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What if there is an emergency?

Recent events have been on my mind lately. A good friend spent hours watching firefighters battle a huge blaze in an apartment complex across the street. An area the size of a city block was lost. All the people who lived there lost their homes and belongings. Certain surrounding areas had to be evacuated as well. Others were put on “standby” alerts.

People in the state where I live lost everything when an old dam burst and allowed water from the recreational lake it had created to inundate the subdivision and part of the large sized city just downstream from that location.
People who lived there lost their homes and belongings. Somebody I knew there was without utilities, including water and sewer for several days as the area began to recover.

There are chemical spills, forest and urban fires, floods, earthquakes, violent damaging storms, civil unrest, and many other reasons why people must suddenly leave their homes , evacuate certain areas, and try to begin new lives in places that are strange to them.

Do you have plans for such an emergency? Now is the best time to think about it, as terrifying as it might be.
Emergencies do happen in every part of the world, every day.

Our autistic inflexibility can be an extra problem for us in emergency situations. We can be so shocked by rapidly threatening events that we become ‘frozen’ and unable to act for ourselves. We may not be able to do the things that need to be done quickly in such an emergency if we have not planned and thought about what we would do and made certain things ready “just in case”.

The flood issue struck close to home. We live in an area close to one of the Great Lakes in the USA, and there is a river through the heart of town, much beloved, tamed by no less than 4 dams in regions above town and in the middle of town as well. If one of those dams broke, would/could the others follow? The government agency that inspects the dams says they are reaching the end of their span of usefulness and they are not completely stable. I have been thinking about what we would do here, if there was a flood situation and we had to be evacuated.
We have important papers we would need to take with us. We do not have a trailer or access to one to bring large items with us. By the time we got our files, our pets, our clothing and medications, food and water for 3 days, sleeping bags, etc. we still would have to find a safe place to go, figure out a safe route to get there, and figure out how to proceed to live our lives from there.
I am making a check list and gathering things we might need into one area of our home, and packing up what I can ahead of time.

Something that might help you think about emergency preparedness is the usa government website ready.gov What possible threats are most likely to cause emergency evacuations near you?

I began to prepare for emergencies even before I knew of my autism. I lived in an earthquake prone area in the south of my home state and there had been a lot of publicity about “the big one” – a huge earthquake being possible on a nearby extended-area fault zone which had been inactive for well over a hundred years. I had small children and the stories of possible damage worried me. So I began preparations.

I packed an emergency bag for each family member, one complete change of clothing plus a couple extra socks and underwear, and shoes. Shoes are so important in case of night time evacuations and possibilities of having to walk in areas with broken glass, damaged buildings, down trees, etc..

I remembered to pack clothing that could be used as night clothes in a public sleeping situation. I packed a towel, washcloth, toothbrush, toothpaste, etc in the emergency bags (these were backpacks). I packed a comfort toy and non perishable snacks in the kids’ bags.

I packed a bag for the pets with collars/ harnesses/ leads, dishes, food enough for 3 days. I packed the contact number for the vet and included letters for “permission for emergency treatment” as well as all health records for the critters.

I packed food and water for 3 days for each family member as well.
I made sure we had copies of our birth certificates, our social security numbers, emergency phone numbers (family, friends, etc we would need to contact in case of emergencies , doctors numbers, health records, records of all the places we paid our household bills, so we could terminate service, ask for extensions or help restoring services, tax records, etc.
Insurance cards and copies of plans plus contact numbers went into the bags, as well as all the contact numbers and account numbers for the bank, credit cards, etc etc.
I got extra prescription drugs for family members and put those in the bags too. I had a little first aid kit and a small radio that ran on batteries, flashlights and extra batteries. I had sleeping bags and blankets and pillows stacked and ready to pick up and put in the car.

I began to be very conscious about the level of gas in my car’s tank.
If we had to evacuate I had seen the television and news articles showing long lines with waits for gas and people’s cars abandoned by the side of the road due to running out of fuel.

Especially if you live in areas that are prone to ‘weather events’ or known hazards, please consider giving yourself a huge advantage by insuring you are ready ahead of time as well as you can be.
Emergencies can happen at any time. They happen to everybody.
Being older and autistic does not mean we can not give ourselves the accommodation of being ready to react and save precious time and perhaps our own and /or our loved ones’ lives.
I do not dwell on scary thoughts surrounding these “what if” scenarios, but I have peace of mind knowing I will know what to do if the time ever comes that I am called on to act and react quickly for safety and well being of my household.
Do you need an emergency plan? How will you respond?

Who am I ???

Finding your authentic self after diagnosis


There has been much discussion lately, in the online forums I attend , about masking and finding one’s own identity.
How to drop the mask and be more authentic? How to know who I really am beneath all the adaptive and self protective behaviors I have learned over my lifetime? How do I know which parts are “real” and which parts are camouflage for self protection or ease of coping?

I was at a loss for a long time about these questions. For me a lot of these questions did not apply because as I had aged, I had adjusted my style of dress, my social behavior, my willingness to put up with discomfort, etc.
I had become more authentic to myself for the most part before I learned of my autism.

It might be a process of ageing that we become less willing to put up with social and physical discomfort or meaningless rituals or distressing social situations, or I might have been lucky to have sorted out sources of discomfort and to have allowed myself to discard those things that were most difficult and distressing to me.

I understand the need to sort it all out, and to self accommodate in order to have the best experiences that life has to offer and to eliminate pain and discomfort where we can.

May I suggest we start with the things that we find most difficult and distressing? By figuring out different ways to do things, we can eliminate at least some of the things that are hardest for us to tolerate.

I learned to avoid physical discomfort first. Stopped spending hours on clothing, hair, makeup, and worrying about being “in style” or if I looked right. Flat shoes, loose fitting clothing, easy hair cut, minimal makeup applied only for very special times. Works for me! Even within dress codes, unless a certain specific uniform is required, there is usually some leeway.



I got rid of the scratchy couch that I could not bear to sit on, the bright flickering fluorescent lights. When I lived alone I did not use TV or Radio. I now remove myself to my quiet zone if my husband wants to participate in things that drive me wild (TV and Radio for example).
I have bright clear lighting that doesn’t flicker in places where I need it for reading and close work.
I stopped forcing myself to go to concerts, listening to podcasts or videos, trying to interact in large groups (4 or more is a large group to me), stopped going to restaurants, shopping malls, and other places that caused my sensory struggles to make me anxious and put me in ‘stampede mode”. What was the point?
If things like wedding receptions, anniversary parties, retirement parties, etc send you into panic or meltdown, consider a congratulatory card, note, email, or phone call along with polite regrets.
( you don’t have to explain, just say you are sorry you missed their big day but wanted to send congratulations or whatever message you’d like to give).


I found new ways to get a lot of things done, adapting them to my sensory struggles so that I no longer suffered loud noises, chaotic surroundings, etc.

In replacing those old painful experiences I found joy in solitary walks in nature, taking photographs, doing crafts, listening to my choice of music (peaceful or upbeat and not dissonant, no lyrics since I can’t readily process spoken or sung words), I found the ‘real’ me.

I lost a lot of anxiety and anguish by simply declining invitations to loud parties, noisy social gatherings such as dinners in restaurants, classrooms, malls, etc and substituting meeting with one or 2 people for quiet shared activities.

It may require others in your life to make adjustments too, or you might need to compromise to keep peace, but I urge you to find your most distressing activities and find ways to eliminate them or change them to things that provide pleasure or at least reduce discomfort.

Change clothing, change shopping habits, change the way you socialize or interact with others, change decor or arrangements within your home to accommodate your worst struggles. Many of us have it in our power to make adjustments that can make life so much better. You do not have to do anything one certain way, or in many cases you might not have to do it at all.

Sometimes we need to just stop and consider alternatives. Change can be scary, but taken in little bites, and not all at once, sometimes changes can bring about a lot of relief and comfort in exchange for the pain, anxiety and frustration.

What can you do, one step at a time to remove painful experiences from your life and to substitute or build new and pleasant experiences for yourself?

What happened to all the autistic children?

They grew up to be adults!


Awareness is rising about autism and most people have heard of autism. Autism is primarily thought of as a children’s issue in the eye of the general public. What happens when these kids grow up? What happened to all the children who grew up before autism was commonly diagnosed in kids? They are now autistic adults!
If the CDC is right, there are well over 4 million autistic adults in the United States alone, and most of us have never suspected we are autistic.

How do we find autistic adults today?

Autistic people are more likely to be suicidal.

Autistic people are more likely to be victims of crime.


Autistic people have a higher rate of depression and anxiety.

Autistic people account for about 10 percent of admissions for treatment in rehab centers for alcohol and drugs ( compared to 1 percent of the general population admitted) This is truly stunning when you understand that autism is believed to affect 2.2 percent of the general population.

Autism may account for up to 10 percent or more of the homeless population.

Autism may be involved in those admitted to jails and prisons although very little or no research has been done specifically on autism. Intellectual disability in general has been studied as a factor in prison populations and shown to be present in higher than normal levels among the general population.

Autistic people tend to have poorer health and to die younger. Life expectancy in some studies is as low as 38 years. Other studies say around 58.

From these statements one can see how knowledge of autism would be particularly useful to certain groups. Doctors and health care workers of all types, law enforcement professionals, social workers, can you name others?

Diagnosis of autism as an adult can change lives. Self understanding is one of the keys to finding a new life amid common social struggles. Autistic people seem to have more than our share from a statistical reporting level at the very least. I can not tell you the huge difference my understanding of my own late diagnosis has made in my mundane and every day life. I can only imagine how useful such self knowledge can be to those struggling with such difficult issues in their lives, and how useful it would be to know and understand about how autism may have been involved in so many lives of pain and hardship.
I am reading of mandatory screening for autism in new hospital admissions for suicidal behaviors. I am reading of mandatory screening in clinical situations for care of those struggling with addictions.
I am grateful that professionals in some places are using today’s understanding of autism to help recognize and diagnose autistic adults. So much more needs to be done. Please help spread the word.

Autism executive function

Getting things done


Disorganized, lazy, procrastinator, negligent, sloppy, messy, always late,
late bills, late for appointments, late for work, cluttered, dirty, overwhelmed!

This is the life of many autistic adults. Although we love details, many of us need help with every day life due to struggles with executive function. Executive function is the part of us which is used to organize, start a project and follow it to completion, to do basic household chores in a regular and frequent manner, to follow up on paperwork , balancing a check book, paying bills, keeping files so that we can find important records when we need them ( or in case we need them). Executive function is getting work done in an orderly way and keeping up with due dates, project deadlines, keeping within guidelines or following directions.

There are many things that can contribute to our struggles with executive function. Like everything in a spectrum, there are some very vague areas of functioning from deep struggles with everything or not needing much help if any. Struggles with executive function are not diagnostic of autism, but many of us (autistic folk) need help sorting it out one one level or another.

Proprioceptive difficulties can add to our burdens… how do we know and recognize when to do any specific job? How far should I go with cleaning? Quick wipe down? Deep clean? How often?

The ability to even begin a project can be held back by several different issues. We could have Demand avoidance, performance anxiety, learned helplessness, troubles with memory either or, or both short or long term. There may be need to see an occupational therapist to help devise strategies that are useful to assist functioning levels. Psychologists or other therapists may be able to help with the anxiety, helplessness, and avoidant behaviors.

Some of us are great at finding details, but not at sorting them or ranking them in a way that can be useful. We might need help deciding which details are important and which are of less importance, and ranking them as priorities.


Struggles vary and each of us will need help with different things.
I might know I should do the dishes and clean the bathroom, vacuum, do laundry, change the sheets, etc. but how do I know when to do these things, and have I learned how? I needed to learn each of these tasks individually and was fortunate to have been taught much of it as a child. I had to get books on household administration and read them, advice on auto care, information on lawn care, household maintainence and how frequently to have things like the furnace serviced, etc. There are lots of informational resources on line! We can ask others to teach us or help us sort out the details of almost anything. We do not have to struggle along and make do, there are usually resources available.

With autism, we can break each individual job down to its smallest components.
Naming Tools needed for each job, and supplies needed. ( how do we choose them?) Then we learn how to go about doing each task. How to use the washing machine( what kinds of things go in the wash water, cleaners, brighteners, scent, softeners?) and hang clothing to dry, our use the dryer ( do I use dryer sheets?) How do we treat stubborn stains and spots? How do we fold the clothing and do we have a single certain place to put it every time ? It is more complicated than it may seem. If we missed those lessons as children, we need to find a way to learn them today. The same for every single thing we do to take care of ourselves and our possessions, and our households.



A project such as “housecleaning” can overwhelm us until we learn to break it down into small steps.. instead of “cleaning the kitchen” as a job, we can break it down to small tasks. Collect all the trash and take the garbage out. Wash the dishes. Put away food/spices and utensils. Do we have one specific place where each item belongs? clean the counters and cabinets, wash the floor. We learn individual things like cleaning the oven and cleaning the fridge as separate tasks and make sure they go on our list of things we don’t need to do daily, but less frequently. we can use lists, schedules, electronic devices, calendars, reminders in the form of post it notes or a cell phone that might call you back and remind you.

The same goes for individual paperwork tasks… do we know where we keep supplies, what supplies do we need? Where will we work (desk, kitchen table, ???) Do we have adequate light? What dates do we need to be aware of? Bills and other deadlines can not be ignored, but must be planned for and this is something that we can learn. Many management techniques are available, from credit, debit, electronic banking, using an accountant, etc. If you don’t feel you can do it yourself, please ask for help. We can get easily overwhelmed or frustrated, and letting these things go can cause such major problems.


If you are not able to sort executive function issues on your own, there is no shame in reaching out to get help from others or to rely on paying others to make sure some of this stuff gets done. I must point out that I do not know what resources are available in other countries, I am speaking from the perspcective of a person living in the USA in a small and relatively poor and rural community.

I suspect some places have nothing at all to help. In this case, talking to others and asking how they handle specific issues may get some guidance or insight.

Who do we go to for help? Talking to a friend, family member, therapist, social service agency, your doctor or minister, and explaining your struggles can get suggestions, help you find ideas the might work for you, and get referral to others who can help if they can not. Many areas have senior citizens agencies set up to help seniors with daily living struggles, senior centers usually have information services. government agencies, on city, county, state levels may have programs to help seniors with issues of daily living, including cleaning, keeping appointments, food plans/ meals or food programs, etc. If you need help, there is no shame in asking for it.

Millions of autistic adults

undiagnosed in the USA today.

Per the USA’s Center For Disease Control (CDC) there are 5,437,988 autistic adults as described by those being over age 18 upward in the USA today. CDC claims this statistic as 2 percent of today’s population in the USA. Census numbers after 2020 may drive that number still higher.

A notice posted April 27, 2020 claims the CDC has determined these numbers so that states can be aided in budgeting and planning funds, etc. regarding diagnosis and support (“treatment”) for autistic adults. All states now require insurance plans to cover diagnosis and supportive therapies for autistic adults. Children ageing out of the system, which used to close at the age limit of 18, are now going to be supported as adults as well.

The happy side effect of parents of today’s early diagnosed children’s and young adults’ activism ( this was entirely unintentional, I am sure within myself) is the new availability this could give older autistic adults in this country for access to diagnosis and support.
Support plans will soon be in place for adult autistic folks. Will elders once more be overlooked as focus is on the younger generations, with most Americans never suspecting the hidden millions of autistic adults struggling without diagnosis and support that many so desperately need?

Educators of those already practicing diagnosis and those now just learning how to diagnose and recognize autism must learn how autism displays differently in all adults and how diagnosis of adult females may be more complicated than today’s standard diagnostic criteria.


Statistics posted by the CDC show that males ( children) are still diagnosed at much higher rates than females.

There are no known statistics on how many adults have been diagnosed, or the proportion of males to females who have received late diagnosis.

I see the CDC’s post as a ” first light ” showing in the attempts to find diagnosis for all age and gender groups who have struggled lifetimes with autism and never knew, never had help, never suspected.

I have been feeling frustrated and discouraged lately. My personal plans to offer local talks and information to local groups likely to encounter un-diagnosed autistic elders has been completely shut down by Covid restrictions.
Now I am considering a different, possibly more effective approach to gaining more diagnostic and support structure for older adults with autism.
College classrooms are the places that need to offer more information about autism and how it presents in adults and the elderly. Professional groups for individual practices need to be alerted to the presence of adult autistic people. Political entities who plan and portion out those huge budgets need to know about adult autism. The list of places to raise awareness is practically limitless!

As a group, older autistic adults need to speak out about finding diagnosis, and need to bring attention to the need for support, to organize much as the parents of autistic children have.

If population statistics are correct, the adults in the USA who are autistic out number the children who have been diagnosed up to age 18 .

Time to speak up and ask for educated diagnostic and support systems.. Laws for insurance coverage have changed. Colleges and other schools need to be aware and make changes to provide for the future.

Baby boomers will all be over the age of 65 by the year 2030, just 10 short years from now. Will elderly autistic populations get the support they/we will need as they/we age and rely on others for our medical and physical decline as we grow older?

Will young adults “ageing” into the system get the support they need? CDC has taken the first step by providing numbers and an “authoritative” source of information on which individual states will be basing plans now required by law.

Many of us will be watching with interest.
If we are able, most of us ( ageing adults who are autistic, whether formally diagnosed or not) can help raise awareness and place social pressure by making lots of noise to legislators, planners, providers. Call, text, write letters, email, write letters to the editor of your local newspaper, contact local TV or radio outlets…. whatever you can do, we need each other right now.
The demand is there, we know it, but I am not sure that those in the places we need to reach are hearing us. Please do what you can!

Autism Anger

Shhhhhhh don’t talk about that!!!!!

Autism has a few “sore spots” that seem to be avoided as topics for discussion in the forums I participate in. When somebody does open up, there is a flood of responses, seemingly relief in finding that individuals are not alone in their struggles. I am talking about emotional regulation struggles this time.
Autism and anger, autism and emotional breakdowns due to anxiety, fears, frustration, and inability to cope displayed as meltdowns, shutdowns, violence, tantrums, and outbursts.
We all understand this happens frequently to many of us. But we are ashamed or afraid to talk about it.

Autism is all about our neurology. Many of the ways we experience the world are not the same for us as “neurotypical” or average, “normal” or non-autistic people. Struggles with emotional regulation are definitely not limited to autistic people, we see examples everywhere of people behaving with one or another form of problems with emotional regulation.

Emotions and responses to those emotions are things we generally learn about when we are very small (people in general).
We are taught to recognize our emotions and how to deal with them in socially acceptable ways, usually before we leave home for school days.
Learning to recognize emotions can be helped by explanations given through instruction person to person, videos, books, and role playing, role modeling and other ways.
Learning to recognize emotions and learning ways to express those emotions in healthy and socially acceptable ways takes practice. The good news is that for the most part, these are skills that can benefit from a coach or teacher, a therapist or a counselor.

Sorting and learning to recognize one’s emotions and how to deal with them in healthy ways is part of the sensory system ( remember I said emotions had a neurological basis?) called interoception.

Interoception used to be considered part of the proprioceptive group of neurology but more recently has been removed to its own special category.

Interoception has to do with what you feel physically inside you. It is the sense which tells you what you are feeling when your body gives you physical clues to your needs and wants. That empty feeling in your middle is telling you that you need to eat. The pressure you feel in your lower regions means you need to use the bathroom. The tenseness of your muscles in your stomach and legs can mean that you are afraid and ready to run. The tenseness of your muscles in your neck, your clenched jaw, your tight fists may mean you are getting ready to fight.

Autism often interferes with our ability to recognize the first physical signs of our emotions… so we end up surprised at our own emotional outbursts and our extreme reactions to emotions we did not recognize we were feeling until they reached crisis proportions. The body experiences emotions in a physical way and we can learn to recognize the signs.

Many of us have not been aware of or have not learned to notice the physical signs of emotion. Elevated heartbeat? Heavy breathing? Weak pulse, feeling faint, tight muscles in any part or parts of the body? Feeling sick to one’s stomach, clenched fists, gritting teeth or tight muscles in lips, jaws? Smiling, grimacing, frowning, head lowered or thrown back? What we are feeling physically and doing with our bodies is a huge clue to how we are feeling emotionally. Many autistic people might not recognize body language in others, and many might not recognize our own body’s signs as well. We can learn!

In the forum discussions I have participated in and observed, many autistic adults have remembered that as children they decided emotions were not useful and made deliberate choices to disregard them or to hide them. This seems generally to have been “early on” in the nursery or as a very small child. We can learn to recognize and make use of our emotions, but it does not come naturally to may of us. It is one more thing we might need help with to sort it out. Especially this might be true in older people who are set in their ways and less likely to realize or recognize alternatives.

It is never too late to learn about interoception and how to recognize our building needs and emotions before we reach the bursting point.

Occupational therapists might be able to help, and there are many anger management classes, biofeedback specialists and therapists who specialize in behavioral difficulties. There is much printed and online regarding how to recognize emotions early inside us and how to use that “early warning system” when we recognize it in order to work with our emotions in healthy ways instead of finding ourselves in a huge and surprising/ distressing/ destructive/embarrassing/ blow up situation.

If you struggle with overwhelming emotions of any sort, I want to encourage you that this can be changed, and new ways can be learned to recognize our emotions, to direct and control them into healthier behavior in distressing situations. We can learn to recognize and use our interoception skills as an ‘early warning system’ to detect and divert our physical reactions to emotional situations and make better choices in how to express ourselves or to deal with those emotions before we are overwhelmed and helpless in still another emotional blowout.

If this is an area of distress for you, please be encouraged, it is something that can be helped.
We can learn new ways, sometimes we need to reach out to others who can help us sort it all out.
Don’t be embarrassed or ashamed to take action. Those folks are there because they want to help and they want us to live better lives. There is no shame in asking to learn new skills. And the benefits are beyond measure in terms of the quality of your life and your relationships to others as you move forward.


Adult Autistic reaching out

Self Advocacy, Ageing on the Spectrum


Advocate as noun: Person who publicly supports or recommends, or stands up for ( an idea, a person, group of people, certain ideas or beliefs)

Advocate as a verb: To publicly recommend, or support, promote, advise in favor of, stand up for or endorse ( an idea, a person, a group of people, certain ideas or beliefs)

Standing up for oneself , actively representing one’s own interests, welfare, health, well being,

Speaking for oneself of one’s needs, one’s beliefs, one’s best interests is Self Advocacy.

At my age, 6 months away from age 69 years old, I have finally become a self advocate.
Self advocacy has been one of my hardest struggles in life.
I had nobody to recognize my autistic struggles, nobody interested in helping me through my struggles as a child, nobody to speak for me in any situations I found overwhelming, frightening, distressing, or difficult in any of the very many ways I struggled.
I had been trained to be compliant in everything. Wait for directions, wait for permission, wait for somebody to notice my needs or wants.
Don’t bother people, don’t ask for things, don’t be a pain! Don’t talk to me, don’t tell me, don’t say that, I don’t want to hear that from you.

So many of us who grew up this way are simply not prepared to stand up for ourselves and ask for help with our problems.

One of the issues that comes up repeatedly on the adult autism online forums I participate in is how to overcome obstacles in our lives, from speaking out about being abused and asking for help to get safely to a new situation, about stopping bullying, about being blamed, shamed, or victimized in various interactions, including medical situations and needing adjustments or explanations made in health care situations.


One of the many problems repeated over and over are problems with misdiagnosis when people turn to professionals for help in understanding their struggles.
So many of us who seek diagnosis are handed misdiagnosis and scoffed at by those in power for thinking we might be autistic, usually then being told that we don’t fit diagnostic criteria from ages ago, with no current understanding of autism facts that have been learned in the intervening years since the days of the Doctor’s/ professional’s medical training.
One of the struggles we have in obtaining diagnosis is the sheer lack of numbers of autistic people applying for diagnosis.
If a doctor has 2 percent or less of his practice involved in the population they(he/she) sees, how much time will be spent trying to stay abreast of the most recent research and information for those issues? I base the 2 percent of population quote on the current basis of understanding of the frequency of autism in the overall population. Most of the people seeking diagnosis will be better informed than their consulting specialists unless the person we are seeing is an autism specialist.

In so many of our struggles, we know what is best for us, what works for us, what is wrong for us, yet we are somehow afraid to speak up and speak out.
I was afraid of aggression and anger from others, afraid to draw attention to myself, afraid to speak up about things that were wrong or distressing to me. I was convinced nobody cared. I was right.

Nobody does care about you like you do! Unless you speak out on your own behalf, nobody is likely to understand what it is that is troubling you, whether domestic abuse, workplace bullying, medical issues regarding your care, medications, treatment, clarifying instructions you get or attempting to get professional diagnosis.

I have several things that do not work in my favor. I have no social status, I am elderly, I am not physically appealing/attractive, I am a woman, and I am not wealthy.
I do have the advantage of previous training for diagnostic battles. Our now adult daughter struggled from an early age with many things that made life painful and dangerous for her. I got my experience on the medical battlefield when she was young, as an advocate for her diagnosis and treatment, being forced to learn all the ins and outs of insurance, government requirements and definitions of disability, researching diagnoses, finding the right treatments, understanding therapies and medications, etc etc etc.
Mother love was a great force in helping me overcome my own struggles and in learning to speak out for things that were not right for her.

Have you given thought to self love?
Our daughter was worth of fighting for, of seeking treatment for, of my learning about her struggles, learning the required rules and regulations from the government at state and national levels and diagnoses involved, how to apply for help, where to go, who to see, and my learning about medications and help that might be available. I was highly motivated.
Our daughter was/is worthy of continuing to fight for when she had given up. When she was discouraged, when she was overwhelmed, when she was in her darkest times. There has been no question of that!
Would you fight for somebody you cared about?
I think almost all of us would.
Then consider being a self advocate and standing up for yourself when you need to.
I did not think I was worthy. I still don’t want a fuss.

I still am afraid to bother anybody, still am worried about what others will say or do if I speak up. I am timid, I don’t want to annoy or anger or be the focus of negative attention that one draws if one opposes authority in the form of the doctor, the teacher, the boss, the spouse, the family… there is a huge list of people it feels unsafe to speak up to about any subject. My social conditioning is that deep it is a struggle every day to remember it is OK to ask for support, for help, for explanations, for adjustments, for changes, for things I need.

I am also learning that my life can be so much better if I ask for accommodations, if I ask questions about directions, diagnoses, treatments recommended, or even protest or contest certain proposed actions supposedly to be done on my behalf.
I am worthy of self care, I am worthy of respect, I am worthy of being heard, I am worthy of making decisions of what is right for me and speaking up on my own behalf. I had to learn this and fight to overcome my deepest beliefs about myself and my own value.

If the “professionals” you are interacting with dismiss your fears, pooh-pooh your questions, patronize you, demean you, treat you with contempt, or ignore your concerns, please report their attitudes and actions to their superiors and try to find others who will respect you and make you a partner in your own care and other interests.
You are worthy.


I am learning how to be an advocate for older adult autistic people and to educate and to encourage and to speak up whenever I have the opportunity.

First I had to learn how to love myself enough to feel worthy to speak up for myself.

More on self love soon.



Autism Emergencies

The importance of being prepared.

I can’t say this is about autism specifically, but being autistic and elderly has made interactions with others harder for me than it might be for some people.

In mid March 2020 my husband had a health emergency which took us to the hospital Emergency Room.

In our state of the USA, Covid 19 precautions had just been enacted.

We were screened for that from an isolated hallway, as well as having to give a summary of what my husband’s problems were. We provided proof of insurance and established that I was his spouse, his representative, and his power of attorney for health and everything else.

I was allowed to wait with my husband while he was seen and tested by many different medical people, until he was finally admitted for emergency life saving surgery.
I was allowed to stay while the operation took place and after, I saw him in recovery, and followed him to his room and saw him comfortable. I saw him again early the following morning. At that point rules had changed for Covid Isolation in Hospitals. I got a call saying I could not return to the hospital to be with him.
I was not allowed to see my husband again until he recovered enough for me to pick him up and bring him home. ( I stayed outside of the hospital, in my vehicle, he was brought to my car in a wheelchair).
We were lucky because he came home alive and continues to be well.

Things like this can happen to anybody and at any time!
Some time ago, we had made each other Power of Attorney and Health Care Power of attorney, filled out a living will making each other designated decision maker/ representative if health care decisions were needed and the individual as a patient could not respond for any reason.
We made our wills at the same time.

Today I see we made good decisions to have these issues settled while we were in decent health, decent mental condition, and not in crisis.
We could discuss everything regarding our health issues, willingness to accept life support, choices surrounding “do not resuscitate” orders, etc. We could decide who we wanted to include in our will, how we wanted our “worldly goods” distributed, make special mention of the family special items and who they should go to, etc.

If you are alone and do not have family or spouse or others to speak for you, it is most important that you have these papers showing intent and giving the persons you trust the power to help you through health struggles if you ever need it. Alternatives would be next of kin, no matter how far removed, or to have court appointed guardians or your individual health care providers making decisions regarding your situation on their own. Didn’t want to spend the next 10 years on life support in a coma? Without directives and representatives, you might not get your way.

If you want to assure your best interests, it is important for you to make those choices and decisions for yourself or have available somebody who you trust , and who knows what you want, to help you.

When I was my mother’s caretaker/ representative and we had to travel, I carried copies of all the papers we needed, as listed above, plus her medicare/medicaid/insurance papers and copies of her social security card, a list of her medicines, her meds for the day, a change of clean clothing and other needs all in a backpack that I could put over her wheelchair handles.
When I had to meet the ambulance at the hospital to have her admitted for frequent health crises, I had everything I needed to assure she got the help she needed and was her spokesperson and caretaker while she was in hospital ( Parkinsons’ dementia, autism, etc made it necessary for somebody to be attendant with her at all times.

The point of these illustrations is that we don’t know what the future might bring, but we can make any crisis we experience easier to deal with by preparing ahead. Please consider how you want to be helped, who you want to help you, and what you will and will not want “done to you” in any health crisis. You will have peace of mind and you and your Representative/Power of Attorney will not have to wonder if they did the right thing. You are more likely to get the care you need if you speak up about things that are important to you while you are not in the middle of a crisis.

Just another set of tools you can use.

trauma,anxiety, hyper-vigilance and negativity

An anecdotal comparison between me and my hamster to make a point about negative attitudes.


When I was in middle school I was given a hamster to keep as a pet. She had been used as part of a study done by a college student, where the hamster was administered random shocks and studied to see if its behavior changed.

When I first got her I named her fang.
She had a tendency to bite whenever touched and I had my fingers full of puncture wounds soon after I got her. I understood she bit from fear and self defense and spent a lot of time handling her gently ( and went through a lot of band aids).
Time went on, and she was easier to handle. Unless she was suddenly startled or experiencing anything new, she gradually relaxed and allowed me to pick her up and carry her, place her on my self- in pocket, my lap or on my shoulder and even began to accept offered treats. I enjoyed her company, took pleasure in her progress, even raised a litter of babies. Very positive experiences and gratifying that I could help her overcome her fears and feel safe.


When I was a very small child I was subjected to sudden punishment regarding things I did not understand. I was easily startled and frightened by anything new, any sudden action, sudden motion, sudden change, and overwhelmed by anything I saw as aggression or threatening toward myself.
I was acutely aware of others around me, watching always, wary of threats, bullying, intimidation, mimicry, examining every interaction with the certainty that people intended to harm me, to hurt me, to frighten me, to cause me emotional pain.
I developed huge anxiety, looking out for these assaults, whether physical, emotional, or threatening or suspicious behavior that could overwhelm. Any human interaction seemed to hold this potential.

By age 11 or 12 I was constantly angry, and ready to strike back. I was defensive over every question asked me, and for a while I was willing to confront and engage with others in rancorous disputes (especially the sister I shared a room with).
Sister almost always called our mother in when she thought she was not going to get her way.
I always lost the engagements and was frequently punished by my mother and made to “make amends”, etc for any argument we might have had. Usually it was about my sister wanting me to share something of mine and my refusal. My mother thought I was selfish and made me give or share whatever it was my sister wanted me to share. This was true for the way I was expected to act with others in the household… my other younger siblings, and my parents. Submissive obedience was the only response tolerated under any circumstances.
I felt I could not win and simply gave up. I had no rights, nothing I owned was mine alone to enjoy, no place I could go for privacy, others could come near me and pester, annoy, fight with me , there was no escape until I learned that I could go into the corner of the basement with spiders, mold and water on the floor, and that most of them did not follow me there.
Enter depression. I had been trained in hopelessness and helplessness. I had no alternatives.
I began contemplating being dead around 5th grade, and it seemed a good quiet peaceful place to be. I began to hope I would die every night as I went to sleep. ( If I die before I wake, I pray the Lord my soul to take) . It was a fervent hope, I had been told Heaven was a goal we should aspire to.

I had no resources or tools to understand anything but appeasement. I tried to please others and to stay out of their way.
I have since gained tools, understanding, and independence from being micro- managed and controlled in every thought or behavior.
I have learned to love myself, perhaps that has been the hardest struggle of all.
I didn’t deserve happiness, I was not worthy of anything but abuse. I learned that early on and it was difficult to change my viewpoint.
It has taken me almost 40 years to overcome the 18 years I lived at home and finally all these years later to understand what my autism contributed (and my mother’s) to the mix.

At home I learned to expect nothing but negative consequences, to be on the watch for anything that hurt or threatened, to expect to be treated unfairly, to feel discouraged and overwhelmed and to wish I could escape these feelings.
I spent many miserable years from age 11 or so until I was 30 expecting the worst from everybody, feeling overwhelmed and trapped with my back to the wall, expecting each encounter with others to result in my hurt or harm. I had a negative attitude toward everything. I refused to do anything which I even slightly expected might put me in a spotlight for shaming, humiliation, being degraded, corrected or punished. I believed everybody was out to get me.

I don’t know to this day if it was rigid thinking, my autism keeping me from seeing positive experiences or appreciating them. I don’t know what proportion of my life as a child was actually spent being harassed, degraded, attacked, punished, and humiliated, ostracized, ridiculed, tormented, or bullied. It felt like “always” to me. I felt I could never feel safe.

I do know I felt that being under attack was constant and unrelenting, and I was as a usual state sad, emotionally exahusted, withdrawn or angry and defensive because I was in emotional pain.
I could not do a thing to help myself in my family circumstances and status. I had no idea how to help myself.
Family members and others avoided me because of my negativity. I frequently expressed the idea that I could do nothing right, that everybody hated me, that I could not do the things expected of me.
“Stop feeling sorry for yourself”, “A person is as happy as they make up their minds to be” “pull yourself together and get on with it” “shape up”.

None of those constant remarks gave me the insights and tools I could use to help myself do better.
I never got the supports I needed. If anything these comments added to my misery and my belief that maybe it was all my fault. It convinced me further that I was nothing but a pain and misery to others and that they would be well off without me. ( all sentiments from my parents and others which were frequently expressed as well) .

Skip to today.
I finally got counseling in effective communication and how to make healthy self assertive choices at age 30.
I removed myself from my toxic family and their insistence on my playing the role of black sheep and scapegoat in the family behavior patterns. I could not change their behavior, but I could change the way I responded to it!


I began to make healthier choices and somewhere along the line a lot of my defensiveness and anger left because it was no longer needed.
I learned about negative thinking and tried to look at things from a positive angle.
Even the worst experience had a sometimes positive result ( learned what NOT to do!).
This persistent refusal to look for negative things in my life, to consciously change my outlook, eventually resulted in my ability to see things from a healthier perspective. Learning of my autism was the single best thing that has ever happened to me in terms of self knowledge and finally understanding whys of all the pain of my younger years.

I know now a lot of my negative thinking had been habit, and maybe appropriate for my situation as a helpless child. I could not see beyond my fears and my inability to cope with demands made upon me. I only expected pain and misery because I did not have understanding or teaching from others about how to avoid these experiences or to make them better. Perhaps in my particular family situation I truly was helpless to do any other thing. It seems like that looking back, but I don’t know how much of my experience has been actual, and how much my autistic processing difficulties interfered with my understanding. Probably a lot. For me, the life I lived in my understanding of it WAS my reality.

I am happier now at age 68 than I have ever been. Knowing and understanding my autism and how it affected my early life has been a key to giving me peace.

Parents, if your autistic child becomes hostile, angry, depressed, defensive, argumentative, or negative, consider that they might not be seeing anything but the pain that they are suffering because they struggle to be adequate to their experiences. Something or some things are causing them emotional (and perhaps physical) or mental pain, anguish, frustration and they are feeling inadequate to meet the challenges.

Provide tools… please, provide explanations, assurances, positive feedback as much as possible. When an autistic child is struggling, please consider testing to find which neurological struggles are the worst and use therapy to find new ways to build skills, knowledge, and understanding to do whatever is expected of them.
Consider family therapy too, so everybody can learn better ways to interact with each other.
Look farther than throwing the blame on the individual, and expecting them to magically understand to do whatever it is you expect of them.
Look at how you can help understanding, support progress and insights, give opportunities to build skills and grow emotionally. Explain everything in small steps, explain how, why, where, when, who, and every other small detail over absolutely everything. It is absolutely essential to an autistic child’s understanding. IF your child displays anxiety, overwhelm, defensiveness, anger, and negativity, see it not as that child doing everything they can to cause difficulty, but as an urgent need to change something that is happening in his or her life and teaching skills to cope with or adapt to that circumstance or set of circumstances.
Our sensory processing struggles and rigid thinking can sometimes be a roadblock to understanding the “big picture”. We need help seeing the way, we need tools, life skills to do our jobs (growing up!) and need specific concrete explanations about why and how to deal with so many new situations as we experience them and attempt to learn about them. Please make sure your child gets the explanations and alternatives to behave as expected, to make healthy choices, and the skills that they need to learn to survive and thrive in their world.

I knew my hamster was striking out in fear and self defense due to her constant anxiety over the things she had experienced.

I wonder how many parents or spouses, family and friends fail to see the truth in anxious, angry, defensive behavior in those they know and love?