Robert Maarman was diagnosed with autism at the age of three.
Image: Western Cape Government
World Autism Awareness Day is observed annually on April 2, and the Western Cape Department of Health and Wellness calls on communities to embrace a strengths-based understanding of autism, one that highlights the potential, abilities, and individuality of every child.
The Department said that autism is not a deficit, but a different way of experiencing and engaging with the world.
“By shifting the narrative, we can begin to recognise and celebrate the strengths that many autistic children and adolescents bring. These may include deep insight, creative problem-solving abilities, exceptional attention to detail, and strong logical and analytical thinking. Many individuals develop focused interests that can evolve into areas of expertise and innovation, particularly in fields such as science, technology, engineering, and mathematics (STEM),” it said.
Dr Zakira Mukuddem-Sablay, head of Adolescent Services at Groote Schuur Hospital, said autism invites us to look beyond traditional expectations of development and to appreciate different ways of thinking, learning, and engaging with the world.
“When children are supported in environments that understand and respect these differences, they are more likely to build confidence and participate meaningfully in their communities,” Dr Mukuddem-Sablay said.
For one mother, Valerie Maarman, her journey with her son Robert began with subtle observations that gradually became more apparent over time.
She noticed differences in his responses, play patterns, and sensitivity to his environment.
“At first, I reassured myself that every child develops differently. But deep down, I knew something was different,” Maarman said.
Following assessments and early interventions, her son was diagnosed with autism at the age of three.
“The diagnosis was difficult to accept. It was overwhelming not just for me, but for our entire family. We had to learn, adapt, and grow in ways we never expected,” Maarman said.
With access to therapy, guidance, and ongoing support, the family committed to creating a nurturing and structured environment for Robert. Over time, they began to see meaningful progress.
“Through patience, consistency, and support, we started to see changes, small moments of connection that meant everything to us. As a parent, you realise that autism is not the end of the journey; it is a different path. One that teaches you strength, resilience, and unconditional love,” Maarman said.
She explained that Robert, now a young adult, expresses himself through art, enjoys music, and continues to grow in independence.
Maarman encourages parents to seek help early and remain open to support.
“Ask for help, accept support, and believe in your child. With the right support, they can thrive,” she said.
According to the Department, early identification and intervention are key to positive outcomes.
“When developmental concerns are recognised early, children can be referred to appropriate educational settings and access essential services such as occupational therapy, speech and language therapy, and mental health support. Parents and caregivers are encouraged to seek assistance if they have concerns about their child’s development. Consulting a healthcare professional, such as a doctor or nurse, is an important first step in accessing appropriate care,” it said.
The Neurodevelopmental Clinic at Tygerberg Hospital provides specialised assessment and diagnosis for children with autism spectrum disorder (ASD) up to the age of six. Children older than six are typically referred to the Psychiatry Department for further support.
The clinic follows a comprehensive, family-centred approach, ensuring that both children and caregivers receive ongoing guidance and support.
Families are further supported through assistance with access to care, dependency grants, housing support, and, where applicable, guidance on claiming eligible expenses from the South African Revenue Service.
Close collaboration with the Western Cape Education Department ensures that children are placed in appropriate learning environments, including specialised schools where needed.
Ongoing efforts also focus on strengthening healthcare capacity through training programmes for healthcare professionals, including workshops hosted at Red Cross War Memorial Children’s Hospital.
Dr Angeline Thomas, Subspecialist Consultant in Neurodevelopment, Paediatrics at Tygerberg Hospital, said children with autism spectrum disorder can learn and thrive, provided they are supported in the right way.
“With the right support systems in place, we can unlock each child’s potential and support their development in meaningful ways,” Dr Thomas said.
robin.francke@iol.co.za
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