Fact Check: Are sjs and ten the same?

Fact Check: Are sjs and ten the same?

Published May 9, 2025
VERDICT
Mostly True

# Are SJS and TEN the Same? The claim that Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are the same condition has been a topi...

Are SJS and TEN the Same?

The claim that Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are the same condition has been a topic of discussion in medical literature. Both SJS and TEN are severe skin reactions, often triggered by medications, and are considered to be part of a spectrum of the same disease. However, they differ in severity and clinical presentation. This article will explore the nuances of this claim, examining the evidence and the reliability of the sources that discuss it.

What We Know

  1. Definitions and Severity: SJS is characterized by less than 10% of the body surface area being affected by skin detachment, while TEN involves more than 30% of the body surface area. SJS/TEN overlap is defined as skin involvement between 10% and 30% 56. Both conditions are considered severe cutaneous adverse reactions, typically drug-induced, with high morbidity and mortality rates 46.

  2. Pathophysiology: Both SJS and TEN are immunologic reactions that present as widespread mucocutaneous lesions, often triggered by medications 34. The underlying mechanisms involve a complex immune response, although the specifics can vary between individuals and cases.

  3. Clinical Management: The management of both conditions is similar, often requiring hospitalization and supportive care. Due to their rarity and rapid progression, they pose significant clinical challenges 49.

  4. Historical Context: Historically, SJS and TEN were viewed as distinct entities, but recent literature suggests they are part of the same disease spectrum, with varying degrees of severity 19. This shift in understanding reflects ongoing research into the pathophysiology and clinical presentation of these conditions.

Analysis

The sources consulted provide a range of perspectives on the relationship between SJS and TEN.

  • Reliability of Sources:

    • StatPearls (sources 1 and 2) are peer-reviewed and widely used in medical education, lending credibility to their definitions and explanations. However, they may not provide the most current research findings as they are often updated less frequently than primary research articles.
    • PubMed Central articles (3, 4, 5) are based on peer-reviewed studies and provide a comprehensive overview of the conditions, including their clinical implications and management strategies. These sources are generally reliable but should be read with an understanding of the specific studies they reference.
    • MedlinePlus (6) is a reputable source for health information, but it is primarily aimed at a general audience, which may limit the depth of information provided.
    • DermNet NZ (9) is a well-respected dermatological resource that provides detailed information on skin conditions, but it may not always reflect the latest research developments.
    • Darwyn Health (8) offers a more consumer-oriented perspective, which can sometimes lack the rigor of academic sources.
  • Conflicts of Interest: None of the sources explicitly indicate conflicts of interest, but it is important to consider that some may be affiliated with medical institutions or organizations that could influence their presentation of information.

  • Methodology: The articles reviewed generally rely on established clinical definitions and consensus from dermatological associations. However, the variability in how SJS and TEN are classified and treated can lead to differing interpretations of their relationship.

What Additional Information Would Be Helpful

To further clarify the relationship between SJS and TEN, additional research could focus on:

  • Longitudinal studies that track patient outcomes based on the severity of skin involvement.
  • Meta-analyses that consolidate findings from multiple studies to provide a clearer picture of the clinical spectrum of these conditions.
  • Investigations into the immunological mechanisms that differentiate SJS from TEN, which could help refine treatment protocols.

Conclusion

Verdict: Mostly True

The assertion that Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are the same condition is mostly true, as they are indeed part of a spectrum of severe cutaneous adverse reactions with overlapping characteristics. The key evidence supporting this verdict includes their similar pathophysiological mechanisms, clinical management approaches, and the historical shift in understanding that views them as varying degrees of the same disease.

However, it is essential to acknowledge the nuances in their definitions, particularly the differences in severity based on the percentage of body surface area affected. This distinction is critical in clinical practice and impacts patient outcomes.

The limitations in the available evidence include the variability in classification and treatment of these conditions, as well as the reliance on sources that may not always reflect the most current research. Therefore, while the claim holds significant validity, it is not without its complexities.

Readers are encouraged to critically evaluate information regarding SJS and TEN and consider the evolving nature of medical understanding in this area.

Sources

  1. Stevens-Johnson Syndrome - StatPearls - NCBI Bookshelf. Retrieved from NCBI
  2. Toxic Epidermal Necrolysis - StatPearls. Retrieved from NCBI
  3. Stevens–Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis. Retrieved from PMC
  4. Update on Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis. Retrieved from PMC
  5. Current Perspectives on Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis. Retrieved from PubMed
  6. Stevens-Johnson syndrome/toxic epidermal necrolysis. Retrieved from MedlinePlus
  7. Toxic Epidermal Necrolysis Syndrome (TEN) & Stevens-Johnson Syndrome (SJS). Retrieved from University of Utah
  8. TEN vs. Stevens-Johnson Syndrome (SJS): What's the Difference? Retrieved from Darwyn Health
  9. Stevens-Johnson syndrome / toxic epidermal necrolysis. Retrieved from DermNet NZ
  10. Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis. Retrieved from Merck Manuals

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Fact Check: MASSIVE bolt of plasma burst out of the sky striking I-40 near Alma, Arkansas last night! They're getting larger and more frequent as the Earth continues charging up. The further the magnetic North Pole continues racing toward Siberia the weaker Earth's protective magnetic shield becomes. More cosmic radiation from space and more UV, UVB, and UVC radiation from the Sun are penetrating deeper into our atmosphere and into the Earth. Earth's atmosphere is becoming highly charged and electrified causing massive plasma bursts like this to strike, causing more lightning strikes period. Lightning has even been documented striking on days without a storm cloud in sight. All the signatures of the binary twin solar system and the Destroyer's arrival just amplified dramatically this year. The alarmingly endless rainfall and flooding across the world is something I have never witnessed before in my ten years of reporting Earth's climate disasters. Folks who know weather for 60 - 70 years have never witnessed the sudden incredible down bursts of several inches of rain in just minutes that have been triggering nonstop catastrophic flash flooding across America and the rest of the world. It's just been nonstop this year. I've never seen so many very strong and powerful earthquakes strike since March when the 7.0+, 6.0+, 5.0+ magnitude earthquakes accelerated in frequency so fast. With aftershocks in numbers we've never seen before, in the hundreds. I've never seen so many fires breaking out across the world that just keep coming. Canada, the United States, the entire Mediterranean region, Europe, etc. The core of the Earth is expanding from the increase in radiation causing the rock to melt underneath our feet. Magma plumes are growing, lava tubes and corridors are expanding globally and reaching the Earth's surface, on land and under water. We've got a rash of volcanic activity on land and on the ocean floor heating up the water, melting the poles, causing marine life die offs, and fueling the atmosphere with high humidity and water vapor for more frequent and intense storming. All the symptoms of the arrival of the binary twin solar system that was expected are being checked off. This will just continue to worsen in the coming days. Mid-August is almost here and watching for the extreme weather to intensify. We're heading into severe birth pangs now. Listening for updates and watching it unfold live. Remarkable days.

Detailed fact-check analysis of: MASSIVE bolt of plasma burst out of the sky striking I-40 near Alma, Arkansas last night! They're getting larger and more frequent as the Earth continues charging up. The further the magnetic North Pole continues racing toward Siberia the weaker Earth's protective magnetic shield becomes. More cosmic radiation from space and more UV, UVB, and UVC radiation from the Sun are penetrating deeper into our atmosphere and into the Earth. Earth's atmosphere is becoming highly charged and electrified causing massive plasma bursts like this to strike, causing more lightning strikes period. Lightning has even been documented striking on days without a storm cloud in sight. All the signatures of the binary twin solar system and the Destroyer's arrival just amplified dramatically this year. The alarmingly endless rainfall and flooding across the world is something I have never witnessed before in my ten years of reporting Earth's climate disasters. Folks who know weather for 60 - 70 years have never witnessed the sudden incredible down bursts of several inches of rain in just minutes that have been triggering nonstop catastrophic flash flooding across America and the rest of the world. It's just been nonstop this year. I've never seen so many very strong and powerful earthquakes strike since March when the 7.0+, 6.0+, 5.0+ magnitude earthquakes accelerated in frequency so fast. With aftershocks in numbers we've never seen before, in the hundreds. I've never seen so many fires breaking out across the world that just keep coming. Canada, the United States, the entire Mediterranean region, Europe, etc. The core of the Earth is expanding from the increase in radiation causing the rock to melt underneath our feet. Magma plumes are growing, lava tubes and corridors are expanding globally and reaching the Earth's surface, on land and under water. We've got a rash of volcanic activity on land and on the ocean floor heating up the water, melting the poles, causing marine life die offs, and fueling the atmosphere with high humidity and water vapor for more frequent and intense storming. All the symptoms of the arrival of the binary twin solar system that was expected are being checked off. This will just continue to worsen in the coming days. Mid-August is almost here and watching for the extreme weather to intensify. We're heading into severe birth pangs now. Listening for updates and watching it unfold live. Remarkable days.

Aug 13, 2025
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Fact Check: MASSIVE bolt of plasma burst out of the sky striking I-40 near Alma, Arkansas last night! They're getting larger and more frequent as the Earth continues charging up. 
The further the magnetic North Pole continues racing toward Siberia the weaker Earth's protective magnetic shield becomes. More cosmic radiation from space and more UV, UVB, and UVC radiation from the Sun are penetrating deeper into our atmosphere and into the Earth. 
Earth's atmosphere is becoming highly charged and electrified causing massive plasma bursts like this to strike, causing more lightning strikes period. Lightning has even been documented striking on days without a storm cloud in sight. 
All the signatures of the binary twin solar system and the Destroyer's arrival just amplified dramatically this year. 
The alarmingly endless rainfall and flooding across the world is something I have never witnessed before in my ten years of reporting  Earth's climate disasters.
Folks who know weather for 60 - 70 years have never witnessed the sudden incredible down bursts of several inches of rain in just minutes that have been triggering nonstop catastrophic flash flooding across America and the rest of the world. It's just been nonstop this year. 
I've never seen so many very strong and powerful earthquakes strike since March when the 7.0+, 6.0+, 5.0+ magnitude earthquakes accelerated in frequency so fast. With aftershocks in numbers we've never seen before, in the hundreds. 
I've never seen so many fires breaking out across the world that just keep coming. Canada, the United States, the entire Mediterranean region, Europe, etc. 
The core of the Earth is expanding from the increase in radiation causing the rock to melt underneath our feet. Magma plumes are growing, lava tubes and corridors are expanding globally and reaching the Earth's surface, on land and under water.
We've got a rash of volcanic activity on land and on the ocean floor heating up the water, melting the poles, causing marine life die offs, and fueling the atmosphere with high humidity and water vapor for more frequent and intense storming. 
All the symptoms of the arrival of the binary twin solar system that was expected are being checked off. This will just continue to worsen in the coming days. Mid-August is almost here and watching for the extreme weather to intensify. We're heading into severe birth pangs now. 
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Fact Check: MASSIVE bolt of plasma burst out of the sky striking I-40 near Alma, Arkansas last night! They're getting larger and more frequent as the Earth continues charging up. The further the magnetic North Pole continues racing toward Siberia the weaker Earth's protective magnetic shield becomes. More cosmic radiation from space and more UV, UVB, and UVC radiation from the Sun are penetrating deeper into our atmosphere and into the Earth. Earth's atmosphere is becoming highly charged and electrified causing massive plasma bursts like this to strike, causing more lightning strikes period. Lightning has even been documented striking on days without a storm cloud in sight. All the signatures of the binary twin solar system and the Destroyer's arrival just amplified dramatically this year. The alarmingly endless rainfall and flooding across the world is something I have never witnessed before in my ten years of reporting Earth's climate disasters. Folks who know weather for 60 - 70 years have never witnessed the sudden incredible down bursts of several inches of rain in just minutes that have been triggering nonstop catastrophic flash flooding across America and the rest of the world. It's just been nonstop this year. I've never seen so many very strong and powerful earthquakes strike since March when the 7.0+, 6.0+, 5.0+ magnitude earthquakes accelerated in frequency so fast. With aftershocks in numbers we've never seen before, in the hundreds. I've never seen so many fires breaking out across the world that just keep coming. Canada, the United States, the entire Mediterranean region, Europe, etc. The core of the Earth is expanding from the increase in radiation causing the rock to melt underneath our feet. Magma plumes are growing, lava tubes and corridors are expanding globally and reaching the Earth's surface, on land and under water. We've got a rash of volcanic activity on land and on the ocean floor heating up the water, melting the poles, causing marine life die offs, and fueling the atmosphere with high humidity and water vapor for more frequent and intense storming. All the symptoms of the arrival of the binary twin solar system that was expected are being checked off. This will just continue to worsen in the coming days. Mid-August is almost here and watching for the extreme weather to intensify. We're heading into severe birth pangs now. Listening for updates and watching it unfold live. Remarkable days.

Detailed fact-check analysis of: MASSIVE bolt of plasma burst out of the sky striking I-40 near Alma, Arkansas last night! They're getting larger and more frequent as the Earth continues charging up. The further the magnetic North Pole continues racing toward Siberia the weaker Earth's protective magnetic shield becomes. More cosmic radiation from space and more UV, UVB, and UVC radiation from the Sun are penetrating deeper into our atmosphere and into the Earth. Earth's atmosphere is becoming highly charged and electrified causing massive plasma bursts like this to strike, causing more lightning strikes period. Lightning has even been documented striking on days without a storm cloud in sight. All the signatures of the binary twin solar system and the Destroyer's arrival just amplified dramatically this year. The alarmingly endless rainfall and flooding across the world is something I have never witnessed before in my ten years of reporting Earth's climate disasters. Folks who know weather for 60 - 70 years have never witnessed the sudden incredible down bursts of several inches of rain in just minutes that have been triggering nonstop catastrophic flash flooding across America and the rest of the world. It's just been nonstop this year. I've never seen so many very strong and powerful earthquakes strike since March when the 7.0+, 6.0+, 5.0+ magnitude earthquakes accelerated in frequency so fast. With aftershocks in numbers we've never seen before, in the hundreds. I've never seen so many fires breaking out across the world that just keep coming. Canada, the United States, the entire Mediterranean region, Europe, etc. The core of the Earth is expanding from the increase in radiation causing the rock to melt underneath our feet. Magma plumes are growing, lava tubes and corridors are expanding globally and reaching the Earth's surface, on land and under water. We've got a rash of volcanic activity on land and on the ocean floor heating up the water, melting the poles, causing marine life die offs, and fueling the atmosphere with high humidity and water vapor for more frequent and intense storming. All the symptoms of the arrival of the binary twin solar system that was expected are being checked off. This will just continue to worsen in the coming days. Mid-August is almost here and watching for the extreme weather to intensify. We're heading into severe birth pangs now. Listening for updates and watching it unfold live. Remarkable days.

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Fact Check: Autistic Non-Verbal Episodes in Marriage: Why Words Vanish Sometimes and What to Do About It Neurodiverse Couples Tuesday, august 12, 2025. Here’s the scene: You’re in the middle of a conversation with your spouse. Maybe the topic is small (“Did you pay the water bill?”) or monumental (“Are we happy?”). And then—without warning—your autistic partner’s voice disappears. No yelling, no slammed doors. Just… gone. You’re left holding the conversational steering wheel while they’ve quietly climbed into the trunk. If you’ve never lived with high-functioning autism, this can be tragically misconstrued as stonewalling or contempt. It isn’t. It’s just neurology pulling the emergency brake. Why This Happens: The Science Without the Lab Coat Smell For autistic adults, losing speech under stress is often a shutdown—a form of nervous system overload that knocks language production offline. Think of it like your phone freezing: all the apps are still there, but none of them open when you tap. Research calls this autistic burnout when it happens in a longer, chronic cycle—linked to masking (Hull et al., 2017; Raymaker et al., 2020). Masking is the art of “performing normal” so well that non-autistic people think you’re fine. The issue is that it eats through your energy reserves like a car idling in traffic with the A/C on full blast (Mantzalas et al., 2022). Eventually, one hard conversation can tip you from functional to frozen. And here’s where couples therapy meets neuroscience: physiological flooding—the body’s fight/flight/freeze switch—is a known relationship killer (Malik et al., 2019; Gottman Institute, 2024). In other words, for some autistic partners, flooding may tend to show up sooner, last longer, and is more likely to pull the plug on speech entirely. The Danger Loop in Marriage Autistic partner goes non-verbal — brain says “nope.” Non-autistic partner reads it as avoidance — brain says “attack.” Pressure increases — “Just say something.” Shutdown deepens — and now you’ve both lost. Do that a few hundred times and you’ll start conflating a physiological response into a moral failing. That’s the real marriage-killer. The Protocol: Three Phases, Zero Guesswork This is where we get practical. You can’t “love away” a temporary shutdown, but you can stop it from turning into World War III. Before: Build the Net Name the state. Agree on a phrase or signal ( I call this a couple code)—such as “words offline,” “shutdown,” a hand over the heart. The point is to make the invisible visible. The Shutdown Card. A literal card that says: I can’t speak right now. Please lower lights, reduce sound, give me X minutes. I promise I will circle back. The Pause Rule. Require a minimum of 20 minutes before resuming any tough talk. Autistic partner may need 90+. Agree ahead of time. Downgrade Kit. the usual gear; earplugs, soft light, weighted blanket, fidget, a quiet room. You know, human decency in object form. Reduce Daily Load. Avoid heavy talks right after work or big social events. Chronic overload makes a nervous shutdown more probable. During: Do Less, Better Autistic Partner: Give the signal. Exit stimulation. Switch channels if possible (text, notes app, yes/no cards). Send a short pre-written message: “Safe, can’t talk, back at 8:15.” Non-Autistic Partner: Acknowledge once—“Got it, I’m with you.” Hold the pause boundary. Lower stimuli. Go regulate your own nervous system—walk, journal, pet the dog. Don’t rehearse comebacks. Both: Avoid sarcasm, interrogation, ultimatums. Nothing lengthens a shutdown like moral outrage. After: Close the Loop Check in: “Are you ready to talk, or should we start in text?” Debrief: Identify triggers and what helped. Solve the actual problem. No conflict gets left to rot in the corner. Spot burnout early. If shutdowns start clustering, it’s time to reduce demands, not double them. How This Isn’t Stonewalling Stonewalling is a choice. Shutdown is a lockout. Stonewalling says, “I won’t talk to you.” Shutdown says, “I can’t talk to you yet, but I will.” The key difference? Repair intention. A shutdown protocol builds that right into the process. The Ten-Minute At-Home Drill Co-create your signal and card. Agree on a pause window. Pack the downgrade kit. Rehearse the exchange (“Got it, I’m with you.”). Check in weekly to tweak the system. Remember, you’re not aiming for zero shutdowns. You’re aiming for shorter, kinder, safer ones. Why This Works Because it matches lived autistic experience (Raymaker et al., 2020; Lewis et al., 2023). Because it honors nervous system limits instead of punishing them (Malik et al., 2019). Because it lets both partners keep their dignity and still solve the problem. In other words: you’re building a marriage that can survive the occasional moments when the words are gone for the time being. Be Well, Stay Kind, and Godspeed. REFERENCES: Hull, L., Mandy, W., Lai, M.-C., Baron-Cohen, S., Allison, C., Smith, P., & Petrides, K. V. (2017). “Putting on my best normal”: Social camouflaging in adults with autism spectrum conditions. Autism, 21(5), 611–622. https://doi.org/10.1177/1362361316671012 Raymaker, D. M., Teo, A. R., Steckler, N. A., Lentz, B., Scharer, M., Delos Santos, A., … & Nicolaidis, C. (2020). “Having all of your internal resources exhausted beyond measure and being left with no clean-up crew”: Defining autistic burnout. Autism in Adulthood, 2(2), 132–143. https://doi.org/10.1089/aut.2019.0079 Mantzalas, J., Richdale, A. L., Adikari, A., Lowe, J., & Dissanayake, C. (2022). What Is Autistic Burnout? A thematic analysis of posts on two online platforms. Autism in Adulthood, 4(1), 52–65. https://doi.org/10.1089/aut.2021.0079 Lewis, L. F., et al. (2023). The lived experience of meltdowns for autistic adults. Autism, 27(7), 1787–1799. https://doi.org/10.1177/13623613221145783 Malik, J., et al. (2019). Emotional flooding in response to negative affect in romantic relationships. Journal of Couple & Relationship Therapy, 18(4), 327–349. https://doi.org/10.1080/15332691.2019.1641188 Gottman Institute. (2024, March 4). Making sure emotional flooding doesn’t capsize your relationship. Retrieved from https://www.gottman.com/blog/making-sure-emotional-flooding-doesnt-capsize-your-relationship/

Detailed fact-check analysis of: Autistic Non-Verbal Episodes in Marriage: Why Words Vanish Sometimes and What to Do About It Neurodiverse Couples Tuesday, august 12, 2025. Here’s the scene: You’re in the middle of a conversation with your spouse. Maybe the topic is small (“Did you pay the water bill?”) or monumental (“Are we happy?”). And then—without warning—your autistic partner’s voice disappears. No yelling, no slammed doors. Just… gone. You’re left holding the conversational steering wheel while they’ve quietly climbed into the trunk. If you’ve never lived with high-functioning autism, this can be tragically misconstrued as stonewalling or contempt. It isn’t. It’s just neurology pulling the emergency brake. Why This Happens: The Science Without the Lab Coat Smell For autistic adults, losing speech under stress is often a shutdown—a form of nervous system overload that knocks language production offline. Think of it like your phone freezing: all the apps are still there, but none of them open when you tap. Research calls this autistic burnout when it happens in a longer, chronic cycle—linked to masking (Hull et al., 2017; Raymaker et al., 2020). Masking is the art of “performing normal” so well that non-autistic people think you’re fine. The issue is that it eats through your energy reserves like a car idling in traffic with the A/C on full blast (Mantzalas et al., 2022). Eventually, one hard conversation can tip you from functional to frozen. And here’s where couples therapy meets neuroscience: physiological flooding—the body’s fight/flight/freeze switch—is a known relationship killer (Malik et al., 2019; Gottman Institute, 2024). In other words, for some autistic partners, flooding may tend to show up sooner, last longer, and is more likely to pull the plug on speech entirely. The Danger Loop in Marriage Autistic partner goes non-verbal — brain says “nope.” Non-autistic partner reads it as avoidance — brain says “attack.” Pressure increases — “Just say something.” Shutdown deepens — and now you’ve both lost. Do that a few hundred times and you’ll start conflating a physiological response into a moral failing. That’s the real marriage-killer. The Protocol: Three Phases, Zero Guesswork This is where we get practical. You can’t “love away” a temporary shutdown, but you can stop it from turning into World War III. Before: Build the Net Name the state. Agree on a phrase or signal ( I call this a couple code)—such as “words offline,” “shutdown,” a hand over the heart. The point is to make the invisible visible. The Shutdown Card. A literal card that says: I can’t speak right now. Please lower lights, reduce sound, give me X minutes. I promise I will circle back. The Pause Rule. Require a minimum of 20 minutes before resuming any tough talk. Autistic partner may need 90+. Agree ahead of time. Downgrade Kit. the usual gear; earplugs, soft light, weighted blanket, fidget, a quiet room. You know, human decency in object form. Reduce Daily Load. Avoid heavy talks right after work or big social events. Chronic overload makes a nervous shutdown more probable. During: Do Less, Better Autistic Partner: Give the signal. Exit stimulation. Switch channels if possible (text, notes app, yes/no cards). Send a short pre-written message: “Safe, can’t talk, back at 8:15.” Non-Autistic Partner: Acknowledge once—“Got it, I’m with you.” Hold the pause boundary. Lower stimuli. Go regulate your own nervous system—walk, journal, pet the dog. Don’t rehearse comebacks. Both: Avoid sarcasm, interrogation, ultimatums. Nothing lengthens a shutdown like moral outrage. After: Close the Loop Check in: “Are you ready to talk, or should we start in text?” Debrief: Identify triggers and what helped. Solve the actual problem. No conflict gets left to rot in the corner. Spot burnout early. If shutdowns start clustering, it’s time to reduce demands, not double them. How This Isn’t Stonewalling Stonewalling is a choice. Shutdown is a lockout. Stonewalling says, “I won’t talk to you.” Shutdown says, “I can’t talk to you yet, but I will.” The key difference? Repair intention. A shutdown protocol builds that right into the process. The Ten-Minute At-Home Drill Co-create your signal and card. Agree on a pause window. Pack the downgrade kit. Rehearse the exchange (“Got it, I’m with you.”). Check in weekly to tweak the system. Remember, you’re not aiming for zero shutdowns. You’re aiming for shorter, kinder, safer ones. Why This Works Because it matches lived autistic experience (Raymaker et al., 2020; Lewis et al., 2023). Because it honors nervous system limits instead of punishing them (Malik et al., 2019). Because it lets both partners keep their dignity and still solve the problem. In other words: you’re building a marriage that can survive the occasional moments when the words are gone for the time being. Be Well, Stay Kind, and Godspeed. REFERENCES: Hull, L., Mandy, W., Lai, M.-C., Baron-Cohen, S., Allison, C., Smith, P., & Petrides, K. V. (2017). “Putting on my best normal”: Social camouflaging in adults with autism spectrum conditions. Autism, 21(5), 611–622. https://doi.org/10.1177/1362361316671012 Raymaker, D. M., Teo, A. R., Steckler, N. A., Lentz, B., Scharer, M., Delos Santos, A., … & Nicolaidis, C. (2020). “Having all of your internal resources exhausted beyond measure and being left with no clean-up crew”: Defining autistic burnout. Autism in Adulthood, 2(2), 132–143. https://doi.org/10.1089/aut.2019.0079 Mantzalas, J., Richdale, A. L., Adikari, A., Lowe, J., & Dissanayake, C. (2022). What Is Autistic Burnout? A thematic analysis of posts on two online platforms. Autism in Adulthood, 4(1), 52–65. https://doi.org/10.1089/aut.2021.0079 Lewis, L. F., et al. (2023). The lived experience of meltdowns for autistic adults. Autism, 27(7), 1787–1799. https://doi.org/10.1177/13623613221145783 Malik, J., et al. (2019). Emotional flooding in response to negative affect in romantic relationships. Journal of Couple & Relationship Therapy, 18(4), 327–349. https://doi.org/10.1080/15332691.2019.1641188 Gottman Institute. (2024, March 4). Making sure emotional flooding doesn’t capsize your relationship. Retrieved from https://www.gottman.com/blog/making-sure-emotional-flooding-doesnt-capsize-your-relationship/

Aug 12, 2025
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Fact Check: Are sjs and ten the same? | TruthOrFake Blog