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Aspergers and HFA Children and Their Reaction to Pain

As parents of kids with Aspergers and High-Functioning Autism (HFA), we are all familiar with the enigma of their unequal reaction to pain and injury. A stubbed toe or paper cut may set off a pain response (e.g., crying, screaming, and sobbing) such as is equaled by the loss of a limb, yet a burst ear drum or broken limb may go seemingly unnoticed.

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Ryan's Story: Mother Tells Her Story of Raising an Aspergers Child

First of all, I’m obviously NOT a doctor or a professional. I am simply the mother of a child, Ryan, with Aspergers who has done a ton of research, reading and have talked to several medical professionals about this condition. I am simply giving my opinion and the things I’ve learned about this condition during the last year.

I’m going to try and write as much of this editorial as possible from the knowledge I’ve personally obtained through research and reading rather than give you a ton of medical jargon. Aspergers is a pretty newly diagnosed condition with the first official diagnosis occurring in about 1995-1996. Prior to this condition’s discovery, most children and people with ASPERGERS were diagnosed as “Autistic”, “ADHD” or some other developmental condition.

There is a lot of debate among professionals as to whether or not ASPERGERS should be considered a “form of autism” or a totally separate condition. Either way, ASPERGERS at the current time is considered to be on the mild spectrum of “Autism” or “PDD’s” (Pervasive Developmental Disorders) and is a developmental delay that is rather similar in many aspects to the different forms of Autism.

My husband’s [John] job was the reason for our relocation over 2 years ago. At this time Ryan was not quite 2 years old. When we moved here to our new home, we didn’t know anyone in this area. Our family and friends were at least 4-5 hours away, and we were all alone. Soon enough, we began to make friends and socialize with some people in this area. We began to spend a lot of time with one of the couples we became close friends with almost immediately. This lady is a Speech and Language Pathologist/Therapist. Since Ryan was still pretty young, it was difficult to tell much about his language and speech abilities, but he was definitely “different”. After talking with this friend of mine, we pretty much chalked it up to all the ear infections he had as a baby and this was the reason his speech was a bit delayed. However, over the last 2 years, the delay became significant, and my friend recommended we bring him in to the Speech Center here in town for a free screening. We did just that, and from there it just snowballed.

Indeed, Ryan had significant (moderate to severe) delays in speech and language. He immediately began speech therapy twice a week. It was difficult for me to accept that Ryan needed speech therapy, but little did I know what was ahead. After a month or so of speech therapy, the therapist discussed with me that she felt there was “more going on than just speech delays” and that we should have him evaluated by a Psychologist. What? Now I was freaked out big time. But I knew she was right, so we did go ahead with the evaluation. Thank God for a wonderful Developmental Psychologist here in our area. She came highly recommended and now that I’ve met her, I know from experience that she is simply amazing. She didn’t make us subject Ryan to another doctor’s office, so she came to our home FOUR times before completing the evaluation.

The first session she mainly talked with John and me while she observed Ryan as he played and interacted with her. The next 3 sessions were geared towards testing and evaluating Ryan. She was wonderful with him and he really liked her being here. He thought they were just playing games, so the evaluation was very stress free. She also took the time to come to a therapy session to observe, and then to meet with Ryan’s Speech Therapist to discuss the therapist’s findings and viewpoints where he was concerned.

After the evaluations were completed, we received a “report” that gave us the official diagnosis. The Psychologist was very helpful and sincere in her diagnosis and did everything possible to make it easy on us. She made herself available to us at all times for questions and concerns that we wanted to discuss with her. She really was a godsend!

We Have A “Diagnosis”, Now What?

I was in shock. I absolutely couldn’t believe that something of this magnitude was wrong with MY child. Of course, the first feelings and thoughts I had were “WHY?” and then the guilt came. What did I do to cause this? Did I mess up during my pregnancy? Did I have more problems during my delivery than I realized? Did I give this to him somehow? WHAT did I do to cause this, because I know I’m the one at fault?

After the initial shock wore off, I began to read, read, read and read some more. Anything and everything I could get my hands on that had anything to do with Aspergers. I couldn’t GET enough information. Some of it was encouraging and some was very discouraging. Then I began to seek out other people in my position, parents of children with ASPERGERS. I wanted to talk to anyone and everyone I could find that had gone through this. I was fortunate enough to find several opinions members that knew all about this. The internet gives endless possibilities for people like me. I have met several parents over the last few months that I’m now in contact with and it has been very helpful. I also met a family in our church that has a son who is 6 and has autism. We have gotten together several times and let our children play. This has been wonderful all the way around. They were just as glad to meet US.

Now that I had lots of information and had talked to a few people in the same boat, I needed to know what to do next. With the direction of the Speech Therapist and the Psychologist, I was told what our options were. First thing was to get Ryan an appointment with a Pediatric Neurologist. This is to simply check him out and make sure he’s okay “physically”. This will also be the doctor we discuss our options regarding medications with.

Even though Ryan was only 3 when he was diagnosed, he now qualifies for several “services” in the school system in our county. Had we lived in the bordering state, we would not have these options. These options were only available to us because of the state and county we lived in. Coincidence? I think not. We were thanking God that we now lived on THIS side of the state line when at one time we DID live on the other side! I contacted the Preschool Director in our county, and they immediately set up a meeting and here we went. Ryan will now start Preschool full time and he’ll be in a “special needs” class with other developmentally delayed children, some of which have “autism”.

Other than this, he continues to go to speech therapy 1-2 times per week, and we work with him at home as much as we can. Now that we know how he operates and what he needs, we are better equipped to help him during the time we spend at home. I am a stay at home mom, so I am able to work with him a lot right now.

How The Diagnosis Changed Our Viewpoint & Our Strategy

Prior to getting the ASPERGERS diagnosis, we thought we had a “strong willed, hyper active, boy” on our hands. We knew he wasn’t “typical”, but we chalked it up to those things. Now that we had a REASON and a means to explain our child’s behavior, we could stop thinking we just had a “bad kid”. The diagnosis was a shock, don’t get me wrong, but we were almost relieved to know that there was indeed a reason for our child’s issues and behaviors. Immediately, things were put into perspective. We now knew the reason for all of his odd behaviors and why he did the things he did.

Our strategy of “we have got to make this kid behave” changed to, “we have to help him in every way we can”. It has not been easy, but we’ve made a lot of progress and conquered some difficult tasks over the last several months. Speech Therapy has been miraculous for him. We’ve seen things come about in him that we thought would take MUCH longer than it did. For this we are very thankful.

Our Experiences With An ASPERGERS Child

So how does he act? What are his problems? What makes him “different”? These are questions I hear a lot when someone wants to know more about Ryan and his ASPERGERS. A complete stranger doesn’t always notice that there is anything going on, but if you are around him for any length of time, you’ll probably notice it. ESPECIALLY if you are familiar with toddlers this age and the things they can do and their language abilities. If you have no experience with toddlers, you may not really notice that much of a difference in Ryan, but if you have been around toddlers at all, you will most likely see that he is different.

He knows no strangers. He will talk to anyone and everyone. You probably won’t understand what he’s saying, but he’ll chatter to you all day if you will listen. He does a lot of what is called “jargon”. Its speech, but it’s not understandable. Sometimes mom or dad can interpret, and sometimes we can’t. He doesn’t know how to have a “typical” or “normal” conversation. He only knows how to tell you what he knows. His latest is telling everyone we see that “We saw Jonah”, meaning the Veggie Tales Movie called “Jonah”. That was a big deal to him, and I made a point to “talk” to him about the events of that day, so now he tells everyone that we saw the movie. It’s one of the only lines he knows how to start a conversation with.

Up until 6 months ago, he couldn’t even answer simple yes/no questions. If you asked him a question that required a yes or no answer, he’d either scream and cry (meaning no) or grunt and point (meaning yes). Now, at least we had an idea of what his answer was, but we knew he needed to be able to say yes or no in response to questions. He can now do this in most instances, but we still have some issues with it from time to time.

When he talks to you, he may look your direction, but he makes very little direct eye contact. As a matter of fact, the therapist is working on this with him and it's been difficult. It's seemingly painful for him to have to make eye contact for longer than a second or two. He's working on it though. One way I've gotten him to look at my eyes for longer than a second is by asking him to tell me what color my eyes are. Works every time :)

He does a LOT of what is called “echolalia”. This is where the child repeats back to you what you have said to him. Ryan does this ALL the time. Why? This is how he responds to something that he doesn’t understand. If I ask him a question and he doesn’t understand what I’m saying, he’ll just repeat it back to me. OR, he’ll repeat it back to me until he grasps it, then he’ll answer me. It depends on his comprehension of the question. Sometimes he’ll eventually get it and answer me, and other times he’ll keep repeating it to the point of making himself upset. That’s when I have to re-phrase the question, or figure out a way to SHOW him what I mean with objects or pictures or by acting it out with another person.

He is just learning to tell us that he hurt his foot, arm, head, etc. He doesn’t know all body parts, but he’s getting there. If he got hurt while no one was in the room, we’d be left to guess where he was hurt. He would just cry. Now he can at least point and show us where he’s hurting. But, this is the extent of his being able to explain or tell us about pain. He’s had numerous stomach bugs, ear infections, sinus infections, and many other illnesses that we know causes pain or discomfort, but he has absolutely no idea how to tell us about a headache, earache or stomachache. Pain is a foreign concept to him except for telling us he bumped his head on the coffee table. Even though he's almost 4 years old, for us it's identical to dealing with a sick infant when it's time to take him to the dr. to figure out what's wrong.

He has what are called "food aversions". He is super, super, super picky about food, and there are certain food textures he will not put into his mouth. He doesn't eat any type of cut up meat. As a matter of fact, the ONLY meat he'll eat is a McDonald's cheeseburger. That's it. He absolutely will not eat any type of gummy or gooey candy (such as gummy bears or gumdrops). If he has to chew it longer than 5 seconds, it's going to get spit back out. Meal times are always challenging because there are only a handful of foods he'll eat without fighting us. But we do what we can.

He is a creature of habit and routine. He has been since the day he was born. He expects things to be the same as they were last time, and if there is change, there are consequences. This is one sure way to cause him to have a “meltdown” as I heard it adequately described by another parent. A few examples would probably be the easiest way to describe these situations. He has a routine throughout the day. He gets up, he eats breakfast, he plays and watches some TV, he eats lunch, he goes potty, he takes a nap, he gets up and gets a snack and some juice, he watches a movie, he plays, he eats supper, he puts on his pajamas, he brushes his teeth, he goes potty, he tells daddy goodnight, he sits with mommy in the rocking chair, we sing a song, we read a book and then he gets in bed. Granted, there are a few other things in there that are variables (such as going to a dr. appt., therapy, or the grocery store) but for the most part, this is his daily routine. If you even think about changing this schedule, you will regret it dearly.

When he gets up from his nap, you better have the cookies and juice waiting or else. If you forget to brush his teeth at bedtime, he’ll now tell you but before he could tell us, he’d just scream until we figured out that we had forgotten. Ask me if we ever forget anymore ;-) Routine is his safety net. If you change it, you totally rock his world.

Another routine example: He knows beyond a shadow of a doubt that on Thursdays (although he doesn’t understand days of the week) we go to Speech Therapy, and then we go to McDonald’s for a happy meal. And I mean THE same McDonald’s location too. He knows that we first place the order, and then we go to Window #1. He can count, so he knows the window #’s. He knows we pay at window #1. He knows we then drive up and get the food at window #2. That’s just the way it goes. A few weeks ago, we pulled up and that day no one was at window #1. I had to pull up to window #2 to pay AND to get the food. This blew his mind. I broke the routine and he couldn’t grasp or comprehend why. This type of thing literally causes him pain. He began to scream and have a major tantrum or meltdown. There was NO reasoning with him. He didn’t care that we DID get the food; he just kept screaming, “Go to #1”! The tantrum lasted for over 45 MINUTES! And this was a pretty mild one. There are endless examples, but you get the point.

He doesn’t understand sarcastic statements or tones. He takes everything literally. He doesn’t understand the concept of life and death, real and fantasy and many emotions or feelings. He’s almost 4 years old, but if you turned on a really scary horror film in front of him, he’d have absolutely no idea that it was supposed to be scary. He doesn’t understand “violence” and “language” on television. He just doesn’t grasp concepts like this. He is just learning to identify the difference between someone having a “happy” expression or a “sad” expression on their face. This has taken MONTHS for him to grasp.

He lives in a fantasy world most of the time. His favorite thing in the world is his movies and his toys. Even if he’s not watching television, he likes to listen to his movies while he plays. He memorizes EVERY single part of every movie he owns. He spends 80-90 % of his time re-enacting scenes from his videos and replaying them over and over. He even uses language and phrases from his videos in real life conversations with us and with other people. Sometimes he actually uses the phrases in context, but they are still not his original thoughts or expressions. Sometimes he’ll repeat a scene from a movie over and over and over until we literally stop him and literally make him snap out of the zone he’s in. We do this many times every day.

Now that we know things that will set him off, we can do our best to avoid them. However, there are some things we feel he has to learn to deal with. It depends on the situation. I know he wants his snack after naptime and that’s fine. I know he wants his happy meal on Thursday and that’s fine. I know he wants to sing and read a book at bedtime and that’s fine. But there are times when something upsets him when we feel it’s something he should be able to cope with so we do our best to calm him and make him okay in the situation. Sometimes it works, sometimes it doesn’t. There are times when we do have his snack ready after naptime but he’ll still begin to have a tantrum because the cookies are not in the same bowl or the juice is in a different cup. That’s when we feel he should be okay with it since the snack and juice are still there. We’ll reason with him that it’s the same thing, and if he won’t settle down, we make him go sit in his room and that is something that always allows him to calm himself down.

Depending on how upset he is, it could take anywhere from 1 minute to 10 minutes for him to calm down. This is a tactic that has been very effective for us (having him sit in his room quietly until he calms himself down). This method isn’t considered “time out” when it’s in this type of setting, although we do use “time out” as a means of discipline when he’s simply displaying bad behavior.

Basically, we’ve learned to live with and deal with the aspects of this condition. We aren’t pros, but we are learning day by day how to handle things better and how to help Ryan the best ways we can.

Any Upsides to All This?

Definitely. First of all, I don’t take my kid for granted anymore. I definitely realize that he could be in MUCH worse shape mentally and/or physically and I don’t take one second for granted anymore. I love this kid more than I ever did before, if that’s possible. All this really opened my eyes to parenthood. I have been given a responsibility, and I have to make sure my child gets the best that life has to offer. I am responsible for how well equipped he’ll be to deal with real life when he’s older. I know I can’t control things, but I have been given the duty to make sure he is given every opportunity to get better.

Even though I don’t wish this on anyone, and I still struggle with it myself on many days, I am so thankful that I now have an explanation for why Ryan is the way he is, and I now know what to do about it. Thanks to doctors, other parents and books/articles out there, I have a better grasp on this and how to deal with it. I’d rather know what the problem is and deal with it than to ignore it, live a lie and deprive Ryan of the help he deserves.

I now have the opportunity to help other parents out there who are struggling with this very issue. Since this is a fairly new disorder, there is limited information out there on ASPERGERS. I am now able to become a part of the information that is available by being able to share our experiences with others. I am an information fanatic. I always want to get my hands on books dealing with ASPERGERS, but nothing compares to talking with another parent of a child with ASPERGERS and what they have been through, what they have learned and what advice they can give to help me be a better parent to my child.

Ryan has“innocence” about him that I can’t really explain. He knows nothing about September 11th. Even if you told him, he wouldn’t understand. He knows nothing about the evil in our world. He knows nothing about the war, violence and terrorism out there. He has no concept of murder, death, rape, assault or any other violence that we see on the news every day. He knows when he’s a “bad boy” but that’s about the extent of what he knows is wrong in the world. I am almost comforted by the fact that he knows nothing about these things. But I know when he’s older it will be inevitable for him to learn and know about them.

He’s VERY smart. He has been able to count to 20 for quite some time (even earlier than most toddlers do); he knows all colors, shapes and the alphabet. Not only can he count to 20 and say the entire alphabet, he recognizes numbers and letters out even out of order. He knows every single movie and every book he owns by memory. He knows where they are, what they are and what they are about. Even from another room he can tell you every book he owns. He remembers EVERYTHING. We can take a road trip that is several hours long, and the second time we make the trip, he knows where we are and where we are going by the time we have gone 3-4 miles. We travel a LOT since we have no family or friends here locally, so he has memorized a LOT of routes and scenery.

He is also the most loving and affectionate child you can imagine! He loves to snuggle, hug and give lots of sugar. He is my heart!

In Conclusion

I know this has been rather lengthy, but I wanted to discuss as many aspects of ASPERGERS as I could, from a parent’s viewpoint. There are lots of medical things I could have included, but there are so many other resources for that type of information. I simply wanted to offer an inside perspective of this disorder and how we’ve dealt with it over the last year.

To any other parents out there who have a child with any type of developmental or psychological disorder or condition, I hope this has helped in some way and I’m ALWAYS available to talk via email to anyone who would like to email me.

Aspergers has definitely changed the lives of Ryan, John and I forever. We have a long journey ahead of us, but we intend on making it the easiest and most pleasant journey we can, especially for our adorable son who was given to us by God. Thanks to "Online Parent Support" and the My Aspergers Child eBook, we are much much better off today and making continued progress - one day at a time.

When do you tell a child he/she has Aspergers?

Dear Parents of kids with Aspergers:

Re: How or when do you tell a child he/she has Aspergers?

Since all children with Aspergers (high-functioning autism) are different, I can only tell you how I told Matthew, and leave the judgment call up to you. We found out Matthew had Aspergers when he was 5. We decided to tell him as early as possible, hoping he would embrace it instead of completely rejecting the idea.

My wife and I then researched different parts of this spectrum and when we were ready, sat Matt down and begin to tell him. We started out by telling him that everybody is born with a gift. Some are born to be athletes, some with great music talents. We stated he was born with the gift of Aspergers. When then stated that Aspergers give him the ability to see life differently (out of the box). If all people see the world the same, then we would not have great inventions. People who look outside of this box can view the world in a whole different way.

We also gave him names of famous people who had Aspergers, to put his mind at ease. I also found that giving him this list gives him hope that he could change the world one day. We also used television personalities so Matt could see people on television who have it. For example: Lisa Simpson, Spock, House, Gissom from CSI, and now Sheldon from the Big Bang theory.

We have found that in using this strategy, Matt has not only accepted his diagnoses, but now has become proud of it. This was his gift.

My Aspergers Child: Help for Parents with Out-of-Control Aspergers Children

The "Out-of-Control" Child on the Autism Spectrum

Moms and dads often ask how to deal with and help the high functioning autistic youngster that seems to be out of control. How do you control or manage the kid that intimidates, hits, punches and seems to enjoy torturing their siblings? What do you do with the kid that argues, is defiant, and refuses to participate or follow directions can be difficult to live with and can create disharmony within the household?

CLICK HERE for the full article...

Aspergers and HFA Children with Anger Problems

Many moms and dads recognize that their Aspergers or high functioning autistic (HFA) child has a problem with anger management. They feel their child needs to develop anger management skills, or needs to find some kind of anger management counseling that will help them get along better in life -- in school, at work, with a parent, with siblings, and others. In some cases, professionals may have diagnosed the Aspergers or HFA child with a “conduct disorder”, or “oppositional defiant disorder”.

Types of Anger—

The natural response to fear is to fight it or avoid it. When confronted with fear, animals and humans both go into “fight or flight”, “violence or silence”, or “gun or run”. They engage in the conflict, or they withdraw. Though many moms and dads may equate “child anger management” with the “fight-violence-gun,” uncontrollable rage, parents must also recognize that anger may be “turned inwards” in the “flight-silence-run” mode, which can often times be as dangerous, if not more so, than expressed anger.

Generally, anger falls into three main categories: 1) Fight, 2) Flight, or 3) Pretend to be “Flighting”, while finding indirect ways to Fight. Most children on the autism spectrum who have anger management problems will go to either extreme of fight or flight. They tend to become aggressive, mean, and hostile, or they withdraw into themselves and become extremely silent, silently stubborn, and depressed.

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

“The Fighters”: Child Anger Turned to Aggression—

“The fighters” are pretty simple to recognize. They are aggressive. Many times, the characteristics of Aspergers and HFA children with anger management problems are included in the professional diagnosis for “Conduct Disorder” or an “Oppositional Defiant Disorder (ODD)”. Some of the warning signs in the following list are taken from the criteria for professional diagnosis. Others are additional common signs of anger management problems for children that are “fighters”.
  • Destroys property
  • Difficulty accepting a “No” answer
  • Does not follow rules
  • Frequently vocalizes anger
  • Furious temper
  • Has left holes in walls and doors from violent outbursts
  • Initiates fights with others
  • Loud and yelling
  • Makes threats
  • Often demeans or swears directly to parent or others in authority positions
  • Often feels rules are “stupid”, or don’t apply
  • Openly and often defiant of requests
  • Physically cruel to animals
  • Physically cruel to people
  • Seems to have “emotional diarrhea”, and “lets it all out, all the time”
  • Seriously violates rules (at home, in school, or society in general)
  • Uncontrollable fits of rage (usually these “temper tantrums” are used as threats to get their way)

This list does not list every possible warning sign for the “fighters”. The child “Fighters” have anger management problems when the problems are creating an unsafe situation for themselves, for others, or for property around them. If animals and/or people are the focus of the anger and aggression, the problem is extremely critical to address. Aspergers and HFA teenagers who have abused animals or people as kids are at a higher risk of becoming a threat to society than those who have not. Where these warning signs seem to be a part of daily life, intervention is strongly suggested. Intervention can be through anger management counseling, an anger management program, or a program dedicated and experienced in working with special needs children with anger management problems.

“The Flighters”: Child Anger Turned to Passive Responses—

The “Flighters” can also be fairly simple to recognize. They are passive. They do not fight back when confronted. Many of their characteristics may coincide with the diagnosis of depression. Some of these warning signs are taken from the professional diagnosis for depression, and others are taken from learning, observations and experience.
  • Deals with difficult emotions by “cutting” the emotions off
  • Does not engage in much conversation
  • Extremely passive, to the point of getting “walked over” by others
  • Has difficulty expressing emotions
  • Holds anger in, then “blows up” suddenly and violently
  • May blame self unnecessarily
  • May have few friends
  • May punch holes in walls or kick doors, when “the last straw drops”
  • May be seen as a “loner”
  • May simply “go along” with whatever, even when it is a poor decision
  • Physical problems may include upset stomach, muscle aches, backaches, frequent headaches, or other physical symptoms from “holding it in”.
  • Seems “emotionally constipated”
  • Seems depressed
  • Seems to have very little emotion
  • Seems to hold anger in
  • Seems withdrawn
  • Tends to spend a lot of time alone
The “flighters” are in danger of destroying themselves emotionally from within. The “flighters” are like a balloon being constantly blown into, with no release valve. When they explode, their anger may be violent, and may lead to harming themselves, harming others, or destroying property. Internalized anger is potentially as destructive to a child as aggressive anger.

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

“The Pretenders”: Child Anger Silently Planning Revenge—

Perhaps the most difficult to detect, the “Pretenders” follow an anger style that seems to be calm on the surface, but is raging, scheming, and planning underneath. They are passive-aggressive. These children do not directly confront the anger as a “Fighter” would do. They will be passive and appear to accept what is said, and then will disregard what is said to do their own thing. They are sneaky. Often, they may be unnoticed. While they are giving a person a hug, they are also stabbing them in the back (so to speak). They lack the courage to be direct, and perfect the skills to be deceitful. They know where the “back door” to revenge is, and will use it often.

They will give the appearance of a “Flighter”. The list of “flighter” characteristics also applies to them. Additional items to look for with “Pretenders” are on the following list.
  • Inconsistency between what is said and what is done
  • May be very good at blaming others
  • May not admit mistakes
  • Often gets caught in lies
  • Sneaky behaviors
  • Tends to avoid direct conflict, while creating problems in other areas
  • Tends to sabotage

These warning signs are a few to look for the “Pretenders”. Aspergers and HFA children who try to manage their anger through the “Pretender” style are as potentially dangerous to others and themselves as the other style. Moms and dads cannot underestimate the “Pretender” style because the danger does not seem to be that of the aggressive “Fighter”.

As has been shown, anger comes in three main styles -- Fighter, Flighter, and Pretender -- and each style has the potential to create big problems for the Aspergers or HFA child, families, and society in general. This post has offered specific warning signs that may indicate if a child on the spectrum has an anger management problem more significant than what is to normally be expected. When necessary, professional and competent intervention is recommended.

==> More parenting strategies for dealing with tantrums and anger control problems can be found here...


More resources for parents of children and teens with High-Functioning Autism and Asperger's:

==> 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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10 comments:


Anonymous said...

    I have a question, is a child with asperger's able to kill an animal, such as a cat????
    he was asked if it bothered him and he laughed and said, it made it little sister cry. And would they do these things because of jealousy of the sibling?
    Thank you for your response.

Anonymous said...

    if this were my child I would bring him in to his psychologist. I don't think its typical for any child of any ability to be harming animals...without a proper evaluation there is no way anyone here can answer this question...we would all be speculating. Ask a professional.

Anonymous said...

    RUN to a professional, and if you don't think you found the right one for your child and family, keep looking. Abuse to animals is very serious, and often does not stop there. At this point, you might not know if your child did this out of frustration, anger, etc, or if he enjoys watching reactions (without any real malintent). Whatever the case, intervention is needed ASAP. If you are truly unsure he did it, you are at least acknowledging the possibility, so please don't get scared and back off. Even if he is not the culprit here, his reaction to the situation is not one you should be comfortable with. Blessings and good luck.

Anonymous said...

    I agree with the above comments. I have an Asperger's son who has plenty of anger/aggressiveness issues, but he is always kind and loving to animals. He also gets very irritated with his younger siblings but is never cruel (he might yell at them, etc. if they are "bugging" him). I can't imagine him purposely doing something to make someone cry (unintentionally maybe). I think your child might have something going on besides Asperger's. Early intervention can help--I'd get started quickly!

Anonymous said...

    I certainly wouldn't call this typical aspie behavior... I agree with Megan, RUN to a professional.

    Anonymous said...

    I found that although my daughter does not appear to connect with people emotionally, inherently she displays a lot of compassion for others. It might be an “Aspie like” trait to say something to a person unwittingly hurting the person’s feelings however I also found that strong emotional responses such as crying, laughing or yelling make an immediate impression on my daughter. If your son is displaying pleasure in seeing such a negative response that is something entirely different. Trait’s of Asperger’s is that the person does not identify with others feelings and/or does not know how to respond. Your son had a pleasurable response. Good luck.

Anonymous said...

    cruelty to animals is a MAJOR red flag, part of the homicidal triad. RUN to a psychologist!!!
 
Anonymous said...

    Did any of you even read the article that proceeds the comments? Hostility toward animals is a common problem with Aspie's, especially those who are "fighters". If you have an Aspie child, you should already be seeing a professional, so that's not the issue. The issue is understanding -- REALLY understanding -- the challenges your child is facing so that you can help him respond appropriately. To the OP: Whether your child killed the cat or not doesn't have to be determined. If he is a Pretender, he may pretend he did it even if he didn't. If he is a Fighter, maybe he did. Whatever. The point now is to give him every possible advantage by educating yourself and then teaching him HOW to better respond to his complex emotions. He doesn't feel or think the way you feel or think; don't expect him to. Ever. But DO expect him to LEARN appropriate, safe modes of expression. It takes time, patience, and persistence. In the meantime, don't add pets to your household. Your child needs CONSTANT supervision, and may always need it. My son turned 21 today, and I still spend 99% of my time "dealing" with the issues that result from being the parent of an Aspie. It's a commitment unlike anything you could ever even imagine, so buck up, educate yourself, and get down to the hard job of teaching this child what he needs to learn to survive in our cruel world. And DON'T rely on message boards as your source of information. Rely on the experts.

   Anonymous said...

    I actually am the one with AS and I was just looking at websites to better understand myself and my behaviors especially when I was little. I am a girl with AS who is now in her teenage years but when I was younger I was defiantly both a "fighter" and a " pretender". I still am in some ways but I have found that my temper is getting better as I am getting older.

    Anonymous said...

    I have a 15 year old with aspirers and lately he has been very fascinated with poronography. He ordered over $500 with of porno on his cell phone ( which has since been taken away) and ordered $600 of porno movies on my tv. Last night we got home and he had tries to rent another porno and he I told him no that is no acceptable and he hit me in the cheat very hard and left a bruise. I don't know what to do for him.

Aspergers Children Who Are Physically Abused

Question

My asperger son is almost 16. He doesn't live with me. He's told me on numerous occasions that he's being physically abused. When I've reported it, they either accuse me of coaching him, or accuse him of lying, or of not being able to get him to focus enough to report the abuse. Years ago I did get one report of abuse substantiated, (because of bruises) however, nothing was done about it, and my son is still ignored. If someone could please help me to get help for my son, or just help my son, I would greatly appreciated it. I love him, and I want him to be safe and happy. He doesn't deserve abuse just because he isn't like other kids.

Answer

In the USA, an estimated 906,000 kids are victims of abuse & neglect every year, making abuse as common as it is shocking. Whether the abuse is physical, emotional, sexual, or neglect, the scars can be deep and long-lasting, often leading to future abuse. You can learn the signs and symptoms of abuse and help break the cycle, finding out where to get help for the kids and their caregivers.

Facts about abuse and neglect—

How could anyone abuse a defenseless child? Most of us can’t imagine what would make an adult abuse a child. The worse the behavior is, the more unimaginable it seems. Yet sadly, abuse is much more common than you might think. Abuse cuts across social classes and all ethnicities. And the abuse overwhelmingly is at the hands of those who are supposed to be protecting the child- the parents.

What is abuse?

Abuse happens in many different ways, but the result is the same- serious physical or emotional harm. Physical or sexual abuse may be the most striking types of abuse, since they often unfortunately leave physical evidence behind. However, emotional abuse and neglect are serious types of abuse that are often more subtle and difficult to spot. Child neglect is the most common type of abuse.

How can abuse happen?

There are many complicated factors that lead to abuse. Risk factors for abuse include:
  • Alcohol or drug abuse. Alcohol and drug abuse lead to serious lapses in judgment. They can interfere with impulse control making emotional and physical abuse more likely. Due to impairment caused by being intoxicated, alcohol and drug abuse frequently lead to child neglect.
  • Domestic violence. Witnessing domestic violence in the home, as well as the chaos and instability that is the result, is emotional abuse to a child. Frequently domestic violence will escalate to physical violence against the child as well.
  • History of abuse. Unfortunately, the patterns we learn in childhood are often what we use as parents. Without treatment and insight, sadly, the cycle of abuse often continues.
  • Stress and lack of support. Parenting can be a very time intensive, difficult job. Moms and dads caring for kids without support from family, friends or the community can be under a lot of stress. Teen parents often struggle with the maturity and patience needed to be a parent. Caring for a child with a disability, special needs or difficult behaviors is also a challenge. Caregivers who are under financial or relationship stress are at risk as well.

The lasting effects of abuse—

All types of abuse and neglect leave lasting scars. Some of these scars might be physical, but emotional scarring has long lasting effects throughout life, damaging a child’s sense of self and ability to have healthy relationships.

You can make a difference—

One of the most painful effects of abuse is its tendency to repeat itself. One of every three abused or neglected kids will grow up to become an abusive parent. You may be reluctant to interfere in someone’s family, but you can make a huge difference in a child’s life if you do. The earlier abused kids get help, the greater chance they have to heal from their abuse and not perpetuate the cycle.

Physical abuse: Warning signs and how to help—

Many physically abusive parents and caregivers insist that their actions are simply forms of discipline, ways to make kids learn to behave. But there’s a big difference between giving an unmanageable youngster a swat on the backside and twisting the child’s arm until it breaks. Physical abuse can include striking a youngster with the hand, fist, or foot or with an object, burning, shaking, pushing, or throwing a child; pinching or biting the child, pulling a youngster by the hair or cutting off a child’s air. Another form of abuse involving babies is shaken baby syndrome, in which a frustrated caregiver shakes a baby roughly to make the baby stop crying, causing brain damage that often leads to severe neurological problems and even death.

Warning signs of physical abuse—
  • Behavioral signs. Other times, signs of physical abuse may be more subtle. The youngster may be fearful, shy away from touch or appear to be afraid to go home. A child’s clothing may be inappropriate for the weather, such as heavy, long sleeved pants and shirts on hot days.
  • Caregiver signs. Physically abusive caregivers may display anger management issues and excessive need for control. Their explanation of the injury might not ring true, or may be different from an older child’s description of the injury.
  • Physical signs. Sometimes physical abuse has clear warning signs, such as unexplained bruises, welts, or cuts. While all kids will take a tumble now and then, look for age-inappropriate injuries, injuries that appear to have a pattern such as marks from a hand or belt, or a pattern of severe injuries.

Is physical punishment the same as physical abuse?

Physical punishment, the use of physical force with the intent of inflicting bodily pain, but not injury, for the purpose of correction or control, used to be a very common form of discipline. Most of us know it as spanking or paddling. Many of us may feel we were spanked as kids without damage to body or psyche. The widespread use of physical punishment, however, doesn’t necessarily make it a good idea. The level of force used by an angry or frustrated parent can easily get out of hand and lead to injury. Even if it doesn’t, what a youngster learns from being hit as punishment is less about why conduct is right or wrong than about behaving well — or hiding bad behavior — out of fear of being hit.

Emotional abuse—

“Sticks and stones may break my bones but words will never hurt me”. This old saying could not be farther from the truth. Emotional abuse may seem invisible. However, because emotional abuse involves behavior that interferes with a child’s mental health or social development, the effects can be extremely damaging and may even leave deeper lifelong psychological scars than physical abuse.

Emotional abuse takes many forms, in words and in actions.

Words. Examples of how words can hurt include constant belittling, shaming, and humiliating a child, calling names and making negative comparisons to others, or constantly telling a youngster he or she is “no good," "worthless," "bad," or "a mistake." How the words are spoken can be terrifying to a youngster as well, such as yelling, threatening, or bullying.

Actions. Basic food and shelter may be provided, but withholding love and affection can have devastating effects on a child. Examples include ignoring or rejecting a child, giving him or her the silent treatment. Another strong component of emotional abuse is exposing the youngster to inappropriate situations or behavior. Especially damaging is witnessing acts that cause a feeling of helplessness and horror, such as in domestic violence or watching another sibling or pet be abused.

Signs of emotional abuse—

Behavioral signs. Since emotional abuse does not leave concrete marks, the effects may be harder to detect. Is the youngster excessively shy, fearful or afraid of doing something wrong? Behavioral extremes may also be a clue. A youngster may be constantly trying to parent other kids for example, or on the opposite side exhibit antisocial behavior such as uncontrolled aggression. Look for inappropriate age behaviors as well, such as an older youngster exhibiting behaviors more commonly found in younger kids.

Caregiver signs. Does a caregiver seem unusually harsh and critical of a child, belittling and shaming him or her in front of others? Has the caregiver shown anger or issues with control in other areas? A caregiver may also seem strangely unconcerned with a child’s welfare or performance. Keep in mind that there might not be immediate caregiver signs. Tragically, many emotionally abusive caregivers can present a kind outside face to the world, making the abuse of the youngster all the more confusing and scary.

Sexual abuse—

Sexual abuse, defined as any sexual act between an adult and a child, has components of both physical and emotional abuse. Sexual abuse can be physical, such as inappropriate fondling, touching and actual sexual penetration. It can also be emotionally abusive, as in cases where a youngster is forced to undress or exposing a youngster to adult sexuality. Aside from the physical damage that sexual abuse can cause, the emotional component is powerful and far reaching. The layer of shame that accompanies sexual abuse makes the behavior doubly traumatizing. While news stories of sexual predators are scary, what is even more frightening is that the adult who sexually abuses a youngster or adolescent is usually someone the youngster knows and is supposed to trust: a relative, childcare provider, family friend, neighbor, teacher, coach, or clergy member. Kids may worry that others won’t believe them and will be angry with them if they tell. They may believe that the abuse is their fault, and the shame is devastating and can cause lifelong effects.

Signs of sexual abuse—
  • Behavioral signs. Does the youngster display knowledge or interest in sexual acts inappropriate to his or her age, or even seductive behavior? A youngster might appear to avoid another person, or display unusual behavior- either being very aggressive or very passive. Older kids might resort to destructive behaviors to take away the pain, such as alcohol or drug abuse, self-mutilation, or suicide attempts.
  • Caregiver signs. The caregiver may seem to be unusually controlling and protective of the child, limiting contact with other kids and adults. Again, as with other types of abuse, sometimes the caregiver does not give outward signs of concern. This does not mean the youngster is lying or exaggerating.
  • Physical signs. A youngster may have trouble sitting or standing, or have stained, bloody or torn underclothes. Swelling, bruises, or bleeding in the genital area is a red flag. An STD or pregnancy, especially under the age of 14, is a strong cause of concern.

Sexual abuse: The online risk—

Kids who use the Internet are also vulnerable to Internet predators. Among the warning signs of online sexual abuse are these:
  • You find pornography on your child's computer.
  • Your youngster becomes withdrawn from the family.
  • Your youngster receives phone calls or mail from people you don't know, or makes calls to numbers that you don’t recognize.
  • Your youngster spends large amounts of time online, especially at night, and may turn the computer monitor off or quickly change the screen on the monitor when you come into the room.

Child neglect—

Child neglect is the most frequent form of abuse. Neglect is a pattern of failing to provide for a child's basic needs, endangering a child’s physical and psychological well-being. Child neglect is not always deliberate. Sometimes, a caregiver becomes physically or mentally unable to care for a child, such as in untreated depression or anxiety. Other times, alcohol or drug abuse may seriously impair judgment and the ability to keep a youngster safe. The end result, however, is a youngster who is not getting their physical and/or emotional needs met.

Warning signs of child neglect—
  • Behavioral signs. Does the youngster seem to be unsupervised? School kids may be frequently late or tardy. The youngster might show troublesome, disruptive behavior or be withdrawn and passive.
  • Caregiver signs. Does the caregiver have problems with drugs or alcohol? While most of us have a little clutter in the home, is the caregiver’s home filthy and unsanitary? Is there adequate food in the house? A caregiver might also show reckless disregard for the child’s safety, letting older kids play unsupervised or leaving a baby unattended. A caregiver might refuse or delay necessary health care for the child.
  • Physical signs. A youngster may consistently be dressed inappropriately for the weather, or have ill-fitting, dirty clothes and shoes. They might appear to have consistently bad hygiene, like appearing very dirty, matted and unwashed hair, or noticeable body odor. Another warning sign is untreated illnesses and physical injuries.

What to do if a youngster reports abuse—

You may feel overwhelmed and confused if a youngster begins talking to you about abuse. It is a difficult subject and hard to accept, and you might not know what to say. The best help you can provide is calm, unconditional support and reassurance. Let your actions speak for you if you are having trouble finding the words. Remember that it is a tremendous act of courage for kids to come forward about abuse. They might have been told specifically not to tell, and may even feel that the abuse is normal. They might feel they are to blame for the abuse. The youngster is looking to you to provide support and help- don’t let him or her down.

Avoid denial and remain calm. A common reaction to news as unpleasant and shocking as abuse is denial. However, if you display denial to a child, or show shock or disgust at what they are saying, the youngster may be afraid to continue and will shut down. As hard as it may be, remain as calm and reassuring as you can.

Don’t interrogate. Let the youngster explain to you in his/her own words what happened, but don’t interrogate the youngster or ask leading questions. This may confuse and fluster the youngster and make it harder for them to continue their story.

Reassure the youngster that they did nothing wrong. It takes a lot for a youngster to come forward about abuse. Reassure him or her that you take what is said seriously, and that it is not the child’s fault.

Reporting abuse and neglect—

Reporting abuse seems so official. Many people are reluctant to get involved in other families’ lives. However, by reporting, you can make a tremendous difference in the life of a youngster and the child’s family, especially if you help stop the abuse early. Early identification and treatment can help mitigate the long-term effects of abuse. If the abuse is stopped and the youngster receives competent treatment, the abused youngster can begin to regain a sense of self-confidence and trust. Some moms and dads may also benefit from support, parent training and anger management.

Reporting abuse: Myths and Facts—
  • I don’t want to interfere in someone else’s family. The effects of abuse are life long, affecting future relationships, self esteem, and sadly putting even more kids at risk of abuse as the cycle continues. Help break the cycle of abuse.
  • It won’t make a difference what I have to say. If you have a gut feeling that something is wrong, it is better to be safe than sorry. Even if you don’t see the whole picture, others may have noticed as well, and a pattern can help identify abuse that might have otherwise slipped through the cracks.
  • They will know it was me who called. Reporting is anonymous. In most states, you do not have to give your name when you report abuse. The abuser cannot find out who made the report of abuse.
  • What if I break up someone’s home? The priority in youngster protective services is keeping kids in the home. A abuse report does not mean a youngster is automatically removed from the home - unless the youngster is clearly in danger. Support such as parenting classes, anger management or other resources may be offered first to parents if safe for the child.

Abuse Hotlines: Where to call to get help or report abuse—

If you suspect a youngster is in immediate danger contact law enforcement as soon as possible.
  • To get help in the U.S., call: 1-800-4-A-CHILD (1-800-422-4453) – Childhelp National Abuse Hotline
  • To get help for child sexual abuse, call: 1-888-PREVENT (1-888-773-8368) – Stop It Now
  • 1-800-656-HOPE Rape, Abuse & Incest National Network (RAINN)

Abuse prevention—

Reducing the incidence of abuse is a matter of intervention and education.

Intervention—

In some cases, as in cases of extreme cruelty, sexual abuse, and severe alcohol and drug abuse, kids are safer away from the caregiver. Not all abusive moms and dads intend harm to their kids, however. Some moms and dads need help to realize that they are hurting their kids, and can work on their problems. Some examples include:
  • Alcohol and drug abuse. Alcohol and drug abusers may be so focused on their addiction that they are hurting their kids without realizing it. Getting appropriate help and support for alcohol and drug abuse can help moms and dads focus back on their kids.
  • Domestic violence. A mother might be trying to do her best to protect her kids from an abusive husband, not realizing that the kids are being emotionally abused even if they are not physically abused. Helping a mother leave an abusive relationship and getting supportive counseling can help stop these kids from being abused.
  • Untreated mental illness. A depressed mother might not be able to respond to her own needs much less her kid’s. A caregiver suffering from emotional trauma may be distant and withdrawn from her kids, or quick to anger without understanding why. Treatment for the caregiver means better care for the kids.

In some cases, you might be able to provide support for parents/caregivers who need help yourself. What if a parent or caregiver comes to you? The key is not to be self-righteous or judgmental, which can alienate caregivers, but offer support and concrete offers of help, such as helping them connect with community resources. If you feel that your safety or the safety of the youngster would be threatened if you try to intervene, leave it to the professionals. You may be able to provide more support later after the initial professional intervention.

Education—

Some caregivers have not learned the skills necessary for good parenting. Teen parents, for example, might have unrealistic expectations about how much care babies need or why toddlers can be so prone to tantrums. Other times, previous societal and cultural expectations of good child raising may not be considered so today. In previous generations and in many cultures, for example, strict physical discipline was considered to be essential in teaching a youngster to behave. Education can greatly help caregivers who need information on raising kids. Parenting classes can not only be effective for teen parents, but for parents who themselves were abused and need to learn new parenting patterns. Education on managing stress and building healthier relationships also helps caregivers.

Kids need education as well to help protect against abuse. They need to know that abuse is never their fault and is never “OK”. Teaching a youngster about inappropriate touch and that they should never keep secrets that make them uncomfortable can help prevent sexual abuse.

For caregivers—

Do you see yourself in some of these descriptions, painful as it may be? Do you feel angry and frustrated and don’t know where to turn? Caring for kids can be very difficult. Don’t go it alone. Ask for help if you need it. If you don’t have a friend or family to turn to, call the abuse hotline, 1-800-4-A-CHILD, yourself. The hotline is also designed to get you support and find resources in the community that can help you.

The Aspergers Comprehensive Handbook

Meltdowns in Students with Aspergers

Strategies for Teachers to Prevent Emotional Outbursts

Aspergers is a form of high functioning autism and can co-exist with other disorders such as ADHD, depression, and anxiety. But mostly, Aspergers affects a youngster’s ability to socialize. Aspergers children have difficulty recognizing facial expressions, sarcasm, and teasing, and struggle to adapt to unexpected changes in routine. Their interests tend to be very narrow, and this can limit their capacity to relate to others.

Due to these struggles, youngsters with Aspergers oftentimes experience anger, fear, sadness, and frustration. There are several effective interventions that can be employed in the classroom to help improve an Aspergers youngster’s learning experience. These can assist the child in feeling more comfortable and decrease anxiety, paving the way for academic achievement.

Make Classroom Rules Clear—

Children with Aspergers thrive on rules, but will often ignore them when they are vague or not meaningful. Educators should detail the most important classroom rules and why they exist. A written list prominently displayed, or a handout of the classroom rules can be very helpful.

Minimize Surprises in the Classroom—

Children on the autism spectrum need structured settings to succeed. They do not like surprises. Things like sudden seating changes or unexpected modifications to the routine could cause anxiety and even meltdowns. Educators should try to provide ample warnings if there is to be a change of plans. For instance, sending a note home to the parents if a seating change is imminent would be beneficial.

A back up plan can be presented to the class in anticipation of schedule changes. When the Friday schedule that usually includes watching an educational film in the afternoon changes if time is short, the teacher should inform the children ahead of time that they will work on free reading or journaling instead, as an example.

Provide Sensory Support—

Many youngsters with Aspergers also experience sensory processing issues. Sensitivity to light, sound, touch, taste, and smells can irritate the youngster, making him more likely to act out or withdraw. Consult the parents to determine what these sensitivities are. Minimizing classroom chaos, noise, and clutter will be a good start.

If possible, get help from an occupational therapist and try to work sensory breaks into the youngster’s school day. Chores such as returning a load of books to the library or even doing a few jumping jacks in the hallway can go a long way in helping the youngster realign and get back to learning.

Promote Supportive Friendships—

If it seems appropriate, educate the class about Aspergers. Develop empathy by making children aware of inappropriate words and bullying behaviors. Highlight the youngster’s strengths in classroom lessons to enable him to find friends with common interests.

If the child with Aspergers seems to be struggling with friendships, group him during classroom activities with those that are more kind and empathetic. At recess or lunch, try assigning a classroom buddy who will be supportive and guide the youngster through those more chaotic times.

Make a Plan for Emotional Outbursts—

Provide a quiet place for the child who has frequent meltdowns. This may be a trip to the bathroom with a classroom aide, or a visit to the school counselor. A written plan for coping in these periods of high stress is critical for an Aspergers child’s success.

Helping youngsters with Aspergers in the classroom is yet another challenge for today’s overburdened educators. However, with insightful monitoring, parental and professional guidance, and creative strategies, a love of school and learning can be fostered in youngsters with Aspergers.

My Aspergers Child: Preventing Emotional Outbursts in Aspergers Children

ASD: Difficulty Identifying and Interpreting Emotional Signals in Others

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