I read Liz's account of her recent journey through the Developmental Diagnosis process with Little Man. I feel like I could have written it. She is where I was at about 5 years ago. My son, Evan is 9 years old and was "officially diagnosed" with an Autism Spectrum Disorder (either Asperger's or PDD-NOS) at the start of Kindergarten.
Of course, we always knew he was "wired differently" from day one. He had some sort of swallowing issue to where he could not nurse or drink without a great deal of discomfort. Feeding time consisted of me giving him a few sips of milk/formula, his getting upset, me sticking my pinky in his mouth for him to suck on and to calm down (he wouldn't take a paci) and repeat until he had had enough.
Then, when it came time to start eating solid food, he couldn't swallow so we had in "feeding therapy" for 2 years. The first day he ate a cheeseburger was the happiest day of my life!
His speech skills were also delayed so we did the speech therapy bit. And of course, there was social skills therapy. I was working full time and wound up taking FMLA to accomodate all of his therapy appointments. Fortunately, too, I had outstanding insurance at the time.
To this day, I feel a bit of a twinge whenever someone refers to Evan as "autistic". I get defensive and want to say "he's just wired differently... there's nothing wrong with him." And, frankly, I truly believe that. We have never really discussed his diagnosis with Evan. I intentionally did not want him to know that he had that label "hung" on him because, frankly, I never wanted him to use it as an excuse.
A couple of nights ago, though, I was tucking him in and he had had a rough day with his after school buddy who is only five years old. I tried to tell him that all friends have rough patches and frankly, his friend was so much younger that he didn't necessarily have the same social skills as Evan or my older son. All of a sudden, he starts to tear up and said "I have a hard time making friends because I have Humperger's ". Shocked, I said "What?" "I have Humpberger's". I said "You mean, Asperger's?" He said "yeah". So I asked who told him that. He said his brother had told him.
So the 1000-pound elephant was in the room. It was time to give Evan the facts of life:
- Yes, he had Asperger's. However, that didn't mean there was anything wrong with him.
- Everyone has their own oddities and peculiarities and they do just fine. I told him that his uncle, his dad and I all probably had certain aspects of Asperger's
- I also told him that just because he was diagnosed with Asperger's, he was capable of doing EVERY SINGLE THING any other person is capable of. He may have to use different approaches but by golly, we expect exactly the same thing of him that we would expect of any other child.
The thing is, as hard as it is to think "my child isn't 'normal'", here's the real truth about Asperger's for us:
- Evan is incredibly bright and talented in unique ways that would otherwise be unfathomable.
- I truly believe that Evan's "struggles" since birth has made him a stronger and more resilient boy. That will serve him well his entire life.
- Evan is the sweetest most affectionate and loving little boy I know. In a way, he is able to hang onto that innocence and sweetness much longer than "normal" kids. While other kids his age are rolling their eyes at their parents saying "dad, you suck!", Evan is still giving me hugs and kisses and constantly telling me he loves me.
- We have a gift that means we never take every step forward with Evan (or our other son) for granted. Where some parents might not pay attention to seeing their kids play together, we watch with wonder, awe, and joy. And we are constantly reminded of others capacity for acceptance in the way they draw Evan into their fold and we watch him grow.
- Because of Evan's diagnosis, we have a "village" of teachers who we think of as family because they have been with Evan for the last 3 years. They have kept an eye on our older son to make sure he is ok. They call us to share good news (like when Evan passed his reading assessment after working so hard). We even celebrate each family's milestones (like the birth of one teacher's daughter). This team of people mean more to me than you can ever know...
Evan is now 9 years old. He still struggles with some things but really... I think that is just because he is Evan and not from Asperger's. Despite being a string bean (he is 9 years old, nearly 5 feet tall; yet still has not hit the magic "80 pound mark" needed to ditch the booster seat), instead of worrying about his not being able to eat, we wonder how we will afford to feed him as he wolfs down 2 Quarter Pounders with Cheese in a single sitting! He has a little posse of friends that he hangs out with. In short, he does just about everything that his "normal" brother can do.
And frankly, while we do worry about him (he is the baby after all), we also know that he will be just fine. As I said, he may have to learn how to do things a little differently, but he has demonstrated that with the right support and attitude, he will accomplish EVERYTHING he wants to.
To other Liz and other moms who are starting to come to terms with a diagnosis, I certainly understand the shock and pain that comes with knowing exactly what all is going on with your child.
However, once the shock of the labels wears off, realize that Asperger's or any other developmental idiology is just a way to categorize certain personality types. It serves more of a "social purpose" because it allows people to grasp and accept personality differences where they might otherwise just chalk it up to "that kid is wierd".
Other things that helped me e to come to terms with Evan's unique personality is the following:
- FUCK the labels. Evan is who he is and I wouldn't have him any other way.
- That said, USE the labels to your advantage to get the social services and the support that your child needs.
- Do NOT EXPECT ANY LESS of your child than you did before. You and your child may have to work a little harder to achieve your collective goals; but it will happen.
- Do not allow your child to use their diagnosis as an excuse for not doing what they need to do. Like all kids, Evan often will only work on what he is interested in. However, he needs to put up with the same level of work and learning outcomes as every other kid in that school.
- Your child isn't going to grow up wishing they were "normal" because to them, they are "normal". They don't know any other way of being.
This last item is the most important thing and thing that I will preserve until my dying day. To paraphrase Popeye: We are who we are... and I wouldn't wish for anything else for Evan!
Good luck, Liz and fellow mommies out there!


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There's a great book to read for anyone with an interest. I have heard the author on NPR and he's wonderful.
Look Me in the Eye: My Life with Asperger's
by John Elder Robison
Boy, did I fool you ;-)
Thanks for the reading recommendation, Julio. I'll have to check it out. There are a couple other books too but I'll have to post the reference later. Gotta run.
Cheers...
DK
One of the many books my lovely librarian friend recommended to me has a whole chapter on whether or not you should tell your kid he or she has Asperger's. And the book mentions many of the issues you raise, including not wanting to give a child an excuse to not reach for everything they are capable of.
And I am so happy to hear that a boy who didn't eat is now eating. Gives me hope that one day I will watch Little Man wolf down a cheeseburger. Hee.
Thanks, again.
Most kids never get diagnosed, and go through life being labelled lazy, messy, lacking in motivation. And basically lacking in backbone. Which in a sense they are.
He's eight now, and the day after his birthday, there was an article in the paper in which Daniel Radcliff, the Harry Potter actor, announced that he had this condition (it's far better known in the U.K.), which was one of the reasons he dropped out of school at an early age and pursued acting.
That was when I decided to explain it to Ben. I took the same attitude in trying to make sure that he didn't have any character deficiencies as a result of this...but like I said, I didn't realize how much his physical problems were appearing as character deficiencies. Now he has a specialist he works with who negotiates the accomodations he needs with the school (and sometimes they're ridiculously simple, like making sure his feet are really well supported, because his defect in proprioception turns the brain into anxious fuzz if it doesn't sense the ground.)
I'm still learning how to juggle this. But right now I'm really glad for the label.
Liz, be careful what you wish for ;-) Evan is eating us out of house and home at this point. I can't imagine what he is going to be like when he hits the dreaded teenage years.
Seriously, it was a long row to hoe but you are doing all the right things. I just wanted to let you know that there are a lot of things to look forward to and in the grand scheme of things, I'm very very fortunate.
Juliet -- I've heard of dyspraxia. From what I understand, it is fairly closely related to dysphagia which I believe Evan and Liz's little man had/have which cause them problems eating. Again, it sounds like you are doing the right thing. As much as I detest labels, sometimes they are necessary to get society on board rather than just sitting back and thinking you have a lazy or bratty kid.
Of course, there will always be assholes like Denis Leary who will never believe anything except that we are shitty parents but fuck him !!
(btw, Evan, in addition to overcoming his many difficulties, has also overcome his speech issues and is able to swear like a sailor. Not sure where he gets it from!)
Can I get an "Amen?"
I literally don't give a damn about the label since it helps me both get my son services he needs and, as awareness of these kinds of disorders grows, helps others understand where he's coming from a bit better and adjust where necessary.
The expectations I have for him are not lower, they are different from the ones I might have for a neurotypical child. In fact, I think they're higher, because some things that are absolutely required of him, like some acts of common courtesy, are exponentially harder for him. The label helps me, and others who need to know, understand that. When he is a bit older (he's 6), I hope to be able to explain it to him just as you did for your son. Brava!
I work with kids who are Asperger's and count myself very fortunate. They are creative, funny, unique and always help me to learn something new.
Thank you for the wonderful post.
I just posted a piece about my 23-year-old son who happens to have Asperger's.
There's a lot to say about asperger's. I've kept those musings private at this point.
Having it "all together" is a falacy! The best anyone can hope for is a good grip.
Great perception and great writing! I think you really have a great point of view on this, and your son is lucky to have you. I'll bet he's going to grow up to be brilliant at whatever he chooses to do. Rated.
Thumbed. Excellent post.
I know that children have been misdiagnosed with autism, and as you well know there is still a debate as to whether or not high functioning autism and Asperger's are the same, but many children who suffered specific vitamin deficiencies have been misdiagnosed as autistic. I only bring this up because your article began with your son's eating disorder, one that apparently still continues, and it would stand to reason that Evan might be missing key vitamins that his brain and cells need for proper ongoing development.
Again, I have not written to you to be offensive, but I also know that if I were in your shoes I might not have had the peace of mind to explore other alternatives that might be a cause for Evan's difficulties.
Your family is blessed to have you. And please remember to do something for yourself every now and then; a spa treat, a quiet dinner alone with your husband, something just for you.
I love your attitude and point of view on labeling kids. I am a special educator by profession and have always insisted that kids are kids first, and that many just need a little "extra something." The worst thing that we do is pathologize kids with a label that does nothing but pigeon-hole them to a lifetime of inferior education - and this is from a special educator and parent. I love your style!
Rated
I understand where you're coming from, I have several members of my family with Asperger's and other disorders but that label that you see as a social purpose for others has been a real help to those in my family with autism. For them, they are able to approach situations in life without feeling defeated or like a less than "normal" person. They are aware of the their personality traits and are able to work with them. The older ones have found peace after realizing "what was wrong" after so many years of blaming themselves while the younger ones are taking college and the world on with gusto.
Everyone has "issues" whether they know it or not. God made us all unique and I celebrate our differences. Good post! rated.
I'm writing, though, to tell the opposite story of disclosure. We decided to tell our son he had Asperger's from the time we first knew of it when he was 3. We treated it as many people treat adoption, i.e, if a child internalizes the knowledge early, it's not a shock to find out later. It has worked out well for us.
He knows that his brain works a lot differently from mine, somewhat different from his dad's, and different from most of his classmates and friends. He knows that some things are easy for him (like learning to tell time on an analog clock at age 2) that are hard for most children. And that some things are hard for him (like learning how to take turns when he was 4 and 5 and 6!) that are easy for other kids. He has never used AS as an excuse for avoiding a difficult task, and if he tries, we won't let him get away with it!
Knowing that he has AS helped him understand why he went to speech therapy, occupational therapy, and social skills therapy for years. He knows it's why he sees a counselor twice a month now, who helps him process the anxiety that comes with the territory of AS.
Also, he has always known that he is different from other kids, and he never had to worry about why that is -- because he already knew.
I can see the merits of your decision. I just wanted to point out the merits of the other decision.