Haley S. Wens, OT

Haley S. Wens, OT Pediatric Occupational Therapist. Neurodiversity-Affirming, Trauma-Informed, Floortime Enthusiast

04/16/2025

Autism Prevalence.

“In my day there was no such thing as autism, now everyone has it!” - “What is causing this new autism epidemic?”

Fluoride. Vaccines. Food Dyes. Heavy Metals?
_

TLDR: Autism has always been a highly prevalent neurotype.

I’m going to say what you have already heard, but I am ALSO going to break it down:
As research and understanding of the autistic neurotype has progressed, diagnostic recognition and criteria has expanded to uncover this reality that many of us already know. Autism is, and has always been, a prevalent neurotype in the neurodiversity of the human experience.

🧠”LEVELS”/SUPPORT NEEDS: In the past, it was primarily “high support needs” individuals being diagnosed as autistic. Now we know the breadth and variety of the spectrum which presents uniquely in many individuals with many different level of support needs. Your autistic neighbor, your coworker, your family member, your classmate, your friend, or your teacher diagnosed today - would have never received a diagnosis in the past.

🧠GIRLS - Only recently is the research working to better identify autism in girls. Autism research and diagnostics were only focused on boys - this leaves out half of the population, and we know it presents differently in females for a variety of reasons. Because of this, boys are 4 times more likely to be diagnosed than girls, girls get the diagnosis LATE in life if at all, and girls are often misdiagnosed with bipolar disorder, borderline personality disorder, and eating disorders.

🧠BIPOC - While the prevalence of autism is the same in BIPOC communities, this is not reflected in diagnoses rates due to discrimination and disparities in access. BIPOC are more likely to never received a diagnosis and/or to be misdiagnosed into behavioral disorders instead of an accurate autism diagnosis. This leads to lack of proper support and an emphasis on intentional misbehavior, inappropriate interventions, trauma, lifelong effects and further disparities and discrimination! We still have a VERY long way to go in research, diagnostics, and service access in this area.

🧬ADULTS/LATE DIAGNOSED and GENETICS: There is a huge increase in “late diagnosed” adults. These adults grew up during the narrower understanding and diagnostics of autism. As understanding has progressed and expanded over the years, many adults are finding their accurate diagnosis. We have a surge in what is called “late-diagnosed adults.” Because autism is highly genetic (80-90%), many of the parents of children getting diagnosed today are finding out through their children’s experiences, that they, too, have this neurotype. 80-90% - in case you missed that part.

💥”In my day there was no autism, now everyone has it.” The same amount of people are autistic, they are just now actually being recognized, understood, diagnosed. But let me take this disturbing rhetoric to emphasize another factor - “in your day” disabled and neurodivergent individuals, particularly those with higher support needs, were isolated, segregated and institutionalized. They were not at your school, not at the swimming pool, not on TV, not at the grocery store, not in the movies, and not in your shows. They were obviously not on the non-existent social media we have today. They were highly pathologized, infantilized, neglected, and abused as parents were urged to institutionalized them into these medical residential settings.

April is autism awareness/acceptance month. So maybe. Be aware of that?

🪐 “In the past few decades, we have detected thousands of planets outside of our solar system. They did not suddenly appear at the time we sound them. No one calls it an “exoplanet epidemic.” The planets were always there, just previously undiscovered. This is a tweet about autism.” -Invisible Strings

I am lucky enough to provide services for a wide variety of children on various different feeding journeys! This include...
04/15/2023

I am lucky enough to provide services for a wide variety of children on various different feeding journeys! This includes children with G-tubes, J-tubes, and NG-tubes. Representation is Important! Thank you, Ge**er!

"Ge**er Lil’ Crunchies make for the PERFECT snack for Scarlett! Not only do they quickly dissolve, but they are also made with 2g of whole grains per serving! They are a new texture and flavor for Scarlett to explore on her journey to eating by mouth. And of course they are non-GMO and have no artificial flavors…honestly what could be better?"

📸 & 💬:

04/05/2023

People like to speculate that taking meds for ADHD is a gateway to addiction, when in reality, the research shows that unrecognized and unsupported neurodivergence is what does that ☝️

04/03/2023

Autism Awareness Month? 😵‍💫
Autism Acceptance Month? 😏
….

Autism Appreciation Month! 🥳♾️🧠

That’s the one.

03/31/2023

This was lovely to hear!

"On two nights in April, the Seattle Aquarium will welcome differently abled and disabled adults and children, along wit...
03/25/2023

"On two nights in April, the Seattle Aquarium will welcome differently abled and disabled adults and children, along with their families, to DreamNight—an evening exploring the Aquarium. We’re working with our Connections program partners to provide this programming.

DreamNight provides an opportunity for families to enjoy the full Aquarium without feeling self-conscious and with the knowledge that their entire family is seen and celebrated. The evening includes fun activities, talks and presentations, all modified for accessibility needs. We’ll also provide accommodations for sensory needs throughout our facility. We’re excited to join over 265 zoos and aquariums around the world to offer a free annual DreamNight event.

We invite you and your family to join us on one of the dates below:

Friday, April 14, 2023
Friday, April 28, 2023
Both evening sessions run from 6:30 to 9:00pm. To make sure as many participants as possible can attend DreamNight, we ask that you please only register for ONE night."

On two nights in April, the Seattle Aquarium will welcome differently abled and disabled adults and children, along with their families, to DreamNight—an evening exploring the Aquarium. We’re working with our Connections program partners to provide this programming. DreamNight provides an opport...

“Seclusion and restraint in schools causes lasting harm to children. Punitive discipline contributes to the criminalizat...
03/17/2023

“Seclusion and restraint in schools causes lasting harm to children. Punitive discipline contributes to the criminalization of children, and students of color and disabled students are most impacted. Even our youngest children are subject to suspension. We need a change.

But with change comes resistance.

When I work with teachers on making the shift from punitive discipline to trauma-informed, restorative approaches, a question often comes up: “what about the other students in the room?”

This article approaches the dynamic of trauma-informed approaches to social-emotional challenges in the classroom, and how it affects other students in the environment. Spoiler alert, it benefits all.

Your student is breaking stuff. Not idly breaking stuff, like accidentally snapping a pencil or shredding a piece of paper with fidgeting hands. I mean tearing apart your carefully composed bulleti…

✅ urgency ✅ novelty ✅ challenge Three things that stimulate and engage the adhd neurology.  Another reason to celebrate ...
03/16/2023

✅ urgency
✅ novelty
✅ challenge

Three things that stimulate and engage the adhd neurology.

Another reason to celebrate Neurodiversity Celebration Week! We have people who can engage and pull it together when s**t hits the fan.

Is this you?

(Photo is black and white tweet from @ bllgirllostkeys that reads:

The ADHD brain is a marvel and one of the places it truly shines is in a totally emergency situation.

I never feel more clear headed, more in control, or more able to confidently call the shots and call them perfectly than when everything is in utter peril.)

03/15/2023

Go and love someone exactly as they are. And then watch how quickly they transform into the greatest, truest version of themselves.

When one feels seen and appreciated in their own essence, one is instantly empowered.

-Wes Angelozzi

> OTs are well prepared to help students develop social-emotional skills and cope with mental health challenges that may...
03/14/2023

> OTs are well prepared to help students develop social-emotional skills and cope with mental health challenges that may impact their roles, occupations, and daily activities that bring meaning to their lives. This includes everything from helping students organize their homework to eating with friends in the cafeteria.

> Emotional regulation, classroom modifications, and therapeutic use of self are strategies OTs can use to help students improve their quality of life and emotional well-being.

> OTs are trained in mental health interventions and can provide valuable support to students struggling with anxiety, depression, and other mental health disorders.

> OTs can consult with teachers and other school staff members to help them better understand and support students with mental health needs.

> OTs can provide professional development training on topics like trauma-informed care, sensory strategies, and motivational interviewing.

> OTs can advocate for policy changes at the state and federal levels that would improve access to mental health services for all students.

The mental health of our nation's children is in a state of crisis, and OTs are uniquely positioned to provide much-needed support. By taking a holistic approach that considers the physical, cognitive, social, and emotional needs of each individual student, OTs can make a real difference in the lives of young people struggling with mental health issues.

As schools struggle to address the mounting mental health needs of students, occupational therapists are uniquely positioned to provide much-needed support.

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Seattle, WA

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