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Nonverbal Learning Disorder versus Autism Spectrum Disorder: What Is The Difference?

I can't tell you how happy I am to have found this site. I have a 9 year old son with ASD. He was diagnosed at 6 years old with a non verbal learning disorder, and attends a school for children with ADHD and/or autism. As his parent, I feel overwhelmed, scared, frustrated, and completely alone. I am hoping to find other parents who understand the issues we face daily, and who can share thoughts and ideas. I'm really hoping this site might be the life ring that keeps me from drowning!

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Nonverbal learning disorder (NLD) is a learning disorder that has many traits commonly associated with autism spectrum disorder (ASD). Like those with ASD, kids with NLD usually start to talk around 2 years of age (the age at which speech normally develops).
 
Youngsters with NLD are very verbal, and may not have academic problems until they get into the upper grades in school. Often their biggest problem is with social skills. NLD is very much like ASD level 1 (high-functioning autism). 
 
It may be that the diagnoses of ASD and NLD simply provide different perspectives on a heterogeneous, yet overlapping, group of individuals sharing at least some common aspects. ASD and NLD are generally thought to describe pretty much the same kind of disorder, but to differ in severity—with ASD describing more severe symptoms.

Signs of NLD—

• Anxiety, depression, low self-esteem
• Attention to detail, but misses the big picture
• Concrete thinking; taking things very literally
• Difficulty with math, especially word problems
• Excellent memory skills
• Fear of new situations
• Great vocabulary and verbal expression
• May be very naïve and lack common sense
• May withdraw, becoming agoraphobic (abnormal fear of open spaces)
• Messy and laborious handwriting
• Physically awkward; poor coordination
• Poor abstract reasoning
• Poor social skills; difficulty making and keeping friends
• Trouble adjusting to changes
• Trouble understanding reading
• Trouble with nonverbal communication, like body language, facial expression and tone of voice

Parenting tips for youngsters with NLD—

• Be logical, organized, clear, concise and concrete. Avoid jargon, double meanings, sarcasm, nicknames, and teasing.

• Be very specific about cause and effect relationships.

• Get your son into the therapies he needs, such as: occupational and physical therapy, psychological, or speech and language (to address social issues).

• Have your son use the computer at school and at home for schoolwork.

• Help your son learn coping skills for dealing with anxiety and sensory difficulties.

• Help your son learn organizational and time management skills.

• Help him out in group activities.

• Keep the environment predictable and familiar.

• Learn about social competence and how to teach it.

• Make use of your son's verbal skills to help with social interactions and non-verbal experiences. For example, giving a verbal explanation of visual material.

• Pay attention to sensory input from the environment, like noise, temperature, smells, many people around, etc.

• Prepare your son for changes, giving logical explanations.

• Provide structure and routine.

• State your expectations clearly.

• Teach him about non-verbal communication (facial expressions, gestures, etc.). Help him learn how to tell from others’ reactions whether they are communicating well.

• Work with his school to modify homework assignments, testing (time and content), grading, art and physical education.

• Bullying is unacceptable. Your son's school must make every effort to prevent it. If talking to your son's teachers and principal does not put an end to the victimization, ask his doctor to write a letter to the school, and pursue the issue up to higher channels in the school district if necessary.

• Encourage your son to develop interests that will build self-esteem and help him relate to other youngsters. For example, if he is interested in Pokémon, pursuing this interest may open social doors for them with schoolmates.

• Reassure your son that you value him for who he is. It's a little tricky to help your son  improve social skills, and at the same time nurture his confidence to hold on to his unique individuality.

• See if you can find a small-group social skills training program in your school system, medical system, or community. This kind of program will probably not be available in smaller communities.

• Steer your son toward a playmate he has something in common with and set up a play date. This is a way to get some social skills experience in a small, controlled, less-threatening way.

• Talk to your son in private after you have gone with him to a group activity. You can discuss with him how he could improve the way he interacts with other youngsters. For example, you might point out that other youngsters don't feel comfortable when your son stands so close to them. Help him practice the social skills you explain to him through role-playing.

• These youngsters need as few handicaps as possible, so make sure your son is getting the counseling, therapies, and/or medication he needs to treat any other problems or medical conditions he might have.

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Can my son with ASD truly understand love?

"My son is 8 yrs old. He is fairly high functioning. Here's the problem. I don't feel like he loves me. Can he truly understand love at all. He does not hug, kiss or cuddle. He never has. He likes to have his back scratched at night, but that's it. He struggles emotionally at school- a lot of anger. But at home you would notice anything out of the ordinary, until supper. Same meal every single night. He has no problems sharing emotions every once in a while with his father (who lives outside of the home). How can I help him to open up to me?!"

 
Many emotional concepts are difficult for kids with ASD. Love is probably one of the most complicated emotions of all. The lack of empathy and inflexibility that many kids on the spectrum live with will definitely make understanding the concept of love difficult – difficult, but not impossible.

It is sometimes hard to separate the idea of a person with autism loving someone from the true source of difficulty, which is the concept of theory of mind. People with autism feel a full range of emotions: anger, sadness, joy, and yes, love. 
 
However, the problem lies in connecting these feelings to the feelings of others. Theory of mind is understanding that another person's thoughts and feelings are their own and how they can coincide with ours, even though they are not reliant on what we are feeling.

The possibilities are there for your son with high-functioning autism. Love is an emotion that he can come to understand. Here are some things you can do to make sure that happens:
  1. Behavioral therapists can use play therapy to enhance your son's theory of mind. Pretend play can be difficult for kids with ASD due to the close connection with understanding other's feelings. Play skills are important for developing relationships on many levels.
  2. Social skills therapy can help him work on social cues, facial expressions, and basic communication, which in turn, will enhance his theory of mind abilities.
  3. Practice facial expression and recognition with pictures in books or family photographs. Explain the emotion and the cause. Using the ‘say, see, hear' approach to enhance his understanding.
  4. Social stories and comic strips can also be used to show situations that cause different emotional responses. Use these to explain why other people may react in various situations.

The process of developing theory of mind is ongoing in kids on the autism spectrum. Love is only a small part of this very complex equation. While love may be a tricky emotional concept for kids with ASD, the basic idea of love is very real. 
 
Balancing the feelings of love within a relationship is what will bring on a variety of experiences, both positive and negative. With straight forward discussion about feelings and emotions, your son should be able to understand love, and be successful at it. 
 
 
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When Your Child with ASD Does Not "Bond" Well with You: Tips for Moms

Question

How do I bond with my 6yr old son that has ASD? It's very hard for me …I need help.

Answer

Just like with any relationship, building a positive relationship between the parent and the high-functioning autistic child is one that requires work and effort to make it strong and successful. Parenting a child on the autism spectrum is a tough job, and maintaining close relationships and open communications helps to ensure parents and their children stay connected through all ages of their upbringing.

Here are 10 simple tips for enhancing the bond between parent and the autistic youngster:

1. Develop and Maintain a Special Bedtime Ritual—For younger kids on the spectrum, reading a favorite bedtime book or telling stories is a ritual that will be remembered most likely throughout their life. Older kids should not be neglected either. Once kids start reading, have them read a page, chapter, or short book to you. Even most teenagers still enjoy the ritual of being told goodnight in a special way by a parent--even if they don't act like it!

2. Eat Meals as a Family—You've heard this before, and it really is important! Eating together sets the stage for conversation and sharing. Turn the TV off, and don't rush through a meal. When schedules permit, really talk and enjoy one another. It can become a quality time most remembered by young and old alike.

3. Establish a Special Name or Code Word—Create a special name for your special needs youngster that is positive and special or a secret code word that you can use between each other. Use the name as a simple reinforcement of your love. The code word can be established to have special meaning between your son and you that only you two understand. This code word can even be used to extract a child from an uncomfortable situation (such as a sleepover that is not going well) without causing undue embarrassment to the child.
 

4. Let Your Kids Help You—Moms and dads sometimes inadvertently miss out on opportunities to forge closer relationships by not allowing their ASD youngster to help them with various tasks and chores. Unloading groceries after going to the store is a good example of something that kids of most ages can and should assist with. Choosing which shoes look better with your dress lets a child know you value her opinion. Of course, if you ask, be prepared to accept and live with the choice made!

5. Make Them a Priority in Your Life—Your special needs kids need to know that you believe they are a priority in your life. Kids can observe excessive stress and notice when they feel you are not paying them attention. Sometimes, part of being a parent is not worrying about the small stuff and enjoying your kids. They grow up so fast, and every day is special. Take advantage of your precious time together while you have it!

6. Play With Your Children—The key is to really play with your kids. Play with dolls, ball, make believe, checkers, sing songs, or whatever is fun and interesting. It doesn't matter what you play, just enjoy each other! Let kids see your silly side. Older kids enjoy cards, chess, computer games, while younger ones will have fun playing about anything...as long as it involves you!

7. Respect Their Choices—You don't have to like their mismatched shirt and shorts or love how a child has placed pictures in his room. However, it is important to respect those choices. Kids reach out for independence at a young age, and moms and dads can help to foster those decision-making skills by being supportive and even looking the other way on occasion. After all, it really is okay if a child goes to daycare with a striped green shirt and pink shorts.
 

8. Say I Love You—Tell your ASD son you love him every day -- no matter his age. Even on trying days or after a parent-child disagreement, when you don't exactly "like your child" at that moment, it is more important than ever to express your love. A simple "I love you" goes a long way toward developing and then strengthening a relationship.

9. Seek Out One-On-One Opportunities Often—Some moms and dads have special nights or "standing dates" with their kids to create that one-on-one opportunity. Whether it is a walk around the neighborhood, a special trip to a playground, or just a movie night with just the two of you, it is important to celebrate each child individually. Although it is more of a challenge the more kids in a family, it is really achievable! Think creatively and the opportunities created will be ones that you remember in the future.

10. Teach Your Faith—Teach your special needs son about your faith and beliefs. Tell him what you believe and why. Allow time for him to ask questions and answer them honestly. Reinforce those teachings often.
 

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Should You "Push" Your Adult Child with ASD to Be More Independent?

Question

"My brother has ASD and dyspraxia. I can’t help but feeling that my Dad is halting his independence. My brother has traveled to London with my dad on average every month to spend the weekend with our mum since he was 6 my mum met them in London as the half way point and took him to her home on the Isle of Wight. Since my brother was fifteen he has traveled to the Isle of Wight from London alone (thanks to my mum encouraging his independence) this involves a coach and then getting onto a cat across to the island. He is now 20 and my dad still say's that he is not ready to travel to London alone (1 train, no changes, no underground) "London is a scary place" he said. I think my brother is capable of doing this alone easily. I asked my dad when was the last time he asked my brother if he thought he could do it alone and he replied the last time they went my brother said he preferred to have dad with him. My dad said he doesn't want to push him to do something that he's not comfortable with. I replied that sometimes everyone needs to be pushed a little, he replied "EVERYONE DOESN'T HAVE AUTISM". My brother was pushed slightly to do the second part of the journey alone and is fine with it. Is it true that you shouldn't push someone who has ASD to be more independent?"


Answer

To your dad:

The balance between holding-on and letting-go is one of the most difficult things that moms and dads have to face with their ASD (high-functioning autistic) older teens and adult children. At this time in your son's life, it may be appropriate to take more of a back seat in many instances.  While others may want you to back away, you can still keep the lines of communication open with your son and help him do what it is he is trying to do.

For all young adults, we are expected to be in their lives and out of their faces at the same time. Your ASD son may have many good opportunities to reach out to peers if he is interested. If he doesn’t know how to, while it is now inappropriate for you to set up ‘play dates’ or constantly organize his social groups, you can offer occasional suggestions and coach him from the sidelines. 
 

Keep in mind that some older ASD adolescents do not want more interaction even though their moms and dads may feel it is important for them to have it. It is important to be sure that the social goals you set up for your son include what he wants now and not just what you think he should have or be doing. 
 
He may never be the life of the party and may always be a little on the periphery, but for him this could be a comfortable place - and one that he is used to. It could provide social interaction and friendships, and yet offer a comfortable distance and not a lot of pressure. If he wants more, you can help him learn to move in and reach out for more at his own pace.

When to hold on, when to let go, when to push, and when to pull ...these are some of the themes that every parent struggles with (both with “typical” and “special” children). The outcomes for kids and adolescents are best when moms and dads and professionals work as partners with mutual respect and shared decision-making power. 
 
Moms and dads, by virtue of their bond with their youngster, are true authorities in their own right, with information to contribute that no one else has access to. Professionals, on the other hand, through training and experience, can offer expertise and a broad perspective that moms and dads alone don’t have. Each has only partial knowledge, with complete expertise possible through team work (often with some trial and error however). 
 

Letting go may sound too drastic, and perhaps so. Maybe a more realistic way to look at this dilemma is to just loosen your grip and see what happens. If your ASD son seems to slip backwards, this may convince others that he needs more support than they thought. If he is somehow able to meet that challenge, you may be pleasantly surprised. There are inevitable and unavoidable road bumps and pot holes in this process. We cannot control that, but we can control how we respond to them.

Your adult son will need continuing support and guidance, some of it from experienced professionals to continue his social development. While this may pose a financial strain, the long term benefits usually outweigh the cost of not getting him this support.

It’s a long and winding road to launch an autistic child out into the real world. It’s hard to know at any given moment what to accept and what to work on. A parent’s job never ends—it just changes. Give yourself a well-deserved pat on the back for getting this far. Take good care of yourself as well. 
 
 
Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
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How to Help Your Adult Child to Find Employment

Question

"I want to help my son with ASD [level 1] to get employment in the field that he does well at, but there is no one out there who will give him a chance-Help!"

Answer

The job market can seem like a cold, cruel place. So many people are competing for a hand full of jobs, hoping to break into their field of interest. It truly is a rat race. There are things you can do to help your son find his place in the battlefield of employment.

You’ve already given him a good start by encouraging him to find a career that is focused on one of his interests. People with ASD Level 1  (high-functioning autism) can have very strong obsessions. The amount of attention your son places on his obsessions guarantee that he will be extremely knowledgeable in that area. Not only that, the personal involvement makes him intensely happy.
 
An internship is a good way to get a foot in the door of a possible employer. Many companies that are under hiring freeze still have work that another person could be doing. By offering time as an intern, your son could receive valuable on-the-job training in his field of interest. It’s true that he wouldn’t be a paid employee, but once that hiring freeze is lifted, he’ll be first in line for the job.

Volunteering is another option. Although not as structured, volunteering is similar to an internship, meaning no pay. Volunteer opportunities can be found in every community. They may not be directly related to his field of interest, but he could learn how to be a good employee in many different situations. Not to mention, the volunteer hours will look really good on his resume.

Do not discredit the idea of your son accepting a job unrelated to his area of interest. Sometimes you have to work up a little bit to that preferred position. A company that does business in his area of interest may have openings in another department. Lateral moves happen all the time. And if it doesn’t, he will have solid work experience to add to his resume when he’s ready to make the jump into his desired field.
 
Here are 8 types of occupations that may be a good fit for your son:

•    Accounting
•    Animal science
•    Art and design
•    Engineering
•    Information technology
•    Manufacturing
•    Researcher
•    Shipping and logistics

Finding employment based on your son’s interest will assure a successful and enjoyable career. These tips and suggestions should get you started building your son’s resume and enabling him to secure the job of his dreams. 
 
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