Learning to Parent a Child with a Diagnosis of ASD

Our son now 6 went for assessment (Ireland) last Friday after a lot of form filling on his history etc. and doing tests with him, they - like me - have come to conclusion he has all the signs of a child with ASD (high functioning). Now that I finally have medical proof of what I have suspected for years, where do I go from here? How can I make his day easier? Basic tasks are major hurdles. 

 

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Asperger’s Tantrums & Meltdowns: Prevention, Intervention, Post-Meltdown Management

I'm so frustrated! My 4 year old son was diagnosed with high-functioning autism last year, and for the year prior to that I was dealing with his overwhelming emotions. Now it seems like even if he's happy, he's too much for me. When he's not happy, he throws things, slams doors, screams, climbs furniture etc. So basically I have the same behaviors no matter how he's feeling. I fear the thought of going out anywhere with him. I have 4 other children, and he has drained everything I have inside me. I just don't know how to cope with him anymore. He is aggressive to the baby… I have to fight with him to change his clothes. I just feel like I've done all I can and now I'm back at square one again without the ability to do it again. Any advice on how to get through to him and calm him some?

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What is the best way to teach social skills to my adolescent son who has Aspergers?

Question

What is the best way to teach social skills to my adolescent son who has Aspergers?

Answer

Asperger’s Syndrome (high-functioning autism) makes it hard for people to handle social situations. It is important to remember that a person can appear socially comfortable, using proper speech, good behavior, and impeccable manners. However, these things do not make a person socially able. Having these qualities will not help with the real issues of socialization. You have to find ways to teach basic, age appropriate social skills so your son will feel natural among his peers.

Social skills therapy is used to teach real interaction within a peer group. At school, your son should be able to participate in a social skills group. This type of therapy is guided by a therapist and includes kids in the same age and social ability ranges. The therapist will initiate conversation within the group, and then have the kids practice some basic pre-scripted situations among themselves. They are given the tools they need during therapy to use in real-life opportunities.

Some schools have peer group shadowing. Peer shadowing enlists the aid of a select group from the general education population, preparing them to assist children with Asperger’s in the daily communication and interaction skills they are missing. The shadows are trained to break down the normal conversations that they automatically understand and deliver the skills in a step-by-step fashion. For example, the peer is taught to ask about another child’s day in simple terms and then how to respond in a straight-forward manner to keep the conversation going. The child with Asperger’s is then able to mirror the behavior he sees coming from his peer. The peer learns valuable lessons in tolerance while the child with Asperger’s learns the basic social skills he so desperately needs. Not only will your son learn how to deal with social situations this way, he will also get a chance to interact with kids at school that may have never given him a chance.

Social stories are a very popular option for teaching social skills. More often thought about for younger kids, you can now find them written specifically for the needs of the adolescent or teen Asperger’s kids. Some are even in comic book form. Your son may find these interesting, easy to read and effective. Plus, he will be in control of the situations he learns about. As he ages, he probably will not want his parents to know everything about what he’s thinking on a social level.

Direct involvement is one of the best ways to reach kids this age. Give your son ownership by allowing his input when searching for answers. Adolescence is the time to encourage a bit of independence. Let him know that he can learn to handle and even enjoy relationships.

My Aspergers Child: Preventing Meltdowns

Grandparenting an Aspergers Child

If your grandkid has been newly diagnosed, then welcome to the world of Aspergers (high functioning autism). It is a mysterious and sometimes overwhelming world, but it is not one to be afraid of. Even if you are saddened, disappointed or angry about the diagnosis, keep in mind that it’s for the best. The earlier the diagnosis, the earlier the intervention, and the better the prognosis in the long run.

For some grandparents, the news seems to come right out of the blue. Sure, there were difficulties at school - but then, school isn’t as strict as it used to be. And yes, there were some problems at home, but none of them sounded like anything that “good old-fashioned discipline” couldn’t solve. Why, then, do the parents seem to be clinging to this diagnosis as if it were a life-raft in the high seas? And why are counselors, psychologists, occupational therapists and special education teachers suddenly getting involved?

=> Is this kid really so different?

As grandparents, you have a lot of questions to sort out. But along with the confusion comes an opportunity to get involved where you are really needed. Kids with Aspergers have a special need in their lives for ‘safe’ people who won’t criticize them or put them down for their differences. They need loving, non-judgmental grandparents who accept them as they are and make a place for them in their lives. If you can reach out to them, they will treasure your relationship with them for the rest of their lives.

=> I’ve read articles about Aspergers. But I still don’t understand what it is.

Aspergers is a type of autism, and autism is a neurological disorder that affects the way a person interacts with others and his or her world. It’s not a mental illness, and it is not caused by weak parenting. In its more severe forms, it’s a disorder because it causes disorder in the life of the kid. In its milder forms, it is more of a marked difference from the norm. In our culture, which judges people on the way they interact with others, these disorder-differences can have a profound impact on a person’s life.

You’ve probably heard the parents complaining about the difficulties they’ve had with the kid in the home - obsessive behavior, irrational outbursts, wild fears, and irritability over the smallest issues. These problems are not misbehaviors, but rather the kid’s responses to an inability to comprehend what is going on around them and inside them. Some experts have called it a “mind blindness,” one that causes the person to stumble and bump into complex social situations that they can’t “see.”

Yet by effectively “blinding” the mind to certain aspects of daily life, Aspergers enables the kid’s mind to focus in a way that most of us are incapable of. They feel their feelings more intensely, experience texture, temperature and taste more powerfully, and think their thoughts more single-mindedly. In many ways, this ability to focus is the great gift of Aspergers, and is the reason why a great number people with Aspergers have become gifted scientists, artists and musicians.

It is as if the Aspergers brain is born speaking a different language. It can learn our language through careful instruction or self-instruction, but it will always retain its accent. While Aspergers adults go on to successful careers and interesting lives, they will always be considered unusual people.

=> I’ve never heard of it before.

That’s not too surprising. Pediatricians don’t study it in medical school, teachers don’t learn about it in college, and the mass media rarely covers it. Until the 1980s, the condition didn’t even have a name, even though Hans Asperger’s original work was done in the 1940s. It is only very recently that the condition has received much attention at all. However, as professionals are becoming more informed about the condition, they are discovering that there is a fair amount of Aspergers out there.

You may remember an “odd” kid from your grade-school years - one that had no friends, who was always preoccupied with some obsessive interest that no one else cared about, who said the strangest things at the strangest times. Though the syndrome has only recently been named, these kids have been living and growing up alongside other kids for centuries. Some have become successful and happy as adults despite their undiagnosed problems, teaching themselves over time how to navigate around their deficits. Others have gone on to live lives of confusion and frustration, never understanding why the world didn’t make much sense to them.

With the recognition of Aspergers, we now can give a new generation of Aspergers kids a chance at the same kind of life that other kids have.

=> Great. So how do we fix it?

We can’t fix it. Despite all the marvels of modern science, there are still some problems that can’t be cured. Nobody knows what causes Aspergers, though most scientists acknowledge a genetic factor. So the deficits your grandkid has can only be understood, minimized and worked around. They will require accommodating on everyone’s part. But in time, with proper programming, the kid’s behavior and understanding of the world should improve.

Specialized therapies for autism disorders are available, but in most cases, the parents must bear the full cost. This can cause tremendous financial strain on the family. In addition, while most regions require specialized programming for Aspergers kids, these programs are rarely sufficient for the kid’s needs. So the parents must fill in the gaps with their own home-made programming.

Drug therapies are also sometimes available in cases where extreme behavior needs to be controlled. But these drugs don’t treat the cause of Aspergers. So even if some of the symptoms can be relieved with drugs, the central problems still remain.

=> A lot of youngsters have these sorts of difficulties. It’s just a part of growing up, isn’t it? After all, he looks perfectly normal to me.

He is normal. And he has the capacity to grow up to become a wonderful, normal adult - especially now that he has been diagnosed and is receiving special training. But he is normal with a difference.

The deficits that comprise Aspergers are not always readily apparent, especially in milder cases. The kid is usually of average intelligence or higher, yet lacks what are essentially instincts for other kids. If your grandkid seems “perfectly normal” despite the diagnosis you’ve been told about, then he is probably working very hard to make sure he fits in - and it’s not as easy as it looks.

It is best to treat your grandkid for what he is - normal. But be prepared to take some advice from those closest to him regarding what is the best way to handle certain situations.

It may not look like much to you, but Aspergers is a cause for concern. It’s not at all the same thing as the sort of developmental delay that some kids experience, and a professional trained in its diagnosis can determine the difference. Certainly misdiagnoses are possible. But in such cases, it’s always wiser to err on the side of caution. The wait-and-see method is risky when there is evidence suggesting a neurological problem.

=> So what if she doesn’t do what other youngsters do? She’s advanced for her age.

Un-childlike behavior doesn’t mean that a kid is “too smart” for play-dough and playgrounds. Even if she is smart, she still needs to learn the skills of play, because play is how kids learn - about things, about life, and about each other. Precociousness is cute and is sometimes a source of pride for grandparents, but it is also often an indication that there is an underlying problem that needs to be addressed - and the earlier the better.

=> If Aspergers is genetic, then does that mean we have it too?

You might, or you might not. Usually at least one of the parents has some Aspergers qualities to their personality, and so it seems likely that the same might be true of the grandparent generation.

But before you get defensive, remember that Aspergers shouldn’t be regarded as a source of family shame. It’s a difference more than a disorder. And we know it takes all kinds of people to make the world go around. Many famous people are believed to have had Aspergers, including Albert Einstein, Thomas Jefferson, Anton Bruckner, and Andy Warhol. It seems a touch of autism often brings out genius.

And that’s not such a bad thing to have in the family!

=> What if I don’t believe the diagnosis?

That’s your privilege. But keep in mind that the kid’s parents believe it. They live and work with the kid daily and are in a unique position to notice the deficits. Because they care deeply about that kid’s future, they aren’t concerned about the stigma of a label, as long as it means the kid is eligible for the specialized programming she needs. They have put their pride aside for the sake of the kid and expect the same from the rest of the family.

Consider carefully what could possibly be gained by refusing to believe the diagnosis. Then consider what could be lost. The parents are already living with a great deal more stress than other parents, and they don’t need the added strain of skeptical or judgmental grandparents. Otherwise you may suddenly be faced with the pain of being unwelcome in your grandkid’s home.

=> The kid’s mother looks exhausted all the time. Could that be a cause?

It’s more likely an effect. Consider what her life is like: she has to constantly monitor what is going on regarding her Aspergers kid, thwart anything that might trigger a meltdown, predict the kid’s reactions in all situations and respond immediately, look for opportunities to teach the kid social behavior without creating a scene, and so on - every minute, every day. So it’s not surprising that she doesn’t feel like sitting down for a cup of tea with you and making small talk!

The truth is that the majority of mothers of Aspergers kids struggle with depression. While the special services she will receive over the next few years should help in some ways, she will still be the one to deal with the day-to-day difficulties of raising an unusual kid. For many mothers, this means ceaseless work, often to the exclusion of their own needs. Their physical, mental and emotional exhaustion can have a profound effect on the health and happiness of the entire family.

For this reason, mothers of Aspergers kids need those closest to them to give their full, unconditional support, both in words and in action.

=> I’d like to help out and get involved. But my son and his wife always get defensive no matter what I say.

Your son and daughter-in-law are now so used to defending their kid that it comes as second nature. Give them some time. Once they are more certain of your support, they will be less sensitive.

In the meantime, think carefully before you speak. Choose expressions that suggest sympathy and genuine curiosity, and avoid those that convey criticism. For example, instead of saying ‘He looks perfectly normal to me’, you can say ‘He’s doing really well.’ Phrase ideas as questions, not judgments by saying ‘Have you thought about…’ rather than ‘It’s probably…’.

The most destructive things you can say are those that convey your lack of trust in their ability to parent, your disdain for the diagnosis, and your unwillingness to make accommodations. Here are some real-life examples gathered from mothers of Aspergers kids:

‘Just let him spend more time with us. We’ll whip him into shape!’ 

‘She may act that way at home, but she’s not going to do that in MY house!’

‘He wouldn’t act this way if you didn’t work.’

‘I managed all by myself with four youngsters. You’ve just got two, and you can’t handle them!’

‘Don’t believe everything those psychologists tell you. He’ll just grow out of it, wait and see!’

‘There’s nothing wrong with her. You’re making a mountain out of a molehill. Are you sure you’re not the one that needs to see a psychologist?’

‘He’s having all these problems because you took him out of school for that home-schooling nonsense.’

‘Everybody’s got to have a problem with a fancy name these days!’

‘All you ever do is complain about how hard your life is.’

=> Ouch!

Keep in mind that parents of Aspergers kids face these hurtful, humiliating attitudes every day - from bus drivers to teachers, doctors to neighbors. Their tolerance level for such opinionated criticism is low, especially since they spend every bit of their energy raising their difficult kid. So avoid insensitive comments at all costs. And if you unwittingly blurt out something the wrong way, be sure to apologize.

=> So then what can I do for them?

Look for ways to be supportive. Let them know that there is another heart tugging at the load - and it’s yours. Keep on the lookout for articles about Aspergers and send them copies. This shows that you are interested. Ask lots of questions about the special programs the kid is in. Be enthusiastic and optimistic. Let them know you think they’re doing a great job. At other times, be a sympathetic sounding board when they have difficult decisions to make, or when they just need to tell someone what an awful day they’ve had.

If you live close by, consider how much you can help by giving the parents an evening out. If you’re not certain how to handle the kid on your own, then spend some time shadowing the parents to learn how to do it - or offer to babysit after the kid is in bed. Whatever you can do to help will be appreciated.

=> What does my grandkid need from me?

He needs to know that you are a safe haven in a bewildering world. It may seem a lot to ask to be flexible with a kid who appears to be misbehaving, but inflexibility will only put distance between you and the kid. If the kid’s manners and mannerisms drive you crazy, ask the parents for suggestions on how to set expectations for your house.

Learn to listen to the kid when he says he doesn’t want to do something. Maybe some kids are happy to spend a couple of hours at a flea market, but think very carefully before dragging an Aspergers kid there. Accommodate to his needs, or you run the risk of ruining your time together.

When in doubt, ask the parents for advice.

But in general, just make the decision now that you will spend your time enjoying the kid for what he is - a unique and unusual person. That annoying stubborn streak you see in him is going to be his greatest survival skill. And even though he seems to be afraid of just about anything, recognize that he is like a blind person - it takes tremendous courage for him just to walk through each day. Celebrate his courage and tenacity.

=> To tell the truth, I don’t feel comfortable around my grandkid. I have no idea what to do when she acts in her odd ways.

No one said it would be easy. But most Aspergers youngsters are easiest to handle in one-on-one situations, so look for opportunities to go for walks or spend time in the work-shed puttering around together. Tell your grandkid your stories, especially those that touch on aspects of her life affected by Aspergers. She will love hearing about the time when you were a girl that you blurted out the secret, or how difficult it was for you to learn to tie your shoes. You might tell her about times you wished you knew how to say something, or times when you wanted to be alone. Stories like these can create a powerful bond between you and your grandkid.

You may discover that all she wants to talk about is her pet subject. Don’t despair. If it’s something you know nothing about, then this is an opportunity to learn something. Search for some magazine articles on the topic so that you always have something new to share together. In time, you may find that you have ideas for helping her expand her interests into other subjects. But even if you do nothing more than listen and share her enthusiasm for her favorite topic in the whole world, your grandkid will learn that Grandma cares.

When you spend time with her with other people or in public places, it might be helpful to think of yourself as a seeing-eye dog. Remember, she is “blind” in certain ways. Point out trouble-spots and guide her around them, explain social situations that she can’t “see,” and narrate what you are doing as you do it. By doing so, you’ll help her to feel more secure with you, and you’ll be actively participating in her special programming.

One word of caution: watch the emotional levels. Aspergers kids often have great difficulty sorting out emotions. If you get angry, the kid could lose control because she is unable to deal with your anger and her own confusion at the same time. Reign in your temper when the kid is clumsy, stubborn, or frustrated. In situations where you feel you really need to be firm, keep your tone calm, your movements slow and even, and tell the kid what you’re going to do before you do it. Get advice from the parents how to deal with little meltdowns so that you are prepared in advance, but do your best to avoid triggering them.

Here are some simple DO’s and DON’T’s to remember when spending time with your grandkid:

• Do acknowledge the kid’s expressions of frustration.

• Do control your anger.

• Do get involved in the kid’s interests.

• Do learn what sorts of activities are recommended for the kid.

• Do praise the kid for his strengths.

• Do respect the kid’s fears, even if they seem senseless.

• Don’t compare him with his siblings.

• Don’t feel helpless - ask for help.

• Don’t joke, tease, shame, threaten, or demean the kid.

• Don’t talk to him as if he were stupid.

• Don’t tell the kid she will outgrow her difficulties.

My Aspergers Child: Preventing Tantrums and Meltdowns in Aspergers Children