How to Talk to Your Special Needs Child about the Birds and the Bees

The birds and the bees …oh geez, do we really have to go there? Yes, we do. Our children with special needs are still children who are hungry for information. That need may be delayed or even come early, but the need is still there and we, as their parents, need to monitor what information they are seeking and how much to give them.

When your child is showing obvious signs of puberty – deepening voice, breast buds, body hair, body odor and an intense interest in the opposite gender, it’s that time to start planting the seeds for that conversation.

Several years ago, I worked in a private school for children on the autism spectrum. Many of our adolescent boys and girls were frightened by their changing bodies, and the feelings that came when a handsome young man or little lady (student or staff member) walked by. They didn’t understand what was happening, and it felt strange and crazy.

Keep it Simple
During that time, we engaged our school nurse to give simple lessons on body changes to our adolescent boys and girls separately. As a staff Psychologist, I read books about adolescence and created social stories specific to their areas of question or concern. We validated that these feelings were normal, these bodily changes were normal, and that other kids also went through these changes.

Stay Specific
Then the topic of masturbation became prominent when our boys were spending a great deal of time rubbing themselves in the classroom. More books, more social stories about this natural urge, and where and when it was appropriate (in the bathroom, in their bedroom, behind a closed door).

Parents were engaged to continue the discussion, emphasizing a few key points, but only when there was a need. We answered only their questions as they were asked. Two sentences, then stop. For our students who were shy, they wrote down their questions and we discussed together one on one or responded back in writing.

Wait for the Question
Instead of initiating a conversation about the birds and the bees, wait for your child to ask the question, then answer it. By that point, you will have provided a good amount of information leading up to this question, and so it will naturally flow. For example, you will have already had conversations about female and male anatomy and how it changes, the physical urges, masturbation, menstrual cycles, breasts, and pubic hair. This process may be slow and can take up months or even a year. It’s okay – no need to rush. Just answer the questions as they arise.

Our children are these amazing little creatures who amaze me daily. Their interests, their curiosities, their creativeness is unique and different. Even when they have come out of the same womb! Remember, just answer the question and build on information slowly, and follow your child’s lead!

by Dr. Liz Matheis and Shield Healthcare
"The various psycho-educational testing Dr. Liz conducted on our son gave us critical clues about where his learning strengths and weaknesses lie so that his needs could be better addressed at home and school. Moreover, because of their warm, kindhearted personalities, both Dr. Liz and her associate, Stephanie, formed an immediate bond with my son. He eagerly looks forward to his weekly therapy sessions. We are so lucky Dr. Liz came into our family's lives when she did! For stressed-out families trying to help their children as best they can, she is a calming voice of reason!"
- Julie C.
"Dr. Matheis has a remarkable ability to understand the unique needs of her patients and address them constructively. She builds strong, meaningful relationships with patients and their families, encouraging trust and collaboration. When working with my son who struggles with autism-related anxiety, she created an environment in which he was able to calm down and open up to her in ways I had not seen before. She was able to reach him and helped him work through his crisis/problem. Most importantly, she empowered him to move forward."
- N.L.
"Dr. Matheis is amazing. She has tremendous resources and loads of energy. She is not willing to accept anything less than the most effective results for her clients. She made me feel as if my son was her top priority throughout the entire process. I would, without reservation, give her my highest recommendations.  Thank you, Dr. Matheis!"
- Anonymous
"Dr. Matheis has an amazing ability to read kids and connect with them. She has been an invaluable resource for our family over the past several years and has helped us with everything from educational consulting, to uncovering diagnoses as well as family therapy. Working with Dr. Matheis never feels clinical and most importantly, our children love and trust her. We can not thank you enough Dr. Liz!"
- Anonymous
"My teenage son had been seeing Dr. Matheis through his senior year of high school, as he was only diagnosed with ADHD at 16 years old.  Dr. Matheis came highly recommended from our pediatrician and she has done wonders for our son as well as our family, navigating new ways for him to deal with his diagnosis without the use of medication.  She taught him ways to organize himself and even when something did not work for him, she patiently continued teaching him new ways to keep himself on track.  She has also helped us as parents to understand how his mind works so that we did not continue to blame his lack of focus on him, rather on his unique way of thinking.  Thank you Dr. Matheis!!!!"
- LG
"Dr. Liz is the best! Our family was directed to her by our Pediatrician to assist with figuring out severe mood changes, severe anxiety, strange new fears and food aversion that had come onto one of our children literally overnight. After just a couple of visits, she suggested that the issues may actually be rooted in a physical issue and suggested we immediately take our child to be swabbed for strep, because Dr. Liz suspected PANDAS (a pediatric autoimmune disorder brought on by strep). The same Pediatrician that suggested Dr. Liz would not do the swab (they do not believe in PANDAS and we no longer go there) but I took my child to my doctor who did the swab and it was positive for strep. When our child went on antibiotics, within 24 hours all symptoms went away and our child was back :-) Dr. Liz then recommended a PANDAS specialist who helped us and our child is in complete remission and is happy and healthy. We are incredibly grateful to Dr. Liz for her knowledge of all things, even the most remote and unusual and for helping us so much! Thank you!"
- Anonymous
"The various psycho-educational testing Dr. Liz conducted on our son gave us critical clues about where his learning strengths and weaknesses lie so that his needs could be better addressed at home and school. Moreover, because of their warm, kindhearted personalities, both Dr. Liz and her associate, Stephanie, formed an immediate bond with my son. He eagerly looks forward to his weekly therapy sessions. We are so lucky Dr. Liz came into our family's lives when she did! For stressed-out families trying to help their children as best they can, she is a calming voice of reason!"
- Anonymous
"Thank you, Dr. Liz. Although we have told you countless times, it will never feel enough. You have listened when J could barely speak and continued to listen when he was sad, angry and confused. You've challenged him and directed us in our roles as parents. You've helped J face his fears while the list evolved and changed, and yet you've stayed committed to 'the course.' We pray that your children realize that time away from them is spent helping children learn and that vulnerability is a sign of strength and bravery."
- June I
"My son was admitted to an Ivy League school when only 2 years ago, you assessed him and saw his struggles, his Dyslexia. We are grateful that he no longer has to carry that deep feeling of inadequacy or shame that must have kept him so self conscious and from reaching his potential. He has the PERFECT program for him. He has A's in high math and economics. He became a Merit Scholar, a Boys State legislature, the HEAD captain of the football team and help a job ALL while studying and managing his classes and disability. I am PROUD of you, a young doctor, who knows and sees the vulnerability of children and helps them recognize "it's NO big deal" God bless."
- Anonymous

Learn More About Dr. Liz!

Subscribe to our Mailing List
Psychological and Educational Consulting Logo

513 W Mt Pleasant Ave, Ste 212,
​Livingston, NJ 07039