Halloween
will be 4 years since our youngest daughter was diagnosed with
infantile autism. 4 years!! It seems like we have lived an entire
lifetime since. There are moments I still get angry about getting
dealt the unexpected life and there are times I am
completely at peace with it.
I
mean, the 'white-picket-fenced-happily-ever-after' really doesn't
exist anyways, does it? (But no one ever prepares you for that!!)
I
get fired up when I tell our story and how it took us 4 years to get
Sahara diagnosed; she was non-verbal and catatonic at the time... and
we noticed symptoms at 5 months!! Sure we had some denial, but we
also kept asking professionals what was wrong! A mother just knows!!
Why didn't 'they' listen to my concerns? I often note that we were
told many times, “Autism is a boys disorder... it can't be that.”
I
am here today to say... AUTISM AFFECTS GIRLS too!!
As
we mucked forward in her treatment and advocacy, we started to note
markers in our older daughter as well. But she was fully verbal,
quirky at times, but nonetheless, definitely not autistic, right? In
fact, had I not been engrossed in the world of autism, the quirkiness
and challenges would have likely fallen off the radar as well.
We
have been asking educators to help us figure out what was going on
with Emily too... for years she has struggled academically, socially,
and emotionally. I often associated it with the effects of being a
sibling to a child w infantile autism. Life hasn't always
been easy.
But
2 weeks ago the diagnosis came. I expected it.. yes, was even
prepared this time. Sahara's diagnosis hit me like a ton of bricks!!
I was crushed for days... maybe weeks... I can't really remember.
Back then I was exhausted and the verge of a break down of my own...
that is, until I decided I could wallow in self-pity or pull up my
big girl pants and change the gloomy prognosis by getting her skills
and supports to keep her out of an institution.
Institutionalization?
Yes, the diagnosing psychologist told us to go home and put our
affairs in order to have her institutionalized... We fired
her! In hindsight, I am sure it was a power play to try to scare
us into utilizing their program, but that only inspired me more to
prove this system wrong... and to do it my way. A gamble? Perhaps...
but it was better than the alternative.
When
we saw the word ASPERGERS written on the psych report for our oldest
daughter... I was not completely crushed like I had been four year
prior. OK, maybe a little, but not nearly to the degree I was with
the catatonic infantile autism label.
I
knew... and somehow the last 4 years have definitely prepared me to
the concrete realization I have two kids, not one, on the spectrum...
opposite sides, but regardless... here we are.
Aspergers!
It does Answer a lot of questions for us. VALIDATION!!
SO
I found myself, again, asking…
WHY
DID IT TAKE 13 YEARS TO GET THIS DIAGNOSIS??
I
started to think, would it have taken this long for either of my
children to get a diagnosis had they been boys? 1:88 children are
diagnosed with Autism today... 1:54 boys. I have said all along
that there are definitive gender differences in girls vs. boys..
across the spectrum.
With
a girl on the aspergers side of the spectrum... it looks different
than with a boy. The girls get focused (aka obsessed) with gender
appropriate toys... so a sweet little girl lining up her stuffed
animals all over the front room is socially acceptable and this
activity can be mis-interpreted as a tea party. OR the appearing to
be a shy little girl hiding under her mothers shirt or behind a chair
is somehow expected.. and by the way, isn't that adorable? Or
somehow that quirky little girl sporting her pony tails and dress
becomes just so cute, feisty, or spirited.
Then
around the 3rd or 4th grade... when the academic
piece starts to fall apart, it is easy to brush it off as she is just
becoming 'boy crazy' (Yes, an intervention specialist told us that
once! I was so angry... because my child was not interested in 'boys'
like the other girls... another huge red flag.)
Or
she just isn't trying hard enough... you don't discipline her
enough.... you let the tail wag the dog.... she is so stubborn....
etc etc etc
Then
when the asperger adolescent hits puberty... hormones surge. The
hormones coupled with the new demands on an adolescent girl with
social expectations changing rapidly.. gets shrugged off as
anxiousness.... when in fact, they don't know how to navigate the social
constructs and inside are drowning. They are excellent observers and
imitators... but If you watch closely you can see them 'playing the
part' on the edge of the social circle.
WE
MUST START LOOKING AT MARKERS FOR AUTISM, ESPECIALLY ASPERGERS,
DIFFERENTLY WITH FEMALES THAN MALES.
2
years ago we had Emily evaluated by another psychologist and she
said, “I would have given her the asperger diagnosis, but she
scored too high in self care.” Are you freaking kiddin' me?? We lost 2 years of intervention, because they look at the diagnostic tools established based on male autism attributes.
Just
because females attend to their physical appearance and space, they
get ruled out? No wonder there are more boys formally on the spectrum
than girls.
So,
here I am... at another epic crossroad in my complex life... I can
choose to loathe in self-pity and blame, or take action to give my
girls the support and skills they need to navigate life.
I
choose empowerment.
And
so, the unexpected life continues w a new chapter, this time with the
realization I not only have 2 kiddos on the autism spectrum... but 2
girls. 2 girls that manifest it very differently from each other..
yet, very much the same and much differently than their male counterparts.
Jeneen
Interlandi in her article, More Than Just 'Quirky, states this
concern of mine more precisely:
“It's
not uncommon for girls with Asperger's to go undiagnosed well into
adulthood. Like heart disease, this high-functioning autism spectrum
disorder is 10 times more prevalent in males, so doctors often don't
think to look for it in females. But some experts have begun to
suspect that unlike heart disease, Asperger's manifests differently,
less obviously in girls, and that factor is also causing them to slip
through the diagnostic cracks. This gender gap may have implications
for the health and well-being of girls on the spectrum, and some
specialists predict that as we diagnose more girls, our profile of
the disorder as a whole will change. Anecdotally, they report that
girls with Asperger's seem to have less motor impairment, a broader
range of obsessive interests, and a stronger desire to connect with
others, despite their social impairment.”