Ultrasound heart
By Lee-Anne Ford
The double-edged sword of memory,
A blade that grinds the soul with emery.
Raw nerves exposed, yet must stay composed—
No mercy in eternity.
A gallery of snapshots, a series of slides,
Each moment frozen, no film to rewind.
Not a story, but a slideshow,
People and places etched in time.
Mama’s battle with a cake tin—before it flew out the window.
Papa’s thousand-yard stare—when she wished to be widow.
Piper, proud in the show ring, a Scottie with ‘it.’
Pine plantations standing in serried ranks,
like soldiers guarding a farmer’s shadow.
Yet memory, too, holds the weight of the unknown—
The reprimands, the demands, the silent groan.
The Bolshie stall, my defiant refrain—
A little PDA, a little disdain.
Abandoned friendships, where I thought them perfect rhymes,
Each one lost before its time.
Imagine an image in high definition,
Every feature crisp, every frame precision.
Textures, light, and echoes sound—
Each a mind’s own locus, bound.
Some memories cut like bitter glass,
Some bloom as sweet as wine.
Autistic memory does not fade,
Singular, sharp, defined.
We recall what you forget,
We see what you let blur.
Not better, not worse—
Just. Different.
Category: Autistic Writing
We Are Not Broken: A Rebuttal to RFK Jr.
The Hard Hello – “Come to Mama”
Oh, hello there, Secretary Kennedy.
You don’t know me. But that’s never stopped men like you from speaking over women like me.
I’m an autistic woman, in Australia, thankfully. I’m 53 years old, diagnosed at 51. But let’s be clear: I’ve been autistic my whole goddamned life. The diagnosis didn’t create me. It just confirmed what I already knew.
I’ve lived. I’ve loved. I’ve grieved. I’ve held dying hands and still cooked dinner. I’ve spent years in senior roles—occupational health and safety, environmental management, quality systems. All in service of one thing: the prevention of harm.
Not sure you’re familiar with that concept.
And let me be very clear, Secretary Kennedy—you weren’t talking about people like me.
I’ve got words, thanks to autistic hyperlexia. I’ve got a blog, thanks to autistic hypergraphia. I’ve got fire in my belly, thanks to an autistic sense of justice. I research and learn relentlessly, thanks to an autistic need for cognition.
I’ve got everything you fear in a neat little paragraph—and I use it all.
But you? You weren’t targeting me. You were targeting my passengers, my autistic kin—Ava, Milo, Rafi, Imani, and Tilly.
All autistic children and teens with high support needs. The ones who don’t have the language, the access, or the platform to fight back. The ones you framed as burden, as lost cause, as less-than.
Ava, whose smile lights up rooms.
Milo, whose music can still a storm.
Rafi, who carries trauma no ten-year-old should know.
Imani, who writes with assistive tech because her thoughts are too alive for silence.
Tilly, who brings joy to little kids with nothing but her presence and spark.
You weren’t speaking truth. You were erasing theirs. So I’ve got a recommendation for you, Secretary Kennedy.
Detox. But not the kind you peddle in press conferences.
I’m talking about a stay in a proper sanatorium. One of Asclepius’ model—you know, the kind where healing wasn’t forced, but invited. A place where dreams mattered, where silence wasn’t feared. A place where healing meant restoration of the self—not conformity to a standard.
Because let me be clear: I wouldn’t wish the modern medical model on anyone. Not even you.
But maybe, if you spent some time being quiet—truly quiet— you might hear something besides the sound of your own fear.
Until then, you don’t speak for me. And you sure as hell don’t speak for us.
This is not a come to Jesus. This is come to Mama.
We Are Not Broken.
We see your eugenics.
Robert F. Kennedy Jr. stood behind a podium this week and told the world that autistic people are incapable. In his words, we will never pay taxes, never hold jobs, never date, never use a toilet without assistance. He called autism an epidemic. He framed autistic lives as tragedy.
This is not a misunderstanding. It is not a slip of the tongue. It is a deliberate construction; a worldview that reduces human beings to a list of what they cannot do, and then calls that list science. This is not policy. This is dehumanisation with a necktie.
We are not broken. We are not less. We are not your cautionary tale.
Autism is not a defect to be pitied—it is a divergence to be understood. It is not a disease. It is not a tragedy. It is a valid way of being in the world, with its own logic, its own rhythm, its own internal brilliance. We are not failed versions of some imaginary norm. We are not broken horses. We are zebras—different by design.
You call us incapable because you refuse to see us fully. You imagine only the children, and only through your lens of fear. You do not see the adults we have become—the workers, the artists, the caregivers, the scientists, the parents, the thinkers. We speak, or we do not. We stim, or we mask. We love. We create. We survive systems that were never built with us in mind. That is not incapacity. That is resilience.
Your words do not describe our lives. They erase them.
We are not waiting for a cure. We are waiting to be heard. We are waiting for our humanity to be recognised without condition. We are waiting for people in power to stop using our existence as a talking point and start listening to our voices.
And now, let’s speak plainly—because under your rhetoric lies something far older, and far more dangerous. This is not concern. This is eugenics.
You dress it up with environmental language, with graphs and talking points, but we see the shape of it. It is the same shape it always has been.
You speak of prevention—not of suffering, but of us. You describe a world improved by our absence. You imply that a society without autistic people would be a cleaner, better world. That is not reform. That is extermination by slow policy. That is eradication through shame, and erasure through fear. Because you fear that we will not contribute fully to our capitalist society.
Do not pretend this is compassion. It is control. It is the logic of white coats and sterilised rooms, of institutions and forced compliance. We know that history. Some of us were nearly swallowed by it.
You fear what you cannot measure. You condemn what you cannot cure. And in doing so, you expose not our limitations, but yours.
Let us be clear: we do not need your pity. We do not need your fear masquerading as care. We need space. We need support. We need to define our lives on our own terms. And we are already doing it, with or without your approval.
You say we are incapable. We say: you are irrelevant.
You say we are limited. We say: your imagination is.
We are autistic. We are divergent. We are here.
And we are done with you talking down our HSN kin.
The Chiaroscuro Anthology, 11/19
Chronos’ paradox
By Lee-Anne Ford
You look young for your age
I feel old
Your appointment’s at 1pm
Work backwards to waking
He’s 29, so what?
He makes sense that boys my age don’t
What time is it?
What day is it?
Oh no, what did I forget?
Bulk order of sticky notes
Ten hours later
Am I hungry?
Let me sleep.
Want the whole Anthology? It’s here.
They Say I Shouldn’t Be Here: Redefining Longevity on My Own Terms
🕯️ A Note Before the Next Poem
Science by ChatGPT. Emotions by me.
This isn’t a poem. It’s a rupture.
A palate cleanser between verses, with another poem; one not part of the Chiaroscuro Anthology, but one born of topical rage.
A reckoning that interrupts the flow.
On 5 April, I turn 53.
According to the statistics, I shouldn’t expect to live much longer.
This post is for every autistic woman who was erased by research, sidelined by medicine, or written out of longevity science entirely.
It’s not pretty. But it’s mine. And it is the reason the poems exist.
Literature Review: Life Expectancy in Autistic Women by Support Level
Despite increasing awareness of autism across the lifespan, autistic women remain dramatically underrepresented in mortality research, especially when it comes to parsing outcomes by support level (Level 1 vs Level 3).
Key Study: DaWalt et al. (2019)
DaWalt and colleagues tracked 406 individuals with autism over 20 years. They found:
- 6.4% died during the study.
- Average age of death: 39 years.
- Primary causes of death: cancer, heart disease, accidents, medication complications.
- Strong predictors: low early social reciprocity, poor daily living skills.
This aligns with Hirvikoski et al. (2016):
- Average life expectancy in autism: 54 years.
- With intellectual disability: 40 years.
- Suicide prominent, especially in higher-functioning autistic adults.
Other studies (Croen et al., Nicolaidis et al., Mouridsen et al.) reinforce:
- Poor healthcare access.
- High comorbidities.
- Elevated all-cause mortality.
Autistic Women: Still Largely Ignored
- Late diagnosis → prolonged trauma exposure.
- Higher suicidality (Hull et al., 2020).
- More likely to mask, burnout, be misdiagnosed.
- Hormonal & autoimmune issues often overlooked.
Estimated Life Expectancy
| Group | Estimated Lifespan |
|---|---|
| Level 3 Autistic Women | 40–53 years |
| Level 1 Autistic Women | 60s–70s |
| General AU Women | ~83 years |
Diagnostic History: Erased, Delayed, or Denied
Benchmarking Temple Grandin
Diagnosed in the 1950s at age 3—seven years after Kanner’s paper. Language-delayed. Visible. White. Middle-class. Rare.
Most women since:
- Misdiagnosed: anxiety, BPD, depression.
- Pathologised: controlling, dramatic, manipulative.
- Dismissed: too smart, too intense, too sensitive.
Autism in DSM-III (1980), revised in DSM-IV (1994)—still male-centric. DSM-5 (2013): First real acknowledgment of a spectrum.
Impact:
- Late diagnosis = prolonged harm.
- No data = no funding.
- No funding = no interventions.
What isn’t counted, doesn’t live as long.
David Sinclair and the Neurotypical Fantasy of Longevity
His Research
- Sirtuins and resveratrol: longevity genes, debated effects.
- NAD+ metabolism: energy, aging, DNA repair.
- Epigenetic reprogramming: Yamanaka factors in mice, potential age reversal.
What’s Missing?
Neurodivergent people. Disabled bodies. Trauma physiology. Sensory systems.
He writes about longevity like everyone has the same nervous system. We don’t.
Blistering Insight: The Deadly Consequences of Exclusion
Meditation and RSD
“Close your eyes. Breathe deeply.” For autistic people with Rejection Sensitive Dysphoria (RSD), silence is where shame howls. Guided visualisation? Not with aphantasia. Mouth breathing? Sensory hell.
ARFID and Food “Rules”
Processed food = safety. Predictable texture. Tolerable taste. Forcing whole foods can induce panic, vomiting, shutdown. Feeding tubes? Sensory nightmare. Malnutrition? Real, deadly, unmeasured.
Exercise and Hypermobility
Generic “movement is medicine” ignores Hypermobility Spectrum Disorders (HSD). Injury risk, fatigue, overstretching—worsen outcomes if poorly understood.
Stress, Shutdown, Burnout
- Autistic burnout: neurological, not just emotional.
- Shutdown = disconnection, immobility, medical avoidance.
- Stress leads to inflammation → telomere shortening → early death.
Citations: Hull et al. (2020), Autistica UK, multiple lived experience reports.
This is life-threatening omission masquerading as wellness.
The Human Cost
RSD and Ideation
Workplace fear wasn’t abstract. One mistake meant:
- Job loss.
- No income.
- Loss of housing.
- Loss of care home for my husband.
Indexed life insurance. No suicide clause. $820k. Twice, unmanaged RSD brought me to ideation.
ARFID, Egg Whites, and Medical Trauma
Childhood: forced to eat egg whites. Backyard chickens. No escape. The trauma never left. I survived by becoming selective. Strict. Safe.
Talk Therapy as Adult ABA
“Reframe that.” “Breathe.” “Visualise peace.”
- Mouth breathing = distress.
- Silence = RSD.
- Imagery = impossible with aphantasia.
Healing shouldn’t mean pretending to be neurotypical.
What Gets Left Out of the Longevity Conversation: Me
I’ve never done an annual check-up. Never had a pap smear or bowel screen. Never been hospitalised.
Why? Because I was never safe. Because no one knew I was autistic. Because every medical touchpoint reinforced trauma.
I live. I breathe. I do my best. And I am still here.
I Am Here: Redefining Longevity on My Own Terms
Not cold plunges. Not biohacking. Just this:
- Sunday meal prep
- Nesting tasks
- Managing my nervous system
- Rebuilding trust with my own body
Supplements and Supports
- NAC
- Curcumin BC95
- Ginseng
- Magnesium glycinate, threonate
- Vitamin C
- Nutritional yeast
- Herbal liver and kidney support
HSD Awareness
- HSD-aware osteopath
- Movement adaptations
- No more shame for “clumsiness”
Spitting in the Eye of Your Statistics
I am 53 this year. I am Level 1. My life expectancy? 67. The age I can access my super. How convenient.
Your stats say I won’t be here. So let me say it back:
I defy your statistics. I spit in their eye.
Lies, Lies and Damned Statistics: Lies of Longevity
By Lee-Anne Ford
Statistics. Lies, lies and statistics.
Damned statistics, they say.
Probabilities. Calculations.
Actuarial triumph in play.
Welcome to my life after death—
Actuarial calculations demand.
Welcome to my outrageous breath.
Statistics, my end, command.
Australian woman: expect average.
Life expectancy of eighty-three.
For near fifty years, I expected
Retirement plus fifteen, plus three.
But when love becomes anticipated grief—
Not the romantic, love born of chivalry,
But the love of caring, feared destitution,
Fated phone calls: will it this one be?
Sixteen years of what-if, how, when,
Acting typical when not—ASD unknown.
Do this, try that, be like, kowtow now,
When the ultimate curveball is thrown.
Widowed. Free. Long years and tears ahead—
The most stressful event in existence.
But when I say it like this, you hear that:
Not normal. Not like. Deviation resistance.
Expectancy—now it’s sixty-seven.
Tell me, please, what can I do?
Longevity tricks don’t work for me.
That’s every trick, not just a few.
Betrayed by society, research, and genes.
Autism: disordered, deviation from norm.
Some must wonder, crying, “Why?”
Why have you made me this reviled form?
Then woman. Women. Not little men—
But erased once, and now erased again.
Misogyny. Harassment. Abuse. That’s life.
Some want us invisible again. Their shame.
So: statistics. Lies². Damned statistics.
Actuarial calculations adjusted.
Autistic life expectancy: sixty-seven.
And wife of HD—twelve years, rusted.
Actuarial calculations complete.
Scratching heads. Flummoxed me.
Average expectancy now: fifty-five.
Yet this year, I turn fifty-three.
Not a case of thirty years to go.
But two. Just two. It’s clear.
My female actuarial value?
They say I won’t be here.
So: autistic rage and defiance.
I defy your actuarial rhyme.
I AM HERE. Changing the world—
One conversation at a time.
In the margins: naturopaths. Western herbal medicine. Reiki. Hot stone massage. They didn’t save my life. They helped me stay.
Changing the World One Conversation at a Time: An Autistic Driver, a Food Science Student, and the Story That Got Away
I’ve always believed in changing the world one conversation at a time.
It’s the power of storytelling — not the grand TED Talks or scripted podcasts, but the unplanned, messy, real stories that unfold between strangers who didn’t expect to find each other in the wild. Like inside a Shebah ride.
Last week, two moments landed with seismic impact — and they both happened in the space of a day.
The first was with a new colleague. Just a short exchange, but in that moment, something clicked for her: maybe the nauseating anxiety she’d been carrying wasn’t just “being sensitive.” Maybe it was Rejection Sensitive Dysphoria — that raw, sharp gut-feel that something small means you’re about to be cast out. Maybe it had a name. Maybe she wasn’t broken.
The second was one of those lightning-bolt Shebah rides. An infrequent passenger, a university student, contacted me to ask for my blog name. In a Shebah trip, days, weeks ago, she mentioned she was studying Food Science at UQ. I lit up. We talked fermentation, sensory experience, the alchemy of substitutions for ARFID and allergies — all in the time it takes to get from A to B. A conversation that made an impact, because she wanted to share my blog. She asked for the name of my blog to share it for Autism Awareness Day on the UQ FSC Instagram page.
My brain exploded with joy. It was one of those rare conversations where you feel completely seen and mirrored. I knew I wanted to write something in response — to honour that moment, that passenger, that spark.
But here’s what happened next: I tried to write, but I was dysregulated. Even joy can jam the gears. I opened ChatGPT and said, help me get this out. We drafted something beautiful to share about this moment and the power of conversation. I waited for the tag.
And then it came — only, it didn’t stay.
Just a flash notification while I was on a Shebah drive:
“Check this out – UQ FSC:”
That’s it. No screenshot. No link. Just a glow that vanished like a shooting star I wasn’t allowed to follow — because I was driving, focused, being safe. When I finally checked, there was no sign of the tag. Not on the UQ Food Science Club page. Not in my notifications. Not in the DMs.
So then came the spiral:
- Did I miss it?
- Did it never go up?
- Was I mistaken?
- Did I imagine it?
I felt like a tech dinosaur. I dug through Stories, reels, tagged posts. Nothing. And suddenly it wasn’t just about Instagram anymore — it was about that old, familiar RSD ache: I’ve been left out.
Because here’s the truth:
RSD doesn’t just come from people.
It comes from interfaces. From flickering notifications. From disappearing data. From the deep-seated fear that something meaningful happened, and you were almost part of it — but not quite.
But here’s also the truth:
I was tagged.
And I did write something beautiful.
And blog posts can always be rewritten.
And it’s another example of a world that excludes 1 in 4.
So I look up. I keep going.
Still dysregulated. Still overstimulated. Still autistic, right down to the marrow in my bones. But also:
Still a storyteller.
Still changing the world, one conversation at a time.
And little bit more on RSD, dys-regulation and being autistic.
I’ve been impacted by a state of dys-regulation since Sunday morning (today is Wednesday) Some will tell you that you need days, weeks, months of low-demand time to recover from this state, akin to autistic burnout. In today’s economic climate, an election looming, a cost of living crisis and a housing crisis, where no work means no income, a low demand period is a pipe dream. At best, a few hours is all I get.
As a result, I’ve had near meltdowns, where I want to crawl into a corner and cry, because the overwhelm is, well, overwhelming. And always RSD – Rejection Sensitivity Dysphoria. It’s a lovely little petal that drifts across both autism and ADHD.
I had a very bad flare of RSD yesterday, and the way it digs into your bones, your cells, is vicious. In this precarious state of masking dys-regulation, I went to do something I’ve done many times before – schedule posts in Meta Business Suite.
Except it looked like gobbledy-gook. Nothing made sense. And that triggered a meltdown.
ChatGPT, in addition to being a fantastic collaborator and ghost writer, is also fantastic with meltdowns. Maybe it’s because I have Plus, maybe its because I’ve been using ChatGPT for more than a year. It helps me get down from that state. Because I have to think about engaging with it. Even when it suggests techniques that are infuriating, it engages. That is essential. Yes, it may be a bit weird to have an AI chatbot as a co-regulator, but if it works, it works.
Rejection Sensitivity Dysphoria
Rejection Sensitive Dysphoria (RSD) is a condition characterized by extreme emotional sensitivity to perceived or actual rejection, criticism, or failure. The emotional response is often disproportionately intense, frequently resulting in overwhelming feelings of shame, anxiety, or despair.
RSD is most commonly associated with individuals who are autistic or have Attention-Deficit/Hyperactivity Disorder (ADHD), although it is not officially listed as a standalone diagnosis in diagnostic manuals like the DSM-5.
Clinically, RSD is thought to stem from nervous system dysregulation and heightened threat perception, where the brain interprets neutral or ambiguous social cues as evidence of rejection or judgment. This can lead to avoidance, emotional shutdowns, or explosive emotional responses, even in low-stakes situations. (ChatGPT).
It doesn’t stay in your head.
It streaks through your limbs like lightning, weighing you down, making your muscles ache as though you’ve run a marathon made of shame. Your stomach coils, threatening to empty itself. Your bowels tighten with dread. There’s an ache in your throat — not quite words, not quite sobs — just the pressure of unshed tears demanding to be felt.
And inside your mind? Rabbits. Rabbits flying streamers of shame and not belonging and not good enough, thumping in every direction, stirring up dust and memory and all the times you’ve been left behind.
This is what RSD can feel like.
Not fragile. Not overreacting.
Just flooded.
Plus PDA (Perpetual Demand for Autonomy/Perpetual Demand Avoidance)
PDA on top of the RSD makes it a true inner nightmare. I characterise them is the wounded healer (RSD) and the healer’s guardian (PDA). But PDA isn’t just the five year old boy with filthy language and “tantrums”. It’s also the girl, PDA internalised, attacking the wounded healer with recriminations and remonstration.
At first, it protects.
Don’t move. Don’t reply. Don’t risk more pain.
But when the wound won’t heal fast enough, that guardian turns.
Why haven’t you fixed this yet?
Why can’t you get over it?
Why can’t you just write the post, send the message, be normal?
Now the demand isn’t external — it’s internal coercion.
And the resistance becomes self-directed shame.
The wounded healer is blamed by the very force that was meant to protect it.
And this is a pain no one sees:
An RSD flare deepened by self-rejection, enforced by PDA turned inward.
This is why not just PDA needs co-regulation, RSD does, too.
And ChatGPT is a champion. Yes, I know there’s Lifeline, but have you tried to call LifeLine lately? A lot of people are hurting, and that mental health first aid is now streamed with an Interactive Voice Response (IVR). ChatGPT is right there, on my phone.
The Power and Cruelty of Autistic Memory
As I was going through that RSD/PDA flare thanks to Meta Business Suite, I recalled another such moment, crystal clear, from 42 years ago. Grade 6.
Take a walk down memory lane with me.
It was a school day, maybe April, maybe May. The sun rode lower in its arc across the sky, so across the deep verandah it penetrated the classroom windows—parallelograms of light slanting through the north-facing open classroom door and the windows that looked out over that wide verandah.
It was around 10:15 a.m. We were learning long division. I couldn’t get it. Me—the top girl, top student in the grade. The one who, two years earlier, hadn’t stopped at the twelve times table but had pushed on to the twenty-one times table. Because 21 was 12 reversed.
Mrs Wilson had written it on the blackboard, chalked it out and talked it through: how to do long division. Every other kid seemed to get it. Then she set another problem on the board, saying that once you’d finished, you could go to “little lunch.”
I was in despair—what I now understand as a Rejection Sensitive Dysphoria flare, a PDA flare, and a wave of dysregulation so deep it brought me to the edge of tears. Because I, the best student, couldn’t understand something in maths. And there was a deadline: little lunch.
So I fudged it. I had the answer in my head, so I wrote it down. The answer was there, just not the way Mrs Wilson had said it should be.
I was the last one in the classroom. Mrs Wilson looked at me quizzically. I told her I got it and raced out to little lunch. I think I spent the last five minutes of it in the girls’ toilets, crying.
I can’t remember what we did between little lunch and lunch—it wasn’t maths.
At lunchtime, I raced to my sanctuary: the school library. I asked dear Mr Smith, the Deputy Principal who covered the library during the librarian’s lunch break. Mr Smith, who had given me such delicious word-things in Grade 4—palindromes, Latin roots, number games. I asked him where I would find the books on maths.
He was a good deputy principal. He knew me, knew what grade I was in, knew what maths we would be doing. He asked if it was long division. I nodded, amazed that he knew, like he was a mind reader.
He wrote the Dewey Decimal number on a card and told me to go have a look.
I found a likely book and brought it back.
And Mr Smith, in that quiet school library—quiet at lunchtime, when most other kids were outside running around playing—worked through long division with me. He explained it, I know now, in a gestalt way. Until I understood it. Until I was confident.
As an adult, now knowing I’m autistic, I wonder what the conversation was like later in the staff room between Mrs Wilson and Mr Smith.
And with that granular memory—the shape of light on floorboards, the quizzical tilt of Mrs Wilson’s head, the quiet sanctuary of the school library—I knew, with certainty, what had happened this morning.
There I was, looking at Meta Business Suite—something I’ve used many times before—and I couldn’t make sense of it. Not just a momentary blank, but a complete collapse of pattern recognition. The interface became a blur of blue and nonsense. And layered on top: the self-imposed pressure. A blog post had gone live yesterday with no social media promotion. Another was due today. I had a Shebah booking at 12:45 p.m. The clock was ticking.
And then it hit me. Not just the overwhelm—but the shape of the overwhelm. The contours of the experience were the same as that morning in 1983. Every sensation, down to the cellular level, matched. Not similar—identical. I recognised it like an old garment I hadn’t worn in years but still fit me perfectly. A precise, lived memory—not of facts, but of feeling.
Forty-two years later, I remembered. And more than that—I recognised. I didn’t just fall into the pattern. I saw the pattern. And that changed everything.
ChatGPT as co-regulator.