Wednesday, March 24, 2010

3/24/10

Tyler is almost back to normal :) Yeah!!!!!!  That was a horrible month of feeling like we were losing him. His pediatrician/DAN doctor thinks he may have just been on yeast overload from the antibiotics and it was cuasing some chaos to his body. He was much more tolerant at speech yesterday than he has been recently.. he didn't do too much talking but hopefully by Thursday (he has 2 sessions this week), things will be 100% back to normal. We've definetly noticed an increase in chewing/popping his jaw recently so we are going to have to revisit the whole gum issue that school proposed. DAN doc recommens Spry so I'm going to order some of that and let school do their thing. THe DAN doc continues to seem a bit discouraged that we haven't seen greater improvements with Tyler through our biomedical treatments.  It's been 2.5 years now can you believe it!  So he's suggesting 2 new medications to try that have really no side effects. haven't had much time to look into them or even get them filled for that matter but I'll post more once I do the research. What I do know is that they are supposed to reduce inflammation in the brain and lower testosterone. Which by teh way, although it's very light, Tyler is the hairiest person!    Oh and on another note.. Tyler now outweighs Ben. He's become a far greater eater than Ben and it's starting to show. Ben is just barely following the curve now so we are starting to talk to Ben about his eatnig habits and growing up big and strnog (he says he wants to be small and doesn't want to eat). We'll probably find a pediasure drink or something to help add some nutricious calories, I was just trying to avoid giving him a lot of dairy drinks since he has bowel issues.  But I want to make sure he's getting what he needs calorie, fat, nutrient wise.

The party was fantastic!!!!! Everyone seemed to have a great time including us parents.   So glad we choose that location. Maybe we'll do it again next year. Thanks for everyone who attended.

So the boys are trying out a new preschool this Friday.  It will be the preschool that Ben goes to everyday and the one Tyler goes to when eh doesn't have any school at all. Daycare is off on Friday and Ty doesn't have school so we thought it would be a great trial day.  I'm so incredibly nervous about the whole thing... but realize we have to move forward so hopefully they have a fantastic time.

We are continuing to get some good news on the insurance front and hope that what seems to be good fortune continues to come our way and we come up with a really good plan for the family for the upcoming year. 

Friday, March 19, 2010

3/19/10

We have found a childcare facility for both the boys, yeah! Tyler and steve visited the new place yesterday and both really liked it. Tyler had a great time and fit right in.  I'm so relieved to have that out of the way :) Now our little guy is going to be riding the bus!  So cute. 

Oh, i was going to mention the other day that Ben has started the very typical sibing to an autistic brother role.  When Tyler acts up or acts weird, Ben tells them Tyler has autism. I took the boys to Sams club the other day and had them both sitting in the cart. At check out TYler was kinda stimming on his new book (i had given him a bday present early to keep him content through the store) and the guy in line behind us was looking at Tyler. ben goes, he has autism. When my mom was over the other day and Tyler was upset on the floor and I was helping him through it, he told my mom that Tyler had autism. he's already starting to make apologies on Tyler's behalf. Ben is such a great brother. 


A week or so ago I talked about the differences in the boys personalities and how I'm so happy they were divied up the way they were, i.e. Ben being so loving and caring.  Well last night I was cuddling with Ben and talking to him about his upcoming birthday party and having good manners and being thankful, etc.  I explained to him that some kids do not get to have birthday parties and some kids do not even get a single present on their birthday and there are some kids who do not have enough food to eat and they have to go without.  He asked me why? So i then went into a discussion about jobs and making money, etc. and some kids parents may not have jobs right now or some kids may not have parents to take care of them. He goes MOM, you HAVE to help those kids!!! Aweeee... I gave him a big ol hug... i love his compassion.  Before bed I read him the Lorax book from Dr.Seuss which is a very pertinent to the modern day america and needing to take care of our environment. So this morning he asked me why the fish were getting sick and had to leave the water in the book. I talked to him about pollution and chemicals and that we have to be careful about how we treat our environment. He goes MOM, you HAVE to help those fish!! 

I'm pretty sure we've got a little humanitarian on our hands!  People often ask if i'm more drawn to Tyler than Ben due to his disability..do I maybe have a little bit more love for him?  The truth of the matter is.. Ben can make me crazy, however, he has my heart.. he often brings me happy happy tears because I feel like he is just an amazing kid with an amazing heart and is going to be amazing brother, friend, husband and father. What more can a mom wish for!!!  Tyler has my soul.. he has altered my path in life, my purpose.  As hard as it may be to be his parent sometimes due to all the worry, he has absolutely changed me for the better. I never knew I could love that strongly or be that protective. I was asked recently by a friend if during the study I was ever mad at all I had to do and accomplish during the day and if I ever said why me, it's not fair.  I looked at Steve and we both shook our hands. I don't remember once saying it or thinking it. I just remember thinking fight, fight, fight....18 months isn't really that long in the grand scheme of things.. I also remember being tired and the toll that  the study took on Steve and I but no, no, I definetly don't remember thinkign why me. More so, I was thankful that Tyler belonged to us that we had the means and the will to help him.  They both are my little lovey's.

So on the verge of their big 4th birthday party, I say thanks, again, to everyone, family and friends who have stuck by us, and helped us nurture Ben's kind heart and helped us battle Tyler's disability. Those of you coming to the party, I would love to tell you this all in person, how lucky and thankful we are to have you in our lives but i'd never be able to say it without crying so I'll just tell you know.  We may not have made it without your help.  We have lost some family and friends along our journey and to be honest, we were warned that would happen, but it's not easy to see them go. We may seem self absorbed at times, but there are some days that we are just surviving, some days that it's hard to just to get our family through to the next day.  And even though we've had a rough patch the last few weeks, things are looking up and today is easier than a year ago and I hope at their 5th birthday I can say wahooo.. life's a piece of cake:) So thank you all for loving us unconditionally and supporting our family.

Thursday, March 18, 2010

3/18/10



I was driving home from work on Tuesday and was thinking to myself, people alwasy say you are given only as much as you can take. And even though there are many many people who deal with more than me in their day to day life, I thought, I'm there. I've had enough for right now, so whoever is determining my ability to handle life and all that it throws at me, just want you to know,I can't take anymore right now. I need something good to happen soon. I need things to turn around. I was on the way home to celebrate teh boys bday and I wanted so badly to have a good night and for everyone to be happy. I turned the radio on and thought of a happy song I wanted to hear and it came on!!! yeah, i took that as a sign. Then I got home and both of my boys are playing with the neighbors outside, yeah! They had asked Ben to come out and play but then Tyler went looking for Ben, that alone makes me happy. (look at the pic of the girls in the jeep, Ty is chasing them)  Then, yesterday at work I got some news regarding benefits and some possible additions to our medical coverage come July so of course that made me happy. I just needed some hope right now. And then I went to a child care facility yesterday to check it out for after school care for Tyler and it was fantastic! It looks like a great fit for him and they owner is giving me a bit of a break on the price as she knows we are struggling to make ends meet. Steve is actually going to take Ty there after school today to see how he likes it...

The best news.. it looks like Tyler may be on his way back. You see, even his complexion has been bad..really pale with a lot of blue undertones, etc. he's not only not acted normal but he doesn't look normal either. Well his complexion yesterday was awesome and there were no tantrums last night at all. In fact, I told him no to something he wanted to play with (Ben's new dino playdoh which Tyler can't have due to gluten in playdoh) and he was totally fine with me saying no and offering him something else to play with. This morning Steve said he was singing (tyler's version of singing of course) and ran up to hug him, etc. So we are hoping he's snapping out of whatever was ailing him which must have either been a lingering virus hanging out and wreaking havoc in his body or maybe he got into something he wasn't supposed to have, i.e. gluten or dairy or something and his body went into revolt.

So.. it seems.. our life is turning around :) Maybe I should had the "had enough" talk a little bit sooner but in any case, things are on an upward swing for us finally and I hope it continues. The boys bday party is this weekend and I want everyone to have a great time.

Tuesday, March 16, 2010

3/16/10 Happy Birthday Boys!

4 years old!!! Here's hoping for a great day. Ben adn Grandma and I made a birthday cake last night. Although we made a gfcf cake, I doubt Ty will even attempt to eat it but I can always hope. He's not so fond of spongy textures for sme reason. We actually made 2 little cakes so we could sample one last night to make sure it tasted good :)

This morning, Ben reminded me just how much I love have kids and then Tyler quickly reminded me just how hard it can be. I woke Ben up this morning, climbed in bed with him and sang happy birthday, he said snuggle me mommy and pulled my face right up next to his.. so cute. Wished I would have had longer to enjoy the moment. Tyler was pretty good this morning before we left the house, not too much resistance, however, once we pulled into school, the story changed. He didn't even want to get out of the car, then he wouldn't stand on the pavement so I could shut the door, then he wouldn't walk. i finally got him into teh hallway near the class room and he wanted to ride on of the ride on roller coaster toys. I said no Tyler, it's time to go to class, well from that moment on he refused to walk. I never quite know where my responsibilities end and the parapro's begin but I definetly watn to make sure he followed through on my request to first stand then walk. It's tricky because you have to find a way to support him through the task but make sure he still does what you ask.. So we bounced.. one big bounce then I said stand (i.e. put your feet down and put weight on them instead of kicking them up). SO he would then we'd bounce. we did this to teh classroom and I handed him off and said "whew"... I was wore out. See TY started wearing me out at speech yesterday... he's very floppsy lately and very resistant to doing what he's asked. it just takes an incredible amount of energy to keep him on task and doing what you ask while keeping him and yourself safe and uninjured. THen when we got home.... things that would normally not bother him were and again takes a lot of physical energy to get him through it. One of our leapsters is broken and the other was in STeve's car. He brought me the box of games and I said Tyler it's broken and the good one is in daddy's car. I explained it to him many times and showed him the broken one which only frustrated him more, kicking screaming, flailing.... it was heartbreaking. Then again, same issue with taking care of his plate, I finally settled with me carrying him and him carrying his plate to the kitchen. Kicking screaming mad when getting pajamas on...until finally in bed. I laid him down, sang "hush little tyler" with tears running down my cheeks.. all the while thinking to myself "Melissa, pull yourself together". Been saying that a lot lately, "pull it together". I didn't want to ruin Ben's night. My mom was there to visit and we were all going to make birthday cakes and snuggle and watch a movie so I pulled it together and we had a great time, Ben is an excellent baker and somehow his whole hand ends up in the batter at teh end :)

So our meeting at school went relatively well. We are going to be getting a little bit more direct speech services for Tyler each week, not nearly as much as I'd like but it's a good start. They are also goign to start Tyler on PECS (picture exchange communication system) http://www.pecsusa.com/pecs.php hopefully this will help bridge the gap between his language comprehension and his language expression which has to be terribly frustrating. His signs have kind of fallen by the wayside over the last few months.

So tonight, I'm hoping for a good night. An intimate family affair of cake or non cake eating on Tyler's part, present opening and laughter. Wish us well, we could use a really good family night.

Happy birthday babies!

Monday, March 15, 2010

3/15/10 "fear"

Wow, last week was not so great. To sum it all up... I'm scared for many reasons. Last week we found out our daycare provider is retiring, relatively soon. This sent us into a week of sleepless nights, financial planning, appointments, tears, etc. The boys have been going to the same provider since they were 6 months old. Speech, occupational and behavioral therapists have all been welcomed into her home not only to work with TYler but to show the provider how to best work and communicate with Tyler. She accepts all of Tyler's diet restrictions and cleans up after the kids immediately so Tyler cannot get into any of their crumbs, etc. She is understanding that Tyler does not nap and accepts him in the middle of the afternoon after he gets out of school. The comfort I have with her and my children is as if she were a grandparent. She once even came to a doctors appt to bring Tyler rice milk because they needed him to pee and he wouldn't drink the juice I brought and all they had was normal cows milk. She brought us juice and medical supplies when we were all suffering from the norovirus. Her daughters are the only babysitters we've ever had. Their family has become an intergral part of our family and part of our support group and losing that is heartbreaking.

The thing is, like normal, I don't really worry about Ben. I'm actually excited that this is forcing us to get him into a preschool setting which he really needs and before I couldn't figure out a way to make it happen. The problem we ran into, as with everything, is $$$. Daycare/preschool costs in the area are twice as much as we are used to paying and since we had already ran out of savings for speech and some of the other things we do for Tyler, it created a huge headache for us as to figure out a way to make it all work. So I'll cut to the chase and not bore you with details. We figured out a preschool for Ben close to our home that's affordable and should be a wonderful opportunity for him. We think we may have found a place for Tyler to go after school and when he's not in school he can join ben (too expensive for him to go to the other place full time i.e summer, etc.) So all and all we should be able to manage this schedule and be able to work relatively normal work hours too which is going to be nice.

My struggle right now.. is trusting Tyler with someone new. I went to a facility on Friday that we were thinking about taking Tyler. They had mentioned to stop by anytime. So I figured after TY got out of school would be perfect since that's the time he'd be getting dropped off by the bus. The facility is relatively small and it was packed full of napping kids on teh floor, the preschool room was also packed full of sleeping kids and I quickly realized that there will be nowhere for Tyler to go. He doesn't nap after school, and definetly would not be able to nap on a mat in a room full of new toys. we felt like we were a nuissance to everyone tehre for stopping by (well I did anyway), we got yelled at for a toy Tyler went to play with so we quickly left and realized that place was nto goign ot be a good fit for Tyler. At miss karen's the kids were all tucked away in rooms napping so Tyler was able to play quietly and not disrupt anyone. Plus I know Miss Karen never got mad at him if he wasn't sleeping. I felt at this place, he'd be creating a disruption that would possible wake up the other kids and upset the caregivers (who are so young) and then they'd get frustrated with Ty and since he can't talk or exspress himself, well I just worry about his well being. There was some level of comfort I have with Tyler going to the same place as Ben as Ben can alwasy be Tyler's voice. With Tyler going somewhere different than Ben, I will not be able to rely on that voice.

Plus, my biggest concern is right now, Tyler is a lot to handle. I wish I could go back a month and have that Tyler back again. Something has happen and we thought it was the B12 shots but now we aren't sure as his behavior is not improving. I fear what the future holds for us if he doesn't go back to normal. we were just getting excited about going on more trips to see family, possibly doing a family vacation, going out in public more, etc. If he continues the way he is.. i'm not sure. It will put an incredible amount of pressure on me. You see when Tyler is like he is now, I seem to be the only one that not only understands him but that he understands and that he seeks and that he listens too. So going on trips, public, etc. that puts a lot of pressure on me to keep him happy in a time when it's kind of getting hard, so that everyone else can have a good time, its just really tiring and the more "new" things we experience the harder it is for me to maintain his regulation. Plus then I miss out on interacting with the adults and also miss out on any fun ben is having. I just want the old Tyler back.. we were making such good progress.. I hope he isn't gone for long. We have an appt with his DAN doc/pediatrician next week so we'll discuss our concerns with him and I'm sure there will be new biomedical supplements to try which will be more money.. it's a vicious cycle sometimes. Right now, I'm just fearful of what the future holds for us. I'm trying to be optomistic and am very thankful we found a way to get Ben into preschool, but emotional and financially, we are struggling right now. I need some things to turn around for us and give us some inspiration soon.

Monday, March 8, 2010

3/8/10

For those of you who are wanting to read some spectacular, uplifting blog entry today, you may wanna stop reading now. This is going to be an update about the reality of autism and juggling all that it takes to fight it.

Let me first begin by reminding you about Tyler's biomedical therapy. In an attempt to save $$, we have slowly been trying phase out certain supplements, etc. to see if we notice any change or regression, i.e. with the intention of making sure that each supplement we give Tyler is working. For example, Tyler takes a massive dose of a multi vitamin (spectrum completely by kirkman labs) and we also gave him vitamin C. Well we figured Tyler was already getting enough vitmain C in the vitimain and he loves mandarin oranges so we removed that from his regime. We also wanted to see if the B12 injectins were still working. He's been on them since he was 18 months old and now approaching his 4th birthday. They are expensive, righ aroudn $100/month (which is not much really until you figure everything else we spedn on Ty) and it's a hard thing to do, i.e. poke your kid every other night. So we phased it out to see if we saw any regression and we did!  The first week we weren't sure if it was just because he had been sick and was on antibiotics or because we traveleed, but he was definetly less aware, less involved, and less chatty than normal.  Then last week, he had a fever so we figured maybe it was the fault of the fever.  Until this weekend, Ty was finally fever free (will get to the fever story later). Steve's mom noticed that Tyler was more aggitated than normal, he was less able to sit still and concentrate, definetly less talkative and overall just not our Ty. We decided that obviuosly the injections are still providing a significant benefit to Tyler and started them again last night.  Below is a description of just how or why they work more so.


B12 (cobalamin) is a vitamin “family” with five unique family members that each do different things: a) cyanocobalamin; b) hydroxycobalamin; c) adenosylcobalamin; d) glutathionylcobalamin; e) methylcobalamin. Out of the B12 family, only Methyl-B12 has the ability to activate the methionine/homocysteine biochemical pathway directly. It is this pathway that is responsible for the body’s entire sulfur-based detoxification system. It is this pathway that is responsible for the formation of S-adenosylmethionine (SAMe), the universal methyl donor. It is this pathway that is responsible for the formation of homocysteine, the “crossroads” molecule that is responsible either to reform methionine and SAMe or create cysteine, taurine, and glutathione. Glutathione is the body’s primary intracellular antioxidant and is responsible for many detoxification reactions, most notably those that involve the binding and removal of mercury, lead, cadmium, arsenic, nickel, tin, antimony, and many other lesser-known heavy metals that also bind to glutathione’s sulfur group.


On to the fever. Tyler had to be held out of school last week every day but Monday due to a fever. There were no other symptoms other than  a fever, but Tuesday night it spiked and reached almost 105, it was pretty scary. Knowing that he obviously has some neurological deficiencies, I'm quite protective of his brain!  None of us got sick, which never ever happens if Tyler truly is sick. My hypothesis (and shoudl research to see if other parents notice this) is that Tyler's body does not react well to antibiotics. Not that I don't believe in antiboitics, I know they are necessary at times and I know that there have been times I had been so sick that I may have ultimately died without them, however, I believe they fight the bugs, but actually weaken Tyler's system.  He typically gets sick after he goes off antibiotics which is then the reason he went on them, how's that for irony.  Ok anyway, that's the health front. We are all healthy at the moment, hopefully the boys can stay that way through their birthday. 

Well our flex spending has been depleted, our savings depleted, and the ingenious plan I had that was going to save us $400 a month which is conveniently how much we needed to pay for speech, well that also fell through. ARGH. This on top of the fever last week and work stressors and other issues didn't make me a very happy person.  I was gettign emails about upcoming summer programming and phoen calls about other services we had once  inquried about and it was really getting me down. I want all those things for TYler but if I can't even afford speech, not sure how i can pay for all the other extras.. which in my mind aren't really extra's anyway, they are necessities.  My mind was a bit of mush this weekend where i decide to not think about it for a bit, I needed a break from constantly trying to come up with new ideas.  And then.. a guardian angel came through for us and gave us enough funds to pay for another month of speech yea! Kinda got my mind back in the direction it needed to go.. ok what next, what else can I do or what plan can I come up with to make it work.

Which brings me to my next though. we are really interested in doign HBOT therapy, especialyl since Tyler's progression on biomedical intervention so far has been relatively slow going, nothing has made a significant improvement, all just gradual improvements. So we plan to talk to his pediatrician more about this at the 4 year wellness visit with the pediatirican. The problem with HBOT is that it's expensive. $20,000 to purchase teh machine, $5000 per month to rent or you can pay by visit and go to a HBOT facility, well as you know our schedules are already crazy and it's something that you have to do daily around 30 times to see an improvement and its usually about 45 mins I think? anyway, I heard of a non profit facility in NC that offers it and free board for the time you are there. I also found out that if prescribed by a peditrician (which it has to be) that i could be covered under FMLA to take the time off work to take Tyler if we decide that route and this is only $2800.  They also have fundraising ideas. So it's something I definetly want to look into more and make sure it's something worthwhile.. and again how to pay i"m not sure but we'd do fundraising. Maybe we could raise enough to rent one and do it from home who knows but we are just needing to prioritize what works and what doesn't work adn where we can get extra funds to try new things in addition to what we are already doing.  You never know what combination of what therapies is going to work and I just want to make sure we remain open minded and committed to trying.   On this website you can find out more info and see video about HBOT http://www.drneubrander.com/dev/index.html

We have an appt with TYler's teacher and therapists at school this week to go over Tyler's progress towards his goals and discuss concerns, etc. I'm looknig forward to this meeting and will update more once we talk to them.

Monday, March 1, 2010

3/1/10 - Happy March!!

Yeah, it's March, spring is just around the corner, yippee! Which also means that the boys birthday party is getting close. Can't believe they are going to be 4, what a whirlwind those 4 years have been! I can say with great happiness that we've come a long way (happy to be saying this a lot lately). This weekend was another testimonial. We had intended to visit my aunt for a weekend over the Christmas break, however, due to their kitchen remodel, we had to postpone the trip until this past weekend. It's been a very very long time since we had a weekend away as a family. It used to be exhausting to make it all happen and more work than it was worth. Even our attempted camping trips last summer were exhausting and the car ride to and from those places seemed to be my only respite. But we feel that Tyler's ability to cope with new enviornments and changes, sensory issues have improved so much that he was ready so we gave it a whirl this weekend and it went great. It was so nice to travel as a family to visit family again. There was a time when we struggled to get Tyler to eat one or two bites of food when we were out of a normal environmental. Now he's eating on his own at a new table/chairs with all new surroundings and doing great. We still do have to haul all of his "stuff" with us, including a toaster since he doesn't like his cereal or yogurt anymore, and he can't have eggs, we give him a lot of french toast sticks and waffles (all gfcf of course). So he has his own toaster to avoid cross contamination with gluten from regular bread/waffles.

Anyway, the weekend was great, my aunt has a piano so of course Tyler is in love with that. He did great hanging out with everyone, including people he didn't even know. Ben also had a great time. In fact, the boys went on their first snowmobile ride and had a great time. I'll post pictures soon.

We still struggle with our inability to get Ben into preschool. We couldn't afford it this year and even if we could afford it, we were unable to figure out a schedule that worked with our schedules and still accomodated Tyler's schedule. It broke my heart to have to choose one boy over the other. Ben gives me many reminders that he really needs to be in a school in a structured/learning environment and each time I feel a bit more guilty about not being able to get him what he needs. We do try to accomodate it with other actvities with peers such as enrolling him in soccer. I think we'll do swimming next. We also try to get him out and about each weekend to some sort of fun play place so he can interact with other kids, etc. Ben is definetly egocentric.... yet he has a heart of gold. Kinda of hard to explain. He's definetly the sensitive one in the family. he gets his heart broken easily but also knows how to melt your heart. Has a habit of saying "mom, you are cute!" when he's in trouble. Anyway, when he talks about any plans/future, he alwasy talks about his brother and including his brother in his halloween costume ideas, the fact that he wants us to all stay home toether every day and grandma can go to work for us, all those things he alwasy says mommy, daddy, and my brother. They don't play often but I really think Ben is starting to get that brotherly "protection" feeling and also beginning to understand more about Tyler's disability. Anyway as much as Ben's sensitivity can be somewhat irritating, I find that Tyler is pretty lucky to have a brother with a heart of gold. Which brings me to an article I wanted to share about the burden siblings bear in regards to autism. Carrie always told me that one day ben would be Tyler's best therapist. I think she may be right. Ben's definetly a lover.. not sure there is any fighter in that kid:) So I think the cards were played right.. Tyler needs to fight with everything he has to overcome autism and Ben needs to love and have more compassion than most siblings to accept his brother with special needs. Oh how I love my babies!

Ok, so here's the artcile i wanted to share about all of it:

A few months ago, I took my sons to buy shoes. Nate is 14 and autistic. Joey is 8 and "typical." And I'm the parent — most of the time. Before we got to the store, Joey said to me, "If Nate has a tantrum, I can handle him. You just focus on buying shoes. I'm better at handling tantrums than you. Sometimes you just yell and it makes things worse. No offense."

None taken. He's absolutely right.

The "typically developing" siblings of autistic children are, in fact, the furthest thing from typical. Often, they are wiser and more mature than their age would suggest. And they have to be, given the myriad challenges they face: parental responsibility; a feeling of isolation from the rest of their family; confusion, fear, anger and embarrassment about their autistic sibling. And on top of all of it, guilt for having these feelings. (See six tips for traveling with an autistic child.)

As their parents, there's a lot we can do to help. For starters, we can educate them early on, by explaining their sibling's disorder — a conversation that should be ongoing. Dr. Raun Melmed, co-founder and medical director of the Southwest Autism Research and Resource Center in Phoenix, suggests including non-autistic children in visits to the doctor or other autism professionals. Early intervention doesn't have to be "thought of as being geared only to the involved child," Melmed says. In his office, Melmed reassures siblings that "other brothers and sisters have negative and confusing thoughts about their [autistic] siblings. That is common." He also instructs parents to reaffirm that message at home. "Parents need only acknowledge to their healthy children that they know what they are going through and that negative feelings are normal," he says.

A great way for kids to feel "normal" is to meet other siblings of autistic children, which they can do at sibling workshops. At the Kennedy Krieger Institute for children with developmental disabilities in Baltimore, social worker Mary Snyder-Vogel runs a program called Sibshops. "The workshops give these kids the opportunity to realize they're not alone," Snyder-Vogel says. "[We play] a lot of games that help them interact and problem-solve with peers. Kids don't even realize they're getting support."

At a recent Sibfun workshop at the Jewish Community Center on Manhattan's Upper West Side, therapists used puppet shows to illustrate issues that are common among siblings of special-needs kids. When asked what they thought the puppets were feeling, the children in the audience needed no prompting, immediately shouting out words like sad, disappointed and jealous.

Siblings will commonly have negative feelings — some might never connect or want to connect with their autistic siblings — but the good news is that typical siblings often turn out to be more compassionate and caring than average. "These siblings have seen what it's like to have a hard time in life," says Sandra Harris, executive director of Rutgers University's Douglass Developmental Disabilities Center, a program for people with autism spectrum disorders and their families, and author of Siblings of Children with Autism: A Guide for Families (Woodbine House).

There are many other, more specific challenges that affect siblings of special-needs kids — and many of them apply to sibling relationships of every kind. Here are some of the issues that most frequently confront typical siblings — and their families — with advice from professionals.