Processing Grief Over a Loved One’s Autism Diagnosis

I have just finished having my yearly tradition of what I like to call, “a good cry.” It’s my son’s fourteenth birthday, and for the past ten years, I have set aside the morning hours of this day to participate in this cleansing ritual.

My son, Ben, isn’t deceased; he has autism. Not the “you-wouldn’t-know-it-if-I-didn’t-tell-you” kind. Ben has “full-blown-could-melt-down-any-moment-take-off-all-his-clothes-and-run-into-the-woods-requiring-search-helicopters-and-bloodhounds-to-find-him” kind. You get the picture.

As a therapist, I work closely with the Kubler-Ross stages of grief:

  • denial
  • bargaining
  • sadness
  • anger
  • acceptance

With acceptance usually comes closure; that feeling of relief that the person isn’t suffering any longer, a feeling that you can now let go of the worry that accompanies the loss and go on with living your life.

Ben developed typically until age two, then lost skills until his autism diagnosis at age four. Sometimes I wonder if a traditional loss would’ve been easier. There would be closure. With autism, there is acceptance, but no closure. My grief is what experts call “cyclical.” With autism, as well as many other chronic illnesses and disabilities, the caregiver’s grief over an absence of perceived “normalcy” often recirculates through these five stages.

The combined training I have received as a mental health counselor and autism mom has taught me the following about handling grief in the “Land of Autism.” I’ve organized them according to the words from the wise women who have accompanied me on this journey.

“If you don’t deal with it, it will deal with you.”

This statement is about more than denial. In my counseling practice, I primarily treat parents raising children with autism. While every parent goes through the denial stage, whether it is for ten minutes or several years, “dealing” with our grief requires more than just accepting the diagnosis. We need counselors, friends, and professionals to help us with parenting skills, marital strife, and self-care. After the diagnosis, I took off like a racehorse out of the gate, doing all that could be done to help my child. Two years into it, my son was thriving in a wonderful program, but I was in a fetal position on the couch with severe depression and panic attacks. Take self-care seriously.

“What you can anticipate, you can plan for.”

Being aware of the five stages of grief is helpful because we can tell ourselves it will pass when we are experiencing it. We also need to be aware of “anniversary grief.” This is where an event can trigger a grief response that can correlate to a specific date or time of year. For some parents it’s their child’s diagnosis date. For me, it’s my child’s birthday. I now anticipate this event and make sure I set aside time to process my sadness.

“It is what it is.”

I don’t want to cry on what is supposed to be a happy occasion. The first few years I told myself I was being ridiculous and needed to get over it. This did not help the situation and I found myself suppressing sadness that would end up bubbling over into other areas of my life without warning. Acceptance is not only about our kids, it’s about accepting ourselves and our feelings. Set aside the time you need to grieve.

“Never, never, never give up.”

Autism itself can be a tremendous stressor on families, and it tends to be a leavening agent that brings all the problems that already existed in our relationships “to the top,” so to speak. I have personally had to save my marriage, face my demons, examine my beliefs, eliminate bad habits, make new friends, and change careers. Later today, I will process my mixed feelings about the birthday, in private, with my husband, and we will be closer because of it. And I will wake up tomorrow with a renewed resolve to never give up.

© Copyright 2011 by By Janeen Herskovitz, MA, LMHC. All Rights Reserved. Permission to publish granted to GoodTherapy.org.

The preceding article was solely written by the author named above. Any views and opinions expressed are not necessarily shared by GoodTherapy.org. Questions or concerns about the preceding article can be directed to the author or posted as a comment below.

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  • Pam

    October 11th, 2011 at 4:02 PM

    Autism wears so many different roles in different families.
    I too have grieved for the life that my own autistic som will never have. It has made me so sad that there are days when I too have had to dedicate to having a good cry.
    But you know what? I love my son, and he is so special to me, that it is hard to think of having a different life.
    I will love and cherish him through anything for the rest of his life and beyond, and have come to realise just how much meaning he gives to me daily.

  • carrie

    October 12th, 2011 at 10:22 AM

    having a family member with autism can be tough.and it is the especially so for a mother because she is emotionally the closest to a child.often people just deny that their child has a problem or become hyper reactive-in the sense that they will ‘care’ for their child beyond all limits and burn themselves out in the process.so having a plan like this with knowledge of things will be mightily helpful for someone who could be going through a situation like this.

  • k.q.

    October 12th, 2011 at 8:00 PM

    Janeen, thank you for your honesty. It’s so refreshing to hear a mom with a child with autism admit they are sad about it and what will never be. I look at my son’s old schoolfriends and see them grow, have families of their own and mature. He’s 22, has AS and is like a child of 12 in so many ways.

    People around me would be horrified that I was never one to voice the “oh but I wouldn’t have him any other way” line you hear from some parents with autistic children, – because I would! If I’d been given the choice, I would have wanted a healthy normal son. No parent wants to see their child struggle in life.

    And it makes some parents so angry that I say that yes I do wish it had been different, as if I’m breaking some unwritten etiquette rule in the autistic community. I feel I’m just more honest than most. I love my son, don’t get me wrong. I just wish his life would have been different and I could have watched it unfold more happily for him.

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