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Navigating the Journey: Stages a Parent Goes Through Upon Learning Their Child Has ASD

Receiving a diagnosis of Autism Spectrum Disorder (ASD) for a child can be a life-altering moment for any parent. The journey is often marked by a complex range of emotions and stages, similar to the well-known Kübler-Ross five stages of grief. Understanding these stages can provide insight into the experience of parents as they process the diagnosis and learn to adapt to their new reality.

1. Shock and Denial

The first stage a parent often experiences is shock and denial. This initial reaction is a natural defense mechanism against overwhelming news. Parents may find themselves in a state of disbelief, struggling to accept that their child has been diagnosed with ASD. Questions race through their minds: “How can this be true?”, “What does this mean for my child's future?”, or “Is this really happening?” During this time, parents might search for second opinions or seek to minimize the severity of the diagnosis.

2. Anger

Once the shock begins to fade, parents may experience anger. This anger can manifest in many forms: anger towards themselves, the system, or even the world at large. They might feel frustration towards the perceived inadequacies of healthcare professionals, educational systems, or societal attitudes towards autism. Often, parents grapple with feelings of injustice, wishing the circumstances were different. This anger can be directed inward, leading to feelings of guilt for not being able to prevent the diagnosis or sadness for the loss of the "typical" parenting experience.

3. Bargaining

After the initial tumult of anger, parents may enter a bargaining stage. This stage involves attempts to regain a sense of control or normalize the situation. Parents might find themselves thinking, “If I just try harder at parenting, or if we attend more therapy sessions, perhaps things will improve.” They seek solutions, hoping to change the diagnosis or alleviate symptoms. This stage often comes with searching for therapies, diets, or therapies that could "cure" ASD, reflecting a deep desire to help their child lead a typical life.

4. Depression

As the reality of the diagnosis sinks in, many parents experience a profound sense of sadness or depression. This stage can be filled with feelings of hopelessness and uncertainty about the future. Parents may mourn the dreams they had for their child and the expectations they held about typical milestones. This period often leads to reflection on the challenges their child will face and how their own lives will change as a result. Parents may isolate themselves, feeling misunderstood by others who don’t fully grasp what ASD entails.

5. Acceptance

The final stage that parents often reach is acceptance. Acceptance doesn’t mean that the journey is over or that all difficulties have vanished. Instead, acceptance involves coming to terms with the diagnosis and embracing the uniqueness of their child. Parents may seek support from local or online communities, finding solace in connecting with others who share similar experiences. They often learn about autism and advocacy, becoming empowered to seek the best resources for their child. Acceptance can lead to a renewed focus on celebrating achievements, however small, and finding joy in the unique abilities and contributions their child can offer.

Emotional Growth

The journey through these stages is not linear, and parents may cycle back through them multiple times as they face new challenges or milestones in their child's life. Importantly, while these stages are common, every parent’s experience is unique, shaped by their personal circumstances, support systems, and children.

Support and Resources

During this journey, parental support is crucial. Many organizations provide resources, whether they be informational websites, local support groups, or parenting workshops. Information helps demystify ASD, providing parents with tools to help their children thrive. Connecting with other parents who face similar challenges can also provide emotional support, sharing successes and strategies that can lead to personal and collective empowerment.

Conclusion

The journey of learning that one’s child has ASD is filled with various emotions, each playing a vital role in how a parent adapts to this new reality. While the process can be daunting and filled with uncertainty, it also has the potential to lead to profound personal growth and understanding. The acceptance stage offers not just a resolution to the emotional turmoil but a pathway toward a more hopeful future, advocating for better understanding and inclusion of children with autism in society. Ultimately, it emphasizes the importance of love, resilience, and the unbreakable bond between parent and child, regardless of the challenges they may face together.


 
 
More articles for parents of children and teens on the autism spectrum:
 
Social rejection has devastating effects in many areas of functioning. Because the ASD child tends to internalize how others treat him, rejection damages self-esteem and often causes anxiety and depression. As the child feels worse about himself and becomes more anxious and depressed – he performs worse, socially and intellectually.

Click here to read the full article…

---------------------------------------------------------------

Meltdowns are not a pretty sight. They are somewhat like overblown temper tantrums, but unlike tantrums, meltdowns can last anywhere from ten minutes to over an hour. When it starts, the Asperger's or HFA child is totally out-of-control. When it ends, both you and your child are totally exhausted. But... don’t breathe a sigh of relief yet. At the least provocation, for the remainder of that day -- and sometimes into the next - the meltdown can return in full force.

Click here for the full article...

--------------------------------------------------------------

Although Aspergers [high-functioning autism] is at the milder end of the autism spectrum, the challenges parents face when disciplining a teenager on the spectrum are more difficult than they would be with an average teen. Complicated by defiant behavior, the teen is at risk for even greater difficulties on multiple levels – unless the parents’ disciplinary techniques are tailored to their child's special needs.

Click here to read the full article…

------------------------------------------------------------

Your older teenager or young “adult child” isn’t sure what to do, and he is asking you for money every few days. How do you cut the purse strings and teach him to be independent? Parents of teens with ASD face many problems that other parents do not. Time is running out for teaching their adolescent how to become an independent adult. As one mother put it, "There's so little time, yet so much left to do."

Click here to read the full article…

------------------------------------------------------------

Two traits often found in kids with High-Functioning Autism are “mind-blindness” (i.e., the inability to predict the beliefs and intentions of others) and “alexithymia” (i.e., the inability to identify and interpret emotional signals in others). These two traits reduce the youngster’s ability to empathize with peers. As a result, he or she may be perceived by adults and other children as selfish, insensitive and uncaring.

Click here
to read the full article...

------------------------------------------------------------

Become an expert in helping your child cope with his or her “out-of-control” emotions, inability to make and keep friends, stress, anger, thinking errors, and resistance to change.

Click here for the full article...
 
------------------------------------------------------------
 
A child with High-Functioning Autism (HFA) can have difficulty in school because, since he fits in so well, many adults may miss the fact that he has a diagnosis. When these children display symptoms of their disorder, they may be seen as defiant or disruptive.

Click here for the full article...

 


The Challenges Faced by Teenagers with Autism Spectrum Disorder (ASD)

As the incidence of Autism Spectrum Disorder (ASD) continues to rise, it has become increasingly important to understand the challenges faced by teenagers on the spectrum. 
 
Navigating adolescence is a daunting task for all teens, but those with ASD face unique hurdles that can affect their emotional, social, and academic development. This article will delve into the multifaceted challenges that ASD teenagers encounter today.

 1. Social Interaction Difficulties

One of the most profound challenges faced by teenagers with ASD is social interaction. Social cues, body language, and the nuances of peer communication can be perplexing for these individuals. Many teenagers with ASD may struggle to initiate conversations, read social signals, or maintain friendships. This can lead to feelings of isolation and loneliness. Adolescents are often keenly aware of their differences compared to their peers, which can exacerbate feelings of exclusion.

Moreover, social expectations during the teenage years become more complex, often involving nuances in relationships, dating, and group dynamics. For a teenager with ASD, understanding and navigating these evolving social landscapes can be particularly overwhelming, leading to social anxiety or withdrawal.

 2. Bullying and Peer Victimization

Teenagers with ASD are particularly vulnerable to bullying. Their differences in communication and behavior can sometimes make them targets for bullies, leading to increased rates of victimization. This bullying can take various forms, including verbal abuse, social exclusion, and physical intimidation.

Victims of bullying often face significant mental health challenges, including depression, anxiety, and even suicidal thoughts. The impact of bullying can deter teenagers with ASD from engaging in social settings or school activities, further isolating them and negatively affecting their self-esteem and mental well-being.

 3. Academic Challenges

Academic performance can also be a significant challenge for teenagers with ASD. Many students with ASD have average to above-average intelligence, yet they may struggle with executive functioning skills, organization, and time management. The school environment can be chaotic and overwhelming, leading to difficulties in focusing and processing information.

Additionally, standard educational practices do not always account for the specific needs of students with ASD. Some may require tailored teaching methods or accommodations that are not readily provided. The lack of understanding and support from educators can hinder academic success and lead to frustration and disengagement from school.

 4. Co-Occurring Mental Health Issues

The prevalence of mental health issues is notably higher among teenagers with ASD compared to their neurotypical peers. Common co-occurring conditions include anxiety disorders, depression, and attention-deficit hyperactivity disorder (ADHD). The pressures of adolescence, coupled with the intrinsic challenges of ASD, can lead to increased vulnerability to mental health issues.

Support systems, including counseling and therapy, are essential for helping these individuals cope with their feelings and experiences. However, access to mental health services can be limited, particularly in areas lacking specialized professionals familiar with ASD.

 5. Transitioning to Adulthood

As teenagers with ASD approach adulthood, they face significant challenges related to transitioning into independent living, vocational training, and post-secondary education. The transition process can be chaotic and daunting, requiring guidance and planning. Many teenagers with ASD may not receive adequate vocational training that matches their skills and interests, making the shift to the workforce difficult.

Furthermore, the lack of community programs for individuals with ASD can leave many teenagers without the necessary support to navigate adulthood successfully. This transition period can often be fraught with anxiety, uncertainty, and a fear of the unknown.

 6. Family Dynamics and Support

The challenges faced by teenagers with ASD also extend to their families. Parents and siblings may struggle to provide the emotional and practical support required by the teenager. Families often experience stress and anxiety regarding their child's future, leading to a complicated family dynamic.

Siblings may feel isolated, as they often bear the burden of understanding and accommodating their brother or sister's needs. Effective family communication and support networks are crucial for helping both teenagers with ASD and their families navigate these challenges.

 7. Lack of Awareness and Understanding

Despite increasing awareness of ASD, misconceptions and stereotypes persist. Teens with ASD may find themselves battling stereotypes that paint them as socially inept or overly reliant on routines. Such stereotypes can hinder their ability to form relationships and be accepted by their peers, as understanding of their unique abilities and perspectives may be lacking.

Educational institutions, workplaces, and communities must work toward greater inclusivity and understanding to create environments where teenagers with ASD can thrive. Increasing awareness can help foster acceptance and encourage neurotypical peers to engage positively with their ASD counterparts.

In summary, the challenges faced by teenagers with Autism Spectrum Disorder are numerous and complex, impacting various aspects of their lives. By understanding these challenges, society can take meaningful steps to support teenagers with ASD, ensuring they navigate adolescence with greater confidence, acceptance, and opportunities for success. Community resources, supportive educational environments, and a greater awareness of ASD can make a significant difference in the lives of these teens, allowing them to embrace their individuality and potential.

 
 
More articles for parents of children and teens on the autism spectrum:
 
Social rejection has devastating effects in many areas of functioning. Because the ASD child tends to internalize how others treat him, rejection damages self-esteem and often causes anxiety and depression. As the child feels worse about himself and becomes more anxious and depressed – he performs worse, socially and intellectually.

Click here to read the full article…

---------------------------------------------------------------

Meltdowns are not a pretty sight. They are somewhat like overblown temper tantrums, but unlike tantrums, meltdowns can last anywhere from ten minutes to over an hour. When it starts, the Asperger's or HFA child is totally out-of-control. When it ends, both you and your child are totally exhausted. But... don’t breathe a sigh of relief yet. At the least provocation, for the remainder of that day -- and sometimes into the next - the meltdown can return in full force.

Click here for the full article...

--------------------------------------------------------------

Although Aspergers [high-functioning autism] is at the milder end of the autism spectrum, the challenges parents face when disciplining a teenager on the spectrum are more difficult than they would be with an average teen. Complicated by defiant behavior, the teen is at risk for even greater difficulties on multiple levels – unless the parents’ disciplinary techniques are tailored to their child's special needs.

Click here to read the full article…

------------------------------------------------------------

Your older teenager or young “adult child” isn’t sure what to do, and he is asking you for money every few days. How do you cut the purse strings and teach him to be independent? Parents of teens with ASD face many problems that other parents do not. Time is running out for teaching their adolescent how to become an independent adult. As one mother put it, "There's so little time, yet so much left to do."

Click here to read the full article…

------------------------------------------------------------

Two traits often found in kids with High-Functioning Autism are “mind-blindness” (i.e., the inability to predict the beliefs and intentions of others) and “alexithymia” (i.e., the inability to identify and interpret emotional signals in others). These two traits reduce the youngster’s ability to empathize with peers. As a result, he or she may be perceived by adults and other children as selfish, insensitive and uncaring.

Click here
to read the full article...

------------------------------------------------------------

Become an expert in helping your child cope with his or her “out-of-control” emotions, inability to make and keep friends, stress, anger, thinking errors, and resistance to change.

Click here for the full article...
 
------------------------------------------------------------
 
A child with High-Functioning Autism (HFA) can have difficulty in school because, since he fits in so well, many adults may miss the fact that he has a diagnosis. When these children display symptoms of their disorder, they may be seen as defiant or disruptive.

Click here for the full article...

Identifying the Beginning of Meltdowns in Autistic Children: Understanding the Signs and Providing Support

Meltdowns in autistic children can be distressing events for both the child and those around them. Recognizing the early signs can help caregivers and educators intervene effectively, providing the necessary support to deescalate the situation. Understanding the factors that contribute to meltdowns and identifying the triggers is crucial for promoting emotional regulation and overall well-being.

 What is a Meltdown?

A meltdown is an intense response to overwhelming situations, often characterized by an emotional or behavioral explosion. It is important to differentiate between a tantrum and a meltdown; while tantrums are often driven by a desire for a specific outcome, meltdowns arise from an inability to cope with overwhelming sensory, emotional, or situational inputs.

 Early Signs of Meltdowns—

Recognizing the early signs of a meltdown can be key to prevention or de-escalation. These signs may include:

1. Changes in Behavior: Subtle shifts may occur before a full meltdown. The child might exhibit increased agitation, such as fidgeting, pacing, or changes in facial expressions. Understanding these indicators requires familiarity with the child’s baseline behavior.

2. Sensory Overload: Many autistic children have heightened sensitivity to sensory inputs, such as bright lights, loud noises, or strong smells. If a child begins to cover their ears or squint their eyes, it may signal that they are becoming overwhelmed.

3. Withdrawal: Some children may react to overwhelming situations by withdrawing. This can involve retreating into themselves, becoming quiet, or seeking solitude. The child’s desire to isolate can be an early indicator that they need assistance.

4. Verbal Indicators: Pay attention to changes in language or communication. The child may express frustration or discomfort verbally, using phrases such as "I don't like this," or "I want to leave."

5. Physical Signs: Look for physical manifestations of stress, such as clenching fists, a flushed face, or a rapid heartbeat. These physical changes can be precursors, signaling that the child is struggling.

 Understanding Triggers—

Identifying specific triggers is crucial in understanding meltdowns. Triggers can vary widely among autistic children and may include:

  • Changes in Routine: Many autistic children thrive on predictability. Sudden changes in their routine can lead to anxiety and potential meltdowns.
  • Social Interactions: Situations involving large groups or unexpected social demands can overwhelm a child, causing distress. 
  • Environmental Factors: As mentioned, sensory overload from sounds, lights, and textures can be significant triggers.
  • Emotional Factors: Anxiety, sadness, or frustration can build up over time without adequate outlets, leading to a meltdown.


 Strategies for Prevention and Support—

Once caregivers recognize the signs of an impending meltdown and understand the specific triggers, they can implement strategies to help prevent these situations:

1. Sensory Breaks: Encourage regular breaks from overstimulating environments. Create a calming space where the child can retreat when feeling overwhelmed, equipped with comforting items like fidget toys or noise-canceling headphones.

2. Predictable Routines: Establish and communicate clear routines and transitions. Visual schedules can be beneficial, providing the child with a sense of structure and clarity about what to expect.

3. Modeling Emotional Regulation: Teach emotional regulation strategies, such as deep breathing or counting down from ten. Practicing these techniques during calm moments can empower the child to use them during stressful times.

4. Open Communication: Foster an environment where the child feels safe expressing discomfort or frustration. Encourage them to identify their feelings and articulate their needs.

5. Collaborating with Educators and Professionals: Engaging with teachers, therapists, and other caregivers can create a consistent approach to recognizing and responding to early signs of meltdowns. Communication is key to ensuring everyone involved understands the child's needs and triggers.

6. Building Coping Skills: Work with the child to develop coping mechanisms that they can utilize independently as they grow. This could include journaling, engaging in creative activities, or physical exercise.

In summary, identifying the beginnings of meltdowns in autistic children requires patience, observation, and understanding. By recognizing early signs and understanding the child’s triggers and preferences, caregivers can create supportive environments that minimize the occurrence of meltdowns. Emphasizing emotional regulation and communication helps prepare children for difficult situations, fostering resilience and coping skills for the future. Ultimately, with the right strategies in place, it is possible to reduce the frequency and intensity of meltdowns, enhancing the child’s overall quality of life.

 

 
 
More articles for parents of children and teens on the autism spectrum:
 
Social rejection has devastating effects in many areas of functioning. Because the ASD child tends to internalize how others treat him, rejection damages self-esteem and often causes anxiety and depression. As the child feels worse about himself and becomes more anxious and depressed – he performs worse, socially and intellectually.

Click here to read the full article…

---------------------------------------------------------------

Meltdowns are not a pretty sight. They are somewhat like overblown temper tantrums, but unlike tantrums, meltdowns can last anywhere from ten minutes to over an hour. When it starts, the Asperger's or HFA child is totally out-of-control. When it ends, both you and your child are totally exhausted. But... don’t breathe a sigh of relief yet. At the least provocation, for the remainder of that day -- and sometimes into the next - the meltdown can return in full force.

Click here for the full article...

--------------------------------------------------------------

Although Aspergers [high-functioning autism] is at the milder end of the autism spectrum, the challenges parents face when disciplining a teenager on the spectrum are more difficult than they would be with an average teen. Complicated by defiant behavior, the teen is at risk for even greater difficulties on multiple levels – unless the parents’ disciplinary techniques are tailored to their child's special needs.

Click here to read the full article…

------------------------------------------------------------

Your older teenager or young “adult child” isn’t sure what to do, and he is asking you for money every few days. How do you cut the purse strings and teach him to be independent? Parents of teens with ASD face many problems that other parents do not. Time is running out for teaching their adolescent how to become an independent adult. As one mother put it, "There's so little time, yet so much left to do."

Click here to read the full article…

------------------------------------------------------------

Two traits often found in kids with High-Functioning Autism are “mind-blindness” (i.e., the inability to predict the beliefs and intentions of others) and “alexithymia” (i.e., the inability to identify and interpret emotional signals in others). These two traits reduce the youngster’s ability to empathize with peers. As a result, he or she may be perceived by adults and other children as selfish, insensitive and uncaring.

Click here
to read the full article...

------------------------------------------------------------

Become an expert in helping your child cope with his or her “out-of-control” emotions, inability to make and keep friends, stress, anger, thinking errors, and resistance to change.

Click here for the full article...
 
------------------------------------------------------------
 
A child with High-Functioning Autism (HFA) can have difficulty in school because, since he fits in so well, many adults may miss the fact that he has a diagnosis. When these children display symptoms of their disorder, they may be seen as defiant or disruptive.

Click here for the full article...

 

 

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, which may differ from one's own. This cognitive skill is crucial for effective social interaction and communication. In children with autism spectrum disorder (ASD), deficits in theory of mind can sometimes manifest as behaviors that may be misinterpreted as misbehavior. Understanding these behaviors in the context of theory of mind can lead to more empathy and effective support for autistic children.


1. What Does Theory of Mind Look Like in Typical Development?

Typically developing children begin to exhibit theory of mind skills around the age of 2 to 3 years. They start to understand that others can have different thoughts, feelings, and perspectives. By the time children reach preschool age, they are often able to engage in simple forms of pretend play, empathize, and navigate social situations with increasing complexity.

2. Theory of Mind Deficits in Autistic Children

For many autistic children, developing a robust theory of mind can be challenging. This doesn't mean they lack intelligence or awareness; rather, they may struggle to interpret social cues and understand the perspectives of others. This can influence their interactions in several ways:

**Difficulty with Empathy**: Autistic children may find it hard to recognize when someone else is upset or to respond appropriately. This can lead to behaviors that seem indifferent or rude, but are actually rooted in a lack of understanding.

**Literal Interpretation**: Many autistic individuals interpret language literally. This can result in misunderstandings during conversations, where a child may fail to grasp sarcasm or idioms, leading to what could be perceived as inappropriate reactions.

**Challenges in Pretend Play**: Engaging in imaginative play often requires the ability to step outside one’s own perspective. Autistic children might find it difficult to engage in role-playing games, which could be misconstrued as unwillingness to participate or misbehavior.

3. Misunderstanding Misbehavior

When an autistic child exhibits behaviors often labeled as "misbehavior," it could be a manifestation of their theory of mind deficits. For instance:

**Social Withdrawal**: Rather than acting out, some children may withdraw from social interactions because they feel overwhelmed. This is often interpreted as disinterest or defiance.

**Tantrums and Outbursts**: When faced with changes in routine or overwhelming sensory environments, an autistic child may exhibit behaviors like crying or screaming. These reactions are often not attempts to misbehave but rather responses to anxiety rooted in the inability to predict how others will respond or to communicate distress.

**Inappropriate Responses**: A child might laugh at a sad story or fail to show concern when a peer is hurt. Such reactions can be misinterpreted as a lack of empathy, even though they may be seeking to understand the situation in their own way.

4. Strategies for Support

To better address these misunderstandings, caregivers and educators can consider the following strategies:

**Education and Awareness**: Teaching peers about autism can foster a more inclusive environment where differences are understood rather than judged. This awareness can help children see beyond behaviors that seem inappropriate.

**Explicit Teaching of Social Skills**: Using structured teaching methods to explain social norms and expectations can help autistic children navigate social situations more effectively.

**Encouraging Expression**: Providing alternative ways for children to express themselves—whether through art, writing, or supported communication—can alleviate frustration and reduce instances of what may be perceived as misbehavior.

**Patient Guidance**: Displaying patience and offering gentle guidance in social situations can help a child learn how to read cues and respond appropriately over time.

In summary, recognizing that theory of mind deficits in autistic children may lead to behaviors that look like misbehavior is essential for fostering understanding and support. By viewing these behaviors through a lens of empathy and education, we can create a more inclusive environment that allows all children to thrive, regardless of their differences. Emphasizing understanding over judgment not only benefits autistic children but enriches the entire community as a whole.

 

 
 
More articles for parents of children and teens on the autism spectrum:
 
Social rejection has devastating effects in many areas of functioning. Because the ASD child tends to internalize how others treat him, rejection damages self-esteem and often causes anxiety and depression. As the child feels worse about himself and becomes more anxious and depressed – he performs worse, socially and intellectually.

Click here to read the full article…

---------------------------------------------------------------

Meltdowns are not a pretty sight. They are somewhat like overblown temper tantrums, but unlike tantrums, meltdowns can last anywhere from ten minutes to over an hour. When it starts, the Asperger's or HFA child is totally out-of-control. When it ends, both you and your child are totally exhausted. But... don’t breathe a sigh of relief yet. At the least provocation, for the remainder of that day -- and sometimes into the next - the meltdown can return in full force.

Click here for the full article...

--------------------------------------------------------------

Although Aspergers [high-functioning autism] is at the milder end of the autism spectrum, the challenges parents face when disciplining a teenager on the spectrum are more difficult than they would be with an average teen. Complicated by defiant behavior, the teen is at risk for even greater difficulties on multiple levels – unless the parents’ disciplinary techniques are tailored to their child's special needs.

Click here to read the full article…

------------------------------------------------------------

Your older teenager or young “adult child” isn’t sure what to do, and he is asking you for money every few days. How do you cut the purse strings and teach him to be independent? Parents of teens with ASD face many problems that other parents do not. Time is running out for teaching their adolescent how to become an independent adult. As one mother put it, "There's so little time, yet so much left to do."

Click here to read the full article…

------------------------------------------------------------

Two traits often found in kids with High-Functioning Autism are “mind-blindness” (i.e., the inability to predict the beliefs and intentions of others) and “alexithymia” (i.e., the inability to identify and interpret emotional signals in others). These two traits reduce the youngster’s ability to empathize with peers. As a result, he or she may be perceived by adults and other children as selfish, insensitive and uncaring.

Click here
to read the full article...

------------------------------------------------------------

Become an expert in helping your child cope with his or her “out-of-control” emotions, inability to make and keep friends, stress, anger, thinking errors, and resistance to change.

Click here for the full article...
 
------------------------------------------------------------
 
A child with High-Functioning Autism (HFA) can have difficulty in school because, since he fits in so well, many adults may miss the fact that he has a diagnosis. When these children display symptoms of their disorder, they may be seen as defiant or disruptive.

Click here for the full article...

 

Crucial Strategies for Parents of Challenging Kids on the Autism Spectrum

    Resources for parents of children and teens on the autism spectrum :   ==> How to Prevent Meltdowns and Tantrums in Children ...