Being the mother of two adult girls, and raising them through their pre-teenage and Nurse love Autism Awareness Cancer shirt, I never realized how different and, to me, how challenging a pre-teenage boy can be. Above and beyond Matthew’s autism and how that affects his views and outlook on everything, I truly did not realize that a boy going through puberty can be this temperamental and, at times, frustrating. To start with, Matthew’s sleep patterns are not usual.