When Grandparents Don't Understand Autism: A Compassionate Guide for Maryland Families | The Learning Tree ABA

You've done everything right. You got the diagnosis. You started therapy. You're learning everything you can about how to help your child thrive. And then — at Sunday dinner, or over the phone, or in the middle of a holiday visit — a grandparent says something that stops you cold.

If that sounds familiar, know this: you are not alone. This is one of the most emotionally draining challenges that parents of children with autism face. This guide won't pretend the conversations are easy — but it will give you tools, language, and a clear path forward so that the people your child loves most can become part of their greatest support system.

The Short Version
  • Grandparents' confusion is almost never about not loving your child — it's a generational gap in awareness, not a gap in love.
  • What sounds like dismissal ("she'll grow out of it") is usually fear or hope in disguise. Reframing their words changes everything.
  • Inviting a grandparent to observe even one therapy session is often the single most effective step you can take.
  • Consistency matters — the strategies your child's team uses work best when everyone in their world uses them too.
  • You are allowed to set boundaries and keep the door open. Both can be true at the same time.

Things You've Probably Heard

He doesn't look autistic.

All kids act like that sometimes. She'll grow out of it.

You just need to be firmer with him.

In my day, we didn't have all these diagnoses.

Why Grandparents Often Struggle to Understand Autism

Before we can bridge the gap, it helps to understand why it exists. A grandparent's hesitation or confusion about autism is rarely about not loving your child. It's almost always rooted in a generational difference in awareness — and sometimes something much more personal.

Autism Was Rarely Recognized in Their Day

Autism spectrum disorder (ASD) is far better understood today than it was 20–30 years ago. Diagnostic criteria have expanded significantly over time. Many children who would have been labeled "difficult," "shy," or "slow" in prior generations are now correctly identified as autistic. According to Next Avenue, grandparents may have grown up in a time when autism was less understood or even stigmatized — making it harder to accept and comprehend a grandchild's diagnosis.

They May Recognize Traits in Themselves

Because autism has a strong genetic component, a grandparent may carry related traits themselves — and navigated them their whole life without ever receiving a diagnosis. When they say "I was just like that as a kid," they may genuinely mean it. To them, those traits weren't a disorder. That history can make it harder for them to understand why their grandchild needs professional support.

Old Stigma Can Still Cast a Shadow

There was a time when a diagnosis like autism carried deep shame for families. Some grandparents may still carry that stigma — not because they want to diminish their grandchild, but because it was deeply embedded in the culture they grew up in. Acknowledging the diagnosis might feel, at first, like accepting something negative — rather than opening the door to support and growth.

What Grandparents Say — and What They Really Mean

Understanding the emotion underneath the words can help you respond with patience rather than frustration. Here is a more compassionate way to hear the most common comments.

What they say What it usually means
"He doesn't look autistic."
Opening → Their image of autism is outdated. This is a chance to share what autism actually looks like across the full spectrum.
"She'll grow out of it."
Hope + fear → They want their grandchild to be okay. Reassure them that therapy is exactly how children grow and build their skills.
"You just need to be stricter."
Drawing on what they know → They want to help. Invite them to see how positive reinforcement actually works far better.
"Why does he have a therapist? He seems fine to me."
Deep love → They don't yet have enough information to recognize what's happening beneath the surface.
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A helpful reframe: Instead of hearing these comments as attacks, try hearing them as questions in disguise. "He doesn't look autistic" really means: "I don't understand autism yet. Help me learn."

Why Bridging This Gap Matters So Much for Your Child

You might wonder: does it really matter if grandma or grandpa fully "gets it"? It does — deeply — for several important reasons.

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Consistency Supports Progress

Children with autism thrive on consistency. The strategies therapy teams use are most powerful when everyone in your child's world uses them too.

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Grandparents Can Be a Superpower

Research shows that when grandparents are educated and engaged, they become a genuine asset — providing practical help, emotional support, and a loving relationship for the child.

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You Deserve Support Too

Parenting a child with autism is a full-time commitment. When grandparents are on board, your village grows. When they aren't, isolation grows instead.

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Feeling like you need more support right now?

Our team at The Learning Tree ABA works with the whole family — not just your child during sessions. We'd love to talk with you.

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How to Start the Conversation

There's no single perfect script, but there are approaches that tend to open hearts far better than others.

1
Choose the right time and place

Don't have this conversation at a family gathering, during a meltdown, or when emotions are running high. Choose a calm moment — a quiet phone call, a one-on-one coffee, or a relaxed afternoon visit. People hear better when they're comfortable and not put on the spot.

2
Lead with their love

Start by acknowledging how much they love their grandchild: "I know how much you love [child's name], and I want to share some things that have really been helping us understand his needs — because I think it will help you connect with him even more." Starting from their love removes defensiveness.

3
Explain autism in plain terms

Autism is a difference in how the brain processes information. It affects communication, sensory experiences, and social interaction in ways that vary from person to person. It does not mean a child isn't intelligent, isn't capable of deep connection, or doesn't have a bright future. It means they experience the world differently — and benefit enormously from specific support to help them thrive.

4
Focus on the child, not the diagnosis

Rather than making the conversation about autism as a label, make it about your specific child. Talk about what they find comforting, what situations can be challenging, what they're currently working on, and what makes them light up. When grandparents see their grandchild — not a diagnosis — they connect so much faster.

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Invite them in

One of the most effective steps you can take is inviting grandparents to be part of your child's therapy journey. Ask your child's BCBA about having grandparents attend a parent training session or observe a therapy session. When grandparents see the strategies in action and witness their grandchild's progress firsthand, skepticism often melts away completely. At The Learning Tree ABA, we work with the whole family system — because real, lasting progress happens when everyone is on the same team.

When grandparents see ABA therapy in action and witness their grandchild's progress firsthand, skepticism often melts away completely.

Practical Tools and Resources to Help Grandparents Learn

Sometimes showing is more powerful than telling. Here are specific, accessible resources you can share with grandparents to help them learn at their own pace.

📚 Books Worth Sharing

  • "A Grandparent's Guide to Autism Spectrum Disorders" by Nancy Mucklow — Written specifically for grandparents, in clear and caring language. A wonderful, accessible first read.
  • "Ten Things Every Child with Autism Wishes You Knew" by Ellen Notbohm — A warm, accessible book that shifts perspective in a lasting way. Many grandparents find it genuinely moving.
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Short videos can break down walls. Not every grandparent wants to read an article. Consider texting or emailing a short, warm video from Autism Speaks or YouTube. Meet them where they are — and make it easy for them to take that first step.

When Grandparents Visit: Setting the Stage for Success

Even before grandparents fully understand autism, you can take thoughtful steps to make visits smoother and less stressful for everyone — especially your child.

Prepare Them Before They Arrive

A simple, brief message before a visit goes a long way. Share a few key things:

Start with the positive

Share what's going well in your child's development right now before discussing anything challenging. This sets a hopeful, forward-looking tone.

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Give a heads-up on situations that may come up

For example: sensitivity to loud sounds, need for predictable transitions, or specific routines around mealtime. Keep it brief — one or two things, not an overwhelming list.

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Give them one concrete way to help

For example: "If he starts to get overwhelmed, just stay calm and quiet — you don't need to fix it." Specific and actionable is far more reassuring than vague advice.

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Keep visits structured and predictable

Give grandparents a simple overview of what the visit will look like — activities planned, when meals will be, what the leaving routine looks like. When they know the plan, they can support it rather than accidentally disrupt it.

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Celebrate every connection they make

When a grandparent does something that works — follows your lead on a transition, or simply sits quietly and lets your child come to them — name it warmly: "Did you notice how well he responded when you gave him that heads-up? That's exactly what his therapy team works on. You're a natural." Positive reinforcement works on grandparents too.

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A helpful reminder: You don't need grandparents to be perfect. You need them to be open and willing to learn. Progress over perfection — for your child, and for your whole family.

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In-home ABA therapy that works around your whole family.

Our BCBAs bring therapy to your home, your child's school, or our Hunt Valley center — wherever works best for your family's daily life.

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When the Gap Feels Too Wide: If Grandparents Won't Engage

Not every grandparent responds the way you hope. Some dig in. Some dismiss. Some go quiet. That is painful — and it's okay to acknowledge that it hurts.

Set Boundaries With Compassion

If a grandparent's behavior is actively harmful to your child — dismissing their diagnosis in front of them, pressuring them to "act normal," or repeatedly undermining therapy strategies — you have every right to set firm, loving limits. You might say: "I love you, and I know you love [child's name]. Right now, what [child's name] needs most is consistency. When you're ready to learn more about what that means, we would love to have you more involved."

Give Yourself Permission to Grieve

Many parents of children with autism experience grief — not for their child, who is wonderful exactly as they are — but for the support and understanding they hoped to receive from family. If grandparents aren't showing up the way you needed, it's okay to feel disappointed. Those feelings are completely valid. Seek your own support too. Maryland families have access to wonderful community resources, including the Autism Society of Maryland and Pathfinders for Autism.

Keep the Door Open

People change. Understanding grows. Grandparents who weren't ready to hear it last year may be more open today. Keep sharing small wins, photos of joyful moments, and evidence of your child's progress. Connection is built over time — and love, even clumsy and confused love, has a way of finding its path.

Building Your Village Across Maryland

Across Maryland — from Baltimore County and Montgomery County to Howard County, Carroll County, and beyond — thousands of families are navigating this same journey. You don't have to do it alone.

Beyond grandparents, your village can include:

  • Your child's ABA therapy team — who work with your whole family, not just your child in sessions
  • Parent support groups through the Autism Society of Maryland
  • School-based support teams and special education advocates
  • Other Maryland families who truly understand this journey
  • Respite care programs that give you the chance to recharge

At The Learning Tree ABA, our approach has always been about the whole family. We offer in-home ABA therapy, center-based ABA therapy at our beautiful Hunt Valley location, and school-based ABA therapy across Maryland. We use Natural Environment Teaching (NET) — making therapy feel natural, joyful, and woven into everyday life.

A Note to Grandparents Reading This

If a parent sent you this article — that means they want you here. They want you in their grandchild's life. They're not criticizing how you raised your family. They're inviting you into something extraordinary.

Your grandchild with autism is a unique, valuable, deeply loved person. They may show affection differently. They may not always make eye contact. They may need quiet more than noise, and predictability more than spontaneity. But they feel love. They know your voice. And they need you.

The greatest gift you can give your grandchild isn't perfection. It's presence, patience, and a willingness to learn. That is more than enough.

We're Here for Your Whole Family

We're here for your child's milestones — but also for the harder moments, the complicated family conversations, and the days when you just need someone in your corner.

Schedule a Free Consultation → No waitlists. No judgment. Just a team that genuinely cares. — Learn. Grow. Blossom.

Frequently Asked Questions

Start by explaining that autism spectrum disorder (ASD) is a neurological difference — the brain is wired differently, not that the child is misbehaving or poorly raised. Help them understand that behaviors like meltdowns, sensory sensitivity, or communication differences are genuine neurological responses, not choices. Sharing beginner-friendly resources from Autism Speaks, or inviting them to observe a therapy session, can shift their perspective far more effectively than debate. Focus on your specific child — their strengths, their progress, and what helps them feel safe and regulated.

Begin with a private, calm conversation — not in the moment — where you explain why consistency matters for your child's development. Use simple examples: "When his routine changes suddenly, it can cause real distress — not because he's spoiled, but because his brain relies on predictability to feel safe." If the behavior continues and is clearly harmful, it's appropriate to limit unsupervised visits while always keeping the door open for growth. You are your child's advocate first.

Absolutely — when they're open to it. Involving grandparents in parent training sessions or observation visits can be transformative. Seeing ABA therapy in action, watching their grandchild respond positively and make progress, removes much of the mystery and skepticism. Many families find this is the single most effective step in getting grandparents fully on board. Ask your child's BCBA at The Learning Tree ABA about the best way to include extended family members meaningfully in the therapy process.

Stay grounded and non-defensive. You might say: "I completely understand why it looks that way — I thought the same thing at first. What we've learned from his therapists is that what looks like defiance is actually his brain responding to sensory overload or transition anxiety. The strategies we use are based on solid research — and they're working. I'd love to show you what we've found actually helps." Then pivot to invitation rather than argument. Showing is almost always more effective than telling.

Maryland families have access to excellent resources. Pathfinders for Autism offers a free resource directory and family workshops specific to Maryland. The Autism Society of Maryland provides community events, support groups, and educational materials for the whole family. Kennedy Krieger Institute in Baltimore offers family education programming. And the team at The Learning Tree ABA is always here to help your whole family navigate this journey — from your child's first diagnosis through every milestone ahead. Reach out anytime to schedule a free consultation.

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