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Tips for Teachers: Understanding Your “Difficult” Students with ASD Level 1

"My daughter was diagnosed with high functioning autism recently. What critical details can I provide to her 5th grade teachers to help them understand her cognitive, emotional and social characteristics? (I am a teacher as well, 7th grade, different school). She apparently is not doing so well in the current situation."

Most children with ASD or High Functioning Autism (HFA) are impaired socially. They often do not detect social clues and are frequently unaware when they irritate others. Since they miss these social clues, they miss the lesson associated with the experience. As a result, they tend to repeat the irritating behavior since they are unaware of its effects.

Many of the traits of HFA are "masked" by average to above average IQ scores. This often results in the student being misunderstood by teachers. They assume the child is capable of more than is being produced. This lack of understanding may result in teachers treating the "special needs" student just like a "typical" student.

Another misunderstanding is the relationship between the classwork and social education. For instance, an HFA youngster may find a social setting overwhelming and distracting. If kids are placed in a small group to work together on a project, this could become a social setting to the HFA child. As a result, the child may be over-stimulated by the social aspect to the point where he or she can’t focus on the project itself.
 
The typical school environment is often very stressful for HFA students, for example: (a) enduring “socialization hell” in the form of recess, lunch, gym, and the bus ride to and from school; (b) regular noises from alarms, bells, schoolmates, band practice, and crowded hallways; (c) periods of tightly structured time alternating with periods lacking any structure; (d) numerous daily transitions with a few surprises thrown in here and there; and (e) an overwhelming number of peers to contend with. Little wonder why HFA students have the proverbial “meltdown” on occasion. All of these stressors should be taken into consideration when evaluating what types of teaching techniques to use with these youngsters.



Taking the above challenges into account (and there are many more than those listed), let’s now look at some specific techniques to employ with students on the high-functioning end of autism:

1. Although HFA kids have difficulty figuring out most principles of social interaction, they are usually pretty good at understanding “cause-and-effect” principles. This suggests that, although these young people may be unaware of another person’s desires or emotions, they usually are aware of theirs. This can be useful in education if the teacher takes the time to figure out what is pleasing to the youngster. Once this pleasure has been discovered, the teacher can request the desired behavior and reinforce the behavior with the object or activity of desire.

2. HFA children, like all others, change teachers each year. Additionally, there is the requirement of moving from elementary to middle school, and then on to high school. Thus, it’s important to have a "transition-planning meeting" scheduled prior to such transitions. This meeting allows the previous teacher to inform the incoming teacher on successful techniques, as well as provide general education on the traits of AS and HFA. The child should be orientated as well. Allowing the child extra time to become familiar with a new environment will prevent unnecessary stress during transitional periods.

3. HFA students are visual learners. Thus, a visual schedule of the day's activities, a visual depiction of the type and length of the work expected, and instructions presented visually in addition to verbally can be very helpful. Visual instructions and schedules help these children to feel more secure and less stressed.

4. Because HFA children have difficulty learning in a traditional manner, mild to severe depression can occur. These children have the capability to acquire information, but their performance is hindered. A depressed child will undoubtedly have some academic struggles. For children on the spectrum, depression is just one more barrier to education. Thus, teachers should be on the lookout for signs of depression in these “special needs” students and make a referral to the school counselor when needed.


5. Imagine nails scraping on a chalk board. It sends a chill down your spine – right?! To a youngster with autism, every day sounds can have a similar affect. Thus, it’s important for the teacher to take inventory to determine sounds difficult for the child to hear. Consider allowing him or her to listen to soft music with headsets during class times when there is a lot of distracting noise. Earplugs are another solution.

6. In middle and high school, passing periods are a desirable time of socializing for most “typical” children. For the HFA child, passing periods are a social zoo. Thus, allowing the child to leave 5 minutes early in order to avoid the overwhelming social interaction is recommended. Without such an option, the child may spend most of the next class trying to recover from the distressing sensory overload experienced during the previous passing period.

7. Many students with HFA are impulsive.  You may have a child who loves class participation, but has trouble sensing when he or she should stop talking and give someone else a chance.  Thus, work out a signal that only the two of you know (e.g., tapping your chin with your index finger, standing in front of that child's desk, etc.) that cue him or her that it's time to stop talking.   If you have an HFA child who is especially eager to participate, you may want to routinely call on that child first so he or she isn't jumping out of the chair in an eagerness to contribute.

8. Minimizing the stress and worry HFA children face is critical to education. Frequent changes in routines make it difficult for these kids to focus on the schoolwork due to preoccupation concerning what will come next in the day. Teachers should try to minimize transitions and insure the environment is predictable. When there are changes in the routine, these children should be prepped ahead of time in order to help them avoid excessive anxiety.

9. Oftentimes, “teacher frustration” can develop from a lack of understanding that an HFA child is unable to generalize the skills that he or she learns. For instance, the teacher may give instructions on “how to address me as your teacher” (e.g., raising your hand first, saying “Mrs. Johnson” rather than “Hey teacher”). Typically, this skill would then be generalized to any adult in a position of authority. However, the child with autism is likely to only apply the skill to the teacher initially used as the target of respect in the learning process. The child will probably not apply this behavior to the principal, school counselor, school police officer, etc. Thus, teachers may need to repeat a particular “social skills lesson” several times so that all the possible scenarios are covered (i.e., addressing the teacher, addressing the principal, addressing the dean, and so on).

The inability to generalize can also pose a problem in classroom assignments. For example, giving instructions to open an arithmetic book to a certain page does not communicate to additionally begin solving the problems. Thus, teachers should verbally give all the steps necessary to complete an assignment rather than assuming the AS or HFA child will automatically know what to do next.
 
==> The Complete Guide to Teaching Students with High-Functioning Autism

10. There is another critical aspect of learning that is not obvious to HFA children. This aspect of learning includes the basic “how to’s” of living. These are things that “typical” children seem to just know. The social know-how that tells most kids what is inappropriate conversation material may be foreign to an autistic child. Thus, teachers instructing children struggling in this area should make use of social stories and role-playing. Social stories and role-playing give examples of proper actions in given public settings.

Teachers need to understand what the disorder is – and how it hinders affected children. Without a clear understanding of this disorder, teachers will not understand the "special needs" child. Actions that are clearly a part of the disorder can be confused with behavioral issues and dealt with inappropriately. Also, teachers must educate themselves on effective teaching techniques for students on the spectrum. 

The basic principles that prove effective with “typical” children work for those with HFA. Every “special needs” youngster needs to be evaluated, and have a plan established addressing areas of weakness – as well as acknowledging areas of strength. Perhaps most importantly, teachers should “believe in” the child and expect him or her to reach appropriate grade level requirements.




Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
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Cognitive Issues in Kids on the Autism Spectrum

"Can you help me understand how my child thinks? His rationale is quite confusing at times, and I find we are rarely on the same page with simple day-to-day issues." 

In looking at the cognitive aspects of the child with ASD level 1 or High-Functioning Autism (HFA), there are four main areas to consider: (1) mindblindness, (2) cognitive inflexibility, (3) impaired imaginative play, and (4) visual learning strength. We'll look at each of these in turn:

1. Mindblindness (theory of mind): This refers to the child’s ability to predict relationships between external and internal states. It is the ability to make inferences about what another person is thinking. More specifically, the HFA child:
  • Is unaware that others have thoughts, beliefs, and desires that influence their behavior.
  • Views the world in black and white (e.g., admits to breaking a rule even when there is no chance of getting caught).
  • Is unaware that others have intentions or viewpoints different from his own; when engaging in off-topic conversation, does not realize the listener is having great difficulty following the conversation.
  • Displays a lack of empathy for others and their emotions (e.g., takes another person’s belongings).
  • Is unaware he can say something that will hurt someone's feelings or that an apology would make the person "feel better" (e.g., tells another person their story is boring).
  • Prefers factual reading materials rather than fiction.
  • Has impaired reading comprehension; word recognition is more advanced (e.g., difficulty understanding characters in stories, why they do or do not do something).
  • Displays difficulty with inferential thinking and problem solving (e.g., completing a multi-step task that is novel).

2. Lack of cognitive flexibility: This refers to the child’s ability to problem solve, to engage in and maintain mental planning, to exert impulse control, to be flexible in thoughts and actions, and to stay focused on a goal until its completion. More specifically, the HFA child:

A. Is distractable and has difficulty sustaining attention.
  • Has difficulty with organizational skills (e.g., What do I need to do, and how do I go about implementing it?).
  • Has difficulty with sequencing (e.g., What is the order used to complete a particular task?).
  • Has difficulty with task initiation.
  • Has difficulty with task completion.
  • Has difficulty with direction following.
  • Has difficulty when novel material is presented without visual support.
  • Engages in competing behaviors (e.g., vocalizations, noises, plays with an object, sits incorrectly, looks in wrong direction).

B. Has poor impulse control, displays difficulty monitoring own behavior, and is not aware of the consequences of his behavior.
  • Displays rigidity in thoughts and actions.
  • Shows a strong desire to control the environment.
  • Has difficulty with transitions.
  • Has difficulty incorporating new information with previously acquired information (i.e., information processing, concept formation, analyzing/ synthesizing information), is unable to generalize learning from one situation to another, may behave quite differently in different settings and with different individuals.
  • Engages in repetitive/stereotypical behaviors.
  • Displays a strong need for perfection, wants to complete activities/assignments perfectly (e.g., his standards are very high and noncompliance may stem from avoidance of a task he feels he can't complete perfectly).

C. Displays inflexible thinking, not learning from past mistakes (note: this is why consequences often appear ineffective).

D. Can only focus on one way to solve a problem, though this solution may be ineffective.
  • Does not ask for help with a problem.
  • Does not ask a peer or adult for needed materials.
  • Continues to engage in an ineffective behavior rather than thinking of alternatives.
  • Is able to name all the presidents, but not sure what a president does.
  • Is unable to focus on group goals when he is a member of the group.

3. Impaired imaginative play: This refers to the ability to create and act out novel play scenarios. While the autistic child may seem to engage in imaginative play, a closer look reveals play that appears to have an imaginary theme (in terms of characters and topics), but is actually very rigid and repetitive. It is important to observe free-play/free-time choices. Is the play really novel, or is it a retelling of a TV show or video? If the play is novel, can it be changed, can playmates alter it, or is the same play repeated over and over? The child:
  • Uses limited play themes and/or toys.
  • Uses toys in an unusual manner.
  • Attempts to control all aspects of the play activity; any attempts by others to vary the play are met with firm resistance.
  • Follows a predetermined script in play.
  • Engages in play that, although it may seem imaginary in nature, is often a retelling of a favorite movie/TV show/book (note: this maintains rigidity in thoughts, language, and actions).
  • Focuses on special interests such that he dominates play and activity choices.

4. Visual learning strength: This refers to being able to learn most successfully through visual modes. This is especially true for the Asperger child. Visual information remains stable over time, allowing the child to process, respond, and remember the information (e.g., I don’t have to worry about forgetting, I can take my time, the information is still there). Not only is this child a visual learner, but he is also a visual thinker. Visual learning compensates for many of the child’s areas of need. The child:

A. Benefits from schedules, signs, cue cards.
  • Uses visual information to help focus attention (e.g., I know what to look at).
  • Uses visual information as a “backup” (e.g., I have something to look at when I forget), especially when new information is presented.
  • Uses visual information to provide external organization and structure, replacing the child’s lack of internal structure (e.g., I know how it is done, I know the sequence).
  • Uses visual information to make concepts more concrete.
  • Uses visual information as a prompt.

B. Has specific strengths in cognitive areas.
  • Displays average or above average intellectual ability.
  • Displays average or above average receptive and expressive language skills
  • Has an extensive fund of factual information.
  • Has an excellent rote memory.
  • Displays high moral standard (e.g., does not know how to lie).
  • Displays strong letter recognition skills.
  • Displays strong number recognition skills.
  • Displays strong word recognition skills.
  • Displays strong oral reading skills, though expression and comprehension are limited.
  • Displays strong spelling skills.

Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
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What the Future Holds for Your Teenager on the Autism Spectrum

"I would like to know what to expect from a high functioning autistic child in the teenage years. My son was diagnosed 2 years ago. I know they say that they can suffer from this and that, but what is the long-term goal, what can we expect, what not to expect?"

Young people with ASD level 1 or High-Functioning Autism (HFA) often have a difficult time between the ages of 13 and 19. They may be socially excluded and face rejection by their peers if they act differently from others. They want to be accepted and liked, but often don’t know how to behave and communicate appropriately. School is demanding and they long for friends. The goal for your HFA son is to make it through the teen years with the following:
  • his self-esteem intact
  • at least a friend or two
  • knowledge that his family loves him
  • a high school diploma
 
There are some teens that manage to navigate these years successfully because they don’t care about peer pressure and focus on a special interest of their own (e.g., chess or computers). So, encouraging your son to develop a special interest may help him at this time of life. A special interest may encourage friendships with other teens that have the same interest as well, making it easier to talk to and make friends with others.
 
==> Parenting System that Significantly Reduces Defiant Behavior in Teens with High-Functioning Autism

A big problem for HFA teens is that often they don’t care about fads, clothing, celebrities, and teen communication devices (e.g., cell phones or Facebook). Your son’s interests may be more appropriate for younger children. Boys may be rejected if they are not interested in sports. Some of these issues can be resolved, though.

Help your son become aware of teen fads and how to talk about sports, celebrities, rituals, and school events. Encourage him to leave text messages for and arrange social engagements with peers. Perhaps he could join school clubs, especially those that focus on his special interest. Explain to your teen that he does not have to tell everyone that he has the disorder. He may enjoy talking with other HFA teens in internet chat rooms.

Your son may ignore personal hygiene and wear clothes and a haircut that are not in style. Find a same sex friend who will help him choose appropriate clothes to wear. Monitor your teen’s hygiene and create reminder notes or charts for him about daily bathing, tooth brushing, etc. Reward him for good hygiene, if that’s what it takes!

“Special needs” teens are sometimes not very well-informed about sex and dating. Boys may be very naïve or too forward with girls. Hormones cause rampant emotions, which HFA teens can’t handle. If they get angry, they may physically attack others or have a “melt down.”

You must teach your teen about sex. Provide books for him to read. Choose books that aren’t overly “clinical.” Be specific and detailed about safe sex. Never be judgmental or punish him when he confides in you; instead, counsel him. Boys need to be told that masturbating should take place only at home, in private. Teens on the autism spectrum often respond to “rules” by obeying them. Establish some rules for your son (e.g., “We have a rule in our house that teenagers should not have sex because they are too young to handle the emotions and problems that may occur”).

Some HFA teens develop problems with drugs and alcohol because they are eager to do what other teens do. They are not able to determine a “good” crowd from a “bad” crowd. Other teens may take advantage of your son’s eagerness to be liked and convince him to buy and/or take alcohol or drugs. You must always know where your son is, who he is with, what he is supposed to be doing, and the characters of the other teens he hangs around. Emphasize that drugs and alcohol are illegal. Teens on the spectrum are “rule-oriented,” so this may help your son avoid problems.

HFA teens may have school problems because of the difficulty in dealing with more than one teacher. Each classroom is a different environment, which may be confusing. Some teachers may be hostile. Some assignments may be overwhelming. Keep in close touch with your son’s teachers. A placement into Special Education may be necessary when a teen on the spectrum enters middle school. Some tens on the spectrum need special classes even though they didn’t before.

Make sure your son has a “safe place” at school where he can share emotions with a teacher, nurse, guidance counselor, or psychologist. If your son experiences harassment and/or rejection at school and the staff does not help, a special education placement or a therapeutic boarding school can give professionals a chance to assist your teen academically and socially.

Suicide may become a possibility for a few teens with autism. If you have any worries about this, get help immediately from a psychologist or psychiatrist.
 
==> Parenting System that Significantly Reduces Defiant Behavior in Teens with High-Functioning Autism

Use reasoning and negotiation with your son, instead of orders. If possible, give him two choices rather than telling him what he must do in a situation. He will have more control over his life and feel less resentment. He will be less likely to listen to you (like all teens!) at this age and may exhibit anger and impatience. He may hate school and resist everything you want him to do. Depression is common. If these problems occur, your son may need counseling.

Most autistic teens learn to drive successfully because they obey the rules! Have your son carry a cell phone and a card that explains the disorder. Teach him to call you in a crisis and to give the card to any police officer who stops him. Role play with him so he knows what to do and say if stopped by an officer.

Some teenagers on the autism spectrum do well in summer jobs in an area of special interest or with little contact with the public. Occupational therapy will help your son get ready for adulthood. Special programs are available that teach job and living skills. This will reduce his dependency on you. And above all, ask for help from professionals when you or your son need it.



==> Has your child on the autism spectrum been experiencing a lot of sadness lately? If so, here are a bunch of suggestions to assist in the matter...


Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
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Here’s what other parents have had to say:

• Anonymous said… All of this is happening with my 15-year-old HFA. It can be heartbreaking for the parent. I just take it day by day.
• Anonymous said… Great article
• Anonymous said… Great article! My HFA is 39 & married now but that article was spot on with ways to help them through it.
• Anonymous said… I have a 16-year-old son that has not been diagnosed yet, but it is very obvious to us he is an HFA. Personally, I am very happy he is not interested in the 'teen fads", makes life much easier in my opinion. He could use a few friends though.
• Anonymous said… I will be homeschooling my son next year. I knew this would start happening. Just glad I have the option to homeschool:)
• Anonymous said… Nice article. My son who is now 17 has faced some of those issues and through counseling has been able to overcome many difficulties. He had a much rougher time in the early teens. Now he is more comfortable in his own skin. He doesn't necessarily follow trends in clothes, has let his hair grow. Still needs reminders with hygiene every now and then, but I believe he is on the road to independence. I want my son to have as beat normal life as possible, I don't want his condition to limit his potentials and who he will be. He can achieve greatness because he is a good kid. He gives me a hard time, but what teenager doesn't. I take it as a phase and guide him in all I can. His school has been very supportive and his peers accept him for who he is. Even when people snicker about him, he pays them no mind. I do like the advice about the HFA card in the wallet. He is learning how to drive and this is a good idea for when he will be driving by hi self and gets stopped by the police. Thanks for sharing this article.
• Anonymous said… Thank you for the article. My son turns 13 this year, I am sure I will be putting this info to good use.
•    Anonymous said... My son Liam is now 14. The best thing I did was have a behavior specialist come to the house once a week, which insurance covers, to help with things throughout the years like facial recognition, conversation with others, even just sitting in his chair and not crawling under the table when he got upset. He grew, matured, and learned, slower than the other kids yes, but still slow and steady learned to manage his behaviors. Now that he is a teenager he decided to do virtual school at home because the business of school, hallways, and other kids faired to distracting for him. He is doing great. Good grades, on a bowling team, has a few friends. Best thing you can do is join you child in something if they are not noise sensitive. It gives them a sense of belonging to a team. Liam started when he was 7 and is still on the team. He does his own laundry, vaccums his room, manages his schedule, takes care of his cat. Can't wait till he can get a job. So proud of him. So to answer your question an hour later lol you have lots of great stuff to look forward to if you get the right help. Also the behavior specialist made me feel like I had someone on my side and I wasn't alone. Relieved some of the stress.
•    Anonymous said... My daughter uses a note book to communicate with teachers, when she feels she can't talk or ask something. She has a brilliant sen support net work at school too and I have one main person who communicates everything to me. Her mood swings can change so quickly that each day is different, just make sure you keep talking to each other x
•    Anonymous said... I found Social Thinking books for teens excellent resource for your teen and you to read (very appealing to teens for how to on social stuff while insightful for parents) An advocate for you and student at school is huge. I truly enjoy communicating with my son and his perspective. Reason, logic, and showing you respect his viewpoint, but he must do the same. Clear, consistent logic. Plus if you want to hear about your teen's day tell them about yours, a chance to walk him through social situations at school.
•    Anonymous said... expect nothing, take each day as it comes and keep clear communication with him as much as possible, try to get him to tell you his feelings and opinions on things so you'll have an idea of how he's perceiving the world, make sure school are on board and check with him which teachers he trusts the most, these are the ones you need the most contact with so you can be part of the same team in helping him, as for hormones, expect the same as you'd expect from any teen. 

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Tantrums in Public: Tip for Parents of Kids on the Autism Spectrum

"Any tips for avoiding temper tantrums when my 5-year-old (high functioning) son and I are out shopping?"

All parents have experienced the temper tantrum in the grocery store or the restaurant. While young people with High-Functioning Autism and may have tantrums that seem larger than life at times, they are still tantrums.

Here are some tips for parents:
1. Prior to going on outings, it is important that your child is prepared for what is going to take place. So explain the trip's agenda in depth.

2. You may want to have your child engage in some physical activity and play prior to the trip so that he is calm (and slightly worn-out) for the outing.

3. You also want to establish what the expectations are for his behavior during the outing. You will need to keep in mind his age and level of understanding when giving expectations.

4. Don't overload him with rules, but be consistent.
 
==> Parenting System that Reduces Defiant Behavior in Teens with Autism Spectrum Disorder

5. Monitor your child's behavior on the outing. If you sense that he is becoming overwhelmed, intervene at that point. Tantrums are not only embarrassing for you, but for your child as well. They don't want to behave this way, so if you can help them avoid it, you should.

6. If you are going to be gone for an extended period of time, prepare for it. Bring with you activities or things that your child enjoys to keep him occupied. If he doesn't function well during long outings, then start with brief periods of time.

Go on an outing for 5-10 minutes, and if all goes well, reinforce that behavior. Then gradually increase that time period. However, if the outing is not for his benefit, don't ask him to engage in an activity for extended periods of time. Don't expect him to sit quietly for hours while you shop (it's unfair to any child).

7. When a tantrum occurs, leave! Just do it -- and do it NOW!!! Try not to create more tension by making a big deal of it. Simply stop shopping and remove him from the area. This may mean leaving for a few minutes until his behavior becomes calm, or returning home and planning your outing for another day. Tell him what was inappropriate, and why you are leaving, but try not to continue the discussion about his behavior once you are home. It's over!




 
Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
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Here's what other parents have had to say:

•    Anonymous said... Don't take him shopping. I had no idea what my aspergers toddler was going through until he was old enough to tell me. The lights, the colors and displays, the crowds, the noise... It is too much for them to handle. And it is too much to expect them to.

•    Anonymous said... i have found short trips to the store work best. Also, bring along a toy or something that your child finds comforting. if too much noise is the problem, try headphones to drown out the noise. Hope this helps!

•    Anonymous said... I try to explain what we are doing before we enter. I tell him he can pick out one thing, I usually let him push the cart if its the grocery store. This works about 80% of the time. If theres someone home I give him the option to stay home, if he wants to come we agree he will behave or not be invited again

•    Anonymous said... Tough love: Just pick him up and carry him out to the car leaving everything behind. Keep talking to him in a calm voice that you will not accept this behaviour in public and you are going home now. You may need to say it loud enough for others around you to hear as well so they keep their noses out of your business. I had to do this only 3 times and my child never had another tantrum in public again. I understand that every child is different and I don't know the extent of involvement with your child but if this method helps anyone else out there, go for it. The first time I had to do this I was annoyed because I had to leave everything. So the other times he pulled this, I was just out to give him an opportunity to 'shop' and it was no hardship if I had to leave a store.

•    Anonymous said... Two people threatened to call CPS on me because I "was clearly a bad parent who couldn't discipline my child correctly" they have no understanding of how a child who is so vocal can be autistic. We're usually trying to do our shopping in one or two big trips on weekends when I can leave ds home with dad or he shops instead. Otherwise, very short trips work best.

•    Anonymous said...just try and stay calm and ignore others around you,my son would do cartwheels down the aisles in supermarkets and run and skid on his knees not easy.

•    Anonymous said... The normal, check for all the sensitivities, go when it is not crowded, ear plugs, sunglasses (lights can be horrible), gum or chewy. But number one thing - don't give in. Mean what you say and say what you mean - every time. I was prepared to leave the store at a drop of the hat or stand in line with a screaming child and angry customers. I have thick skin and a well adjusted 16 year old. Once I prepacked the car for a trip a day in advance just to say "I won't take a trip with kids that back talk and are unhelpful I am sick of warning blah blah blah... we are not going." Finally after a lot of promising and begging we left the next day (on the real date). They have never forgotten and both know I mean what i say.

•    Anonymous said... child once had a meltdown getting into the car at a grocery store. I was very firm with him...someone came by me and accused me of "abusing my child" and wanted to call the cops and Child protective services on me because "no child would be screaming in their child's presence. Other people came by and supported me..sigh. This was a couple of years ago. When my child was a toddler, another person wanted to do the same and we were out of town. Who are these people that think they know better than us parents of aspies.

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2024 Statistics of Autism in Chinese Children

Autism Spectrum Disorder (ASD) has emerged as a significant public health concern worldwide, and China is no exception. As of 2024, new rese...