New to the journey of Complex Diagnoses?

New to the Journey?

Maybe you have just been told that your child is autistic. Maybe your child changed suddenly, and no one can tell you why. You are hearing unfamiliar words such as PANS, autoimmune disease, neuroinflammation, regression, developmental delay, chronic illness, or medical complexity.

Maybe there is no diagnosis yet, but you know that something is wrong; your child is struggling, and you found your way here, desperately trying to figure out how to help or get help.

First, Take a Breath. Because there will be evaluations, testing, therapies, school meetings, specialists, second opinions, treatment decisions, insurance battles, research, and paperwork. There will be lists, binders, lab results, and learning an entirely new language you never expected to need.

But first, breathe. Sit for a moment. You don’t have to do everything today. You can’t solve your child’s complex needs before dinner, and you are not suddenly going to become a doctor, therapist, attorney, researcher, and educational advocate in the same afternoon. That is coming; you will find out that you will need to become all those things and more. But…

Right now, you are still their parent. Your child is still your child. A diagnosis may explain something important, but it does not erase the person who was there yesterday and doesn’t change the struggle you will have tomorrow. All I can say is, you know, you already know. He isn’t just “all boy,” and she isn’t just “naughty.” Something is going on, and unfortunately, it is going to be your job to figure it out.

You May Be Grieving, Even Though No One Has Died

This can be difficult to admit. Parents are sometimes afraid that acknowledging grief means they are grieving their child. That is not necessarily what is happening. I think I was grieving the future I imagined for my child, for our family. We hold a belief that life will be straightforward, and now we are grieving the loss of certainty, the loss of trust in our own instincts, or the loss of the relatively ordinary childhood we expected our child to have.

If your child became suddenly ill or lost skills, you may also be grieving the child you remember from before everything changed. None of that means you love your child any less. It means something significant has happened, and your mind is trying to figure it out while everyone around you is in denial or blaming it on behavior.

The five stages commonly associated with grief are denial, anger, bargaining, depression, and acceptance. Elisabeth Kübler-Ross originally developed this framework while working with people facing terminal illness. It was not designed as a scientific checklist, and research does not support treating it as a fixed sequence that everyone must complete. But the cycle was true for me; the words became useful because they give me language for these feelings that otherwise felt too devastating and chaotic to even talk about.

Parents of autistic children and children with chronic or uncertain conditions often describe grief, guilt, anger, confusion, and recurring feelings of loss. These feelings do not arrive neatly, one at a time. You may experience several in one day. You may reach acceptance and then find yourself furious again after a difficult appointment, a school problem, a regression, or another milestone that does not happen or is not as helpful as expected.

We are not doing grief incorrectly. Grief is not organized enough to respect a five-step plan, but if we understand the stages and give ourselves the words, we can understand where we are right at this moment. And somehow that helped me feel less crazy (for want of a better word).

Denial: Maybe Everyone Is Wrong

Denial does not always look like refusing to believe a diagnosis or believing what you are being told is wrong. Sometimes it looks like searching for one more explanation. When what you are being told doesn’t fit, denial can sound like:

*Maybe they evaluated my child on a bad day.*

*Maybe this is just a phase.*

*Maybe we need a different doctor.*

*Maybe they will wake up tomorrow and be completely fine.*

Sometimes the professionals are wrong. Sometimes an initial diagnosis is incomplete. Sometimes a child has more than one condition, and one label does not explain the whole picture. Continuing to ask thoughtful questions is not denying anything, but it is being a good advocate for your child. When something doesn’t seem right, when the diagnosis seems wrong or incomplete, you should be asking questions.

The difference is whether you are investigating what is happening or running from what is already in front of you. We do not have to accept every opinion without question. Some of the things I heard along the way were just simply wrong. We also do not have to reject every difficult answer because we are not ready for it, but it has to fit what we are seeing right in front of us.

For now, write down what you know. Record what you have observed. Gather evaluations, medical records, school reports, videos, photographs, laboratory results, and a timeline of important changes. There’s still a chance the doctor you are in front of that day will dismiss this as nothing, or as something else, but we have to keep trying.

You are not being hysterical. You are establishing a starting point.

Anger: Someone Should Have Helped Us Sooner

Anger can arrive quickly.

You may be angry with a pediatrician who dismissed your concerns. You may be angry with a school that noticed problems but did not tell you. You may be angry with a specialist who gave you a diagnosis and sent you home with a brochure. You may be angry with relatives who think they know exactly what you should do despite having learned everything they know from three social media posts and a cousin’s neighbor.

You may be angry with your partner for not reacting the way you are reacting.

You may even feel angry with yourself.

Why did I not see this sooner? Why did I believe them when they told me to wait? Why did I not push harder?

That anger may contain important information. It can show you where your trust was broken, where support was missing, or where something needs to change.

But anger is a powerful fuel and a terrible steering wheel.

Use it to ask better questions, obtain records, request evaluations, appeal decisions, and protect your child. Do not let it convince you that every professional is an enemy or that every decision you made before you knew better was a failure.

You made those decisions with the information you had at the time.

Now you have more information. You can make different decisions.

Bargaining: If I Do Everything Perfectly, I Can Fix This

This is where many of us become researchers.

We tell ourselves that if we find the right specialist, therapy, diet, supplement, medication, school, protocol, test, or hidden piece of the puzzle, everything will return to normal. Everything on this blog is linked in some way to a thread I pulled on, an idea that sounded plausible, a new suggestion that I could follow through on.

Research can be valuable. Testing can reveal important information. The right support can change a child’s life. Medical concerns should not be dismissed merely because a child also has an autism diagnosis. Autism does not make a child immune to pain, infection, seizures, autoimmune illness, gastrointestinal problems, sleep disorders, nutritional deficiencies, medication reactions, or any other health condition. Lyme disease. Mold toxicity. Encephalitis. Encephalopathy.

But desperation makes families vulnerable.

It can make every confident person sound like an expert. It can make an expensive promise feel like evidence. It can lead us to try ten things at once, leaving us unable to tell what helped, what harmed, or what did nothing except empty the bank account.

You do not have to stop searching. You do need a way to search without being consumed by the search.

Ask what evidence supports a recommendation. Ask about risks, costs, alternatives, and what improvement should realistically look like. Change one major variable at a time when possible. Keep records. Make room for the possibility that something may help without being a miracle.

Your love for your child is not measured by how many treatments you can find or how much money you can spend. We fell deeply into this trap.

Depression: I Cannot Carry All of This

Sometimes the reality of the journey settles in slowly.

The appointments continue. The forms multiply. Friends stop asking how you are because the answer is complicated. Other families seem to be moving through ordinary milestones while you are trying to get insurance approval, survive another school meeting, understand another laboratory report, or make it through a week without a crisis.

You may feel frightened, exhausted, isolated, or numb. You may love your child completely and still hate what your family is going through. Both things can be true. This is not the point where you need someone to tell you that you were “chosen for this” or that everything happens for a reason. Sometimes life is painfully hard, and inspirational slogans do not unload the dishwasher, answer the insurance company, or help a terrified child sleep.

This is where support matters.

Let someone bring dinner. Tell a trusted person the truth. Find another parent who does not require you to explain every term before you can finish a sentence. Ask for professional help if the weight has become too much to carry safely. Rest is not abandoning the search. Taking care of yourself is not taking something away from your child.

You are part of the family you are trying to save.

Acceptance: This Is Where We Are Today

Acceptance does not mean giving up. It does not mean agreeing with every diagnosis, abandoning medical investigation, lowering every expectation, or pretending that painful things are beautiful.

Acceptance means beginning with reality.

This is where my child is today.

This is what my child can do today.

This is where they need help.

This is what we know.

This is what we do not know yet.

From there, you can try to make decisions based on the child in front of you rather than fear, comparison, or the future you once imagined.

Acceptance also makes room for your child’s strengths, preferences, humor, intelligence, interests, and ways of experiencing the world. A child is never merely a collection of symptoms. Support should help a child communicate, participate, feel safe, build skills, maintain health, and become more fully themselves. It should not require them to spend their entire childhood performing normality for everyone else. Although that is the expectation.

You can accept your child exactly as they are and still pursue answers for pain, sudden changes, lost skills, disrupted sleep, severe anxiety, seizures, inflammation, or other medical concerns.

Acceptance and investigation can exist together.

The Stages May Come Back

You may feel steady for months and then encounter a new evaluation, birthday, regression, school transition, social difficulty, or medical setback that brings the grief back. That does not mean you have returned to the beginning. It means the journey changed again.

Grief in complicated caregiving is often less like walking through five doors and more like revisiting familiar rooms. The rooms may still be there, but over time you learn where the lights are.

What Loving the Spectrum Can Offer

My blog cannot diagnose your child or promise you a particular outcome. What it can do is help you start putting pieces together if it looks anything close to what we went through. Here, I share our journey, including the strange pieces that did not seem important until much later. I write about the places we looked, the questions we asked, the things we missed, the systems that failed us, and the times we failed ourselves.

I also write about the things that worked. Although I am going to be honest here, there wasn’t much. That list is quite short, unfortunately.

There were moments when we trusted our instincts and were right. There were professionals who listened. There were tests that gave us answers, interventions that helped, and small victories that changed the direction of our lives, but our adult still has autism and encephalitis and mental health instability.

There were also wrong turns, incomplete explanations, and years when we did not understand how the pieces connected. I share those parts because polished success stories can make struggling families feel even more alone. Real journeys are rarely polished. They are built from persistence, mistakes, partial answers, course corrections, and the refusal to stop seeing the whole child.

You may find something here that gives you a question to ask, a possibility to investigate, or language for something you have been trying to explain.

You may also find reassurance that you are not the only person who has sat awake at night trying to make sense of a child whose needs do not fit neatly into one specialty, one diagnosis, or one system.

For Today, Begin Here

Make the necessary appointments. A developmental pediatrician. A neurologist. An endocrinologist. An epileptologist. A PANS/PANDAS friendly physician. A Lyme-literate doctor. A mold expert. An integrative NP or MD. We found the most success with practitioners who had walked the same journey as us. They were kinder. More willing to go the extra mile. Less judgment. More understanding. Leave no stone unturned, but try to find people who get it.

Arrange the recommended evaluations and appropriate supports. Get on the waiver lists. Get the autism diagnosis if that’s appropriate. Get early intervention. Start therapy. Get an IEP. None of these things should wait. Be evaluated by the early intervention team in your area when appropriate, and I will say again, get on the waiver lists. Community services and housing waivers especially. In our state, these lists can be 15-20 years long.

Document what you are seeing. Everything. I had spreadsheets for lab work. Did people look at me like I was overbearing and potentially had a mental health problem myself? Yes, yes they did, until they met my child. Then they understood the spreadsheets were time-saving and a way to quickly spot patterns and discrepancies.

Ask questions. Then ask more questions.

Pay attention to changes that are sudden, severe, painful, or medically concerning.

But you do not have to do all of it this minute.

First, sit down.

Put both feet on the floor.

Take a slow breath.

Look at your child, not the stack of paperwork, not the diagnostic code, and not the frightening version of the future your mind has already created.

Your child is still here.

You are still here.

You do not need the whole map today. You only need enough light for the next step.

And when you are ready, begin putting the pieces together. Remember, you are not alone.

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