MEDINA — As a child, Spencer Geissman struggled to communicate, and he didn’t care much for crowds. Autism had limited him, or at least it seemed that way.

But Geissman, of Lodi, began to open up and blossom as he grew. Intensive speech therapy and an iPad helped him interact with others. And he gained confidence by learning to ride horses at Medina Creative Therapy Ranch, which serves children and adults with disabilities.

“This place has changed his life,” Geissman’s mom, Annette Geissman, said of her son, today 22. “He loves it. They have outings, and they teach daily-living skills.

“He is so happy,” Annette Geissman said. “This is the best program I could ever have hoped for him.”