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How to Help Teachers Understand Your HFA or AS Child’s Social Difficulties

“What are some of the social problems that children with high functioning autism have? I’d like to share them with my child’s (age 7) teacher to help her understand him better. Currently, she thinks he ‘just needs to be more cooperative and attentive’. I wish it were that easy!”

High-Functioning Autism (HFA) and Asperger’s (AS) is first and foremost a social disorder. Young people on the autism spectrum are not only socially isolated, but also demonstrate an abnormal type of social interaction that can’t be explained by other factors (e.g., shyness, short attention span, defiance, aggressive behavior, etc.).

Children with HFA and AS are known to lack the motivation to interact with others. But their social difficulties frequently stem from a lack of knowledge in initiating and responding in various situations and under variable conditions (e.g., the child may appear odd because of his continuous insistence on sharing with peers an obsessive interest in vacuum cleaners, despite their displays of apathy for this “weird” topic).

Social difficulties may range from social withdrawal and detachment to unskilled social interactions. Nonetheless, even within this broad range, children on the spectrum may be socially awkward, emotionally blunted, self-centered, inflexible, and have difficulty in understanding nonverbal social cues.

Kids with HFA and AS may be able to infer the meaning of facial expressions and match events with facial expression, but the difficulty arises when dealing with the simultaneous presentation of facial, voice, body, and situational cues. Thus, even when they actively try to seek-out others, they encounter social isolation because of their lack of understanding of the rules of social behavior (e.g., eye contact, proximity to others, gestures, posture, etc.).

Students on the autism spectrum are able to engage in routine social interactions (e.g., basic greetings) without being able to engage in extended interactions or reciprocal conversations. Parents often describe their “special needs” child as lacking an awareness of social standards and protocol, lacking common sense, tending to misinterpret subtle social prompts, cues, and unspoken messages, and displaying a variety of socially unaccepted behaviors.

Kids with HFA and AS typically display emotional vulnerability and anxiety (e.g., they may become upset if they think others are invading their space or when they are in unpredictable or new social situations). However, in contrast to most of their “typical” peers, kids on the spectrum often do not reveal their anxiety through voice tone, overt agitation, etc. 

As a result, they may escalate to a point of crisis because of peers’ unawareness of their discomfort – along with their own inability to predict, control, and manage uncomfortable situations. (As a side note, the HFA or AS child is a relatively easy target for peers who are prone to teasing and bullying others.)

While they are known by others for their lack of social awareness, many children with HFA and AS themselves are aware that they are different from their peers. Consequently, problems with self-esteem are common. These problems often are particularly significant during adolescence and young adulthood.

Variable social situations make it difficult for kids on the spectrum to apply social rules in a rigid and consistent way. Social rules vary with circumstances (i.e., there are no inflexible and universal social conventions and rules). This lack of social consistency is especially confusing for children with HFA and AS. 

They often painfully discover that interactions that may be tolerated - or even reinforced - in one setting are rejected or punished in others (e.g., one 4th grader with HFA could not understand why his calling Mrs. Potts (his teacher) "Mrs. Potty" in the restroom was funny to his peers, while saying this in the classroom (in the presence of Mrs. Potts) got him in trouble.

Children on the autism spectrum do not acquire greater social awareness and skill merely as a function of age. In the real world, ALL children are required to use increasingly sophisticated social skills and to interpret ever more subtle social nuances as they progress through school. Consequently, children diagnosed with HFA or AS may find themselves more and more in conflict with prevailing social norms as they move through adolescence and into young adulthood. 

As a result of these norms - and the experiences that follow – kids on the spectrum are vulnerable to developing a variety of problems (e.g., depression and anxiety may appear at this time, they experience a continuing inability to effectively interact with peers as well as an increased discomfort and anxiety in social situations).


Highly Acclaimed Parenting Programs Offered by Online Parent Support, LLC:

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

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

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

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

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

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

==> Highly Effective Research-Based Parenting Strategies for Children with Asperger's and High-Functioning Autism

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Do you need the advice of a professional who specializes in parenting children and teens with Autism Spectrum Disorders?  Sign-up for Online Parent Coaching today.

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Teaching Your Child on the Autism Spectrum How to Identify When He's the Victim of Bullying

Question

I have an 11 year old boy diagnosed with high functioning autism. He started middle school and we're having a very difficult time. Academically he is starting to settle in and is in advanced classes with a B average. However, he is having behavior issues particularly in settings like lunch time, PE, etc. He is being bullied but nothing is being done. The school says they don't see any bullying. Last week the PE teacher left the class to "free play" allowing my son to use metal pole to hit a tennis ball. A large boy (150lbs, my son weighs 60) hit my son in the face with a dodge ball knocking his glasses off (this same child has continuously teased and taunted by son all year), my son ran after him (of course rod still in hand) and there the story gets murky depending on who you talk to - the teacher was still no where around. My son had a skinned up elbow and bruising, apparently so did the other child - not confirmed. The teacher admitted he saw my child with the pole but didn't intervene. Now the school is trying to kick my son out. We have an IEP that might help but this is charter school (still state funded). Anyone with any suggestions?


Answer

A number of moms & dads have discovered that their kids with High-Functioning Autism (HFA) or Asperger's (AS) are being bullied, and that a lot of the time this is leading to different types of "exclusion" for their youngster. So, as well as the trauma and upset of being bullied - the chances are that the youngster is facing sanctions at the school as well.

Bullying is an bad problem with any youngster, but the needs of a youngster on the autistic spectrum make this even worse. The lack of understanding of social cues, difficulties in communicating the problems to others, interests and hobbies that often seem a little "goofy" and make the youngster an easy "target" - to name but a few.

As we all know, the multi-sensory and often very hectic nature of schools can be difficult enough for kids on the autism spectrum - so they can really do without having to contend with the extra "attention" of playground bullies.

Obviously, it is important to ensure that your youngster has some kind of feedback loop to a trusted person so that any signs of bullying can be picked up. Whether this is verbal, through some kind of symbol or PECS board, or more creative like "puppet talk" for youngsters, it needs to be crystal clear for the youngster what is and what isn't acceptable - and then what they should do about it.

This is easier for things like physical bullying - as the more subtle types of verbal bullying can be more difficult to explain. But generally your youngster's behaviors will be a key to something being not right, and then you have the [often difficult ] task of working out what is happening from there.

If you do have the ear of your youngster's teacher, it is worth raising this issue with them and finding out what mechanisms they have in place for your youngster to communicate if they are being bullied. There is a useful "bullying worksheet" [see below] that you can use to look at the issues around bullying with your youngster.

Bullying is sadly something that all moms & dads with a "special needs" child need to think about. This involves looking at different ways in which you can monitor him/her to check if something is going on so that you can take action.

Often times, the child with HFA or AS does not even know that he's the victim of bullying. He may simply assume that's how kids treat other kids. Thus, be sure to educate your child on this subject. Start by sharing the following worksheet with him or her:


BULLYING WORKSHEET—

Here is a list of some of the ways other kids might act around you. Read each act. Is the child being a friend or not? Or are you just not sure? Remember, a friend would be kind to you. If the other child is being mean to you, they are not being a friend, no matter what they say.

A kid in your class at school:

• Asks to sit next to you at lunch, but then hides your lunch when your back is turned and won’t give it back when you tell him the joke is over.

• Asks you to take your clothes off so he can see you naked and says “if you were a real friend, you’d be willing to do what I ask. It’s no big deal.”

• Let’s you be part of his circle of friends as long as you do his homework for him every day, even when you’re tired, because “you’re so much better at it than I am,” while he sits around chatting with his friends.

• Says “hey, let’s be friends,” and begins to play with you, but every time his buddies come around, he acts like he doesn’t know you and says things to make the other kids laugh at you.

• Says “that’s my seat” at lunch and tells you to get out of it, when no one has assigned seats at lunch.

• Says he’ll be your friend for a dollar.

• Says he’s thirsty and asks you to buy him a soda from the store. When you buy it, he says “thanks, you’re a real friend. Tomorrow I’ll buy the sodas.” And tomorrow he buys you one.

• Says he’s thirsty and asks you to steal a soda for him from the store to help him out. When you steal it, he says “thanks, you’re a real friend.” He keeps hanging out with you, but asks you to steal things here and there, from time to time, for him.

• Says he’s your friend, plays with you, and then asks to borrow a dollar, promising to pay it back tomorrow (and he does pay it back).

• Says you can only be in my club if you pick up all these sticks alone while the rest of us watch you. When you do it, he and the other club members sit around telling you what to do and laugh at you. They said the sticks were for a fort, but no fort is ever built.

• Says you can only be in my club if you pick up all these sticks with me, so we can build a fort together. He then joins you picking up the sticks, and builds a fort with you.

• Says you can’t be in the club because it’s for teenagers and you’re only 9.

• Says you can’t be in the club because your name is Michael.

NOTE: If the other kid does any of these things listed above - he is NOT being a friend. He or she will have to earn your trust back before you should trust him/her again.


Highly Acclaimed Parenting Programs Offered by Online Parent Support, LLC:

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

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

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

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

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

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

==> Highly Effective Research-Based Parenting Strategies for Children with Asperger's and High-Functioning Autism

____________________

Do you need the advice of a professional who specializes in parenting children and teens with Autism Spectrum Disorders?  Sign-up for Online Parent Coaching today.


 COMMENTS:

•    Anonymous said… Been there.... Done that.... As a parent of as child on the spectrum and a special education worker I totally get this. Lunch and PE are non structured times and two of the hardest times for even typical kids. If you feel the school isn't listening to your concerns I recommend getting an advocate. You can even find them for free. Watch the schools tune change.
•    Anonymous said… I moved my son to a school that listens to children. Made an incredible amount of difference.
•    Anonymous said… I'd be inclined to switch schools
•    Anonymous said… I'd go and observe for yourself. Volunteer in the lunch line or recycling duty..or whatever gets you a glimpse into his day. Then go to principal w concerns. Hopefully the district has a peer buddies program in place or something similar.
•    Anonymous said… Is there a possibility of going to a computer room or supervised play area for that time. My son does this as well as the library and he no longer gets bullied.
•    Anonymous said… It's really a bigger effort for autistic/aspergers children that needs to be addressed with the teaching universities. I took E C-4(which is up to 4th) and had to stop before I could start my internships due to my now 10 year old aspergers daughter's b...See More
•    Anonymous said… Problem still doesn't go away.....is a big change which can be stressful in itself.
•    Anonymous said… Same here in UK. But my son's new school go above and beyond and train staff in all different areas to learn more about additional needs, so moving for him was a great idea.
•    Anonymous said… Unless ur a special ed teacher. Of course all districts are different. Some are great. Just hard to find them.
*   Ken said... I SO hear you! This is exactly what happened with my son. We ended up putting him in online school so he could study without being bullied. He recently graduated and has gone on to college now. I hope you find what works for your boy.


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Angry Outbursts in Teenagers on the Autism Spectrum

Question

My son is 13 years old; he has been previously diagnosed with high functioning autism, adhd and obsessive compulsive disorder. My son lived with his father for six months while I recovered from a nervous breakdown. When I got custody of him again he was very aggressive, would hit his 6 year old brother and call him names and put him down. My ex gave him no discipline from what I gather from my son, he told me he had to raise his six year old brother for them six months. He blames me for the divorce between me and his father. I have bipolar and he doesn’t seem to understand that I am different too and that I need him to cooperate and help me as much as possible. He’s too focused on his ocd, his adhd and his autism and he uses all of these things for an excuse for all of the negative behaviors he is having.

In the last past year he has changed 3 schools, and moved to a new area, which he says he hates. I’m wondering if he will adjust to the new setting and new rules that I have for him. I think some of it is the teenage years; he uses profanity often and shows aggression to get his way no matter what the consequences. I want to help my son but I don’t know what to do. His brother is totally opposite; he does what I tell him and goes by all of the rules.

How do I get my son to show me respect and work on his attitude without so many angry outbursts which could get me evicted from our apartment? I go with the flow to keep things as quiet as possible but things get worse, if I threaten to take his games he threatens and has went as far as walking out of the door leaving me to find him. Am I dealing with autism, Adhd, compulsive disorder or just an unruly teenager? I think it is all of them. I was wondering if there is an autism training center that could come in and work with my son. I am desperate at this point and will do anything to help my child to stay on the right track, I worry that he is headed for suicide or prison. I am very concerned for him, he’s happy as long as I cater to him, but when I stand up for what I think is right he rebels and I pay dearly. Please help.

Answer

Parents of High-Functioning Autistic (HFA) and Asperger's (AS) children/teens will face many behavior problems (e.g., aggression and violent behavior, anger, depression, and many other problematic behaviors). Part of the problem stems from (a) the conflict between longings for social contact and (b) an inability to be social in ways that attract friendships and relationships.
 

HFA and AS adolescents possess a unique set of attitudes and behaviors:
  • Adolescents with the disorder tend to be physically and socially awkward, which makes them a frequent target of school bullies. Low self-esteem caused by being rejected and outcast by peers often makes these adolescents even more susceptible to “acting-out” behaviors at home and school.
  • These teenagers rely on routine to provide a sense of control and predictability in their lives. Another characteristic of the disorder is the development of special interests that are unusual in focus or intensity. These young people may become so obsessed with their particular areas of interest that they get upset and angry when something or someone interrupts their schedule or activity.
  • Adolescents on the autism spectrum often suffer from “mindblindness,” which means they have difficulty understanding the emotions others are trying to convey through facial expressions and body language. The problem isn’t that adolescents with Aspergers can’t feel emotion, but that they have trouble expressing their own emotions and understanding the feelings of others. “Mindblindness” often give parents the impression that their HFA or AS teen is insensitive, selfish and uncaring.
  • They can be extremely sensitive to loud noise, strong smells and bright lights. This can be a challenge in relationships as adolescents on the spectrum may be limited in where they can go on, how well they can tolerate the environment, and how receptive they are to instruction from parents and teachers.
  • Social conventions are a confusing maze for adolescents with the disorder. They can be disarmingly concise and to the point, and may take jokes and exaggerations literally. Because they struggle to interpret figures of speech and tones of voice that “neuro-typicals” naturally pick up on, they may have difficulty engaging in a two-way conversation. As a result, they may end up fixating on their own interests and ignoring the interests and opinions of others.

Focus on prevention and on helping your son to develop communication skills and develop a healthy self-esteem. These things can create the ability to develop relationships and friendships, lessening the chances of having issues with anger.

Anger is often prevalent in HFA and AS when rituals can't get accomplished or when the teen's need for order or symmetry can't be met. Frustration (over little things that usually don't bother others) can lead to anger and sometimes violent outbursts. This kind of anger is best handled through cognitive-behavioral therapy that focuses on maintaining control in spite of the frustration of not having their needs met.

Rest assured, communication skills and friendship skills can be taught to teens (and even adults) on the spectrum, which can eliminate some of the social isolation they feel. This can avert or reverse many anger control issues.


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

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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...

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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…

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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…

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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...

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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...
 
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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...


PARENTS'  COMMENTS:

*   Anonymous said... I'd like to say to you this. My son has Aspergers/Oppositional Defiant Disorder. He too present with anger, negativity and outbursts with authority figures. One thing I learned early on, NEVER walk on broken glass waiting to get cut! Never let things go with ease to avaoid a melt down. Set clear limits he understands with clear consequences he also understands. Get your child the help hhe needs NOW before it's too late with the laws in your State. Many parents of Spectrum children do not understand the Laws that protect the child and hinder the parents. As with my son, at the age of 14 in our State children have the RIGHT to not participate in therapy of any sort including Mental Health Services. If and when your child is made aware of the Laws you should be prepared as we were not as we did not even know the Law existed. My son is as I've said now 17. He is reminded daily that no matter what his diagnosis are, he is bound by the same laws as the rest of the world. Dealing with anger outbursts are horrifying to say the least. It takes a toll on your entire family dynamics. Having a younger child watch this behavior will lead them to issues with outbursts as well. I also have a 7 yr old who learns from his brothers behavior. We do the same, set limits, make rules and make consequences clearly understood and FOLLOW THROUGH! NEVER let your guilt for the diagnosis to interfere with following through! This will by far be your biggest mistake. For yourself, establish a support system, keep time for yourself, try to stay positive at all times and again use your support system. If and when violence erupts, call the police to intervene and make sure they are aware of the diagnosis before they arrive for it can cause a bigger problem as well as a negative outcome all around.
 

•    Anonymous said… Communication is hard and understanding is wanted. Those that act out are in pain themselves..
 

•    Anonymous said… I have been dealing with this for 16 years. Therapy is a on going process. If the behavior is out of control. I would suggest a inpatient treatment facility. This will allow for continued therapy and behavior modification. Trust me.. I know this well. You are not along.
 

•    Anonymous said… I know this comment may sound soft and shallow, but believe me, as a single parent of an autistic/Asperger's son prone to violent outbursts just like the rest of you, all I can offer is for you the parent to take care of yourself. For me it was Transcendental Meditation. It calms me like nothing else and for some bizarre reason it calms my son, even though he's not the one meditating. I'm not affiliated and not trying to pitch them, but you need to do something CALMING for yourself. Every child is different and requires a unique strategy to cope, and so does every parent. Bless everyone here and let's try to keep our heads and hearts clear.
 
•    Anonymous said… Well i give my son 1 for being good and its been working i got him on ssi and he had outbursts 3 times before i decided this and i took one day at a time and for 5 days my son been good no outbursts and i give him options too like if he cant do something for a example my son he wanted to go yesterday to dollar General i said play on ur phone or color or drawl or eat popsicle something to distract him from what he wants til u can do it when ur ready . Take 1day at a time and be calm with him at all times i just started this 2 months ago and im handling it pretty well and he has asperger's and odd so i understand
 

•    Anonymous said… Wow! My son is 15 and this is my life right now, although luckily without the physical aggression. I have to admit it is nice to know I'm not the only one dealing with these severe behavior issues!
 

•    Anonymous said… your beautiful boy sounds like my 8yr old grand son , but these kids live in a completely different world to ours they like to do what they do eat what they eat and if left alone they survive just as well as if we never said a word the more we tell them and yell the worse they get .I have seen the outbursts and man its scary .
 
*     Anonymous said... Not enough focus on reaching out to others on the spectrum, other teens getting together. Organized by the supports already in place to have purposed get togethers for the teens. They just don't cut it , in high school. Highschool is a dead bully zone. Kids there are mean mean mean, if anyone is a bit 'off' they can make their life miserable, too miserable. I would not have my kid enter high school at all, and focus on get togethers with other aspergers kids, and just do it that way, engaging them in activities in the community.

*     Anonymous said...I really dont know what to do my 12 year old shouts at me and says the most horrible things most days and calls me and her sister names im a single mum of 3 and finding it hard to cope ive asked for help since she was 4 and no one does anything she has no therapy and we have no help at all just me because while at school etc she wants to be the same as everyone else she tells them shes fine and the works ok but what she does is bottle all her anxieties frustrations things that havent gone as shes wanted all day etc and lets rip at me when she gest home if something isnt how she wants or she cant have what she wants or things dont go as she expects she has meltdowns that can last hours ive said i will speak to school to see if there is anything they can do to help us she said if i speak to school or anyone else about her shes going to tell them i hit and hurt her i dont do either but do have to hold her when in meltdown to prevent her hurting herself me or someone else or damaging property until shes in either a safer place or calms down i have had a dislocated shoulder a torn rotary cuff in my shoulder which needed surgery to repair and still has limited movement shes broken 3 of my toes and i often end up bruised and sore muscles i have health conditions that mean the above and stress makes me really poorly she knows this but in meltdown does not care at all i do not hit h.  Id stayed out on sat nt my mum had her for the night so i could have a day/nt off her nanna treated her to sweets her favourote programme then on the way home took her clothes shopping she had a good time id been home 10 min and she'd reduced me to tears with shouting at me and calling me names and i got up this morning to the same today i really dont know what to do im so tired and drain from it all ���� im worried about what her future will be

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Parenting Kids with High-Functioning Autism PLUS Attention Deficit Disorder

Question

"My 12 year old was recently diagnosed with having high functioning autism. He doesn't fit the typical mold that I read about, and the neuro-psychologist agreed that he is an unusual case. He is extremely likable, has a good many friends, very polite and well mannered. He does however have the obsessive personality and hyper-focusing that is typical with this disorder as well as fascination with collecting things, bottle caps, shark teeth...which he can look for hours at a time for. He is very smart and has always made great grades and has never had behavior issues at home or at school, which is probably why he flew under the radar until now.

Our struggles have to do with his attention...as if he is ADD (tested negative three times). He literally cannot stay on task and is so easily distracted. After a "pep" talk stating that he "owns" his brain and he can control the urges if he puts his mind to it...he can produce. I know its short term but he doesn’t and he feels great when he knocks out something. Remember, we just found out...so we've always treated him as "normal" as the others, why wouldn't we? And again, he's always risen to the challenge of most anything...with a great attitude. I'm desperately looking for ways to help him stay on task with schoolwork and staying on task? Is there anyone there that might know of something, tips, tricks, etc.? Please let me know."

Answer

Most kids with High-Functioning Autism (HFA) and Asperger's (AS) do not receive that diagnosis until after age 6. Usually, they are diagnosed with Attention Deficit Disorder as toddlers. Part of the reason is that doctors routinely screen kids for Attention Deficit Disorder (ADD) - but not for autism.

Another reason is that an HFA child's social impairment becomes more evident once he hits school. Finally, doctors are reluctant to label a youngster "autistic." It is okay - and even a badge of honor - to have a "hyperactive youngster," but it is another thing whatsoever to have an "autistic youngster."

Doctors make their diagnoses based on kid's behaviors. Since kids with Attention Deficit Disorder and HFA share similar behaviors, the two can appear to overlap. However, there is a fundamental difference between Attention Deficit Disorder and HFA. Children on the autism spectrum lack what doctors call "social reciprocity" or Theory of Mind.

Theory of Mind is "the capacity to understand that other people have thoughts, feelings, motivations and desires that are different from our own." Kids with ADD have a Theory of Mind and understand other people's motives and expectations. They make appropriate eye contact and understand social cues, body language and hidden agendas in social interactions. HFA children can't.

One author put it this way: kids with Attention Deficit Disorder respond to behavioral modification. With Aspergers (HFA), the syndrome is the behavior.

Both kinds of kids can tantrum, talk too loud and too much and have problems modulating their behaviors and making friends. Both are social failures but for different reasons.

The youngster with Attention Deficit Disorder knows what to do but forgets to do it. HFA children do not know what to do. They do not understand that relationships are two-sided. If a child on the spectrum talks on and on in an un-modulated voice about his particular interest, he simply does not understand that he is boring his friend and showing disinterest in his friend's side of the conversation. On the other hand, the youngster with ADD cannot control himself from dominating the conversation.
 
An HFA youngster can appear unfocused, forgetful and disorganized like a youngster with Attention Deficit Disorder, but there is a difference. The ADD youngster is easily distracted; the HFA child has no "filter." The child on the spectrum sees everything in her environment as equally important. Her teacher's dangling earring is as important as what she writes on the blackboard. The HFA child does not understand that she does not have to memorize the entire textbook for the next test. She does not "get" such rules.

Children on the high-functioning end of the autism spectrum tend to get anxious and stuck about small things and cannot see the "big picture." Kids with Attention Deficit Disorder are not detailed-oriented. The ADD youngster understands the rules but lacks the self-control to follow them. The HFA child does not understand the rules.

If the unfocused HFA child is "nowhere," the obsessive-compulsive and "Fantasy" HFA child is somewhere else. "Fantasy kids" retreat into a world of their own making - a world where everything goes the way they want it to. They play video games for hours or retreat into books and music. Their daydreaming and fantasizing resembles the behaviors of non-hyperactive kids with ADD.

Obsessive-compulsive children with HFA live a world they create from rules and rituals. Like ADD kids, they appear preoccupied and distracted but for different reasons. They appear distracted because they are always thinking about their "rules." Did I tie my shoelaces right? Did I brush my teeth for 120 seconds?

Some authors estimate that 60% to 70% of children with HFA and AS also have Attention Deficit Disorder, which they consider a common comorbidity of the disorder. Other authors say that the two cannot exist together. Still others insist doctors have it all wrong and that the two disorders are the same. The real problem is that there is no hard science. No one knows exactly how slight imperfections in brain structure and chemistry cause such problems.

For this reason, getting the right diagnosis for a youngster who exhibits behavior problems may take years of trial and error. Diagnosis is based on observation of behaviors that are similar for a myriad of disorders. The tragedy is that the youngster often does not receive the correct medications, educational strategies, and behavioral modification techniques that could help him function on a higher level. He falls farther behind his peer group and loses ground when he could be getting appropriate treatments.

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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.

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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.

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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.

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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."

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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.

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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.

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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.

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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...