Slings and Arrows

You can run, but you'll just die tired

Liz Emrich

Liz Emrich
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Virginia, USA
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A column that brings the wisdom of a lawyer and a mom to the politcal landscape.

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Salon.com
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DECEMBER 8, 2008 11:50AM

Running Up that Hill

Rate: 59 Flag

Sisyphus
 

I was hoping that I was finished with this.

Every parent approaches the first parent-teacher conference with some trepidation.  After all, it’s a new experience.  You’ve been dumping your child off at this place five days a week, and arriving dutifully a few hours later to pick him up. You’ve noticed some changes.  He talks about certain new people. He’s doing new songs, saying new things.  But you have no idea what that means with respect to all the other kids.  You have dreams of course.  Dreams that your child is a genius who is on his way to an Ivy League school.  Dreams that your child is a prodigy at something like music or math and that he will be on his way to a lifetime of achievement. 

Me, I was not having dreams.  I would settle for putting the nightmares to rest.

My husband has another son, by his first wife.  This child (actually now a man, he is 22 years old) is severely autistic.  The kind of autistic that we used to think of when we thought of autism before we learned about autism being a “spectrum disorder” and you had celebrities like Jenny McCarthy (don’t get me started on her) out there telling you that autism could be “cured.”  The kind of autistic that means that he will never be out of diapers, never be able to dress and feed himself completely, never be able to live without the constant care and attention of someone else.  I respect my husband’s first wife tremendously for the things she has done to care for her son.  I know there’s supposed to be lingering resentments and fears and such surrounding such relationships between two women who have been married to the same man.  But truly, I begrudge her nothing, respect her utterly, and wish her nothing but love and good things, though I am not at all certain she feels any such fine feelings for me.

From the time that our son was in utero, the spectre of “the spectrum” has hung over my son. Although there are no certainties as to what causes autism, we do know one thing about it – there is a genetic component.  My son, having a half-brother who is autistic, had an 8 percent chance of having autism as well.  To give you some idea of where this stands in relationship to normal, most normal couples have a less than one percent chance of having a child with autism. 

To say that I have been watching my son carefully for markers of the disorder is analogous to saying that people with leprosy occasionally take a gander at their extremities to make sure they are still in one piece.  I knew that my son was shy, a little less social than his peers, less comfortable with verbal expression.  I was hoping it was just the function of a “slow to warm” temperment, something we had become familiar with during the past two years of therapy for his feeding disorder.  I prayed like hell it wasn’t something more.

On Friday, his teacher politely and gingerly informed us that while my son was making some progress in his skills, and was obviously very bright, particularly with respect to higher order things, she felt the need to bring in an “educational specialist” to evaluate John to see what could be done about the social and cognitive delays that kept him somewhat behind his peers. 

The word Asperger’s was mentioned.  Asperger’s is a mild form of autism, one that is more centered on social skill deficiencies and certain cognitive gaps as opposed to some of the more traditional forms of autism.  But it is autism nonetheless.  To be sure, we don’t have that diagnosis yet.  A diagnosis like that takes evaluation from trained specialists.  But what it is doesn’t really matter.  The fact is, there is something.  And we will have to invest the significant time and energy it takes to handle it.  And whatever name it chooses to go by is irrelevant.  Once again, I am facing down a developmental deficiency on behalf of my child.

Since then, I’ve felt a little like I’ve been punched in the gut.

To some extent, none of this is a surprise.  It is nothing more than what I had already feared.  To some extent, none of this is anything I haven’t dealt with before.  When we first figured out something was horribly wrong with John’s eating habits, I went through the incredibly rough emotional process of giving up on the notion that I would have a “normal” child.

Believe me, that one wasn’t easy.  Having been raised by overachieving parents who wanted an overachieving daughter (and by and large got one), I’ve got significant hard-wiring in place that wants to see my child do incredible things.  To some extent, every parent must surrender the notion that theirs is a perfect child.  But parents of kids with developmental issues have to do so to a whole other order of magnitude.  It’s not just a good idea – it’s a mental health imperative. Because the fact of the matter is that your universe of “normal” just got shattered.  And ain’t nuthin’ puttin’ those pieces back together the same way.  You either learn to live with it or walk around with a 20 ton millstone around your neck for the rest of your life, mourning the child that you never had, instead of loving the one that you do.

Over the past two years, my son has made some tremendous strides with his eating.  We’d actually gotten to the place where he wasn’t in therapy, where his nutritional needs were being met consistently, and he was on a routine that we all were able to live with, at least as it pertained to food.  He had by no means become “normal,” but our lives reached a reasonable facsimile to it.  School had even appeared to be helping.  The morning snacktime at school had given him significant exposure to how normal kids looked at food, and the modeling of his peers had expanded his food repertoire in a way no other therapy had been able to.  I was starting to get comfortable with the idea that maybe, just maybe, we were getting out of the woods with my son.  I had made the mistake of breathing  a sigh of relief.

I tried not to cry in the meeting.  I could feel tears loading up.  I knew I was having trouble looking his teacher in the eye.  I was blinking too much.  I knew what she was thinking, or at least I thought I did.  She thought I was one of those parents who never realized what was going on, the blind ones who wait until two or three people mention that there seems to be something wrong before finally acknowledging it.  It happens a lot more than you think, even in the age of helicopter parenting.  I tried to tell her that we’d had our suspicions, that I was no stranger to parenting a developmentally challenged child, and that I was fully prepared to do whatever it took to deal with whatever we find out.  The teacher tried to stay positive, and focus on all the progress my son had made.  I am not sure if what I was seeing was sympathy or pity.

I will have to be a lot more careful about sharing this information with the parents of my son’s peers. Despite all the education out there about developmental disorders, the fact still remains that when you admit your child has one, it’s tantamount to admitting he has some communicable disease.  The offers of playdates evaporate.  Suddenly you are “that poor woman” with the son who has “a problem.”  No one knows what to do with you so they stay away.  They don’t mean to be insensitive.  They just don’t know what else to do.  I think my son’s issues are minor, thank god.  I personally believe that a couple years of therapy and he should be relatively consistent with his peers again.  I don’t want to saddle him with a label that he doesn’t need to bear his entire life.

I thought I was finished.  I thought we had had our challenge, that we’d risen to meet it and had the end of the tunnel in sight.  No one told me that light was the headlamp of an oncoming train.

I am grateful for the small things – most folks with mild Asperger’s go on to lead relatively normal lives.  Many even end up being the kind of high-achieving individuals that my parents trained me to expect of myself and my kids.  And whatever it is my son has, it is not so great that it can’t be overcome, at least it doesn’t appear to be.  My suspicion is that like the feeding disorder, if we keep after it and apply the right therapy, we might get back to feeling “out of the woods” again.

But I can’t help but feel discouraged, maybe a little cheated.  The Sisyphean task of again pushing that boulder that is developmental therapy back up the hill I thought I had already climbed is every bit the kind of hell that was imagined for the son of King Aeolus.  I have to once again reach into the depths of myself and find the courage to continue, the strength to withstand and forbear, the will to not just curl up in a ball and cry.  Unlike Sisyphus, however, I love my boulder.  He is my son.  I would carry him to hell and back, because I am his mother and there is no beast in this world or any other that could stop me if what I do is for love of him. 

I thought it was over, is all.  I thought I could rest.  The gods, apparently, had other plans.

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Liz,

My thoughts are with you as you deal with the next chapters of parenting your son.

A great blogger I heavily enjoy writes honestly and humorously about her autistic son, who would be slightly older than your son. She writes about all sorts of other stuff too. I think you'd like her. She's here: http://haddayr.livejournal.com/

Good job putting things in perspective. It's often a challenge.
I don't have children of my own but my sister has two. Her son who is 13 now has Asperger's, Disgraphia and some unknown Emotional/Mental problem. Her daughter who is 5 has Austism though she is high functioning.

I love both of them to death and our family has been very supportive. My husband spent hours every day working with my niece (from 0 to 3) to get her to make eye contact, accept affection and learn all those things pre-school kids should be learning (like her colors) and luckily he was successful. She is now in kindergarten (and special ed with her school) and is doing well.

She feels like our own but she's not. Thanks so much for this post. You really helped me to see inside my sister's head.
My heart was breaking reading this; for both you and your son. God, I can't even imagine the struggles you and he face. Beautifully written and an extremely courageous post. Rated.
Liz,
Welcome to my world. There is not a single thing you wrote about that I have not thought or been through. The good news for you is that diagnosis of Asperger's is made so much earlier now. Your son will benefit from OT's, etc...much earlier than my daughter.
Email me if you'd like to talk more. If not that's okay too. Sometimes just posting takes care of that need.
God bless you. Your son is lucky to have been born into your world. I feel certain he will get the best care possible.
Liz, I hope this turns out not to be what you fear. If it is, however, I know, from what I have gleaned of your character and intelligence, that you will adjust and handle it well. I hope this doesn't sound trite, but I am reminded of the story I once heard from a parent of a Downs child: "We had planned to go to Paris, but the plane landed in Brussels instead. We discovered that Brussels is a wonderful city, too."
Liz ... Having lived with autism in your family, I know you are obviously very educated on the topic (because as far as I can tell ... you are brilliant!) and have done your research.
I've worked for years as a special education professional in school systems and in private practice as an advocate.
First of all, I'm pretty horrified that a classroom teacher would approach a diagnostic label with you and secondly, I urge you not to give in to the feelings you're having right now ... don't plan the future until you have something that you feel is proof positive in your hands ~ and you're right about therapy, it can do wonders. There are lots of amazing organizations like TEACCH out there that can help you wade through the process ... remember that there are lots of developmental things that can look like autism/spec. ... stay strong and be vigilent.
PS ~ I'd like to slap Jenny McCarthy in the back of the head ... maybe twice!
Liz, thanks for sharing this deeply personal and moving piece of writing. I'll be praying for the littlest pundit and I know that he is in good hands.

And, I know that you have already considered this, but choosing the right school is extremely important--especially with children with special needs. I don't know how it is in Virginia, but down here, specialty schools are few and far between. The best choice after some specialty institutions seems to be public schools, which have the mandate and resources that normal private and church schools do not.
Liz, you are a very remarkable woman who will raise nothing less than a remarkable son, though it may take some of the slower, more fearful and less open, less expansive souls in the world a little bit longer to catch on to the miracle you are creating with your love and tireless efforts. As for the rest of us, by the time the sound of our applause dies away there is a good chance, based on the established curve, that your son will ride out of the woods and into the sun, ready for whatever comes next.
Even with autism he can be great. Look at Dr. Temple Grandin. She is brilliant and has helped animals, autistics and her field of science tremendously. This is as much, if not more, than any neurotypical person can expect out of life.
Liz I stopped back by and urge you to re-read 1_irritated mother's comment.
Liz,

Having started as a special ed teacher (not sure if we ever got to that. . .) I first share irritated mother's horror at a classroom teacher tossing out a diagnosis.

But then I remember your depth, intelligence, kindness and something even larger that I'd call wisdom--and am sure that if anybody can deal with this---it's you.
Yow. I do believe "punched in the gut" is exactly how I'd feel.

Damn. Good luck with it. It won't be easy. The one thing you can count on is that it will turn out different than you're picturing now: both for the better and the worse.

Luckily, you're a bright person, and the fact that you're this self-aware is a hell of a start.

On some of things like this, I take solace in it happening now, rather than 20 years ago, when we know so much more, and you're in a position to do something about it. (Yeah, 20 years in the future would be all the better--I guess I'm a half-full kind of guy.)

I'll be curious to hear how this plays out over the years. I hope to know you long enough to hear. Good luck with it.
Liz,

I'm adding my good thoughts and vibes to the pile. I hope that if there IS a diagnosis, it's of the mildest kind.

I'm not really one for over-sentimentalism...but I am thankful that your son has you as a mother. Growing up my mother ran a "special education" preschool that specialized in early intervention for kids with different issues; I saw far too many kids with parents that had given up or that didn't have ANY idea how to parent their child effectively. Your son is blessed.

I hope you can find the right key, no matter what, quickly and smoothly. All the best to you and your family.

- Elliot

I'm sorry you have to go through so much,
(we need an EDIT button!) that should read "I'm sorry you have to go through so much, AND I hope that...."
Turtle, as always, thank you. I'll be checking out the blog.

Kaysong, the fact that you and your husband are so supportive of your sister is going to do the whole family a world of good. It sounds like my son is not quite as far along the spectrum as your niece and nephew, but seriously every bit you can do helps.

Mungular, thanks. I don't know if it's bravery or just being in the wrong place at the wrong time.

JL, thanks.

GracieLou, thanks for the support. From everything I've read of your blog, you've been through everythign and then some more twice over with autism. Until we have a real diagnosis and therapy plan, we're pretty much in a holding pattern here. But rest assured, I am not someone who refuses the hand when offered. You'll hear from me soon. And thank you.

Procopius --that is an excellent analogy.

Irritated -- thank you. The teacher was hesitant to put the name there...I'm not sure if she said it first or my husband. I am planning to wait and see what the specialist says before I work myself up too much more. Thanks for your insight. I really appreciate it. Right now I'm just waiting to see what we're up against. I'm cautiously optimistic that whatever it is is dealable. And you are right -- Jenny McCarthy is probably the most irresponsible person I have ever seen.

Edgar, we are blessed to be in a private school that uses a montessori method until first grade. The trend is toward mainstreaming kids with more minor issues, and so I am fairly confident that whatever we're dealing with, we won't have to change schools. Thanks.

Sandra, your mouth to god's ears. Thank you.

hyblaean, it is true that many on the spectrum do manage to do remarkable things. I am very optimistic that whatever we're up against, we'll be able to get pretty close to "normal" with some good therapy. Thanks.

Roger, thanks. Like I said, i'm not sure who mentioned Aspeger's first, hubby or teacher. I am actually quite impressed with his teachers (there are two in his classroom and an assistant) and he's gotten a great deal of high quality attention from them. They've worked wonders with his eating issues. I am actually pretty confident that once the specialist gives his advice, they'll be great at assisting with whatever we need.

Dave, you'll know me that long and possibly then some, if we're both lucky. And thanks. I do agree that taking the optimistic approach is probably best at this stage, and throughout for that matter. I'll be keeping y'all posted.
Thinking of you, Liz. The gods are funny that way...
Liz, no words can say what you want and need to hear on such an emotional subject, however, my heart and soul as a mother and grandmother, tell me that every day is a new day. Each day brings new understanding and hope for every child with varying degrees of learning challenges. Where there are challenges there are also opportunities and surprises that only your son will reveal to you every day. His gifts are part of his unique make up and will be stronger and more apparent as he grows and learns at his own pace. He is likely to surprise you, as I am sure you believe with all your heart. Your resolve, determination and love is more vital to his progress and development than all the doctors, theories, and diagnosis that is inherently flawed in many cases. You are a wonderful, supportive, loving parent and one with enormous skill sets to augment your son's learning experience and growth. I believe that your optimism is on full throttle and you will not settle for less. Know that there is a community here, parents and friends alike, that always have an ear and great heart to be with you through anything that presents itself to you, both the unexpected disappointments and the baby steps leading to giant leaps toward complete ability to learn and adapt along with his peers. And no two kids learn at the same pace ever. Your son will have the added benefit of having your suport and attention to details most parents never see or imagine. My sincere, maternal love and support is with you and your family.
Liz, more heartfelt wishes to you for everything to work out as science deals with these things in a better and better way. You are such a thinking and caring person and you have a wonderful marriage and that can only be to the good as you have to deal with this challenge.

My niece has severe Asperger's and maybe more and she is taking meds and is one of the brightest most interesting and lovely young ladies I know.
Nothing to say that hasn't been said, but I'm thinking of you and hoping for the best. We had some very difficult years with a daughter who had emotional/anxiety issues. I know that's not the same thing, but it was hard and I am the kind of person who is reluctant to seek out other people to talk to about hard things. You seems so grounded and (though scared) ready to figure out the very best path for your son and yourselves.
Liz, I wish you the best. Your feelings are very natural. Embrace them and go from there. You are an educated, informed, and caring individual who will do the right thing by your son. That alone puts you ahead of the game.

A dear friend of mine, who is a pH D by the way, was sucker punched when a teacher threw out the A-word. Her son is mid-range in the spectrum, but with therapy has improved a great deal. He can make eye contact and speak well. Her worries about his success as an adult have lessened. He is always progressing.

There is so much more that is known now and, with you at the helm, your son will be just fine and then some.

Hugs.
I am so looking forward to meeting you and your family, Liz, praying that I'll be able to make the DC festivities next month. Do I have tales to tell!

Here's to one day John singing Paul Simon's "She Loves Me Like a Rock" just for you!
I wish there were something I could say to ease your situation. I see you have many here that care deeply for you and will help with encouraging words when needed. The undeserving stigma that goes along with being the parent of an autistic child must be difficult to deal with to say the least. It's certainly an added burden that you don't need. People can be so insensitive during a time of need. On the other hand there are many who are sensitive and do care. I would like to think you may very well be amazed at the strength you possess as your trials continue. The love of a mother for her son is a powerful motivator and can move the mountain so the boulder can be rolled on level ground.
Not knowing is bad. Reacting to the strange child you have spawned with contemptuous abuse until they flee your home and your company just to make it stop is bad. There's a lot of bad surrounding undiagnosed Asperger's or the lack of appropriate care. Call it "wreckage" for lack of a better term. It was so heartwarming to read your openness to this or other clinical diagnosis and feel the love which makes it all about your son's welfare. You're a fantastic role model in that regard.
Liz,

You guys are in my thoughts and prayers. Keep pushing that boulder.
If only more parents could be as well-informed and emotionally wise as you. You’re a remarkable mother. Thank you for sharing.
Thanks, Liz. You keep on leading the way. And embrace the fear. You will become stronger yet.
Thinking of you. You are a most attentive mother. I am sorry your family is dealing with this.

I did not know eating disorders were related to autism? Did your son refuse to eat? Eat only certain foods?
I can safely say that I know how you feel.

I have a 12 year old "classically autistic" daughter. She isn't in diapers, but cleaning shit off of... well, everything, is still a major time consumer in our household. I live in constant fear of the day that her period starts.

I also have a son with Asperger's. He turns 10 in February. He is a brilliant, sweet boy 98% of the time and an out-of-control terror 2% of the time. He reads well above his age level, but writes at about a kindergarten level. He will cry if a movie gets sad, but sometimes shows a chilling lack of empathy for other real people.

My advice to you:

1) KNOW YOUR RIGHTS. I had to drop out of college when my son was in kindergarten because the school was calling me out of class every day to pick him up early. Of course, that isn't legal, but I didn't pursue my rights vigorously at the time. I homeschooled him until we moved out of that school district.

2) This book: Since We're Friends: An Autism Picture Book
by Celeste Shally, David Harrington (Illustrator), Alison Singer (Foreword by)
http://search.barnesandnoble.com/Since-Were-Friends/Celeste-Shally/e/9780979471308/?itm=3

If you go to the link, you can see the actual pages online. It says "autism", but it is about Asperger's. It is a great resource for helping other kids understand how to be friends with someone different.

3) See a developmental specialist to confirm the diagnosis. Psychiatrists are notorious for overdiagnosing many disorders. A developmental specialist can confirm a diagnosis of autism and with that behind you, you have a great deal more power when dealing with the school district.

4) Keep your chin up. Classic autism is a nightmare. It is almost like losing a child, as you do lose all the hopes and dreams that you had before the symptoms began to manifest. The constant spectre of institutionalization hangs over one's head.

Asperger's isn't so bad. Managing Asperger's is the key. Turn the obsessiveness into a positive and there is no limit to what the child can achieve. (Einstein was said to have Asperger's.) Be patient and loving and teach him how to manage his problems and the future can be bright.

5) Keep a close watch on your marriage. Autism can kill a relationship. A child who needs so much special attention takes away time that a couple needs for each other. Your husband and his ex could probably tell you about that.

Given the fact that your husband is potentially 2/2 with autistic children (as am I), does he show any of the autism/Asperger's symptoms? Did he show any of the problems that your son is manifesting when he was young? If he does, he can probably do more for your son than anyone. Someone who learned how to live a successful life with similar problems will understand the peculiarites of the child on a level that no one else really can.

If it is confirmed that your son has Asperger's and isn't just a late bloomer, I feel your pain; but I can also tell you that isn't the end of the world. Your life may end being a little more rigidly structured than you had ever dreamed, but there is nothing to prevent it from being joyous as well.

Joe Hill (Stephen King's son) is a horror writer. He has a book of short stories out called 20th Century Ghosts. Many of them are horror, but there is a beautiful story tucked in the middle of the book called "Better Than Home". Drop by the library and pick up a copy (or if you like horror, it is a must-buy) to read that story (and "Pop Art", which is totally unrelated to the topic at hand, but another masterful non-horror piece from the collection).
"I will have to be a lot more careful about sharing this information with the parents of my son’s peers."

This sad statement reminds me of taking my daughter grocery shopping with me one of the two times that she had to be in a full-body cast following surgery to ameliorate a birth defect. The harsh, judgemental looks I got from many people stay with me to this day, nearly 15 years later.

Your comparison of yourself with Sisyphus brings tears to my eyes and I sincerely hope for a mountain of courage in your soul. I think it's already there.
Dorinda Fox,

Obsession is one of the hallmarks of Asperger's. Another is extreme reaction to certain sensory inputs.

A smell, a sound, a taste, or a texture can be so unpleasant that it can actually HURT to experience it. Simple things that may bother other people (or that other people may love) can instantly produce nausea.

I don't know the particulars with Liz's son, but the sensory problems that accompany these disorders can certainly cause dietary problems.
Ah, Liz. I'm sorry you're going through this road hump (which could be a mountain), but you seem to be the sort of person and mom who will not only rise to the occasion, but go above and beyond.

Although I have no kids, I was one, and still have a parent living, so I happen to know that parents don't get to rest. We always need you and love you.
I can think of nothing to say, Liz, other than I'm sure you're going to handle this with all the grace and strength we've seen from you already, and you're going to lend that strength and grace to your son.
Sorry for the double comment, but the song reference is spot-on. It has made me all teary.

For those who are not Kate Bush fans, the song Liz references contains the following lyrics:

And if I only could,
I'd make a deal with God,
And get him to swap our places.
Be running up that road,
Be running up that hill,
With no problem.
You wrote... "Having been raised by overachieving parents who wanted an overachieving daughter (and by and large got one), I’ve got significant hard-wiring in place that wants to see my child do incredible things. To some extent, every parent must surrender the notion that theirs is a perfect child. But parents of kids with developmental issues have to do so to a whole other order of magnitude. It’s not just a good idea – it’s a mental health imperative. Because the fact of the matter is that your universe of “normal” just got shattered. And ain’t nuthin’ puttin’ those pieces back together the same way. You either learn to live with it or walk around with a 20 ton millstone around your neck for the rest of your life, mourning the child that you never had, instead of loving the one that you do."

Bullseye, bingo, and beautifully said!

I presume you know, but in case you don't, there is still plenty of room to hope for all those "incredible things" you mention, given how often Asperger's is seen alongside especially high intelligence. In fact, there are plenty of jokes around Silicon Valley about how many geeks probably have it and don't know (go to wired.com and search on "geek test"). There are also plenty of of half-jokes about the number of college professors who are probably Aspies too.

In short, the world has always been full of high-functioning introverts who were "quirky but normal." I hope it helps to keep this frame in mind alongside the rest, even if getting good help for a kid still in school may require the attachment of clinical labels.

You probably already know this too, but focus on his problems when you must, then focus on his strengths the rest of the time, especially around the outsiders don't seem to get it.

PS.. For a bit more comfort, you might also enjoy the excellent novel "Speed of Dark" by Elizabeth Moon. It asks what the world would become if we could expunge "the spectrum" entirely.

Best of luck to you!
Liz,

I know EXACTLY how you feel. My wife and I went through exactly what you are going through now. My son, who is 10 now, was diagnosed with Asperger's and cognitive learning disabilities when he was in kindergarten. I still deal with my "issues" about it to this day. My son rides the "short bus" to school--causing me to cringe whenever I heard the short bus jokes. He will never play high school sports. He will probably never go to college. His future is uncertain. He's a beautiful little boy who longs to be accepted...and every time he comes back in the house after being rejected by the neighborhood kids my heart breaks anew.

Life is a hard enough struggle when one is "normal". I fear for my son. He is the weak, and as such, I've developed a hyper-normal distaste against the strong preying upon the weak. We are doing all in our power to provide as normal of a life for our son as possible. So just know that you are not alone. There are thousands of us out there...all ready to share our knowledge and experiences.

Definitely get your son professionally diagnosed. Once he is, notify the school that you want to set up an IEP (Individual Education Plan) meeting ASAP. In the beginning, the school system was a constant battle for us. Know your rights, your sons rights, and above all follow your gut. Even if it goes against what the school tells you. We didn't do this at first and my son paid the price. It won't happen with us again.
Liz: you will get lots of advice here, and I have nothing different to offer.

Please know that you, your son and your husband will be in my prayers. Somehow, with support of friends and family, and the love you know we reach out to you with, you will find the strength to go through this difficult time.

God bless

Monte
Liz, we all run the hill daily. I'm sure that you and your family are going to make it to the top.

Best of luck with your sons,
Greg
Hi Liz,
I have a son who is diagnosed as having Asperger's. Its a challenge. But we manage. He is picky with food. He can only wear particular clothing. Wearing a coat is an issue. He can be awfully stubborn and often shows little empathy of others. The list goes on and on. He struggles with certain things in school - like writing. Especially when asked to express his opinion. We've been fairly lucky so far in that the teachers he's had have been able to accommodate him, but that probably won't be the case when he reaches junior high. I am a little surprised to hear a teacher suggest that your son might have Asperger's. For one thing, most teachers don't know much about it. And as far as I know - there isn't a classic behavior of the syndrome that would easily define someone as having it. For my son - he was severely language delayed. That had us getting him help early on, which probably made a huge difference - and why he's pretty much able to function in a regular classroom. My son's social skills are horrible - but the kids in his classroom are supportive of him. That will change in junior high. Advice I'd offer to you? Seek out a local Asperger Support Group and talk to people there about finding specialists. I wonder if your son has Asperger SD. If food is his only issue, that sounds like "sensory integration" problem. So don't get down in the dumps. I would not hasten to put a label on your child. And I wouldn't talk to the parents of his peers until you know more, unless they may have some first hand experience themselves.
Liz, I'm so sorry. I know you'll rebound emotionally. There's no way of helping you get around this painful early time. I don't know how you feel about prayer, but I prayed for you today. Accept it as a thoughtful time about you and your son if that works for you better.
I echo all the sentiments and support, and I want to add to the voices advising a careful diagnosis with as many additional professional opinions as you need to be comfortable. My brother and his wife are reasonably good parents of their lively and well-behaved daughter, but they are fundamentalist authoritarians who cannot deal with any sign of disobedience. When their son acted out with a difficult temper--in exactly the way my parents say my brother acted out--and did not respond well to severe punishment, they took him to a psychiatrist, who after one session labeled him a "manic depressive with a touch of Asperger's." This diagnosis sounded ridiculous to me, especially for a child of 8, so I consulted therapist friends who told me to get my brother to seek another opinion. Sadly, my brother and his wife seem to want most a docile son, and with the medications the psychiatrist immediately dispensed, they got that, more or less. Yes, I'm sure I'm unfair to say that, but that's basically how the rest of the family sees it. They didn't seek additional opinions, and my nephew is a lethargic, obviously medicated boy. I still wonder about his diagnosis, as does everyone else in the family, and we wonder, too, what all those drugs are doing to him. I'm sure you've heard stories like this before, but like others I am disturbed that a potential diagnosis came up so early in this process, so I just wanted to be another voice of caution.

All best wishes in everything to come.
I have nothing helpful to add, but I can imagine how you feel. Hopefully you won't have as much unpleasantness with other parents as you suspect. Otherwise, all I can wish you is courage and good fortune.
Hey Liz, wishing you the best. Regarding "normal:" We all find our own versions of it. Not that you don't have a significant issue on your hands, just that you may find eventually that everyone has something. I work in schools and see myriad issues that come under all kinds of labels. Everybody's got their shit. (I just met with a mom of one of my fifth graders who cried her way through a meeting of her calling, where she worried about autism. He's a dead ringer, but the funny thing is, he's world's better on every level than most of the other kids in my class.) As for your hard-wiring wanting great achievements out of your son: He will achieve great things! I'm sure of it. My son's World History teacher in HS (a Jesuit priest, btw) is remarkably similar to an Asperger's father/son family we know. I mean, incredibly similar. Meaning, yeah, on some level this teacher probably is somewhere in the Asperger's spectrum (not that my son uses that label--he doesn't know it, even at 15). But the thing is, this teacher is A PHENOM. I mean, the guy speaks 15 languages, adores biology, lives for world history, and just oozes enthusiasm for culture and life. He's at a private hs of smart boys, so his audience is perfect for him, and my son has never, ever loved school more than he does now, even with all the workload. At the parent/teacher night when we met with the man and he gave his spiel with all the colorful drama that he so loves and all the affection he has for our sons shone through, all I could think, and it gave me chills, was: This man is exactly where he's supposed to be. It was the simplest, yet most profound, thought in the world--so many people are looking for their place and this man has achieved what most NEVER do: found his specific place in the world. Anyway, just a nice story for someone who needs one.
Liz, I'm a reader of Open Salon, not a writer, but I had to send you a note. I was sucker-punched when my son was 3. He had 3 years of preschool intervention services through the public school system --speech/language therapy, occupational therapy, and social skills classes -- and is now a pretty typical 9-year-old 3rd grader at a college-prep K-12 school. He's right on target academically, handles the classroom and playground just fine, has friends and party invitations. He's very emotional and a bit bossy, but overall is a delightful, curious kid. Yours will be too!

No one else mentioned this: the best information on Asperger's anywhere is OASIS (google OASIS and Asperger to find the URL). Barb Kirby started and has run the site for years. It's a goldmine of information. It also has a really active chat board. I've learned more from the moms on OASIS than I have in all the books I've read, doctors I've consulted, and seminars I've attended combined.

Barb also wrote a book: The OASIS Guide to Asperger Syndrome. It is the best, most comprehensive, most relevant book on the shelves (and I've read most of them!).

Take a deep breath. This is marathon, not a sprint. Keep good records. Keep John safe, but not too protected -- he needs to test his own limits. Help him find one or two tolerant, low-key playmates on whom he can practice his social skills. Indulge his special interests (unless they become so intense that they start cutting him off from the rest of the world). Don't write-off the public schools -- in many areas of the country the best therapists work for the school systems. Identify his needs and work on one or two at a time at the most. Resist the urge to hover (I'm still working on this one!).

Hang in there. Hope to see you on OASIS.
Liz,

Here is the short version of what I think all families facing autism spectrum diagnoses need to hear:

I hope you and your family are doing well despite your worries. Please know that even if your child does have autism, you are all going to be okay. The resources for and awareness of autism is general is much greater than it was in the past. You will not be alone. You should not have to make any decisions alone.

Please be kind to yourselves. Don't listen to anyone who offers you miracle cures or recoveries, or read books about such things. They will only sidetrack you into thinking about the child you *could* have, rather than the child right in front of you. Focus on your child, on helping her or him gain skills, on fighting for resources, on loving your child, and on parenting your child to the best of your ability.

You are going to be okay. You child is going to be okay.

Contact me if you ever feel you need to.

Long version:
http://www.squidalicious.com/2008/08/to-any-parent-who-thinks-their-child.html
Liz, my heart aches for you. I truly hope you don’t have to carry him all the way to hell and back, maybe just purgatory.

I hate it when the gods have other plans!
As an adult who has Asperger Syndrome, I have a different perspective on this. I've never been officially diagnosed, as I'm now 40 and back when I was a child, nobody spoke about autism. Now that I'm an adult, I think we live in a culture of too many labels and diagnoses. I can remember my parents speaking to my teachers about my slow language development and my antisocial nature as early as preschool. This was in the early 70s when no one would have thought to see a doctor for such things. My parents decided to focus on the things I could do really well, such as mathematics, music, and reading. I am fortunate that I always did well in school, and the social aspects of education just weren't spoken about very much. I was painfully shy, kept to myself, but had several teachers who encouraged me to write and express myself as an individual. To this day it's very difficult for me to speak on the phone with people I don't know very well, and I have to remember that it's polite to make eye contact, or I'll be perceived as rude. There are worse diseases I could have, and I get by very well. I made a great career for myself as a music editor as I've always understood computers and music. I live alone, make a good living, and have a wonderful boyfriend who understands my "idiosyncrasies". He has his own. I don't know your son, so it's impossible for me to give you any advice other than to love him for who he is and to identify the talents he has, as I'm sure he's probably exceptional at many things. He may never be "normal" but that doesn't mean he won't have a lot to contribute to this world.
First off, I don't know how to thank all of you for your support, both publicly here and in my inbox. Seriously, y'all have made this a lot easier to deal with and your faith in me is humbling, truly.

I don't think I can shout back to everyone, but here's some I couldn't let slip:

Cathy, thank you. I am actually looking forward to seeing him grow and learn. I have high hopes for our ability to get through this but you are right -- this community of support will make the rough spots so much easier.

Lonnie, nothing would make me happier...both seeing you in a month and hearing my son sing to me....something other than the alphabet song.

Michael Rodgers -- Parents are lions for their children, no doubt.

Stacey, thank you.

Dorinda, my son's feeding disorder is back in a post called "Hope is a Hot Dog" (sorry, running out of energy to go fetch linky). He has both a limited repertoire and appetite. And usually kids on the spectrum have plenty of eating issues, as Earthbound notes.

Earthbound, thanks for your advice, and for the benefit of your experience. It's folks who've gone before sharing that help folks like me, at the beginning of this, know that we can make it through.

Gregor, thanks for stopping by, and thanks for your comments. And yes, that Kate Bush song was very much in my head.

Nina B. thanks for your comment. I do hope for wonderful things for my son. We'll get there. It's just going to take some doing is all.

Del Sol, thanks for your comment, and your honesty, and your very good advice.

Monte, RLP, and all of you who mentioned prayers: Thank you. Prayer is one of the more powerful tools in my book, and I thank you for your rememberance.

Laura Horowitz -- thank you. Thank you for speaking up, especially since its not your usual thing.

Denise, Donna, some days you curse the gods, and sometimes you bless them, which I suppose says more about you than about them.

ikilledhiswife -- your perspective is perhaps one of the most helpful. I hope someday my son will be able to say that I loved him as he was for who he was, and that I loved him with all that I had. Thanks for the reminder of what the goal really is.

Again, thanks everyone. I am blown away by the love and support here. Truly. Thank you.
I've gone through several things in my life that had people gasping, "I just don't know how you did it." That pissed and still pisses me off because the alternative would mean I was built substandardly - from their own words, like them.

The Only Thing To Fear Is Fear Itself. That is 100% true. Everything LOOMS at the beginning. Once you start to climb, you admire the view.

Historically, many brilliant, and world-changing people were thought to have Asperger's. Your son may be one of them. And I know for sure he'll be happy, with a great mom like you.
You can add me to the list of all of us high expectation parents who end up with differently exceptional kids. Hang in there and listen to your gut; no one will ever know or love John like you do.

I so appreciated your bit about the other parents; how honest and true! Our 12 year old daughter has ADD and I still feel uncomfortable talking about it. When she was first diagnosed and medicated, I just tightly smiled when I heard the other moms tsk tsk over how this child or this one was on medication and what kind of parent would do that. Or how they couldn't understand why parents couldn't just will their child to perform a task on time or remember to turn in an important project. So just keep your head up with the bitchy preschool moms and remember how absolutely genius like and adorable the littlest pundit really is...
Liz,
I saw this briefly between classes at school and thought of you all day.
You are just eyeing the rock right now, as you said. SO good to come here with it as so many have had many helpful comments--particularly Earthbound, who really knows her stuff and what it takes. Sounds like you have a great school for him.
What I might add is not to be too frightened of the label--he is still the same sweet child. How society labels a person says more about the society. The idea of disability is in the environment, not the individual, who is simply different and not less, especially in the case of Aspergers. I've worked with kids with Asperger's and just loved them for their intelligence and their incredible focus on their interests. There are gifts to this.
Bless you and your family, Liz.
Liz, both my kids are high functioning autistic. I nodded through your whole post. Maybe one of these days I'll post something about my utterly awesome, doing-very-well, unbelievably squeezy, big-hearted and adorable loves and then you can nod your way through that. ;-)

In the meantime, add me to your list of OS folks who you can message anytime, should you feel the need.
Wow Liz. This is a gut wrenching story. I have a niece with Asperger's. I can totally understand why you feel like you've been punched in the stomach. There is nothing more painful than the pain of worrying for our children. Wanting everything to be "perfect". There no perfect people, no perfect children. But what you are going through, what your son goes through, there's nothing more piercing than that. I can only say that when it gets down to it, your son is most fortunate to have you as mother and strong advocate and ally. You are most fortunate to have him. I am most fortunate to "know" you.
Your post planted a hook in my heart. I'll be thinking about you and your young one. Marvelous analogy, by the way.
Oh, Liz, what a difficult thing to face! I suspect you're asking yourself, "What can I do to give this child the life he deserves to have, the life I want for him?" The only advice I have for you is to not get too caught up in the "how" of that. Those of us who read your words here can assure you that years from now, you will look back and find you have done it.

One of mine faces similar issues, related in his case to fetal alcohol syndrome. Although he is out of my home and care now, I remember days of determinedly putting one foot in front of the other, just trying to make a little progress. You don't have to push the boulder all the way up the mountain today; you just have to advance it a little bit and make sure it doesn't roll back down on you.

Your family is in my thoughts and prayers.
Liz, Just before I read this, I had a lengthy conversation with my own special needs child as he struggled with worries of never being able to be like everyone else. I reminded him that he has many wonderful qualities and can do many things and that no one is good at everything. He, like your son, will be better served by focusing on his abilities rather than on the things that cause him difficulty. Your little guy may have some challenges but it doesn't mean that he can't grow up and have a fulfilling life. He already has the best gift: a mom who loves him for who he is and who has good strong arms for pushing that boulder up the hill so that he doesn't have to do it alone. I wish you and your family the very best. I hope you'll let us know how things work out.
Liz,

So sorry that you are going through this. We've been through this in my family ( a niece---years and years ago, before the numerous treatments that are currently available.)

Irritated mother is 100% right. See professionals. More than one. It could be many things.

Will keep good thoughts for you.
Hey Liz, best of luck with John. Both of you will always be remembered in my prayers.
Liz, My 23 year old god daughter has Asperger's. Her father is the chemical engineer who got a 1580 on the SAT. Hmmmm... Her mother is the one who can figure out any quilt or knitting pattern and coaches me in Excel. Hmmmm...

Her name is coincidentally Julie. She was not named for me. She has had difficulties. Mostly social. She feels much more comfortable with her parents' peers than her own. She participated in group activities in high school, but was never "one of the gang." She has graduated from a two year certificate program at her community college in office skills.

As a small child she was not very communicative, but now she calls me on the phone all the time and I can't get her off the phone! What a joy!

No day has been "normal" for my friends. But then their older daughter was "normal" and they stayed awake nights worrying about her for other reasons. Julie is a wonderful young woman, brilliant in some areas and constantly growing in others. When she was small very little was known or disseminated about Asperger's. You live in a time when the schools are well aware.

Just love your son and hang on for a really fun ride.
Liz - just saw this and wanted to send you our best (DogWoman and I). There is lots of support from everyone here, and we're confident that you and the littlest pundit will come through this just fine. He is truly lucky to have a mother who cares about him so fiercely and with such love. I agree with going with your gut. You know what is best for him and your family. It is really tough watching and waiting to see how your kids will grow up. I've had progressive RA since I was 13. My father was severely handicapped with RA, and I was the only one of the five children who developed the same disease. I have watched two children of mine grow up healthy (now ages 19 and 15), worried constantly if they will develop the disease. But life goes on, and even if something does happen, we can adapt to make life a precious experience. I know that you'll keep on running up that hill, for the journey is certainly worth it. Our prayers and thoughts are with you.
liz - I have no words to make it better for you. But, I know that you do have the strength and resources to make it work for your son and your family. thinking of you.
Oh gosh, this is one of my pet peeves. I am of the same mind as my buddy Irritated M. I've a long history of working with differently abled adults and children with a huge range of issues ranging from miniscule to multiple and severe (including the full spectrum of autism). I do not have any degree of study in this area, but I do have a fair amount of experience.

It is perfectly appropriate for a teacher to say that a child's social, motor, whatever skills are lagging, but NEVER to offer up even a hint of diagnosis.

"surrender the notion that theirs is a perfect child...." They are ALL perfect in one way of another, they just have to discover their special perfections.

I've done tons of arts outreach in VA schools as well as taught for private studio programs (in VA as well) . In the private programs I continuously had parents who had been told that their child was not "normal" whatever normal is. Most of these kids were the brightest and most creative thinkers of the bunch. I have had countless conversations with worried parents. In the studio program I had the unusual chance to watch the same children year after year. I had children that came to me as 5 year olds and taught them until I left the program some 5 years later. We often received thanks from parents whose children were not so well appreciated in their full time school.

It's ok to be a square peg when all the others are round. It's not ok to constantly try to force that square peg through a round hole.

Too much emphasis is placed (IMHO) on the milestones of early child development - a time when children often develop at vastly different rates. Even if a child has a mild form of autism, the emphasis of that fact by the teachers and the angst by the parents can often do more to delay a child than the actual disorder. But, it is a complex issue, and every parent must do as they think best for their child. Professional consultation is always good. Best of luck with your perfect child and all that your journey together will entail.
Hi Liz:
Just got here , sorry for the delay. I think you are getting good direction from other OSer's who question the validity of a classroom teacher's diagnosis. How presumptuous!

Some of the most brilliant people I met during my Ivy League experience were not the "entire package" (if such a thing exists as an ideal) with social skills in abundance. These people have gone on to do amazing things in their careers. One of them is now a dean at the Yale Law School. One of them is President of a large non-profit charity. Both of these men were brilliant engineers in college, both graduating summa cum laude.

Your son is the first child in the household. He is getting used to being around other kids -- he is VERY young to be labeled!! My second oldest grandson is still socially shy, but brilliant in his school work. He was pretty slow to get going, but when he did he soared.

Liz, I know it is a tough first exposure to the idea, but being a success and thriving in this life comes in all shapes and forms. Those men I knew that could barely hold a conversation with me in college, graduated with high honors and have gone into professions where social skills are required -- obviously, intellect and judgment trumped all in the end.

You are a brilliant, well-reasoned thinker with a beautiful soul. You will raise your son to look at life from your perspective -- how could he not benefit from your love and best intentions? Take a breath and remember -- nothing is yet set in stone and all can be shaped and molded to be as it should be.

I am keeping you in my thoughts and prayers, but I know this will all turn out fine!
PS
I wanted to add that I admired both of the men that I noted in my last comment. I listened to their thesis plans, their discussions of coursework -- I learned so much from them about processing raw data and turning it into someting useful.

For some reason, I happened to end up in the residential college that housed most of the math and science geniuses. We all had fun together and no one was ostracized because they were a "geek" at least not by me! I stood in awe of their intellect and potential contributions to society.

In the end, my take on it was that these people were blessed NOT to have to deal fully with "complex" social issues. Their minds could stay focused on the work they came to do to bring new ideas and scientific advances into the world. They were not overly distracted by the things that got me into trouble in college -- boyfriend issues, partying, being overly worried about fitting in as a middle class chick with a bunch of preppies.

In the end, they have prospered by not having to be overly socially involved during their education. Obviously, they developed enough social skills to prosper in the end. They are happy and I am happy for them! Developmental labels are just attempts to box people into a constantly changing social norm.

If there are to be expectations for a child, they have to fit the child. Your parents knew you could do it all, so you did it all. You will know what your child can do, and he will meet your expectations if they match his own. That is all that anyone can do while growing up with those that they love and those who love them?
Hugs and prayers and bushels of supportive vibes, Liz. Your son is so so lucky to have you as his mother.
Liz, I'm sorry you are dealing with this, but you are definitely strong enough and persistent enough to get through this. Your love for your son is obvious. Thank you for your honesty. I hope things get better.
This is a very hard thing for parents. There are MANY overachievers who ARE aspergers and your son has great potential even if he has some hard challenges ahead. One of the important places to discover are places like Talisman Summer Camps http://www.talismancamps.com/ or SOAR Adventure programs www.soarnc.org who empower those with Aspergers and various autism challenges through positive activities with others living with the same challenges.
Hi Liz,

Here are comments on your writing from my facebook:

Teresa Bolton (Charlotte, NC)
Oh, wow! Robin, this woman is a saint! We have the severely autistic child that she describes as the oldest, and we also have the Asperger's end with one of ours. Thank you for posting this link. Sometimes it helps to know we are not alone! And BTW, I want to slap Jenny McCarthy in the head also - at least twice! LOL

Jane Eynon Coburn Fri 11:17pm
Great article! I thoguht I was the only Mom of a child with autism who wanted to punch Jenny McCarthy in the face? Good to know I am not alone...
"But it is autism nonetheless."

This is by no means certain. In any case, the real-life issues faced by kids with AS (and their parents) are nothing like what we think of when we hear the word "autism". Personally, I don't think that the two are on the same spectrum.

I'm not a pyschiatrist or therapist, just a smart (AS) guy.