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Todd Bookman / NHPR

Like many kids with autism, Hunter Picknell has trouble expressing himself.

“His primary form of communication is sign language, but there’s certain things he can’t do with his hands and fingers because of his motor-planning issues,” says Melissa Hilton, Hunter’s mother.

“He makes kind of his own sign language, which is very idiosyncratic. We often joke around and say it is sign language with an accent.”