A Diagnosis of Autism – Now What do you Do?

Mandy was at a craft show today and met a lady whose grandson had recently  been diagnosed with autism.  Mandy talked to her for a while and shared a little of the conversation with me.  It brought back memories of similar discussions with other parents I’ve had over the years and shows again how lucky we were with our first few months.

Casey was very healthy and got her well-baby check-ups at our county health office, so our doctor never had a chance to tell us she was behind in many areas.  The nurse at the clinic didn’t seem concerned, but did say we should see about speech therapy for her.  I started driving her to a city 35 miles from home once a week for therapy.

Her therapist suggested she might benefit from preschool, so I enrolled her in the Y.  The first day I went to pick her up, I could hear her screaming from outside.  She was under a cupboard and out of control.  She was scared to death and overwhelmed by the noise and the differences in her routine.  She eventually settled down, but it was clearly not the right place for her.  The teachers were amazing and got on contact with our local school district.

Casey started her new preschool and loved it.  She adored her teachers and they understood a little more about autism.  During her summer break, she was officially diagnosed with autism.  We were pretty sure autism was the cause of her communication difficulties and the other signs that were beginning to show up in her life so hearing the doctor say the words wasn’t a big shock.

Since she was already enrolled in a specialized preschool, we merely continued with what we were doing – speech once a week and working with her on the same things her teachers were doing.  And I also began to watch Mandy and baby Robbie for signs of autism.  I couldn’t change it if they did have autism, but I wanted to know early.  When he was old enough, he started the same preschool that the girls had gone to.  He was already getting therapy before we got a diagnosis for him.

I had an amazing support system with teachers, therapists, family and friends.  No one really knew anything, but we all learned together and same days were not good.  There weren’t as many options for therapy in 1991 as there are now and when we did find something we wanted to try, it was rarely available in our small town – or insurance refused to pay for it.  And so the fight began…

I had to argue with the insurance company.  I had to call the doctor over and over to get prescriptions for therapies and then try to figure out how to pay for it.  Social Security wasn’t an option as it is based on family income until the child is 18.  So I did what I could and kept reading.

Most of the time, I felt incapable of getting the kids what they needed.  I was just a mom – not a professional with a bunch of letters after their name.  Surely, they knew what was best – right?  No!  And that was the hardest and first lesson you will have to learn.  YOU know your child best – their needs, their difficulties, what sets them off, what makes them happy.  Yes, you need to listen to the professionals, but never be too afraid or too shy to stand up and speak your mind.

I was too shy.  For months, the special education coordinator intimidated me.  He intimidated everyone – often, in meetings, he tapped pencils or shuffled papers and seemed to be not listening to a darn thing that was being said.  At the end of the meeting, he would hand me a paper and tell me to sign it.  And for a long time, I did.  I would leave meetings in tears – from anger and sadness.  Until one day, he shuffled his papers one too many times and Mama Bear showed up for the first time.

I slammed my hand on the table and told him that she might be a number to him but Casey was MY DAUGHTER and he was going to listen to every word being said or I would go over his head and find someone who gave a damn.  That was a turning point for us – and when he retired many years later, I called him a friend.   Always, always be nice as long as you can – but, stand up for yourself and your child, too.

Find a doctor you are comfortable with and who listens to you.  You are allowed to ask questions – if your doctor rushes you out or doesn’t acknowledge your child, you may want to find another doctor.  Hopefully, your doctor is like both of ours – they are willing to do whatever they can to help the kids.

One of the first phone calls I really recommend you make is to your county board of developmental disabilities.  They will have services that can help your family and be able to point your in the right direction for other help.   Most of the time, when your child becomes a client of your county board, you will be assigned a case manager (they are called service and support in our area) who will be the person you contact whenever you need help.  We have had amazing SSA’s over the years – I’ve cried to them and yelled and told them I was just too tired to deal with anymore.  They are my friends and I’m so grateful to each!

Social Security might be an option to help pay for services for your child, but remember, until your child is 18 it is based on family income.  It’s worth a call, though.

If your child is 3 or older, call your local school district.  Just a head’s up, though – all of this takes time and you may have to call more than once to get what your child needs.  Be persistent and know that, while your child is the most important to you, the district has 100’s of kids who are just as important.  Try to be patient – but persistent.  The squeaky wheel gets the grease, after all.

Some hospitals have therapy departments that may be able to service your child.  It might also be possible for lower rates if your insurance won’t pay.  It can’t hurt to ask.  Get used to asking for things because that’s a new part of your life.

Remember that this stuff doesn’t need to be done all at once.  Give yourself time to adjust to your new life.  Your child hasn’t changed, but having a diagnosis changes you.  Before, you were just a parent, now you are a parent of a special needs child.  Give yourself time to grieve, if you feel the need.  Some days, all you need to think about is just to take deep breaths.  Take care of yourself – that’s more important than ever.

Look for support, either in a group or online.  You will be surprised at how much better you will feel just by hearing what other parents have to say.  Lean on others and let them lean on you.  Most important – remember your child is still the sweet little person you love more than anything in the world.  Autism won’t define him/her any more than their hair color!