4yo daughter being assessed - feeling like a bad mum

My 4yo daughter is being assessed and based on everything from us, the school and her initial assessment I’m pretty sure she’s going to be diagnosed as ASD and/ or inattentive ADHD. 

I’m not surprised, I’ve long suspected that I was either ASD or inattentive ADHD but I strongly believed this was due to environmental factors as my childhood was pretty rocky. I thought with a happy stable upbringing she’d be fine, that it wasn’t something she coils inherit from me.

So firstly I feel guilty for that and secondly that she has not been assessed sooner. 

There have been lots of little flags along the way from early on but individually they didn’t really seem very significant. Apart from starting to smile a little late, she hit all her milestones early exceeding them so we weren’t concerned. 


I didn’t mind that she hated plastic noisey, light up, moving, vibrating toys, I hated them too. She hated confined spaces like lifts, no problem so did I. She didn’t pick things off the floor and put them in her mouth, great one another less thing to worry about. She hated dirty hands so we started with a fork and spoon straight away and skipped the eating with our hands phase, I was proud. She was a very tidy eater, lovely. Her favourite videos were short; the alphabet, numbers and dinosaurs, she was bright and I wasn’t a fan of cartoons. She didn’t like water on her face, I was careful. She was always tapping her upper lip, I thought it was just bothering her so I’d put lip balm. Without shoes she walked on her tiptoes, I thought she was just playing or because her feet were flat.

when she started nursery we had a few chats with the teachers. She didn’t integrate well with the children her own age, she always sought out the company of older children, we all came to the conclusion that it was because she was so far ahead.

In the first year of maternity school we had a few chats again with the teachers. She played with a few select children, wasn’t keen on group activities, when she did play she organised the children into how they should play or into their roles.
We also noticed she wouldn’t gesture or say hello and goodbye or good morning and goodnight which was a bit embarrassing for us and we thought that she was just being a little rude. Her classmate were so enthusiastic to see her in the morning and say hi etc and she would just turn away or hide behind us. So we thought maybe she was being shy. 
nothing alarming, we all said we’d monitor the situation and didn’t give it a second thought. Nothing wrong with being organised and people management. 

In amongst all this Covid was going on. The nursery closed early. The maternity school was opening and closing. Lock downs, social distancing, less contact with other adults and children. We weren’t surprised her social skills declined. 

There was always some valid reason; she’s like me, it’s just her character, it’s just her preference, she’s a bilingual child, she’s an only child, she’s just ahead, lockdown, she’s just creative etc

Then last year she started to stop responding to her name, we just put it down to her being absorbed in whatever she was doing at the time. Her passion for dinosaurs became stronger and everyday she wasn’t herself she was a different dinosaur and also around this time an imaginary character started to be mentioned, we thought it was cute and just a phase. 

Then we noticed she was beginning to stutter and we were a little concerned but we read online and mentioned it in passing to our paediatrician who said that she was bilingual and it was just hesitancy, cool. 

But the stuttering didn’t stop it just got worse and my husband noticed if she was talking to herself or playing alone or with us she didn’t do it at all, it was just when she had to interact.
Then I became aware that she wasn’t making eye contact anymore and she didn’t realise when we were asking her questions and that she needed to answer. I ask a closed question I might get a response, an open question is answered with a shrug, what, I don’t know or I do not remember. 

two way conversations have pretty much stopped, she talks about things she likes or when she needs something. But trying to draw her into conversation is like trying to get blood from a stone. Her thinking is so black and white, everything is right or wrong, she learns knew rules when said once and then that’s it she sticks to them, no flexibility, she hates change and like me she likes to know how the next day is going to be routine wise/ planned out.

She has one friend at school, but the teachers say in reality she’s a girl my daughter has attached herself to. She wants to play with her and no one else to play with them, hold her hand, sit/ stand next to her etc. The teachers have said the girl is very easy going and just accepts it. I know she wants friends.

The teachers are a bit exasperated as she likes to do things in her own time, looses track of time, struggles with activity changes and really needs to finish whatever she is doing before moving on otherwise it leads to tears. Her teachers also say that often they find her in the bathroom either lost in a trance like state in the middle of the room (and other places) or just with the taps running watching the water flowing out. 

she lives mostly in her own fantasy world character, although she does know though it’s not real. When she’s emotional for something she jumps up and down, and every night without fail at the same time she just runs around in circles, circling her arms - known affectionately as her exercise time. She’ll often spin around to make herself dizzy and for whatever reason falls over frequently. Lately I can see a real sense of frustration and anger in her at times. 

sorry its such a long post!

thank you if you got this far. I just feel so alone and like I have really messed up royally. 

her having a label doesn’t bother me, I have a few myself, if it helps you access the right support and services, good. But it also leads to many people even medical professionals making presumptions and assumptions about a person, about their abilities, character, strengths and weakness and that’s not fair, everyone should be treated and judged as an individual and diversity should be celebrated because everyone of us is different anyway, label or no label. 

I just feel a little sad, that I have failed my lo and also for our relationship at the moment, I feel like I’ve lost a part of my sidekick, of my best little buddy. Have I just been really really blind?
It just feels like such a rapid decline to me and from what I’ve read that doesn’t seem to be the norm?

  • Truly thank you Sarah, that is a very lovely thing to write Heart

    I think parenting is a bit like marriage or working as a medical professional, on the whole one enters into these roles with the best of intentions and not wanting to cause harm but there are so many variables that may affect the outcomes. 

    I don’t agree with the choices my mother made but now as a mother myself and knowing how hard it can be, I give her the benefit of the doubt that she thought that she was making the best decisions for us that she could given the circumstances. 

    I have not been assessed for ASD but I’m pretty sure I’m on the spectrum as was my grandmother. But I do have a diagnosis of Bipolar and it’s always been the issue that is most problematic.

    diagnosis is like a double edged sword, it helps you do understand yourself, that there are others with similar issues, maybe to connect with them and hopefully help and support. 
    But it also comes with global stigma; family, friends, work, strangers and medical workers. Media portrayals even with good intentions do not help. 

    I keep my diagnosis fairly close to my chest and only disclose when strictly necessary. It’s very lonely.

    I don’t want that for my daughter. I want to hold her head up high and know that a diagnosis doesn’t define her, that to be her, to be an individual, to be different is absolutely ok.
    We are all different from each other anyway label or no label. 
    I want her to have the confidence and courage to challenge those that make assumptions or are misinformed. 

    If there is something she wants to do and someone or something is creating a barrier I want her to try to smash through it and give it a go anyway because our abilities can be surprising. 

    And I’ll stop there as I have digressed and rambled on for too long!

  • Thank you for the recommendation, I will be noting it down. I’m not a big reader, except for on scientific and medical related texts so I’m sure it will make for good reading. 

  • It might be useful to get hold of one or more books, Tony Attwood's 'Complete Guide to Asperger's Syndrome' is one of the best, it has the scientific and medical detail, but is also very readable and compassionate. If anyone in your family casts aspersions on your parenting, it will give you ammunition. You could also make them read relevant passages!

  • You sound like a great mum to me. You've made adjustments for your daughter and you clearly love her very much and it sounds like she loves you just as much. Don't beat yourself up and listen to what everyone has said, you are a good mum, your there for your daughter and your helping her tackle each and every obstacle. I wish my mum was more like you! You should be really proud of yourself Belles.

  • I just wanted to say a big thank you to all that managed to read to the bottom of my post as it was very long and those that took the time and thought to reply

  • Hi Martin, thank you for your reply, I’m going to keep that strongly in mind as I can imagine that a few of my oh family will say it’s down to my parenting. 

  • Thank you Catlover for sharing, I never really considered the school environment as being a catalyst if you like (as highlighted by DiffiAnt as well) but when I stop and think about it of course it is.

    society teaches us the expectation for most of us is to go to school and work everyday within the expected age groups. 

    but I really struggle socially, a meal at home or somewhere outside, quiet and spacious with no music, I can read the menu and see the location before hand with another couple or maybe two couples is ok. But any other socialising/ activities with people an hour tops max my comfort zone is done. And here we are dropping my little one to go to maternity school and expect her to be there ok until late afternoon with no break from the social interactions. 

    I couldn’t do it, I wouldn’t. Maybe I will speak with oh and school and consider switching her to half days. Going to school is really good for her all round but a whole day must feel pretty intense

  • Blush Thank you Luftmentsch, very kind words

  • Hi DiffiAnt, thank you for taking the time to reply and your well thought out words. 


    thank you for the reassurance ASD is not caused by environmental factors.


    My childhood was truly awful and I’ve really tried to give her the complete opposite; stable home, stable parents in a relationship, no smacking, no threats, no shouting, lots of affection, compassion, praise etc

    I’m English but I live on an Italian island, we moved here whilst I was pregnant as a result of Brexit. I studied Midwifery in the UK. Straight away there were a lot of cultural differences and his family and friends only too willing to point out how they didn’t think my parenting style was good; That I gave her too much attention, I played with her too much, loved and cuddled her too much, that I didn’t shout or smack, breastfed and breastfed too long, co-slept, didn’t just leave her to cry, should have packed her off to nursery at 3 months etc. It gave me a bit of a complex and a bit of a battle. 

    its very true, there are some area of psychiatry I am familiar with but I do not know anything about autism especially in children. I wouldn’t have known what to look for or that what I was finding would possibly add up to equal ASD. 

    I do not blame my mother for my problems that I’d faced but I do blame her for not getting help for me when I was a child and therefore not able to do it for myself. But I am fully onboard with helping my daughter in anyway I can, she’s been my absolute priority from the day of the ivf transfer and always will be. She’ll never be alone. 

    thank you again

  • Hi Dawn, thank you so much for your reassuring words

  • Autism is not caused by any type of parenting, it is a neurodevelopmental condition; the brain develops in a slightly different way to that of neurotypical people (the majority). The major factor in autism is genetics, and some genetic variants associated with autism are also associated with higher than average intelligence. 

  • You have been a mum. A good mum. You adapted to suit her behaviours. You have nothing to punish yourself for. 
    I always knew my daughter was different from a young age, quirky and very bright. However, it was normal in my house. I was the same, as was her brother.  
    It wasn’t until she was 10 that I started looking into things, and realised by chance it may be ASD.
    No one listened to me for years, and she wasn’t assessed until she was 15. I felt so awful that I hadn’t realised sooner, but how would I have known? She was just my daughter.
    She was so similar to me I kept telling her she was fine, as I was same at her age, blah blah blah.

    Don’t be sad. You haven’t lost your sidekick. She’s still the same child, regardless of a diagnosis. She’s in a new environment at school, and she’s probably finding it difficult, and has her own ways of coping, which I think you perceive as declining behaviour. I don’t think this will always be the case. 

  • Please don't be so hard on yourself.

    Any daughter or son who is affectionate and loving has been well loved and cared for, which to me says you haven't failed. 

    Even with autism she will still always be your daughter. This is a blip, with some outside understanding and support you will both get through this.

  • I don't think you should feel like you have failed.  It's not your fault!  You can't turn your child autistic.  Your daughter is still the same person you love, even if she gets a label or is struggling at the moment.  If she's affectionate and loving with you, I don't think you can be doing anything wrong.  Hopefully she'll be able to access some further support soon.

  • Hi Belles. Firstly, autism isn't caused by environmental factors. ADHD generally isn't either (there are instances of certain types of brain injuries causing ADHD, but this is very rare). So you don't have to worry about any supposed imperfections in your parenting style causing your daughter's conditions, if she has any.

    But beyond that, four years old is very young to be assessed- many people on the site have described not being diagnosed until well into adulthood. Unless you have a high level of expertise in psychiatry that you've not mentioned, I don't think it would be reasonable to expect you to have identified this any sooner. This may be a trait indicative of parenting- my mother blamed herself for not spotting that one of my baby teeth hadn't fallen out, which caused me a problem many years later. This wasn't a view that I shared- I wouldn't have expected her to keep track of such things. Similarly, I doubt your daughter will blame you when she gets older.

    In many people's accounts, autistic behaviours only become evident when an individual is overwhelmed by social expectations. If your daughter had a comfortable and happy life prior to going to school, which sounds like it was the case, then she may not have behaved in ways that indicated anything was substantially different about her. This situation is hardly an indictment of you- quite the opposite, I would suggest.

    In conclusion, there's nothing in your account to indicate that you've done anything wrong. It's likely that many of the problems you've described will be ameliorated with age.

  • Belles,

    We all want the best for our kids and feel we ought to be able to fix everything to give them the best, but the truth is we can't control everything.  Her make up is her make up and she'll be a lucky girl on the other side of this because she has a mum who 'gets it' and will be her best ally and advocate.

    You really haven't let her down at all.  She's only four and moreover it sounds as though she's is one of those whose traits seem to take a backward step after having been initially ahead, so it would take a little while to put the pieces together.  You have been observant and as a result they have caught this early, probably as early as it would be reasonable for anyone to catch it.  In babyhood they can't diagnose properly yet very often, but it looks like you'll get this identified at the outside of her formal schooling, which is great.  The help can kick in for her from the outset and I'm sure you'll be right behind her to make sure she gets it.

    Honestly, you have been on the ball with this and are pushing for a great start for her.

  • Thank you Daniel, those are very kind and very wise words. 

  • Belles,

    Please don't beat yourself up, this is nothing to be ashamed of. I'm autistic myself and my parents left me in mainstream school as they thought that was better for me since I don't have academic difficulties. Eventually I had to be transferred to a special education school because of behavioural issues and we found the special education school around other disabled people was the better option.

    My Dad felt very upset with himself and my mother for not changing school sooner, they were placing the blame on themselves for a period of time. I don't see anything wrong about their choice because their intention was to do what was best for me, as long as you intend to do what's best for your child there's no need to place any blame on yourself.

    I hope this helps you feel better and know you didn't do anything wrong.

  • I should say despite all this she is super affectionate and loving with me and really really happy, both because of the outside and inside world which is great and important. 

    I’m hoping that by helping her now it’s really going to change her experience of education and social life to that of mine.