Mental Health America: Pride and Mental Health

As we continue to observe Pride Month we are invited to continue to understand the relationship between Pride and mental health, and what we can do about it. As such, Mental Health America has put together a useful guide on this issue. The full resource can be found at https://mhanational.org/lgbtq/pride, and a summary is provided below. We encourage everyone to continue to explore these resources to promote equality and good mental health for all.

“Pride Month is a time for LGBTQ+ folks to gather and celebrate their freedom to live authentically. The LGBTQ+ community deserves affirmed, safe, supported, joyful, and mentally healthy lives. Anti-trans legislation, hate-based crimes, and discrimination shouldn’t overshadow Pride, but they can’t be ignored. We hope those struggling with their identity or living in unsupportive environments find these resources helpful to living a life of well-being and resilience.”

Exploring and affirming your gender

Affirming your loved one’s gender exploration and identity

Providing gender-affirming mental health care

Pride Month: Offering Good Support

Recently, Allison Young, MD and Kaitlin Sullivan at Everyday Health set out to offer some advice on ways to support those who just came out as trans. They shared that for queer people who are transitioning — which can mean many things — getting support throughout their lives is critical, especially specific inflection points of transitioning. The authors spoke with José A. Romero, the director of community advocacy, research, and education for the Pride Foundation in Washington and Corinne Votaw, PsyD, a psychologist and gender diversity advocate based in Denver. Their advice is summarized below, and can be read in full at https://www.everydayhealth.com/healthy-living/ways-to-support-a-friend-whos-transitioning/

  1. Respect Their Identity: Romero says that the first thing you can do is believe them. When they tell you they are becoming who they truly are, respect their identity as their truth. “Trust the person who is transitioning. Believe that person. There are going to be a lot of people who do not,” says Romero, who is nonbinary.
  2. Learn About the Trans Community: If you don’t know where to turn first, Romero suggests that people reach out to education-focused LGBTQ+ organizations such as the Pride Foundation. Romero also recommends looking through the Digital Transgender Archive for historical information and resources on transgender folks.
  3. Decide What Kind of Support You’re Willing to Offer: Your role as the friend of a person transitioning may be decided by that person, but there are some considerations you need to contemplate yourself, Romero says. He says to ask whether you are willing to drive your friend to another state to support their physical transition. Are you willing to donate money or meet with legislators? Decide what it is and commit.
  4. Don’t Over Apologize if You Make a Mistake: Each person has their own preference for how they’d like to transition socially, which includes that person’s name and pronouns. Ask — never assume — what they’d like to be called. Then do your best to incorporate those choices into your vocabulary. Be sensitive, acknowledge your mistake, move on, and work to adopt the person’s true name and pronouns into your language.
  5. Drive Change: Supporting a friend who is transitioning often doesn’t just involve being there for that person one on one. It can also take the form of working to create a safe, supportive environment for queer and transgender people. This will depend on where you live and who you are, but driving change should start by looking at your own life and beliefs. “What’s important, more than external advocacy on behalf of whatever counterpart they came out to, is a period of reflection of what you do that might be harming the trans or gender nonbinary community,” Votaw says. “Start to look into your own life and look at what is not in harmony with being a supporter or family member or friend or even coworker.”

Read the full article at https://www.everydayhealth.com/healthy-living/ways-to-support-a-friend-whos-transitioning/

Pride and Joy

This year’s Pride Month spans from Thu, Jun 1, 2023 – Fri, Jun 30, 2023. Born out of the Stonewall riots, this is meant to be a time dedicated to celebrate and commemorate the ongoing work and legacy of lesbian, gay, bisexual, and transgender (LGBT) people everywhere. Year round, and especially this month, Pride Month is meant to both honor the movement for LGBT rights and celebrates LGBT culture. To that end, the wellness blog will focus this month on content relevant to promoting wellness in the LGBTA+ community, and we start with a story published by Margot Harris at NAMI entitled “Being Queer is Joyful,” which describes her coming out story, a discussion of privilege, and her hope the future. Please be sure to read this piece at https://www.nami.org/Blogs/NAMI-Blog/June-2023/Being-Queer-is-Joyful.

Relief Through Forgiving

Some time ago Archbishop Desmond Tutu began writing extensively on the transformative power of forgiveness. He reflects on his role as an anti-apartheid and pro human rights activist during some of the most difficult years in South Africa’s history and the role forgiveness played in moving things forward. So Archbishop Tutu would not be surprised by the findings offered by the International REACH Forgiveness Intervention, a multi-site randomized controlled trial that, amongst other things, explored what forgiveness can do for us in terms of, among other things, reducing symptoms of depression, anxiety, and PTSD.

Ready to learn more? Check out this recent article from the New York Times or visit the REACH website at https://osf.io/8qzgw/.

Are You Ready For The Summer?

While it may seem like we just rang in the new year, the unofficial start of summer is slowly creeping up on us. And while you might not think Minneapolis when you think summer, the good folks at the University of Minnesota have put together some great tips for a season of wellness! These tips are summarized below, but be sure to check out their full summer of wellness site at https://www.takingcharge.csh.umn.edu/summer-wellbeing.

Explore new foods: Expand your palate by trying new recipes that include seasonal foods you can’t get year-round. You can visit local farmer’s markets for fresh ingredients, or harvest your own veggies at home. Take advantage of the long sunny evenings while they’re here and grill healthy options outside. [Learn More]

Exercise outdoors: If the weather is pleasant and you have the ability to get outside, do it. If you’re tired of going for a jog, think outside the box of a traditional workout. Mowing the lawn with a push mower, gardening, or swimming at a local pool are all great ways to move your body while soaking up some sunshine. [Learn More]

Get better rest: Long, sunny days may mean you stay up later than usual, and hot, sticky weather can also prevent you from falling into a deep slumber. Make your bedroom summer-friendly by keeping it cool with a fan or open window (experts recommend about 68 degrees Fahrenheit), hanging light-blocking curtains, and relaxing before bed by putting away your phone and reading a few pages of a new novel. [Learn More]

Catch up with loved ones: This summer, double your wellbeing by spending time with the people you care about while doing nature-based activities you can’t do during colder months, such as visiting a beach or eating dinner outside. Funnel your energy toward staying connected even when your schedules don’t match up—if you go out of town, send handwritten postcards to let friends know you are thinking of them. [Learn More]

Ease stress with mindfulness: Even if you go on vacation to a tropical destination, even if you plan on summer to be completely relaxing, there will undoubtedly be situations that cause stress. But that’s not a problem. Rather than putting an expectation on the season to bring a sense of calm, cultivate it yourself. Being in nature is one of the best ways to unwind from stress. Take a few minutes each day—maybe right when you wake up in the morning—to step outside and simply enjoy the outdoors as a child would. Drop thoughts of any plans for the day and simply notice the green of the grass and trees, the feeling of a breeze on your skin, and the sound of birds and other animals. [Learn More]

The Buddy System

Matthew Solan is the executive editor of Harvard Men’s Health Watch. Recently, he and Howard LeWine, MD, Chief Medical Editor at Harvard Health Publishing, produced a piece examining how friendships can help you stay socially active, the health benefits of this, and how to make new friends while maintaining old ones. This can be a challenge for everyone, though compared with women, men especially struggle with making and keeping friends as they age. The full article can be read at Harvard Health, but three good places to start to get your friend journey on the right track include:

  • Get into group dynamics. Join a group activity, such as a walking club; a golf or bowling league; a card, book or chess club; or a continuing-education class at an adult education center. Or ask a current friend to join you so you both can expand your friend circle.
  • Schedule time together. If you already have friends but don’t see them regularly, take the initiative and schedule a set time for get-togethers. Choose a designated day, time and place for coffee or lunch, ideally a setting designed for easy conversation. Begin with a weekly or every-other-week schedule to help everyone ease into the new outing without feeling overwhelmed.
  • Work on a project. Another way to stay connected with existing friends and meet new ones is to launch a group project. Schwartz knows of a group of retired fishermen from Gloucester, Massachusetts, who, once they retired, decided to build a boat together.

Combating Loneliness

The New York Times’ Christina Caron recently published a piece reviewing advice given by the Surgeon General, Dr. Vivek Murthy, on how to build meaningful social connections in an increasingly lonely world.

Americans have become increasingly lonely and isolated, and this lack of social connection is having profound effects on our mental and physical health, the surgeon general warned in an advisory on Tuesday.

Advisories from America’s top doctor are typically reserved for public health challenges that require immediate attention. This is the first time one has been used to highlight the issue of loneliness.

More than half of Americans are lonely, according to a 2021 poll, which also found that young adults are almost twice as likely to report feeling lonely as those over age 65.

So what can one do? Dr. Murthy’s advice is summarized here, if you interested, learn more at https://www.nytimes.com/2023/05/02/well/mind/loneliness-isolation-surgeon-general.html

Reconnect with people. To get started, take 15 minutes each day to contact a friend or a relative. Put a reminder in your calendar, if needed, so that it remains a priority. Your relationships cannot thrive unless they are nurtured.

Minimize distractions. How often have you caught yourself looking at your phone while someone is speaking with you? What about during meals? Do other people do this when speaking with you? For more satisfying quality time, put the devices down and give your full attention.

When people call, pick up the phone. Imagine your phone ringing. You see it’s a call from your best friend from college whom you haven’t caught up with in a long time. But instead of accepting the call, you decide not to answer. You tell yourself you’ll call back later when you have more time to chat.

Serve others. Studies show that volunteering can ease feelings of loneliness and broaden our social networks. Consider donating your time to an organization in your community, or offering to help your family, co-workers or friends.

Get help. Finally, tell someone if you are struggling with loneliness. It could be a relative, a friend, a counselor or a health care provider.

Optimism

What does optimism do for us? In a study conducted by Ciro Conversano and colleagues at the University of Siena in Italy evidence was presented that of a strong relation between optimism wellbeing. Through the use of specific coping strategies, optimism influences both mental and physical well-being by the promotion of a healthy lifestyle as well as by adaptive behaviors and cognitive responses, is associated with greater flexibility, as well as problem-solving capacities.

So how do we cultivate optimism? Carmen Drahl at National Public Radio asked that very question to her readers and listeners. Below are some tips from everyday people on how they stay optimistic in trying times:

  • Humor continues to be one of the things that gives me hope. No matter how hard life can get, there are always people who find a way to make things feel lighter. It could be as simple as silly viral animal videos or the more complex comedy that contextualizes our lives in the broader arc of history. Either way, we as humans tend to know when we need to break the tension and give ourselves a mental reset. –Eric Conrad, Washington, D.C. | 101 Good Clean Jokes
  • I try to keep in mind how little control or influence I have to change the state of the country (and world) and let go of the feeling of responsibility. I do what I can and understand that change is slow. One of the greatest gifts of getting old is knowing how little power you have in the grand scheme of things. It relieves you of the feeling that you have to DO something and the frustration and anger that goes with it. –Mary Theresa McCarty, Halfmoon, N.Y.
  • To remain optimistic I have to deliberately and regularly make room for my grief. If I acknowledge this weight I carry it can be a tool. It will still cripple me occasionally because burying a trans child is just that hard, but I can also fight for change if I bring my grief with me. – Carrie Black, Salt Lake City, Utah
  • I am Buddhist and there is a meditation that helps me: You elect to feel hopelessness or lovelessness as a way of empathizing with others who feel these things. So when I feel hopeless or sad or overwhelmed, I can think, “I am going to fully let myself feel this because this is what hopelessness feels like, what millions of others have felt, going back millennia.” Ironically, framing it this way actually feels more connected, more human, more manageable. –Kristin Harriman, Sacramento, Calif.
  • One of my favorite books is Garth Stein’s The Art of Racing in the Rain. I remind myself, as the book states, “The car goes where your eyes go.” It’s so important, especially as the news cycle is full of cruelty and suffering, for us to carefully choose what we read, listen to, pay attention to. The car, my brain, goes where my eyes go — so I need to keep looking at hopeful art and look for joy in the children I love and remind myself to keep watching for good things. I see more of them this way! -Naomi Krokowski, Berthoud, Colo.
  • Doing something for someone else is my all time high — it always lifts me. –Dianne Oelberger, St George, Maine
  • I read a single poem every morning. There is hope in the verse or between the lines, something else to drift on, beyond the headlines. –Mark Karason, Pittsburgh, Pa.
  • Music in particular kickstarts me and really helps me articulate my feelings in both subconscious and conscious ways. I like to have active listening sessions throughout the day. But what helps me the most is listening to music in bed in the early morning before doing anything else. It puts my mind in a place of zen and allows me to be the best version of myself that day to radiate positive energy not only within, but to the surrounding world as well. –Sean Nguyen, Seattle, Wash.
  • My favorite technique for getting happy is definitely playing loud techno music (or other very rhythmic dance songs), and freestyle dancing in my living room. –Robin McMillan, North Port, Fla.
  • When I’m feeling stressed, I take a walk outside in the sun or in a green space like a park or a forest. Despite the noise in my head, the sounds of nature, including those of birds, wind and rain, comfort me. –Whayoung Cha, Seoul, South Korea
  • Early spring walk under blooming cherry trees with daughter Analesa, beloved pup Rosko and warmth of the sun on my face. –Cassandra Zimmerman, Portland, Ore.
  • The way I stay optimistic is waking up early to watch the sunrise and meditate on where I find light in the darkness. There are great things of beauty and peace in this world. –Michelle Middleton, Reno, Nev.
  • For 30 years, I have volunteered with a nonprofit whose mission is to teach gardening to home gardeners throughout our community. I feel constantly renewed by the generosity and energy of the people I volunteer with. While I often feel overwhelmed by the magnitude and variety of troubles in our world, I am also mindful of the abundant blessings that fill my life. I cannot stop war or famine on a global scale, but I can teach a family how to grow food — and flowers. –Robbie Cranch, Fresno, Calif.
  • I find my source of joy in nature. I salute the sun every morning and affirm the blessings of the five elements: the earth, space, sun, air and water. When I recognize that my body was born from these five elements, I feel a deep kinship with nature, our womb. I talk to the trees, recognizing their generosity and strength. –Pankaja Cauligi, Mysore, India

Autism and Wellness Week 4: Our Job

As we close out April where we have focused on Autism Acceptance and wellness we are left asking, what practical things can we do to promote acceptance and wellness. Today you are tasked with reflecting on that questions, but you are not alone! Here are some practical things you can do to promote acceptance and wellness in the Autism community.  

Instead of dismissing, try educating. Many folks have been in an awkward situation in a public setting where they or a family member stares at someone who looks different from them or behaves differently from what they typically see. It is completely normal to want to tell yourself or others to stop staring or be quiet because the situation makes you feel uncomfortable. Instead of dismissing that reaction, use this as an opportunity to educate about differences and build understanding. If you see someone with ASD, engage in motor and/or vocal stereotypy such as spinning in circles while humming repetitively, you could say, “Sometimes people do different things when they’re feeling different emotions. It looks like she’s feeling happy. What do you do when you feel happy?” 

Offer support through advocacy. While those with ASD are often able to receive support at school or work either through special education services or 504 accommodations or federal programs, the same supports are not necessarily guaranteed in the community, such as extracurricular activities (e.g., baseball games or birthday parties) or places of worship (e.g., churches, mosques, synagogues, etc.). If you see that another person is trying to advocate for accommodations for their child with ASD, such as creating a sensory-friendly religious service, then have their back. This means offering support through listening to them and learning from them, as well as personally reaching out to the individuals in charge who can make accommodations happen. 
 

Use language appropriate to the individual. While person-first language (e.g., “person with ASD”) is commonly used among professionals and parents, many self-advocates within the ASD community prefer identity-first language (e.g., “autistic person”) as they view ASD as something that cannot and should not be separated from their identity. There is much debate about what terminology to use; however, it is important to use language most appropriate to an individual with ASD in order to show acceptance of their individual identity. This could mean asking individuals or their family members what language they find to be the most respectful and appropriate.

Focus on strengths, not just challenges. Though many children and adults with ASD face challenges, it is important to identify and recognize the strengths that also accompany ASD. For instance, many individuals with ASD exhibit highly focused interests, such as technology or animals, which could make it difficult to form and maintain relationships if these interests dominate their lives. However, if that individual can participate in an activity or group that involves that interest, it becomes a pathway to form friendships. Further, that individual might pursue employment in line with their interests, promoting individual self-determination. Focusing on the unique abilities of an individual will strengthen their sense of self and achievement.
 

Expand your social circle. Many with ASD are socially excluded from a very young age because they engage in behaviors that that are viewed as falling outside societal norms. Expanding you and your child’s network of friendships and activities to include individuals with different abilities, such as ASD, is not only the kind thing to do, but it can also provide opportunities for you and your child to connect with and learn from others from different backgrounds and experiences. This in turn broadens perspectives of the world and teaches open-mindedness to new ideas, beliefs, and values. This includes learning that differing abilities are, as Dr. Temple Grandin has famously said, “different, not less.”

Provide meaningful opportunities for individuals with ASD to be included. Beyond inviting individuals with ASD to social gatherings, you can make a difference by helping to promote and create opportunities to include teens and adults with ASD in the workplace. As noted in President Biden’s Proclamation on World Autism Awareness Day, the Department of Labor’s recent apprenticeship initiative focuses on developing career paths in information technology, healthcare, and other fields for individuals with ASD and other developmental disabilities. Talk to your employer about why it is important to employ differently-abled individuals and how your workplace can do a better job of recruiting, supporting and retaining individuals with ASD as valuable team members. 

Autism and Wellness Week 3: In Their Own Words

This month’s wellness series has so far focused on building awareness and fostering acceptance to promote wellness in the Autism community. But, as is the case for any group, it is often most helpful to hear directly from the lived experiences of those who are members of that community. So for this week’s Autism Acceptance wellness post we are sharing an article in which different folks from different places on the spectrum share their experiences of what it is like to navigate wellness in a world that often runs contrary to their ideals and needs. This piece was written by Marianne Eloise in collaboration with Dana Glauser, LCSW, and Anna Harris.


In my ideal world, I’d live inside a spa—only leaving to buy necessities like snacks. In my current, more realistic life, I put a lot of effort into making my bedroom and bathroom feel a sanctuary. Every aspect is designed for maximum peace and comfort. Think: cotton sheets, scented candles, warm lamps, and new products. Every single day I make sure to spend as much time alone in these spaces as I can, diligently following a nightly routine of stretching, bathing, acupressure, and skincare in an environment designed just for me. While all of these behaviors fall under the overused buzzword of “wellness,” for me, as an autistic person, they’re necessary.

Autism spectrum disorder encompasses many ways of experiencing the world, but something we all tend to share is sensory processing issues.1 This can mean extreme sensitivity to some stimuli, like certain textures or sounds. We struggle to process things in the same way someone else might, which can lead to sensory overload and meltdowns, but we’re also driven to seek out positive sensory experiences to enjoy with a unique intensity.

In recent years, tools designed to help keep autistic people stimulated—like fidget spinners—have been assimilated into everyday life. More recently, weighted blankets, designed to help prevent autistic meltdowns, have found their way into more common usage for everything from anxiety to feeling nice. While this could de-stigmatize the use of these tools, it also makes it difficult to explain why you need something that everyone else finds to be a fun novelty. Similarly, a cultural fixation with the ever-growing industry of “wellness” has made it so the significance for those who need curated sensory experiences to function is lost.

Autistic people need structure and often engage in repetitive behavior, so we thrive on routine. Tom, 35, has a number of elaborate sensory rituals. He owns 10-15 different types of lighting which he uses along with a projector or VR while he’s in the bath every day. “A comfortable environment filled with the kinds of sights, sounds, and smells to help you relax can go a long way in allowing a neurodivergent person to focus without distractions and triggers. It gives us a level playing field to think and emotionally respond to things in a much more natural way,” he says. Many autistic people have dopamine processing anomalies,2 but by building up these coping mechanisms, Tom creates an environment that makes it possible to function: “Our bodies don’t naturally react well to a lot of the stimuli in the world, but these are things we do react well to and have control over. It makes sense for us to seek them out and work them into a routine to improve our general moods,” Tom says.

A cultural fixation with the ever-growing industry of “wellness” has made it so the significance for those who need curated sensory experiences to function is lost.

I wasn’t diagnosed until I was 27—but growing up, I had frequent meltdowns and burnouts as a result of overwhelming stimuli. I didn’t understand why everything felt so bad. All I knew was if someone came near me with an itchy sweater I would scream, lashing out at them and insisting that it hurts. That’s how it felt, and how it still feels to me: a wrongness, an itch that is so deep it burns my skin. I will not eat anything outside my limited selection of “good” foods and I have extreme reactions to noisy environments. The only thing that really ever felt good was swimming. I knew once I was underwater, the world became silent and dark and my body was wrapped in water. I didn’t want to get out.

As I got older, I began to understand the link between my senses and wellbeing. I gained new awareness that I was different and started to orient my life around my sensory needs. For example, I only wear certain materials and comfortable clothes, which means most of my wardrobe is loungewear and the rest consists of the same American Apparel skirt in five different colors. I only surround myself with colors that feel “right,” struggling to look at anything bright. My home is quiet, I eat what I want, I wear earplugs and an eye mask to sleep, and I avoid situations I know will send me into meltdown. As a result, I have a much easier time being who I am. In the absence of these negative triggers, I fill my life with carefully curated sensory experiences to put me back in touch with myself. 

Lindsay, 37, was only recently diagnosed as autistic but has always known she had different sensory needs, and created rituals to fulfill them. “I got really into wellness for a while but it didn’t feel like a ‘spiritual’ expression for me. It felt more like a way to understand and manage the unique energy I had that I didn’t totally understand,” she says. On a daily basis, Lindsay “stims,” a term for the movements that autistic people do to seek stimulation. She uses tools like Chewlery, adult jewelry that you can chew on, fidget toys from Black Girl Lost Keys and handmade stimulation toys from A Sense of Self. Being able to use these tools is integral in preventing Lindsay from shutting down. “I find it pretty strange that ‘wellness’ stimming is seen as socially acceptable and ‘autistic-type’ stimming is not,” she adds.

What is Stimming?

A self-stimulatory behavior that is marked by a repetitive action or movement of the body.

Lindsay puts her wellness rituals into two categories: “preventative” (things that allow her to start with a good sensory baseline) and “rescue” (things to be brought back down from sensory overwhelm). Her preventative behaviors include a morning tea ritual. The movements of scooping and pouring, the way the tea smells, and the feeling of steam put her in a good place. Her rescue behaviors include baths, lights, and candles. “The salt bath is usually unscented salt. I like to soak in the water and enjoy the splashing water sounds. It’s calming and centering,” she says. She also uses a dim-colored light in her bedroom and sound baths to recover from meltdowns. Without these behaviors, Lindsay says she either has a meltdown or just feels “off.”

While these rituals are likely to improve anyone’s mood, they can be essential to autistic people’s wellbeing. We may not have interoception, which is the internal sense of what a person feels or what they need.3 Throughout the day, without intervention, I will forget to eat, drink, or even go to the bathroom. My body feels completely separate to my brain, and I don’t even know that I’m in pain until it’s too late. While I can’t fake having a sense of interoception, what I can do is have time daily to deliberately get in touch with my body. I force myself to finish work and I go to do some stretching and yoga in a dark room with a nice-smelling candle, drink lots of water, and have a long bath. Without that routine, I’m much more likely to burnout, lose the ability to speak, or have a meltdown (if not that day, then soon). 

What Is Interoception?

Interoception is the perception of sensations from inside the body and includes the perception of physical sensations related to internal organ function such as heart beat, respiration, satiety, as well as the autonomic nervous system activity related to emotions.

Chloé, 23, is an autistic influencer and advocate who goes by Princess Aspien. Her daily sensory rituals are diverse depending on her needs. “When I need more input, dancing, singing, and stimming help me to gain that,” she says. “When I need less input, allowing myself to retract from the world is incredibly vital for me to be able to continue to function, be settled, and be happy.” Without the ability to sensory seek in a way that she needs, Chloé shuts down. “Allowing myself both the time and understanding of what I need is absolutely vital to me as a neurodivergent person,” she shares. However, she also finds joy in her sensory-seeking activities. “As a neurodivergent person, my body needs more help with sensory input than someone who’s neurotypical,” Chloé says. “It’s so important we reduce that stigma both within our own community and as a society, and create the understanding that sensory differences and sensory seeking are a normal, vital thing.” 

Tom has found that by occupying and overwhelming all of his senses with good stimuli, he can take his mind off everything else and be present: “Our external environments have more of an effect over us in getting to a place of internal calm,” he says. Basically, the same principles as mindfulness or wellness for anyone apply, but to an extreme extent. While these things reduce pain and the risk of meltdown, they are also incredibly enjoyable for us. “These behaviors activate our senses and our bodies respond to them more intensely, so we are drawn to them,” Tom says. 

Conversations around sensory-seeking behaviors are often negative and geared towards parents to make their kids stop “stimming,” as it’s often considered “inappropriate” or “embarrassing.” What people miss is not only the necessity of these behaviors, but how much joy and comfort can be found in them. Without the ability to control my own sensory experience, like Chloé, I do shut down. But exploring new ways of feeling good, whether it’s through bath products, new candles, massages, acupuncture, playing with my dog, or swimming, is the baseline for both my wellbeing and my happiness. Autistic people exist on a spectrum of extremes, but for every painful, difficult extreme, there is something that we enjoy so much more than someone else can.