"autistic people deserve the autonomy to transition and make risky choices, same as anyone else" and "many autistic people struggle to understand their internal experiences, take things very literally, and need help to see nuanced perspectives — and those people deserve tailored care to help them make choices with the same level of understanding as a non autistic person" are two statements that can and do coexist. giving autistic people good care means acknowledging that our brains work differently and trying to work with that; not treating us exactly like neurotypical people and allowing us to trip over our disability in the process.