Search This Blog

Should You Disclose Your Child's Diagnosis To Others?

When a youngster has Asperger's (AS) or High Functioning Autism (HFA), parents walk a fine line. Often times under certain circumstances, the youngster is perfectly capable of behaving typically. Other times, not so much. And it's not easy to predict when things will suddenly become overwhelming.

If parents say something like "my son has a disorder called Asperger syndrome" or "HFA" to a scout master, coach, or a neighbor, they may set their youngster up to be excluded or treated differently. But if they don't tell, there's the possibility that a sensory issue or misunderstanding could lead to some real problems.

Most parents with children on the autism spectrum want to know: "Should I disclose to others that my child has Asperger's or HFA? If so, who should I tell, and how much information should I give them?"

The answer is threefold: 
  1. There are times when full disclosure is needed.
  2. There are other times when only partial disclosure will suffice.
  3. There will be occasions when you should not disclose at all.



Let's look at each of these in turn...

1. Full disclosure: In those cases where an adult will be working closely - and frequently - with your child (e.g., babysitters, teachers, therapists), full disclosure would be necessary. Also, for those who will be having an ongoing relationship with your child over the years (e.g., siblings, grandparents and other close family members), full disclosure is needed. In both of these scenarios, certain people will be having a lot of contact with your child, so it is vital that they know as much as possible about the disorder and how it affects your child particularly. In this way, these individuals will know what to expect, how to help prevent issues before they arise, and how to intervene when problems do arise.

2. Partial disclosure: In those cases where an adult will be working with your child in a group context rather than one-on-one (e.g., a karate coach), or the relationship will be temporary (e.g., staff at summer camp), partial disclosure will usually suffice. For example, if your Asperger's or HFA daughter is taking karate lessons, she may do well most of the time. So, a partial disclosure could be: "Sarah is someone who really needs structure, so if you're going to make a change, it would help if you tell her before class. When things are unpredictable, she gets anxious and could have a problem." In this way, you are giving the coach a "heads-up" about a potential issue without divulging your child's actual diagnosis.

3. No disclosure: In cases where the information could be used against your child (e.g., telling your child's neighborhood friends or classmates), no disclosure is advised. Children can be cruel, and a child on the autism spectrum is often a sitting duck for the bullies. So, with the exception of siblings, your child's peers (i.e., those about the same age) are best left in the dark about his or her disorder.

One parent stated, "I made the mistake of telling my neighbor that my son was 'a little autistic'. Ever since then, her children have started fights with my son on the bus and in the neighborhood. It got so bad that my husband and I would keep our son in the house. Since then we have moved. Now I don’t tell our neighbors who my son is (i.e., someone with Asperger's), but I have said to them 'he is a loner at times'."

Here's one exception to #3: In some cases, it may be appropriate to educate your child's class or school about AS and HFA. If you decide to disclose to a class, be sure to do some planning and preparation. Also, involve the school and your youngster's teacher.  Some moms and dads choose to go to the school and make the presentation.  Whether or not your child is in the room at the time is up to him or her.  See how your youngster feels about it.  Some will want to be there, and some won't.

Some AS and HFA children even may choose to make the presentation themselves.  If making a presentation like this is not a strong point for you or your youngster, you may be able to get a teacher, school counselor, or an outside professional to talk to the class. In any event, it may be in your child's best interest if people at the school -- students and staff -- learned a few things about autism spectrum disorders.




On another note, it is not recommended that parents give their AS or HFA child instructions to be silent about his or her disorder. In other words, if the child wants to self-disclose this (e.g., "I have high functioning autism") to a friend, neighbor or classmate, he or she should be permitted to do so.

As one mother stated: "I have had a neighbor who has been relying on me for ongoing childcare and my 10 year old as a 'therapeutic friend'. 'Don't ask - don't tell' just does not work. How can my son, who is just a child himself, interpret the slaps, kicks, temper tantrums, screams and rude behavior. Is this emotional instability, bi-polar disorder, autism - or just a spoiled kid? Who knows? I finally kicked the boy out of my house because if he is going to be presented as a 'normal' child, he had better act like a normal child in my home. Leaning on neighbors and their children to socialize mentally disabled children is simply using other people - expecting others to understand YOU without any information to assist other adults (or kids) in making fair conclusions. I hold the kid blameless. I hold the his mother responsible for using me and my son for the benefit of her child's adjustments. Parents, just be upfront. Anyone who can not accommodate you and your family simply does not belong in your life. Even 'normal' children experience bullies in life. Stop the pretend game and let your child just be who they are. The right people will come into your life who will be a great support for you and them!"

Having said all of the above, the bottom line is this: The disclosure decision is up to you and your youngster.  What's right for one family may not be right for another.


More resources for parents of children and teens with High-Functioning Autism and Asperger's:

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's

==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism

==> Launching Adult Children with Asperger's and High-Functioning Autism: Guide for Parents Who Want to Promote Self-Reliance

==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism

==> Parenting Children and Teens with High-Functioning Autism: Comprehensive Handbook

==> Unraveling The Mystery Behind Asperger's and High-Functioning Autism: Audio Book


==> Parenting System that Reduces Problematic Behavior in Children with Asperger's and High-Functioning Autism

SSRI's To Treat High-Functioning Autism?

“Our doctor wants to start my son who has high functioning autism on an SSRI. I have told the doc that I need to discuss this with my husband first. At this point, I am not feeling comfortable with my son being on drugs, but will be open to the idea if the advantages appear to outweigh the disadvantages. Not sure about the disadvantages though. Any insight will be wonderful. Thanks in advance.”

Medication can be an important part of treatment for some kids and teens on the autism spectrum.  However, medication should only be used as one part of a total treatment plan.  

Ongoing evaluation and monitoring by your doctor is crucial.  Moms and dads should be provided with complete information when medication is recommended, and the child should be included in the discussion about medications, using words he understands. 



By getting answers to the following questions, you should be able to make an informed decision about whether or not to start your son on an SSRI:
  1. Are there any activities that my son should avoid while taking the medication? Are any precautions recommended for other activities?
  2. Are there any laboratory tests (e.g. heart tests, blood test, etc.) that will need to be done before my son begins taking the medication?  Will any tests need to be done while he is taking the medication?
  3. Are there any other medications or foods, which my son should avoid while taking the medication?
  4. Are there interactions between this medication and other medications (prescription and/or over-the-counter) my son is taking?
  5. Does my son's school nurse need to be informed about this medication?
  6. How long will my son need to take this medication?  How will the decision be made to stop this medication?
  7. How will the medication help my son?  How long before I see improvement? When will it work?
  8. Is this medication addictive?  Can it be abused?
  9. What are the side effects which commonly occur with this medication?
  10. What do I do if a problem develops (e.g., my son becomes ill, doses are missed, or side effects develop)?
  11. What is known about its helpfulness with other kids who have a similar disorder to my son?
  12. What is the cost of the medication (generic vs. brand name)?
  13. What is the name of the medication?  Is it known by other names?
  14. What is the recommended dosage?  How often will the medication be taken?
  15. Will you (the doctor) be monitoring my son's response to this medication and make dosage changes if necessary?  How often will progress be checked?





FYI: Research has shown that SSRI medications can treat certain symptoms of ASD. The notion is that an imbalance of neurotransmitters may lead to problems with mood and behavior in some children on the spectrum. However, the FDA reported that an extensive analysis of clinical trials showed that antidepressants may cause or worsen suicidal thinking or behavior in a small number of kids and teens.

The analysis showed that 4 percent of those taking antidepressants had an increase in suicidal thoughts, compared with 2 percent of those taking a sugar pill (placebo). None of the young people in any of the studies actually followed through with suicide. 

Nonetheless, the FDA considered the findings of enough concern that it issued a public health advisory and began requiring manufacturers to label antidepressants with strong warnings about the link to suicidal thinking and behavior in kids and teens.


More resources for parents of children and teens with High-Functioning Autism and Asperger's:

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's

==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism

==> Launching Adult Children with Asperger's and High-Functioning Autism: Guide for Parents Who Want to Promote Self-Reliance

==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism

==> Parenting Children and Teens with High-Functioning Autism: Comprehensive Handbook

==> Unraveling The Mystery Behind Asperger's and High-Functioning Autism: Audio Book

==> Parenting System that Reduces Problematic Behavior in Children with Asperger's and High-Functioning Autism


Comments:

D Marcotte said...
I would use caution when using drugs for any child and particularly for one on the spectrum. We tried stimulus drugs to treat our daughters ADHD and the results were disastrous - however we know children that benefited tremendously. I guess I am saying don't be afraid to say no and if you do try it pay attention to side effects and stop if you see something you don't like.
 
Unknown said...
I just want to say that I was very resistant to giving my daughter anti depressants, at the at of 16. It has changed her world, all for the better, and I could not be more grateful. She has improved by leaps and bounds, and it has enabled her to get the most from her counseling, and learn to embrace her Asperger's and fulfill her potential. I would certainly keep a close eye, but if the child needs help, try everything.

Aspie Mom said...
We were offered drugs also, but were in the middle of going Naturopathic. Did you know they still don't know how it SSRI effect the growing brain of a child. Naturopathic say's if you are nutrient deprived (like in Low Folate)the side effects of SSRI are more common to occur, especially suicide. Come to find out the O.A.T - Organic Acid test showed 2 bad bacteria's in his gut, low in Serration & dopamine the sleep and feel good chemicals(depression). And many other nutrients that needed to be balanced so that his body and him could start feeling better. It took 10 weeks before we, family, teachers noticed he was better. It has been two months after the 10 weeks, we have seen no depression, anxiety, anger issues. We invested $1400.00 it was worth every penny. We have been cleared by his physiologist as a when needed patient.

Unknown said...
I am in the 4%. I was on SSRIs for many years, and recently stopped taking them. Since I discontinued the meds, about 2 weeks ago, my depression and anxiety have vanished, I have lost about 30 pounds, my hair has stopped falling out, my mental fog is gone, my vision has improved, and my memory is now not only functioning properly, it is perfect. I was on various SSRIs over the past 15 years (since I was 10), and never felt that they helped me in the slightest. I never thought to question their effect on me until very recently. However, I am not only a person with asperger syndrome, I am also a savant (which I discovered only after discontinuing the medications), which could reasonably explain why I had such adverse reactions.

LRose said...
What did you do to address the gut issues??

Disclosing Your Child's ASD Diagnosis to Others




More resources for parents of children and teens with High-Functioning Autism and Asperger's:

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's

==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism

==> Launching Adult Children with Asperger's and High-Functioning Autism: Guide for Parents Who Want to Promote Self-Reliance

==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism

==> Parenting Children and Teens with High-Functioning Autism: Comprehensive Handbook

==> Unraveling The Mystery Behind Asperger's and High-Functioning Autism: Audio Book

==> Parenting System that Reduces Problematic Behavior in Children with Asperger's and High-Functioning Autism 


COMMENTS: 

•    Anonymous said… I am not so quick to fully disclose the Aspergers/ADHD with teachers in grades higher than elementary school. Partial, yes, when needed. Why? Because in the hands of the right teacher, a disclosure is helpful and gives them information that helps the teacher support the weak areas of an HFA child. However, in the hands of the wrong teacher, the disclosure is used to belittle, berate, and bully the HFA child instead of providing the requested support.
•    Anonymous said… I agree with you but have seen the stigmatizing and bullying over and over again. The other thing I've seen is that with a "diagnosis" there is labeling. All this makes it tough to figure out the actual individual potential.
•    Anonymous said… Speaking as an elementary teacher with a lot of background and experience in cognitive impairment and learning disabilities and some with ASD, it is helpful to get information up front. Then I don't have to waste time reinventing the wheel, so to speak. I appreciate getting that insight from parents so that our partnership can begin immediately. And anyone who would berate, belittle, or bully ANY child has no right to call themselves a teacher.
•    Anonymous said… I have struggled with labeling my whole career and also as the sister of a developmentally disabled woman. I have made peace with it if the "label" allows the child to receive appropriate support.
•    Anonymous said… I've been a psychiatric professional for 35 years and watched my clients and their families struggle with labels. 3rd party payments demand labels but treatment and forward movement demand knowing the uniqueness of the needs of the individual.  It helps when teachers and friends understand that the label isn't the person.

Understanding Theory of Mind Deficits in Autistic Children: Misbehavior or Misunderstanding?

The concept of "theory of mind" refers to the ability to understand that others have their own beliefs, desires, and intentions, w...