A Difference in Ability serves as a coming of age story for a young autistic adult who has faced trauma at the hands of her caregivers and now looks for her independence while just trying to enjoy life. Rachel is smart and inquisitive, but she speaks predominately in short bursts and echolalia. Through having the chance to help her learn skills, face her fears and grow, Jesse realizes that there is more he can give. He no longer feels like he has to be pigeon-hold in a career that leaves him feeling dissatisfied. Through meeting Rachel as well as other people associated with the Independent Living Centre, Jesse becomes more aware of the issues that the disability community faces at large. These are issues of abuse, and personal autonomy. Everyone has a different way of navigating the world.

This story deals with themes of abuse of vulnerable populations, compassion fatigue and coming of age for disabled youth. I feel like this book would be enjoyed by young adults on the autism spectrum as well as people working with them and who want to learn more about them.