"Is he verbal?"
"Yes, very much so, but it is difficult to understand him and follow what he is saying."
"Does he make eye contact?'
"Yes."
"Does rock or make repetitive motions?"
"Not usually."
"Then what is the problem?"
"He doesn't 'connect' with the other children and he has major meltdowns over little things."
"How old is he?"
"5"
"So, what is the problem?"
If you can relate to this conversation, you are probably as frustrated as I am. For years now we have battled this misunderstanding about autism. Even though we just received his official diagnosis yesterday, we have known for about two years that his behaviors fell into the autistic spectrum. What was baffling, was that teachers seemed to know something was "off", but autism was not the first thing mentioned. Almost every day the notes came home from preschool about Stephen's meltdowns and inflexibility. Even when Stephen was placed in a special needs preschool for speech and language, testing him for autism was never a high priority. He spoke, played, laughed, and was beginning to read like any other "smart" pre-kindergarten student. But even so, he was not functioning well in his social environment.
The dilemma is this: because he was not two years behind academically and is verbal and was able to get through most of his school day, he was not considered "impaired enough" to offer services without hard evidence. We opted for private testing with a well known pediatric neuropsychiatrist. It was costly and lengthy, but I am hoping it will be well worth it.
For most of Stephen's day, he is a very typical six year old boy about to enter first grade. In small social settings there are few problems, except with some kids who pick up on his quirkiness and speech oddities and take advantage. As he gets older, this will probably become more an issue. In swim class and church, the teachers did not even know there was something amiss, but they have him for brief periods in highly predictable and structured environments.
After all my research, mostly internet and some highly recommended books, I noticed that high functioning autism is either lumped in with classic autism with a simple explanation that these kids are just higher functioning and can speak, or it is lumped in with Asperger's Syndrome. Additionally, there is no specific diagnosis for high functioning autism in the DSM IV. So join us as our family navigates the dilemma of high functioning autism. Feel free to leave comments and feed back.