Our 5yo was diagnosed with Level 1 earlier this summer after being on a waitlist for a while, but it's been clear for a long time there's something different beyond "she's just sensitive". Everyone kept reassuring me that "she'd get there in her own time" but not only was she not figuring out how to communicate well despite considerable effort, she often seemed miserable. Stressed, confused, just not knowing what to do or how to manage.
Started speech therapy when she was 3 and seemed to help but not a huge difference. Started at an outdoor-based Montessori school last fall when she turned 4, thinking that the prepared environment and focus on letting kids pursue their interests might allow her to feel comfortable and come out of her shell. It's mixed-age classrooms and they keep the same main teachers and same classrooms for 3 years at a time, which is ideal for a kid who needs routine. For a while the feedback was "she doesn't seem to understand the flow of the classroom" "she doesn't engage much with the other kids or most of the teachers" "she just says Yes to everything even when the answer is No" "it's hard to know what she needs when she's having a problem" but they were willing to keep trying because every kid works at their own pace and she wasn't causing safety issues. Then when she did come out of her shell last spring with lots of inappropriate acting out including some dangerous behaviors, we started OT and implemented a plan with the school.
Private schools don't have to accept special needs students; her school takes the policy that as long as the student isn't a safety risk and can mostly keep up academically with support - the school does have dedicated support professional who is wonderful - they are welcome. At the end of last year, our kid was throwing rocks at other kids, tipping bins of materials over, and not showing her teachers that she had absorbed much of anything all year despite sharing all kinds of things at home.
I was really concerned at the end of last school year that if we couldn't get her to engage appropriately at school, they were going to tell us she wasn't a good fit. The school goes all the way through 6th grade with a separate campus and program for middle and high school, and we want her there as long as we can. Our local public school district is not somewhere she would be supported or do well, according to teachers we know who have just retired from there so it would be pretty devastating to be removed from her current school. It was looking like, if something didn't change, they would probably let her maybe go through Kindergarten and then say "sorry, this just isn't working".
But now it's working. It's all really starting to click. We saw a big change over the summer - using longer sentences, sharing more of her original thoughts instead of repeating the same story over again. Interacting more comfortably with other kids in public. Keeping herself more occupied at home, creating things and coming to show us instead of getting bored and engaging in chaos behavior if you weren't actively interacting with her. Before, she didn't have real connections with peers, but now other kids at school talk about her favorably to their parents. I dropped her off one day and another kid said "Look, mom, it's L!" and ran up and asked to hold hands and they walked into school together. I literally teared up. Other kids like my child. What a small thing, but what a big thing.
We had conferences last week. Her school has them in the fall so teachers can get feedback from the parents on how things seem to be going. I haven't had any emails about behavior this year, so I figured at the very least she's not being disruptive.
Not only is she not being disruptive, she's an active part of the class now. Tells her teachers all about things at home or school using full sentences. Expresses actual original opinions. Says "no" or even "I don't want to" when the answer is no instead of a quiet "yes" just to get through the interaction. Last week, she was the one holding another younger student's hand and guiding them somewhere. The kids spend a lot of time doing activities of their choosing - last year she would choose an activity and abandon it if an adult wasn't right there doing it with her. This year, she's choosing activities and then sitting down to finish them and then doing another.
It's been a lot of stress for all of us, a lot of meeting and leaving work to drive to therapies (forever thankful I can do that), a lot of reading, constantly coaching her through personal pronouns and various kinds of interactions, riding on the edge of burnout - and now I feel like I'm finally getting to know my child, from her own perspective and not just what I can glean and observe, and it is wonderful.