They also built an intensive therapeutic routine. Carly worked with speech therapists, behavioural specialists and occupational therapists while the same work continued at home. Progress was painfully slow and often invisible, but the structure never stopped.
Her parents committed to as much as forty to sixty hours a week of therapy, including Applied Behaviour Analysis. At the same time they spoke to Carly as if she understood everything. They read to her, explained the world around her and assumed comprehension was present long before she could express it.
Communication became the central goal. If Carly wanted juice or a toy, she was encouraged to type at least the first letter of the word on her communication device before receiving it.
The breakthrough came when Carly was ten years old. During a moment of distress she typed a simple message on a keyboard:
— HELP.
Then another:
—TEETH HURT.
For years people believed her screams were part of autism. In reality she had been trying to communicate a toothache.
From that moment, typing became her voice.
Through written communication Carly began describing what her inner world felt like. She explained that repetitive movements — stimming — helped her manage overwhelming sensory input. She wrote about a mind that absorbed visual details rapidly while struggling to translate thoughts into speech.
As an adult, Carly Fleischmann became a public advocate for non-verbal autism. She co-authored the bestselling book Carly’s Voice: Breaking Through Autism and gained international attention through media appearances and public speaking.