Hi! My name is Emily Reily and Iโd like to introduce you to my daughter, Sarah. She has lots of the same interests as other kids her age. Sheโs working on a Peeps diorama for an upcoming library contest. An 11-year-old middle-school kid, Sarah reads comic books, loves to sketch scenes with stick people, watches Harry Potter movies, and pets her cats daily. She loves bacon pizza, calling her friends on the phone and putting together Legos.
Just from talking with her, you might not be able to tell that anything is different. You might think sheโs just very shy and quiet, or would rather be by herself. This could be true, but thereโs also a fun, happy, content person in there, with a lot of the same wishes and dreams as everyone else.ย ย
My daughter has autism spectrum disorder, or ASD, what used to be known as Aspergerโs. Itโs a group of neurodevelopmental issues which can cause social and communication challenges and affect all aspects of a personโs life.
Her doctor determined she has โhigh-functioning,โ autism, though thatโs a complex misnomer when discussing the broad range of issues those with ASD struggle with โ hence, the โspectrum.โ There are others with ASD who are more profoundly affected than my daughter. Every parent and childโs journey is unique.
The title of this column, โOne In 44,โ refers to the CDCโs estimates that one in 44 eight-year-olds have been diagnosed with autism spectrum disorder, and its prevalence is accelerating. For example, just 10 years ago, it was 1 in 69; in 2004, it was 1 in 125. Are more parents recognizing the signs, are doctors becoming better listeners, or is it something else?
Some hallmarks of ASD are part of Sarahโs personality. She often watches the same movies or reads the same books multiple times. To calm anxieties, sheโll continuously rock in a rocking chair until she feels better, or sit under a blanket to shut out the busy world. Lining things up, counting things, using a fidget cube or holding her favorite stuffie help too.

Raising her has been anything but typical. We need checklists and routines in order to make it through the day successfully. Weโre hypersensitive to external factors like noise, crowds, and extra stimuli. Daily routines are more rigid and choices are limited; unannounced changes can cause upheaval.
To decipher a meltdown or perplexing behavior, I often frantically backtrack to what her day was like up to that point. Using basic communication skills becomes a complicated process of breaking down a seemingly simple conversation, piece by piece.
We may never get to the heart of why sheโs upset about something. Life just moves too fast. All we can do is move on, get some rest, and try again tomorrow.
Despite so many unanswered questions, thereโs constant research and conversation around autism. The word โneurodiversity,โ the more accepted term for those with ASD, ADHD, and other neurodevelopmental disorders, has gained traction in the mainstream. Throughout our journey, Iโve become familiar with the Zones of Regulation, stimming, food jags, social/pragmatic language, sensory processing disorder, and social stories. Iโve learned how to make her laugh and when to leave her alone, though Iโm not always successful at recognizing when she needs one or the other.
Sarah attends regular classes with her peers and regular sessions to improve her communication and speech skills. Weโre so grateful to have dedicated therapists who advocate for her at meetings about her school education plan.
But with all of the advances that science and research have made into ASD, it still surprises me that autism is so misunderstood.
For a long time, people with autism were sent away to institutions simply because caregivers didnโt know what else to do. People with autism were considered stupid or mentally challenged. Sometimes parents are blamed for a childโs unusual behavior. Some think autism is caused by something the mother did while pregnant.

There are supports for people with ASD in New Hampshire, but itโs not without faults. Services are expensive, often not covered by insurance, and in high demand. They can often be difficult to find.
I am forever grateful for the chance to be in Sarahโs life. I know the future holds good days and bad days, but I believe the former outweighs the latter. My daughter is smart and funny, loves to be active, and can remember details weโve long forgotten. She has a core group of friends who share her interests. Iโm happy to help however I can, read her stories, shop for clothes with her (sometimes with mixed results!), teach her how to cook and have fun just goofing off.
Just like lots of parents, I want her to go to college, find a job, be successful, and maybe have a family โ if thatโs what she wants.
I decided to write this column to help bring awareness about autism, to share stories and information, to hopefully dispel some common myths, and to be a mini support system for friends, family and caregivers of someone with ASD.
Maybe this column will help others think a bit more about the condition, or maybe it will reach parents who have been told their child is โfine,โ yet deep down they know different. Hereโs one constant Iโve learned and want to share: Itโs okay to speak out and advocate for your child.
I would love to hear from others who want to share stories about living with autism. Readers can also reach out with questions. I hope to continue to learn and understand more about the condition as I, and my daughter, grow. Thank you for reading!
Stimming. Stimming is simply repetitive actions someone does to reduce stress or anxiety, or just because they like to. It can be rocking in place, hand-flapping, counting, touching certain materials, head-banging or other movements, or even sounds. Itโs a great way to self-regulate, and often shouldnโt be discouraged unless it might harm someone. When our daughter hand-flaps, it means sheโs really excited and happy about something!
ย You can reach me at ereilyboyd@gmail.com.