Tuesday, September 8, 2015

How to Handle the 4 Most Challenging Autism Behavi

 Does your child scream if he can't wear his favorite  shoes?

Does he enjoy fondling material of certain textures
without regard for where or on whom that fabric
may be located?

Does he fear the toilet, the market, the dentist?  

This was part of a post about "The Thinking Person's
Guide to Autism" left by Shannon Des Roches Rosa,
mom to an 11-year-old son with autism, as well as a
high-profile advocate and educator for autism

"Pay attention to cues -- what is your child trying to
tell you?" says Lynette Fraga, PhD, VP of Early
Care and Education and Special Populations
at Care.com.

"Parents and care providers have to be incredibly
responsive and sensitive to children with autism
regarding their behaviors," she says, imparting
a necessary vigilance and hyper-awareness
on the part of the parent.

Amanda Friedman, co-owner and director of Emerge &
See Education Center, agrees, adding, "We need to
become translators of our children's behaviors."

After speaking with several child development experts
and parents of kids with autism, we highlighted the
four most challenging autism behaviors and
provide advice on how to best handle them.


1. Sleep Disruption

Sleep can be tough for kids with autism, as they tend
to have highly sensitive nervous systems. Even the
slightest variation in their day can affect their sleep
for the night.

"We have to be extremely careful not to give Leo
anything that has any caffeine," says Des
Roches Rosa, who lives in Redwood City,
Calif. "He can't have any chocolate after
3pm or he will be up all night. He's a
very active, athletic boy, so we
make sure he gets a lot of
exercise during the day.

If not, he also doesn't sleep."

Many parents find that creating a nocturnal oasis
helps a lot.

Eileen Riley-Hall, author of "Parenting Girls on the
Autism Spectrum," says to think sensory-wise:
room-darkening shades, a white noise
machine, weighted blankets.

"Basically anything you can do to make sleep more
appealing," suggests the mother of two teenage
girls on the spectrum.

But beware the common pitfall of unwittingly enabling
their irregular sleeping habits, says Friedman.

"A lot of parents feel that when their child wakes up in
the middle of the night they have to get him
something to eat, turn on the TV, and
immediately cater to the fact that he
stirred or woke up as opposed to
bringing him or her back to bed.

It's just a matter of teaching their bodies that it's still
nighttime and we're not going to start the day just
because you woke up."

One way to do this, Friedman suggests, is through
visual supports like the TEACH program method:
"Show them a picture of a clock and a picture of
Mom and Dad and say, 'You can come into our
room when your clock matches this clock.'"

Autism Speaks offers free downloadable toolkit,
one of which is all about sleep.


2. Food Sensitivity

"Kids with autism are historically tremendously picky
and selective and limited in what they will eat," says

"It's a sensory thing; you have to have lots of trial and
error, certain textures, certain foods."

When her girls were younger-they are now 13 and 11
-she didn't make them eat anything they didn't want
to eat:

"For me it's more important for mealtime be pleasurable.

Everybody eats more if they feel relaxed, so in the
past I have made them something different to eat
and then we all sat down together to eat."

Alison Berkley, co-owner and co-director of Emerge &
See Education Center talks about a tactic learned
from Susan Roberts, an autism educator and
consultant with a specialty in picky eaters.

Getting your child to eat a variety of foods starts with
expanding their tolerance level: "It doesn't even
need to be that the child eats a new food but
that they tolerate it being on the table," says

"At the next meal they tolerate it being on the plate
and then they tolerate just touching it.

Then you can slowly expand their repertoire of food."

She recommends a slow, gentle and positive approach
"because you want them to take their fear and anxiety
around food and transform it into a sense of
empowerment and a sense of control."


3. Meltdowns

Meltdowns happen, that's a given. What matters is
how prepared you are and how you can minimize
their occurrence.

"Don't put your child in over his or her head," warns
author Riley-Hall, who is also an English teacher at
an inclusive high school in upstate New York.

"I have parents I talk to who say, 'Well, everyone is
going to Six Flags for the day," and I'm like, 'Well,
you might not be able to do that.'

you know it's a situation where it's going to be really
long or really difficult, you're just sort of setting them

You have to accept that there are limitations that
come with having a child with autism."

With a tantrum, the child is still in control, they want
to get their own way, explains Riley-Hall.

With a meltdown, they can't calm down and at that
point either they've gotten themselves so upset or
so overwhelmed they're no longer in control of
the situation.

"And they can be difficult to judge," she says.

"It's really important not to always give in to
meltdowns because you're afraid of them.

The basic thing is to hold them and calm them
and wait until they can calm down themselves.

I know some kids have really egregious meltdowns,
so it's important not to put them in a situation
where you think they may have one but if
they do, just keep them safe and soothe
them in whatever way you know works
until they can recover."

If a tantrum happens in public and unwanted eyes
(and comments) are directed your way, you can
curtail further scrutiny simply by handing out
pre-made wallet-size cards that say things
like, "My child has autism," with a website
listed for them to learn more.

You can get these through various autism
organizations or make your own.

4. Aggressive Behavior

Aggressive and self-injurious behaviors are fairly
common in children with autism, says Des
Roches Rosa.

When her son Leo acts aggressively, it's usually
due to sensory overload or frustration with his
inability to communicate his needs effectively.

"Most times, when people better understand the
basis for the aggressive or self-injurious
behavior and then accommodate or
support the person with autism,
things can improve
dramatically," she

Des Roches Rosa swears by data tracking: "We keep scrupulous notes about Leo and his behaviors and all the factors in his day." Having done this for years, De Roches Rosa incorporates notes his day: what he eats, how much he sleeps, even whether his father is on a business trip. "We can actually identify seasonal behavioral arcs. So when something is wrong, we can go back and figure it out."

Certain things can set Leo off, says Des Roches Rosa. "Like a change in barometric pressure, which can really affect his sinuses. When he's acting out there's usually a reason for it and in almost all cases we can find out what it is."

But when Leo went through an extremely violent phase, Des Roches Rosa called in a behaviorist. "A good behaviorist is purely there to analyze and understand and come up with positive solutions for behavioral issues," she explains.

So what does Des Roches Rosa do when Leo's in the throes of aggressive or self-injurious behavior? "We have to consider safety first," she says. "We move away, we say very loudly and clearly, 'Stop' or 'No' and make it very clear with a very different, very strict tone of voice that what he's doing is not okay."

Something to Remember

"If you know one child with autism, you know one child with autism," says Dr. Fraga, referring to a popular saying within the autism community. She adds, "There is so much diversity in terms of how autism plays out with each child. The idea that everyone is the same is mythical." This uniqueness can be embraced as well as prepared for.
Rozenburg Z. Julie . " How to Handle the 4 Most Challenging Autism Behaviors" Care.com N.p.,Web. 5 September 2015 

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