Susan, how is her eye contact? I get the impression that it is pretty good...she looks into the camera for pictures; she seems to smile at you, etc. I really think your worst case scenario is pretty unlikely. And, if she's on the other end of the spectrum (Asperger's), she's gonna lead a fine and wonderful life.

Did you know that Brad Cohen, developer of BitTorrent, has Asperger's? There's other stories, of course, but I won't go into all of them.

Honestly, I'd be more concerned if Annabel *had* been talking and started to lose words. That's more typical of autism. She's right about the right age, though, to start thinking about a diagnosis and early intervention, so that's good that you're thinking about that. Definitely talk to the doctor. I think you're right to have her tested. This has been a long time, and you are genuinely concerned...and that is valid. But, honestly? I think autism is pretty unlikely, from what I've seen of Annabel. Of course, I've never interacted with her, so I could be totally off-base here, but just the way you've described her doesn't fit with so many things.

Hugs to you and Dylan, though. This is tough, and you've been a trooper through it all. You'll continue to be too. Talk to the doctor. Get her evaluated, but STAY AWAY FROM GOOGLE!

Susan, I'm no expert, but I had the exact same fears for Chris (and to a lesser extent, Ben) and they were not realized.

What you're describing as her lack of empathy/unflappability and other traits in your numbered items, isn't unusual (imo) in a bright, well-loved toddler her age, just so you know. All three of my children shared most of those traits.

I definitely think you should make a good list and take it with you to her 18 mo. check-up, so that you can remember to address all your concerns with the doctor. If Annabel has any sort of delay or autism, early intervention is key.

I would also though, recommend you discuss whether or not to enroll her in the study with your doctor. Sometimes, medical providers who specialize in one area can find things that aren't really there. It's what they're looking for.

Given that loud noises don't freak Annabel, and that I've never read you mention that she doesn't like you to touch her, or gets over-stimulated too easily (to an amount that is abnormal for a baby--not an adult), and because she is doing some talking, my guess is that your worst-case scenario has already ruled itself out. I'm saying this based on only my experience with my cousin's high functioning autistic child who was not as well developed as Annabel, at her age.

Autism is a HUGE umbrella diagnosis. There are probably kids that were in our classes when we were children, that today, might be diagnosed with one type of autism or another. If you are facing it, then Annabel is blessed to have you and dw. I hope you are not, and I don't think you are. I think you have a laconic child, and I hope that's what your pediatrician finds.

Sometimes, medical providers who specialize in one area can find things that aren't really there.

Yes.

If you google autism, you'll get admonishments to take your child off of wheat, some good stories, some reassurance, and some scary stuff. Don't bother. Pretend I did it for you.

Aidan's autistic behaviours are, I recently discovered, "blindisms." You might consider having Annabel's sight and hearing tested.

I can't stick around because it's time for the schoolbus, but if you want to talk about it Susan, drop me an e-mail. My experiences with Aidan, despite his diagnosis of mild autism, I think was me being paranoid and a doctor who didn't take his vision impairment into account.

2) A certain fascination with organizing her world--taking pieces of a puzzle out and lining them up in a row, putting them back, then repeating the process again and again, or stacking up giant legos of like shape and/or color, or spending a long time arranging and re-arranging groupings of similar objects. Before tonight I'd looked at that as a sign of spatial intelligence, that maybe we had a future engineer or architect on our hands, but apparently that kind of behavior can be a sign of autism.

This is typical behaviour for a kid her age. Seriously. Mom talks about it all the time, how kids do this to start learning and they like to put things in and out of containers, stacking things, etc. Annabel is learning how to group objects by shape and color, developing fine motor control ,etc.

Also, babies and young kids learn in spurts. While they are learning a new skill they usually don't do as much of the skills they already know. But then they'll start using all their skills once they get comfortable with the new ones.

My suggestion would be to go get her hearing checked and have a language assesment done. This way you will know what's going on. I'd start by contacting the university and checking what programs or information they have. Annabel is young enough that this testing will be free.

I have decided not to go to lab today. Unlike last week, though, this decision was made so I can better be effective in lab, rather than me being in crisis. I have the option to go to a lab later this week. So, this gives me the opportunity to spend today's lab time listening to the lectures online that I missed and being better prepared to understand the lab when I go.

I feel like I need to say this somewhere so I don't give myself a hard time about it. I really think it is an effective decision, as long as I use my time wisely to get caught up. It's not like I'm skipping...

vw - you are making considered decisions. This is a good thing. Reread your tagline.

vw that sounds like some good planning.

I just wanted to say it so maybe I'd actually believe it. My distortions are high these days...

Define distortions, please?

It makes me think of me, this morning, who spent far too much time justifying the note I sent to Kara's teacher about why she wouldn't eat her lunch and how it wouldn't kill her and I hoped they wouldn't kick her out of the program because she's started crying a little bit every day.

Define distortions, please?

Cognitive distortions are actually a CBT (cognitive behavioral therapy) thing. Here are the ten most common:

Listed here are the 10 common cognitive distortions. Read through each of them and see if you can recognize your own thinking. Then go back and see how you can change your thoughts. One way is to make a chart with one side proving your specific thought is true, and the other proving it is not true. Be honest though--is the proof you listed REAL or is it possibly another way of using Emotional Reasoning (#7)?

1. ALL-OR-NOTHING THINKING: You see things in black-and-white categories. If your performance falls short of perfect, you see yourself as a total failure.

2. OVERGENERALIZATION: You see a single negative event as a never-ending pattern of defeat.

3. MENTAL FILTER: You pick out a single negative detail and dwell on it exclusively so that your vision of all reality becomes darkened, like the drop of ink that discolors the entire beaker of water.

4. DISQUALIFYING THE POSITIVE: You reject positive experiences by insisting they "don't count" for some reason or other. In this way you can maintain a negative belief that is contradicted by your everyday experiences.

5. JUMPING TO CONCLUSIONS: You make a negative interpretation even though there are no definite facts that convincingly support your conclusion.

A. MIND READING: You arbitrarily conclude that someone is reacting negatively to you, and you don't bother to check this out.

B. THE FORTUNETELLER ERROR: you can anticipate that things will turn out badly, and you feel convinced that your prediction is an already-established fact.

6. MAGNIFICATION (CATASTROPHIZING) OR MINIMIZATION: You exaggerate the importance of things (such as your goof-up or someone else's achievement), or you inappropriately shrink things until they appear tiny (your own desirable qualities or other fellow's imperfections). This is also called the binocular trick."

7. EMOTIONAL REASONING: You assume that your negative emotions necessarily reflect the way things really are: "I feel it, therefore it must be true."

8. SHOULD STATEMENTS: You try to motivate yourself with should and shouldn't, as if you had to be whipped and punished before you could be expected to do anything. "Musts" and "oughts" are also offenders. The emotional consequences are guilt. When you direct should statements toward others, you feel anger, frustration, and resentment.

9. LABELING AND MISLABELING: This is an extreme form of overgeneralization. Instead of describing your error, you attach a negative label to yourself" "I'm a loser." When someone else's behavior rubs you the wrong way, you attach a negative label to him: "He's a freakin' louse!" Mislabeling involves describing an event with language that is highly colored and emotionally loaded.

10. PERSONALIZATION: You see yourself as the cause of some negative external event, which in fact you were not primarily responsible for.

Edit: Today's distortion would fall under the category of "jumping to conclusions" or "should statements."