonald’s with supports
  • 2005 — Car accident (no change in functioning)
  • 2011 — Father injured at work
  • 2011 — Mother suffered heart attack
  • 2012 — Last able to work
Later doctors documented abuse, neglect, and regression.

Later System Failures​

Between 2018 and 2019 there were numerous conflicts involving:
  • mental health services
  • hospital admissions
  • Adult Protective Services
  • police involvement
Hospitals repeatedly concluded the issue was autism, not psychiatric illness.
However, agencies often disagreed or refused services.

This led to:
  • homelessness risks
  • repeated ER visits
  • lack of support services

Ongoing Disputes With My Father​

My father has repeatedly told professionals that I:
  • fake disabilities
  • do not need diapers
  • just want others to take care of me
These claims contradict decades of medical and educational records.

Current Situation​

I have been told by professionals that medication will not fix the root issue.
What I need instead is:
  • structured support
  • long-term care services
  • trained caregivers
  • acceptance of my disability
However, access to those services has been blocked due to disputes about eligibility and family claims.

Final Statement​

My behavior issues are largely caused by:
  • lack of structured support
  • misunderstanding of my disability
  • systemic neglect
  • misrepresentation of my history
Without proper support, I cannot function the way I want to.
My hope is that sharing this information will help me obtain the services and supports I need.

If you're interested in disability topics such as:
  • treatment
  • support
  • accommodations
  • rights
please like this video and subscribe for more inclusive content.
I will talk to you in my next video.

E2: Readability formatting
 
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You know, people often say how much they hate Tom and sure he's no perfect person but he does tell doctors he thinks Andy fakes. He won't say it to Andy because he freaks the fuck out. When Tom dies I wonder if the floodgates will break and he'll Get Dat Hewp
 
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