04/27/2026
This moment from a recent evaluation has stayed with me.
A teen I was working with was given a few forms to complete at home. There were a couple of rating scales, along with some additional paperwork that was actually meant for a parent.
When he came back, he had completed all of it.
Carefully. Thoughtfully. In detail.
Apparently, it was not clearly explained to him which forms were for him and which were not, so he did exactly what he understood was being asked and followed through fully.
Moments like this are easy to misinterpret.
They can be seen as confusion, inattention, or “missing the point.”
But what I saw instead was strong follow-through, a genuine desire to do things right, and a more literal way of interpreting expectations.
This is something I see often in autistic adolescents, especially those who have spent years working hard to meet expectations in environments that are not always clear or predictable.
Not a lack of effort.
Not a lack of ability.
Just a difference in how information is processed and understood.
During Autism Acceptance Month, I keep coming back to this:
Sometimes what looks like a misunderstanding is actually someone trying very hard without having been given full clarity.
And when we understand that, it changes everything.
How we communicate.
How we interpret behavior.
How we offer support.
For many individuals, these patterns go unrecognized for a long time. And when they are finally understood, it often brings a real sense of relief for both that person and those close to them.
If you have noticed patterns like this in yourself or someone close to you, and have found yourself wondering what might be going on, you are not alone in that.
Columbus, OH
Neurodiversity-affirming therapy and psychological evaluations
Mental health services, consultation, & professional training in Columbus & Dublin, OH. Dr. Emily WH is a counselor & school psychologist who supports LGBTQ+ & neurodivergent individuals. Collaborative autism evaluations & ADHD testing available with a licensed psychologist, alongside therapy & cons...