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Dear Care and Feeding,
I am a neurodivergent mother of two children. My eldest daughter, 6, shows many traits that align with autism as it presents in girls. She showed traits of autism as early as 12 months. She is hypersensitive to pain, has gross motor difficulty and overwhelming sensory sensitivities, struggles with social interaction, is very literal, prefers being in charge and struggles with collaborative play, and has a hard time regulating emotions, among other issues. She is also brilliant, inquisitive, energetic, creative, and has an incredibly quick mind and strong sense of justice. She is doing and has done wonderfully in preschool, school, and at home in large part because we are intentional (and very lucky) in finding environments where her needs are accommodated and her gifts are seen and supported.
She’s just started first grade, and I am seeing—and she is talking about—masking (“I’m a different person at a school”), difficulty with social situations (she just sort of freezes up, skips recess a lot in favor of staying inside with her teacher), and I worry about an increased need for accommodations and social issues becoming more complicated. I feel like an official diagnosis would help us access resources and support and access accommodations as needed. It would also possibly give her a framework with which to understand her neurotype and access community. My husband refuses to consider having her assessed and feels that the possible stigma is too great a risk. He is also very dismissive of my experience, educational resources about autism and girls, and feels that she just needs to try harder, and that every girl has the traits detailed in the resources and research I’ve provided. I really don’t know what to do.
—Actually Autistic
Dear Actually,
You may not be able to change your husband’s opinion on this, but his opinion shouldn’t supersede your daughter’s potential long-term needs. Trust yourself on this. You’re acting on experience, observation, and instinct in wanting your daughter to be evaluated. It sounds like you’ve been patient in waiting as long as you have to start the assessment process.
There are a limited number of outcomes: Either your daughter will be on the autism disorder spectrum or she won’t. If she is, the earlier she receives the proper support and accommodations, the better. If not, your family will have a definitive answer here, and you can address her challenges at school differently. There’s no downside to asking for a diagnosis—except, perhaps, that your husband may continue to be unsupportive. Unfortunately, it seems like you may be dealing with that no matter the outcome here. I wish you and your daughter the best as you navigate this together.
—Stacia
https://slate.com/human-interest/2022/03/son-wants-sibling-advice.html
I am a neurodivergent mother of two children. My eldest daughter, 6, shows many traits that align with autism as it presents in girls. She showed traits of autism as early as 12 months. She is hypersensitive to pain, has gross motor difficulty and overwhelming sensory sensitivities, struggles with social interaction, is very literal, prefers being in charge and struggles with collaborative play, and has a hard time regulating emotions, among other issues. She is also brilliant, inquisitive, energetic, creative, and has an incredibly quick mind and strong sense of justice. She is doing and has done wonderfully in preschool, school, and at home in large part because we are intentional (and very lucky) in finding environments where her needs are accommodated and her gifts are seen and supported.
She’s just started first grade, and I am seeing—and she is talking about—masking (“I’m a different person at a school”), difficulty with social situations (she just sort of freezes up, skips recess a lot in favor of staying inside with her teacher), and I worry about an increased need for accommodations and social issues becoming more complicated. I feel like an official diagnosis would help us access resources and support and access accommodations as needed. It would also possibly give her a framework with which to understand her neurotype and access community. My husband refuses to consider having her assessed and feels that the possible stigma is too great a risk. He is also very dismissive of my experience, educational resources about autism and girls, and feels that she just needs to try harder, and that every girl has the traits detailed in the resources and research I’ve provided. I really don’t know what to do.
—Actually Autistic
Dear Actually,
You may not be able to change your husband’s opinion on this, but his opinion shouldn’t supersede your daughter’s potential long-term needs. Trust yourself on this. You’re acting on experience, observation, and instinct in wanting your daughter to be evaluated. It sounds like you’ve been patient in waiting as long as you have to start the assessment process.
There are a limited number of outcomes: Either your daughter will be on the autism disorder spectrum or she won’t. If she is, the earlier she receives the proper support and accommodations, the better. If not, your family will have a definitive answer here, and you can address her challenges at school differently. There’s no downside to asking for a diagnosis—except, perhaps, that your husband may continue to be unsupportive. Unfortunately, it seems like you may be dealing with that no matter the outcome here. I wish you and your daughter the best as you navigate this together.
—Stacia
https://slate.com/human-interest/2022/03/son-wants-sibling-advice.html
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People always say "it's not that simple", but they never quite explain why not. They just don't want to do it, for reasons that probably make sense to them.
And I get it - it's going to be a real hassle once you actually have that diagnosis in hand to talk to your husband about how you made an executive decision on your daughter's behalf.
But fuck that shit. Your responsibility, as always, is to your kid.
(I have very strong opinions on this subject, okay?)
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I feel exactly the same. "Fortunately, you only need the consent of one parent to have her assessed for ASD, so have her assessed for ASD and let the chips fall where they may. Either way, be prepared for Husbando to throw a man-tantrum about it."
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Send a note to the school formally requesting an evaluation, let those wheels turn. Unless Dad is the usual contact parent - which fathers almost never are - he doesn't even have to know until it's done.
Now, I'll be the first to say that the evaluation by the schools is not always the best, and sometimes you have to go private practice... but it's a place to start while you figure out what insurance will and won't cover if you gotta do it the other way.
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Everything you say is indubitably true. I just want to put him in a sack for his prideful abusive intransignence. And maybe beat the sack with sticks.
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I have never sought or received a formal diagnosis, but I am likely on the autism spectrum. My parents had similar conversations starting when I was about LW's daughter's age; I believe a teacher may have mentioned the possibility to them directly. My mom – who, I want to make clear, is a truly wonderful parent! – was justifiably concerned about the stigma of a diagnosis, and since I was doing well academically and did not require classroom accommodations, they never had me evaluated. Among other things, I had significant social difficulties that led to severe bullying, from elementary school until I left that school district in my teens.
Because I had never gotten a diagnosis, or been told that my difficulties came from something outside of my control, I blamed myself for much of what I experienced. As a child, I had enough social awareness to recognize that there was some intangible difference between myself and my peers, but not enough to "fix" it, and I was angry at myself for being unable to master skills that seemed to come naturally to my classmates.
Even if LW never gets an official evaluation for her daughter – though she should! – I hope she at least makes sure to tell her daughter, as she gets older, what may be the cause of issues she experiences. It sounds like LW does understand how important that is – perhaps because of her own experiences – and she clearly makes an effort to understand her daughter's particular challenges.
As for LW's own relationship: A spouse who is outright dismissive when you tell him about your own experience is not being a good spouse; it suggests to me that hubby doesn't fully respect LW as an equal.
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My answer is always yes, yes, yes, yes, YES, yesyesyes! for pretty much that reason. Never, ever, ever lie to your kid about themself.
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The adults in my life profoundly failed me. I hope this mother does better by her kid, regardless of her husband’s uninformed opinion.
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I feel for the letter writer, trying to give her kid the benefit of hard lessons and getting such infuriating nonsense from the spouse.
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It's bad enough being dismissive about their partner's opinions and concerns in general, but when they're informed by personal experience and he's thus dismissing her entire experience and judgment and like... external knowledge with sources that's a whole body of science and shit that she knows about and he doesn't! ????? I can't believe the response didn't address this. I have a hard time understanding how she got to the point of having a kid this age with him.
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(My AFAB non-binary child suffered greatly, first from no diagnosis, then from the wrong diagnosis. They communicate more closely to nautistic kids than autistic kids and was inadvertently an outsider.)
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And those guesses are
almost(?) always character judgements: difficult, picky, flighty, lazy, crybaby, etc.I got dx'd with ADHD at 33, and my mom just got her dx at 62 (SURPRISE :| ). Finding out that I did X because my brain was wired for Y was so much better than thinking I was just a lazy POS who was doomed to self-sabotage into failure forever.
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I feel like the world has changed a lot for mental health and neurodivergence awareness, and mostly for the better, thank goodness.
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