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Behavior Problems At Home - But Not At School

"I have great difficulty with my 6-year-old daughter (high functioning) at home due to frequent tantrums and meltdowns, yet her teacher states that her behavior at school is quite good. Why is this – and what can I do to get the same results at home?"

First of all, just because the behavior occurs at home doesn’t necessarily mean the “cause” of the behavior lies there. Your daughter may find school very stressful, but keeps her emotions bottled-up until she gets home. Most kids with Aspergers and high-functioning autism (HFA) do not display the body language and facial expressions you would expect to see when a youngster is feeling a particular way. While your daughter may appear relatively calm at school, she may be experiencing very different emotions under the surface.



Asking an HFA youngster how she feels may not get the correct response, because most of these young people struggle to explain their emotions to someone. Some find carrying visual “stress scales” helpful for overcoming these communication problems. These scales can be either in the format of a scale from 1-5, a thermometer, or a traffic light system. The idea is that when the youngster indicates that she is at a '4' or 'amber' (before she reaches a '5' or 'red'), she needs to be helped in some way to calm down again.

Instead of adults asking your daughter how she is feeling, she can show them the appropriate number or color. Scales can turn “emotions” (which are abstract concepts that require imagination to understand fully) into concrete examples of numbers or colors. This is something that kids with an autism spectrum disorder find easier to understand. If your daughter finds it difficult to use a scale, she could use a “help card” instead. This could be a red card, or have the word ‘help’ or a meaningful symbol on it, which she could carry around. When she begins to feel stressed-out or mad, she can show it to a teacher. It is important that everyone in contact with your daughter knows what to do if they are shown a card or a stress scale.

Some of these kids may need to be redirected to a different activity, have a quick run outside, or retreat to a quieter part of the school. It can be difficult to find a quiet area, especially in a big mainstream school, but it does not need to be a big space. Some schools will have an area (e.g., the library) where your daughter can listen to her iPod (for example) in order to filter-out external noise for a few minutes while she calms down.

Teachers may be concerned that by giving your daughter a card to leave the room, she may abuse the privilege (e.g., showing it to avoid activities she doesn’t want to be in), thus disrupting her education. Strict boundaries need to be given to your daughter regarding the use of a card or stress scale (e.g., clear instructions about where your daughter gets to go – and for how long). On a positive note, effective use of the card could ultimately reduce the amount of disruption to your daughter’s education. Instead of her being kept in a permanent state of anxiety during class, she may return to the classroom much more relaxed and focused.

Some moms and dads report behavioral difficulties in their HFA kids when they first come home after school, which might be because they are releasing the stress of the school day. If your daughter does this, it might be helpful to have a period of time right after school when she can relax. You could do this by reducing the amount of social interaction your daughter has immediately after school and by providing an activity which you think may help her de-stress. This activity will depend on your daughter’s preferences. If she is relatively physical in her method of stress-release (e.g., kicking or hitting), providing a trampoline, punching bag, or letting her run around the yard may help relieve the stress. Others like to clam-down by watching television or listening to music. Some find lights especially soothing (e.g., a bubble tube or spinning light).

For some kids on the spectrum, the timetable of the school day provides enough structure and routine to help contain any anxiety and stress. They have a strong preference for routine, and this is automatically incorporated into most school environments. Your daughter may benefit from having a visual timetable for home as well (it will make the environment more predictable for her). A timetable can either be constructed showing the whole day's activities, half the day, or simply the activities that are now and next.


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PARENTS' COMMENTS:

•    Anonymous said… And routine..... And as Angela says, giving a few days notice of things happening, like dental or drs appointments, or visits to family etc
•    Anonymous said… At school barriers are put up. All This takes mental energy and it just runs out by the time you get home. Imagine you are an actor on stage in a 18th century play. Only the play is 8 hours long. Once you're done, you'll be exhausted. One way to take care of it is a stimming regiment after school. Hot bath or hot tub at a gym, heavy blanket nap, meditation, yoga, sports. Video games are okay for at most an hour. Then it's okay to be at home. You know how some men go to the man cave after getting home from work? Or some people hit the bar or gym after work before getting home. Same concept can be applied here. Rest and recharge before being part of the household
•    Anonymous said… Figuring out causes of meltdowns can take time and detective work. Not advised during the actual meltdown - when she's calm, she may be able to give her some clues, and when you're calm, you can think it through easier. Think about 2 categories of "causes" (there may be multiple, not just one): Triggers (what sets them off) & Consequences (what reinforces/keeps them happening). A very short list of possible triggers: exhaustion from holding it together at school, change in environment, change in amount of structure, interactions with siblings, sensory overload (can be really subtle), homework (performance/anxiety) issues, too much information coming in at once, not being able to communicate her needs, picking up tension in another person or the environment, not getting her way (since home is often less structured than school this happens more frequently). Possible Consequences that reinforce the meltdowns: increased sensory or emotional overload from reactions of others, increased desired attention, escape from things she doesn't like or want to do or cause her distress. There's a book by Jed Baker called "No More Meltdowns" that you might find useful.
•    Anonymous said… I always hear that my son is well behaved at school...or even with other people. At home though, or with just me and his dad, my son lets loose.
•    Anonymous said… I feel like my kid spent all day at school trying to be good and figuring out how to accommodate his challenges and how to get by in a neuro-typical world, that he was DONE when he got home. All that overstimulation is emotionally draining, I'm sure. He's 13 now and doesn't have melt-downs. He's able to control his anger and emotions a little better.
•    Anonymous said… It's because home is a safe space where they can let off steam. They have spent all day concentrating and remembering the rules and are totally stressed out. As bad as it is, I always found my son loved a bath to unwind; a snack and if possible, no homework. As he became better able to manage himself, to relax himself, then the homework began to be done. It's still difficult at times, once he's absorbed in something woe betide anyone who interrupts him, even if it is for him to have dinner, or to go to sleep....
•    Anonymous said… I've read that because they try so hard to deal with school, their brains are on overdrive and anxiety high, when they come home they just relax, let it go and meltdown.
•    Anonymous said… Learn the techniques that the school applies while she is there and apply the same ones at home.
•    Anonymous said… My Aspie daughter did horribly in school. It was incredibly stressful for her and have been homeschooling her for years. She is 14 now and we only havery melt downs every now and again. They are not school related as they used to be, I feel blessed to be able to homeschool her but feel bad that she may be missing the social interactions it provides. Her best friend lives in Nova Scotia and they talk online till 4am sometimes. The melt down have eased up so much with age too though. I don't feel like I'm losing my mind anymore. LOL.
•    Anonymous said… My son had this issue .... routine and attention. My son likes to know in advance what and when and how. It relieves anxiety and an irrational fear of the unknown that can lead to meltdowns. It takes extra time to stop and explain things ... little things ... like first we are going to the store and this is what we are going to buy etc. Then we will stop for pizza etc. Even though I am making the decisions he feels in control because in his mind he knows what to expect. Then if things do not go as planned it is good to have practiced a "response" such as a breathing exercise or counting to 10 or whatever ur child likes so that in an instance where there is a loss of control they have a way to get it back.
•    Anonymous said… Same problem so after school pick up we went to the park or for a swim to unwind. We put up pictures of home routine on the wall. But it gets better. Letting off steam from school stress is normal. They do it at home because it's a safe place to let it out.
•    Anonymous said… Same situation with my daughter. As she matured it got better.
•    Anonymous said… Set routine in school and in school some dont like the lime light as such so stay quiet out of fear of being heard(social aspect of it all)..at home where safe and familiar they let loose...is there a change in the home a noise that sets the child off suprisingly even a ticking tock can drive them mad as there senses are heightend...?? Few ideas but who knows really...keep calm keep smiling and loving x
•    Anonymous said… Thank you! I never understood till now frown emoticon
•    Anonymous said… We use a trampoline to calm sensors we find it the best. However sometimes he won't go on it. We have a few other things he can choose from. We have this problem too. It makes me super happy to read it does get much easier. Thank you.
•    Anonymous said… Yes I had the same experience. I'm happy that my son can manage at school as well as what he does. It means in the future he will be able to cope with a job. At home we need to recognise when his brain is frazzled and back off and lower our expectations. As he got older he could handle more. It's tough sometimes and it is stressful and chaotic at home sometimes. Best wishes to you
•    Anonymous said… Yes this is exactly like my son. Home is safe so he can let go of all the stress and tension he holds onto during the day at school. This can happen the second we walk in the door at home, but has often happened in the school car park, or even in the school grounds at school pick up. We try to help him to release some of this built up anxiety by stomping to the car, deep breathing and using his sensory toys. It's not easy and there is no quick fix!

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The Misunderstood Aspergers Child

This video reveals the true reasons behind the behavior that some teachers may view as insubordination. Is your Aspergers or HFA student "misbehaving" - or is he simply experiencing some "autism-related" symptoms? Either way - you can help!

Note to parents: Please email your child's teacher(s) and send them the link to the video below. Copy and paste the following URL into your email:  http://www.myaspergerschild.com/2012/04/misunderstood-aspergers-child.html



==> Teaching Students with Aspergers and High-Functioning Autism

The Strengths of Aspergers and High-Functioning Autism

Aspergers and High-Functioning Autism possess a combination of strengths and difficulties. 

This video focuses on the strengths:



Most Aspergers children:
  • can stick to routines…
  • are able to forgive others…
  • are accepting of others…
  • are gentle…
  • are honest…
  • are not bullies, con artists, or social manipulators…
  • are not inclined to steal…
  • are perfectly capable of entertaining themselves…
  • are smart, they study hard, and they respect authority…
  • are talented…
  • can make amazingly loyal friends...
  • don’t discriminate against anyone based on race, gender, or age...
  • don’t launch unprovoked attacks, verbal or otherwise…
  • don't play head games, and don’t take advantage of other’s weaknesses…
  • enjoy their own company, and can spend time alone…
  • have a child-like innocence, an exceptional memory, and have no interest in harming others…
  • notice fine details that others miss…
  • prefer talking about significant things that will enhance their knowledge-base, rather than engaging in chit chat…
  • will not go along with the crowd if they know that something is wrong…




Teaching Self-Care Skills to Aspergers and HFA Kids

"How can I teach my 5-year-old daughter with High-Functioning Autism some basic self-care skills like brushing her teeth, taking a bath, getting dressed for school, etc.? Currently she insists that I help her with everything. Help!"


There are two main ways to teach self-care skills:

1. Backward chaining: This starts at the last step and works through the activity to the first step. For example, once your daughter has brushed her teeth with your help, move backwards through each step slowly (“You just brushed and rinsed your teeth. Before that, we turned on the water. Before that, we put toothpaste on your toothbrush. Before that, we got your toothbrush and toothpaste from the drawer.”).

2. Forward chaining: This teaches a skill in small steps from the first step of the activity through to the last step. For example, “To get dressed in the morning, first you put on your underwear and socks, then put on your pants, then your shirt, then…” (and so on).



Whichever you decide to use for your daughter, make sure the activity is broken down into the smallest steps possible.

You may also want to use prompts to help your daughter learn self-care skills. For example, if you are trying to teach her to wash her hands, you could use theses prompts in the following order:
  • Gestural: mime washing your hands next to your daughter while she washes her own hands
  • Physical: hold her hands and wash your hands together
  • Verbal: say "wash your hands" or show her a ‘wash hands’ symbol, which you can leave above the sink as a prompt for next time

It is important to remove the prompts as quickly as possible, which can be more easily done by providing rewards when your daughter does a step correctly (e.g., when she washes her hands when prompted, she gets a small reward immediately afterwards). Give your daughter the reward directly after the desired behavior so that she makes the connection between the two – and make sure the reward is meaningful to her.

You may find that you need to leave physical reminders (e.g., symbols, written lists) of each activity in the appropriate room. For example, describe all the different steps for brushing teeth in the bathroom – and the same thing for getting dressed in the bedroom. You can download free symbols from www.do2learn.com.


 
 
COMMENTS:

•    Anonymous said… Don't just brush it off. Mine is a tween and is still learning to brush her hair. For things that cause extra sensory issues for her .. Brushing hair & teeth, washing her hair, bathing and changing daily (or when socks are wet). Don't just relax and let it slide all of the time .. Believe me. Puberty is starting for us.. and if they don't have these skills by time that starts... It's gross. I am a bit of a germaphobe and some days I wish I had done more when she was younger because I feel like there are some things she should be able to do. If she doesn't pick up after herself in the bathroom before she hits puberty, she won't instantly start when she does.
•    Anonymous said… Great questions, because kids do need to learn to be as capable as possible and not overly dependent on parents or others, even though our first instinct is sometime to protect and "help". Dr. Temple Grandin and I just wrote "The Loving Push: How Parents and Professionals can Help Spectrum Kids Become Successful Adults". It introduces readers to 8 real individuals (and their families) on the spectrum and uses actual examples from their lives of how to put successful strategies in place to maximize a sense of hope and mastery in our kids. We also discuss how to avoid common obstacles such as lack of motivation, anxiety, lack of confidence, and (particularly in boys) vulnerability to becoming stuck in endless online games. Teaching skills to kids on the spectrum often requires customized approaches that work well with their unique ways of processing information and "lovingly push" and stretch them without overwhelming them. Our hope is it helps families with just the kinds of questions you are raising. Best wishes to you and your family.
•    Anonymous said… I have a 15 year old just sits in shower and will not brush teeth. Also has to wear what we call sponge Bob's at night. My 8 year old is following his footsteps. Need to find some way to entice them to care about hygiene.
•    Anonymous said… I have the exact same issue. We use a basic chart with everything he needs to do. Obviously i still need to help however it's not a fight to get him to do it. Our psychologist actually made one for him at the age of 4. We have high functioning ASD too. The best way to look at it is some need it like we need a calander and eventually they get it. You can get apps aswell which are great but we have issues with over stimulation on the ipad. Our hand made visual charts work best. Hope you work something out.
•    Anonymous said… It will come slowly but surely, o.t helped my little boy learn to dress and undress with clothes the correct way around etc, he.was.7 then, it was better a third party for this one with different ideas and not the pressure of rushing in the mornings. Cleaning teeth... he is now 9 and still gags if he tries to do this himself but little steps we will get there. Botty wipes help with toilet time. But he is off the scale reading, has finished the whole school reading scheme, learnt to read music with ease in 12 weeks. Good luck and don't worry too much it will come at some point! X
•    Anonymous said… She's 5!!!!! Autism or not kids need help sometimes and they say you should help kids brush their teeth till around 7/8
•    Anonymous said… Time and patience. It took my daughter until she was 11 to be able to do it all herself and now I don't have any interactions with her on it unless she asks for assistance which is rare we worked on it tho constantly from the usual ages 3,5,7,8 etc... We never stopped but eventually she took over and hasn't stopped amazing me since

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Understanding Obsessive-Compulsive Disorder in Children with Autism

Obsessive-Compulsive Disorder (OCD) is a complex mental health condition that affects individuals of all ages, characterized by persistent, ...