top of page

The Messiness of Relationships: "I didn't expect this"

  • Jan 26, 2020
  • 1 min read

Updated: Jun 7, 2020

ree

One of the characteristics of autism is difficulty beginning, maintaining, and understanding relationships/friendships. The manual also specifies that many on the spectrum long for close connections with others but without a realistic understanding of what typical relationships are like.


The visual images of friends, couples, and families on social media are gorgeous with big smiles, hearty embraces, and "true love." [Interestingly, it was difficult to find photos of messy relationships for this post!]


In real life, relationships over time are messy. There are misunderstandings, betrayals, irritating habits, arguments, and other ups and downs, in addition to the big smiles and love. Many things in relationships don't follow rules and structure, and the ups and downs often feel unexpected (something that can feel very upsetting to those on the spectrum). Ultimately, we don't know what's going to happen in the long term. Will this relationship work out? Will it handle the tests of time?


My friends and I joke about what family life is like on a daily basis. It often includes discussions about whose turn it is to clean up the vomit when your kids are sick, or who forgot to take the dogs to the vet. Don't get me wrong, hopefully life with others includes all the "ups" too, but there will be lots of unexpected and messy things.


This reality is very challenging for everyone! Add the layer of relational struggle found in autism and the rollercoaster of relationships can be exponentially more confusing and difficult, even when appealing from afar.

Have you explored the website? Check out the many pages dedicated toward clinicians, autistic adults, and family members. You can read articles, find the podcast, or book sessions with Dr. Regan directly through the website. Have additional questions? Feel free to email Dr. Regan and her team using the contact form. 

Contact

  • Facebook
  • Twitter
  • LinkedIn
  • Instagram
  • Can Dr. Regan suggest a provider in my state?
    Dr. Regan does not maintain a nationwide list of referral options at this time.
  • As a professional clinician, can I schedule an appointment with Dr. Regan?
    Dr. Regan offers various training opportunities for clinicians. Visit the "For Clinicians" page on her website for details on professional consultation appointments, CEU courses, and a free clinicians' group.
  • Is insurance accepted for appointments with Dr. Regan?
    Appointments with Dr. Regan at OSF Saint Francis Medical Center are billed through the hospital, and any insurance accepted by the hospital can be used. Please verify coverage with your insurance provider before the appointment. Video appointments via Dr. Regan's website are self-pay. For more details, visit the video visits page.
  • Does Dr. Regan conduct diagnostic assessments?
    Dr. Regan specializes in autism assessments for adolescents, adults, and older adults, having completed over 1,000 evaluations, including around 400 for females. She performs diagnostic assessments exclusively at OSF Saint Francis Medical Center in Peoria, IL, with a current waitlist of about four years. While she does not offer diagnostic evaluations through her website, she provides one-hour video consultations on topics like communication, relationships, household living, emotional regulation, and work. These can be scheduled via the video visits page.
  • Can I schedule a video visit with Dr. Regan if I am out of state?
    Dr. Regan does not conduct diagnostic evaluations via video sessions. However, you can book a one-hour consultation to discuss daily living topics such as calming anxiety, effective communication, relationship repair, navigating neurodiverse households, and improving organization and productivity. Note that Dr. Regan cannot provide video consultations for individuals in Alaska, California, Guam, Iowa, Hawaii, Louisiana, Massachusetts, Montana, New Mexico, New York, Oregon, countries outside the USA, or Illinois due to contractual obligations with her employer.
  • How can I get on Dr. Regan's evaluation waitlist in Peoria?
    Dr. Regan conducts diagnostic assessments at OSF Saint Francis Medical Center in Peoria, IL. She sees patients aged 14 and older including adolescents, adults, and older adults. She has a four-year waitlist. To be placed on the waitlist, please have your physician call 309-655-7378 for instructions on how to send a referral. Once this is complete, a member of staff will contact you to hold your appointment date.

©2025 by Autism in the Adult

bottom of page