Opal sat quietly in the living room, her caregiver beside her. Across from them, her therapist, Ms. Camble, offered a gentle smile, her clipboard resting on her lap and a sparkly pen twirling between her perfectly manicured fingers. Opal felt on edge—she always did—but today, the feeling was less overwhelming. Her caregiver was here, and she knew they wouldn’t let anything bad happen to her.

Ms. Camble’s voice was soft as she spoke. Ms. Camble: “Now, Claire, would you like to play with any of these toys?”

She gestured toward the coffee table, where an assortment of colorful blocks, sand, and puzzles lay neatly arranged. Of course, Opal wanted to play. But what if she picked the wrong toy? Was there a wrong choice?