How can you tell....

How can you tell if it is just pre-teen hormones, laziness or seriously a child with autism just doesn't get it?  How can you tell if it is time to throw in the towel or seek outside professional help?  How can you tell what kind of help your child needs if you can't figure it out for yourself?  How can you tell someone that you feel like a horrible mother when you can't figure out how to help your own child succeed in learning?  How can you tell if the whole world is falling apart?  How can you tell everyone who thinks you are strong and a super woman that you are hurting inside?  How can you tell them that you are lost in this fight to desperately help your child?  How can you tell someone who truly doesn't understand what its like to constantly have to re-train them over and over and over again with the same thing and still it doesn't sink in?  How can you tell them that your heart is hurting?  How can you tell.....