Tuesday, February 16, 2016

A Person is not a Diagnosis



"Listen to the mustn'ts child.  Listen to the don'ts.  Listen to the shouldn'ts, the impossibles, the wont's.  Listen to the never haves, then listen close to me.  Anything can happen, child.  Anything can be."  -Shel Silverstein.
It has been almost three years.

Three years since my son was evaluated and received his official diagnoses.

He was four years old.

I still remember that moment, sitting in that conference room and hearing the official classifications for the first time.  He was diagnosed with ASD (autism spectrum disorder), SPD (sensory processing disorder), LI (Language Impairment), SI (Speech impairment, specifically with a phonological processing disorder), and in addition to qualifying for speech and language services, he also qualified for OT (occupational therapy).  That's a lot of alphabet soup for a very little boy.

And so it is that during this time of year, I find myself reflecting back to that moment- the moment when these diagnoses became a reality for my son.

Over these past few years I have uncovered a great contradiction that comes on the heels of a diagnosis.

On one hand, a diagnosis helps to provide an explanation for a set of behaviors and, often, a plan of action with the promise of services and supports.  It can be frightening at first to come to terms with a diagnosis but, over time, there is a sense of relief and freedom in having a word to describe these differences that you see within your child or possibly within yourself.

However, there is another side to the diagnosis- and herein lies the danger.

If one is not careful, the diagnosis can define the person rather than the other way around.


We hear the saying all the time.

You know the one.

It goes something like this, "If you’ve met one autistic person, then you’ve met one autistic person."  

We know that autism is a spectrum.

We know that sensory processing disorder presents differently in each person.

And yet, we still seek ways to define and quantify them. 

Perhaps is has to do with the endless questionnaires and checklists that we fill out, first for the evaluation center, and later for the dizzying array of therapists or for our child’s school.  The questions on these checklists assume certain things about what our children can and cannot do and leave little room for anything outside their neat little boxes.  

It continues later, at home late at night, as we search for answers to our burning questions through endless Google searches.  What we fail to realize is that we are limited by the questions that we ask and the answers that we receive.  

We look for examples of our children, or ourselves, in the blog posts that we read or in other children we meet in therapy sessions.  We begin to assume that the behaviors that we see now mean forever and, slowly, the despair sets in.  And while there is comfort in finding a community, a danger lurks in the fixed mindset that creeps into certain comments that we read from others, creating a low ceiling of expectations for our children or ourselves.  

Please understand that I am not advocating that we push kids and ourselves to the breaking point.  I’m just saying that, too often, we allow an autism or SPD label to set the bar too low or to create sweeping generalizations to describe our kids.

Also, please know that I am eternally grateful to the teachers and therapists who have come into our lives and who have helped us along the way.  I am grateful to the family and friends who were there for me and who continue to be there for me.  I know I am lucky that Ben has such an amazing support system surrounding him.

But, even with that cocoon of love and support, it is easy, so easy, for us to lose our way.

Too often fear takes over and silences that inner voice that whispers that our child is so much more than the data points on that bell curve we just received from the latest meeting, or the summary statement that stares at us bleakly on top of the huge evaluation report.



The biggest thing that I have learned over the past few years as a parent of an autistic son and a son with SPD is this:

Ben's autism and his sensory profile are integral components of his neurology and his personality.  I cannot separate the autism from him, nor would I want to.  It is a part of who he is.  However, the person who he is today is not the same person who he will be in the future.  He will grow and change, even though he will never grow out of his autism.

Also, even though he is autistic, he is no less of a human being.  His autistic self and his sensory profile are as unique as his fingerprints.  They are a part of him, but they are not all of who he is.  No survey, questionnaire, or expert can define him.  He defines himself.  And, more often than not, he defies expectation.



Here are a few examples:

Myth 1:  Autistic people lack empathy.

I never truly bought into this myth because I’ve seen so many examples of my son defying this on a daily basis.  You can read one example here from a couple of years ago.  What I have found to be true is that my child shows empathy in his own way.  I think that some say that autistic people lack empathy because it’s the easy answer.  Those who say this simply don’t know where to look. 

Here's a recent example of Ben's empathy that I almost missed myself.  We recently had to pick out Valentine’s Day cards for my son’s class party.  As we stood in the aisle at Wal-Mart, I pointed out the wide selection of colorful boxes.  I steered him towards a couple of options that I thought he’d love, especially the scratch art variety, since he loves to draw and color.  However, Ben had his eye on the Skylanders cards.  Ben had never shown even the slightest interest in Skylanders before.  However, after asking him a few times if he was sure, I allowed him to make his choice.  They were his cards, after all.

Ben went home and immediately got the list out from school that had the names of his classmates.  Even though writing can be a challenge for him, he carefully wrote the name of each classmate on a card until they were all finished.  Then, we set them aside until Valentine’s Day.

I didn’t think much of the cards until it was time to pack them in his backpack on the day before his class party.

“Landon is going to love my cards,” Ben commented as I placed them in his backpack.

“Why?” I asked.

“Because Landon loves Skylanders,” he replied.

And then it hit me.  Ben had chosen those cards weeks ago with his classmate in mind.  He chose the cards that he knew that his buddy would enjoy.  If we hadn’t had that conversation, that clear act of empathy would have totally passed me by.

Don’t believe for a second that people on the spectrum are devoid of emotion.  They feel, probably more deeply than most, even if you can’t see the evidence to prove it right away.

Myth 2:  Autistic people and those with SPD hate being touched.

It is true that some people cannot stand physical touch of any sort.  However, for many people, the type of touch matters.   I’ve learned from Ben’s OTs that there is a difference between the way that people respond to light touch and deep pressure.  Light touch is typically alerting while deep pressure is usually calming.  Think about how differently your body responds to feeling a spider’s web on your arm as opposed to a deep tissue massage. 

My son has always responded well to physical touch.  It calms him.  When he is upset, a deep hug reassures him better than any deep breathing technique.  His favorite thing to do in the evening is to cuddle up next to me as he relaxes before bed.  You can read about our special evening routine here.  

It is important to ask permission before touching another person, spectrum or otherwise.  I never force my son to display physical affection.  It’s up to him to give consent, because I want him to know that he is in control of his body.  However, when used properly, deep pressure can be very calming and reassuring in an often-scary world.

Myth 3:  Autistic people and those with SPD cannot handle anything over-stimulating.

The sensory world can be a lot to handle and often confusing.  However, I have learned that I shouldn’t allow this to limit my son from enjoying life.  This is where knowing the person is so important because what is too much for one person to handle may be just right for another.  Or, what may be too much on one day may be fine the next (or, fine for awhile until it becomes too much).

In my son’s case, he may be able to handle and enjoy the event itself (with support) but he will undoubtedly need a lot of down time afterwards. I’ve learned to take my cues from him and let him decide what is too much and when he’s had enough.

Recently we celebrated Ben’s seventh birthday in Orlando.  We decided to take him to see The Blue Man Group.  In case you haven’t heard of the Blue Men before, they are three guys who are painted blue (hence the name) who do strange, amazing, and hilarious things on stage, such as drumming while paint sprays out into the audience.  Before we paid for the tickets, Ben watched some You Tube videos of the show and found the guys very funny.  I’d seen the show myself in the past and I felt he could handle it.  However, when I told a friend that I was taking Ben, her immediate reaction was concern.  

“You’re taking him to see the Blue Men?  Do you know how loud that show is??  And there is strobe lighting?? Not to mention those guys are creepy looking and they walk into the audience.  It seems like the recipe for a sensory nightmare to me!” 

I appreciated her concern.  I knew she was looking out for Ben’s best interest and, quite honestly, I knew there was a chance it would be too much for him.  However, we went to the show prepared.  We had his noise canceling headsets (which he immediately requested and wore the entire time).  Luckily, as we hoped, he had a great time.  He had a general sense of what to expect because he’d seen it on the videos, so he was not caught off guard.  His favorite part was the dance party at the end when the giant glowing beach balls fell from the ceiling and bounced around the auditorium.  What could have been a potential disaster turned into a fun evening.  Now I’m certainly not suggesting that every kid with sensory needs should go see the Blue Men.  What I am saying is that, with supports, our kids should still be able to enjoy the world around them on their terms. 

Myth 4:  Autistic people cannot tell or understand jokes.

It is true that many people on the spectrum are more literal-minded so jokes and idioms can be more difficult for them to get.  This doesn’t mean, however, that they can never understand or appreciate humor.  It’s been fun to watch my son’s blossoming sense of humor.  

I come from a family who enjoys a little good-natured fun.  My husband and father are both jokesters.  Lately Ben has been able to recognize a certain tone in my husband or father’s voice and has begun asking, “Are you teasing?” 

This past week I watched my son attempt to tease me for the first time.  I installed an app on his iPad for the Oregan Trail. (It’s a modern version of the game so many of us from my generation remember from our childhood.)  There is this one particular song on the game.  It has this annoying repetitive twang that grates on my nerves. 

“Oh, no! Not again!” I exclaimed as the song came on.  “This drives me crazy!!” 

Ben dissolved into a fit of giggles and got a mischievous look in his eye.  Then, he started the game up again, just to play the song and watched for my reaction. 

“Do you like this song?” he asked sweetly, knowing full well that I didn’t. 

Another example is his attempt at magic tricks.

“Which hand has the coin?” he’d ask, presenting me with two closed fists.  If I guessed correctly, he’d quickly try to swap hands and ask me to try again. 

Humor may look different for each of us, but that doesn’t make it any less valid.

Myth 5:  Autistic friendships should be discouraged.

This was a lie I bought into for a short time when Ben was in preschool.  I was told that Ben should not play with other autistic children because he would learn incorrect habits from them.  I was told that he would not learn proper social skills.  I am so glad I didn’t listen to this because one of his best buddies is also on the spectrum.  On Ben’s birthday, as we were waiting for our dinner at Chili’s, we got a call on the phone, and it was this buddy wishing him a happy birthday.  Apparently he’d been waiting all day to call.  I cannot ask for a more loyal friend for my son.  They have a special bond and it is a joy to watch them play together. 



So, the moral of the story is this. 

Your child is a unique person.

There is no other child like yours in this world. 

No book nor questionnaire can define him. 

Your job is to let go of the worries and fears about doing it wrong. 

Give yourself permission to make mistakes and try again.

There is no race to the finish line.

There is no magic window that closes.

So let your child be his own unique, wonderful self.

Teach him to know himself so he can advocate for his own needs.

Love him for who he is.

Then, in your heart of hearts, you’ll know that you’re doing it right.




*I use the pronoun "he" throughout this post, but of course all of this applies to females too!


Welcome to the Sensory Blog Hop — a monthly gathering of posts from sensory bloggers hosted by The Sensory Spectrum and The Jenny Evolution. Click on the links below to read stories from other bloggers about what it’s like to have Sensory Processing Disorder and to raise a sensory kiddo!


Tuesday, January 12, 2016

Living With Sensory Differences, "Ask The Expert" Edition

In this picture Ben is running on the beach towards the water.  The beach is most likely a close second of his favorite places.

Living with sensory differences isn't always easy, so I decided to ask the resident expert on the subject, my six-year-old son Ben.

Ben and I often talk about how his body and brain give him certain strengths but can also be frustrating at times.

Here is a recent transcript of our conversation about Ben’s unique body and brain, shared with his enthusiastic permission.

Me:  What do you like best about your body?
Ben:  It (my body) has hands to get some coins and to look at the coins.
(Ben is a coin collector.  You can read more about his love of coins here.)

Me:  What do you like best about your brain?
Ben:  It thinks about states.
(Ben is also a huge fan of geography, particularly the United States.  He has a mental map of all the states inside his mind.  He can tell you more about where the states are located than pretty much anyone I know.)

Me: What makes you most frustrated about your body?
Ben: Hitting myself
(When Ben gets frustrated with himself, he’s developed the habit of hitting his head, to literally “knock some sense” into his brain.  He’s learning other strategies to cope with frustration.  The one that helps the most is squeezing a squishy ball.)

Me:  What makes you most frustrated about your brain?
Ben:  It makes mistakes.
(As much as we talk about mistakes being wonderful opportunities to learn, he still hates mistakes with a passion.)

Me:  How do you help your body when you get frustrated?
Ben: Squeeze my squishy ball.
(Squishy balls work better for Ben than taking deep breaths.  Pro tip- get a durable squishy ball.  It's even more frustrating when they break!)

Me: What do you do to help your brain when you get frustrated?
Ben: To get good thoughts in my brain, like coins.
(Positive thoughts are big around our house.)

Me: What is the hardest part about school?
Ben:  The gym and the bucket dippers.
(The indoor gymnasium is a loud place for Ben, and he wears noise-cancelling headsets to handle the noise.  “Bucket-dippers” are people who do unkind acts that dip into a person’s metaphorical bucket.  You can read more about them here)

Me:  What is the best part about school?
Ben: Science experiments and centers.
(Ben is definitely a hands-on learner and we love that his teachers work hard to meet his learning needs!)

Me:  Where is your happiest place to be?
Ben:  In my home with my home.
(Ben has a certain soft blanket that he absolutely loves.  He calls it his home.  As soon as he gets home, he cocoons himself inside it with his squishy balls and his stuffed animal friends.  It is definitely his happy place.)

Me:  What makes you the proudest about yourself?
Ben:  I am a bucket-filler.
(Yes, Ben, you certainly are!

So...there you have it!

Many people try to explain sensory processing or autism, but the true experts are the people who live with these differences every day.  Each person's experience will be unique and a bit different, so in order to best understand the individual....ask.  And, if the person is unable to communicate verbally, watch closely and learn.  All behavior is communication.  

Every person, regardless of their abilities or functioning level, deserves respect.

Every person deserves to hear about (and spend time developing) their strengths at least as often, if not more, than their areas of weakness.

Every person deserves to feel safe, respected, and loved.

And...finally...every person deserves to be the author of their own story.


Welcome to the Sensory Blog Hop — a monthly gathering of posts from sensory bloggers hosted by The Sensory Spectrum and The Jenny Evolution. Click on the links below to read stories from other bloggers about what it’s like to have Sensory Processing Disorder and to raise a sensory kiddo!


Friday, January 1, 2016

2027

 
My resolution is to help make the world a more inclusive place by the time my son graduates high school in the year 2027.

 The New Year is a time when many of us think about our personal goals and make resolutions for the coming year.  For example, we might resolve to lose weight, exercise more, or save money.   These are noble aspirations, but, in most cases (including my own), our willpower fizzles after few weeks and we revert back to the habits that got us where we were in the first place.

Lately I’ve been thinking about the future, and more than just the coming year.

I originally started writing this blog as a way for me to connect with the autism community, to educate and provide support to other families on a similar journey, and to help others understand autism as it directly relates to our family.

Those goals still hold true, but somewhere on this journey, my vision has shifted. At first, my view of autism was very narrow and focused on my son.  But, the more I read, researched, and learned, the more troubled I became about how society treats those with disabilities. 

I realized that there is more work to be done than I ever imagined. 

There is an insidious perception that pervades our society.  The perception is that somehow those with disabilities are “less than” the rest of us. 

Once you see this perception, it can’t be unseen.

For too often, therapies for autistic individuals focus on making them appear “less autistic.” 

Too much funding goes towards finding a cure for autism, and too little towards providing supports.

And, too much of the conversation centers around how autism impacts children (specifically boys) and not nearly enough about the realities facing autistic adults in the workplace and in society.

This has got to change.

We are seeing the direct impact on a generation of autistic adults.  If we listen to what they have to say, we can change the future for the better.  We cannot go back and change the experiences that these adults faced when they were children, but we can make sure that we don’t repeat the same mistakes on a new generation of children.

My goal is for the next generation- my son’s generation- to grow up in a world that values differences rather than conformity.   This society will have supports and structures in place to accommodate the very real needs facing the autism community. 

My resolution, if you will, is to do my part so that by the time my son graduates high school in the year 2027, the world will have structures and supports in place to support inclusion at all levels, in school, in the workplace, and in all aspects of society. 

Here is my plan to help with this change.

1)   Listen to the words of autistic adults and consider their message with all personal feelings aside.  Embrace their advice with humility and remember this is about my child and his future.
2)   Become involved with organizations that share my mission.  Many organizations are focused on finding a cure for autism.  I’ve reached a place where I no longer care what causes autism.  I am instead more focused on finding supports for my child now, but, more importantly, helping to build systems and structures to support him in the future.  Organizations such as The Autistic Self-Advocacy Network,  were created by autistic individuals and are where I’ll be lending my support.  I’m also involved at a local level with disability organizations that align with my mission in my own community.
3)   Educate others about autism acceptance.  Help others to shift their point of view away from autism as a tragedy by helping them to see the wealth of strengths autistic individuals bring to this world.  Help them to understand the importance of creating a more inclusive world for all of us.
4)   Continue to teach my child the skill of self-advocacy.  This includes teaching him to understand his strengths and how to ask for supports to address his areas of challenge.
5)   Make sure to tell my son every day, that I love him for the person who he is. Any adults who come into his life, whether they are therapists or teachers, family or friends, will always hear from me that our ultimate goal is not to change Ben into a “less autistic” version of himself.  Our goal is to raise a confident, happy adult who will make this world a better place in his own way.  Ben is lucky that he has so many wonderful adults in his world who love him for who he is.  This is my wish for my child, and for every child.

This is my New Year’s resolution for this year and for many years to come.

Unlike my other resolutions that fizzle out with time, I know I’ll stick to this one. 

The question is- will you join me?


Our work starts now.