Every once in awhile, I get caught up in this debate with myself about C and his diagnosis. He is certainly a far different child from the repetitive speaking, incredibly delayed, challenging child he was when he was diagnosed with high functioning autism years ago. But is he “recovered” and we just somehow missed it? This time my internal debate was started by an occupational therapist, who admitted her relatively high evaluation of his skills was likely due to the fact that she sees kids far more challenged than C is - while seeing no “typical” children ever. It was furthered later, by a visit to a pediatrician we only see for acute care, and have only seen twice.
C is a master at many things. He has changed from the absolute screaming nightmare upon walking into a doctor’s office (picture rolling around on the floor, trying to evade the doctor’s touch, and being restrained simply to look in his ears) a year ago. He has learned, through intense social story and prep work and a series of great, patient docs, that for the most part, it’s a battle he doesn’t need to pick. This new pediatrician we saw today (who has been fortunate not to witness such an event), commented on how well behaved he was. This was followed with a second strong push to put C on zoloft to “fix” his feeding problems. Does this man, lovely as he is, know anything about autism?
It only takes one moment, one brief experience, to snap me back to reality and the knowledge that yes, C is on the autism spectrum; undoubtedly he’s firmly fixed on one end of the spectrum, but on it he is. Kids on the spectrum can be as different as night and day. I have yet to meet two children with the diagnosis who share more than a few similarities. That is, for those who look closely enough.
As I was watching recess on the last day of school, I talked with two delightful women who work with C on occasion. While watching C play, I noticed things they did not. Yes, he is happy. He is often cluelessly happy. Yes, he is delightful and friendly. Yet I watched as the two boys he was playing with whispered behind his back about how to get away from him after they went down the slide. C missed it all, blessedly. Smile on his face, he appeared happy and engaged in play, yet everyone but the closest observer missed the fact that the other kids were plotting against him and he didn’t even notice. That is C’s autism; happily playing along, occasionally connecting with other kids, but mostly appearing to connect while he remains mostly oblivious. It’s just not obvious.
Yesterday, at a public pool, I noticed a similar occurrence. Two little boys about the same age were teasing C while we floated on the lazy river. He took the whole thing as being an elaborate game of chase. He had no idea that the boys were making fun of him. I looked at him, while we participated in the charade, and wondered if I should take his childish sun hat off. Maybe THAT’s why they were making fun of him. Then it hit me. Taking his hat off wasn’t going to do anything; he just has autism. High functioning, sure. Perhaps even invisible to people like his new doctor, who probably thinks whomever diagnosed him was a quack (not the case). Yet I use those experiences to separate the really, really good professionals from the ones who clearly have more we can teach them, C and I.
The day after hearing what the occupational therapist had to say was the day of the double temper tantrums in C’s ”very bad day” (see here). A dear friend, who has a son with autism, told me it was the world reminding me that yes, C is in fact autistic. “Don’t doubt that,” she said. “It’s a waste of your valuable time. Just move on from those people who aren’t able to recognize the challenges he faces, those that are masked by his personality. Just move on.”