Search This Blog

Aspergers Children and Poor Eating Habits

Question

My child with Aspergers loves pizza rolls. Problem is that's about all he eats (cheese only - doesn't like pepperoni or sausage). He would eat pizza rolls for breakfast, lunch and dinner if we let him. Is there any way to lure him into eating some fruits and/or vegetables?

Answer

Most Aspergers (high functioning autistic) children prefer just a few food items. And it can become quite a power struggle for parents when they attempt to get their child to try anything new. However, there are some ways that parents can "sneak" some healthy stuff into their child's belly. Here are a few tips that may work:

1. Don't get hung up on the time of day your Aspergers youngster eats – or how much he eats in one sitting. It is perfectly fine if your Aspie doesn't eat three square meals every day as long as over the course of a week or two he eats a few things from each food group.

2. Concoct creative camouflages. There are all kinds of possible variations on the old standby "cheese in the trees" (cheese melted on steamed broccoli florets), or you can all enjoy the pleasure of veggies topped with peanut- butter sauce, a specialty of Asian cuisines.

3. Make veggie art. Create colorful faces with olive-slice eyes, tomato ears, mushroom noses, bell-pepper mustaches, and any other playful features you can think of. Zucchini pancakes, for example, make a terrific face to which you can add pea eyes, a carrot nose, and cheese hair.

4. Plant a garden with your Aspergers child. Let him help care for the plants, harvest the ripe vegetables, and wash and prepare them. He will probably be much more interested in eating what he has helped to grow.

5. Slip grated or diced vegetables into favorite foods. Try adding them to rice, cottage cheese, cream cheese, guacamole, or even macaroni and cheese.

6. Steam your greens. They are much more flavorful and usually sweeter than when raw.

7. Using a small cookie cutter, cut the vegetables into interesting shapes.

8. Give your youngster acknowledgement and praise, even if he takes only one bite of something new. For example: "It's great that you tried the green beans!"

9. Let go of the power struggle. You can't force your youngster to do anything, especially eat, so just stop trying. Simply offer him nutritious, varied foods – and eat them yourself. He can have his, or not, but you're showing him how. When moms and dads demand that their children eat certain foods, they're attaching negative connotations to it. Pretty soon, the struggle is worse. Put the food on his plate, but if it stays there, don't push him – and don't stress over it.

10. Offer alternatives if your youngster won't eat meat. The texture turns off many Aspergers kids, and that's fine. Your youngster can still get all the protein he needs from the following:
  • cheese or even meat-filled ravioli (the pasta exterior goes a long way for meat-haters)
  • hard-boiled eggs or any egg dish
  • his favorite crackers dipped in hummus or spread with peanut (or nut) butter
  • mini-tuna melts
  • nachos with beans and cheese
  • yogurt, cheese, or cottage cheese

11. Offer choices that don't matter. You may face stubborn insistence that toast have a corner unbuttered to avoid messy hands, or that cereal be served only in a square bowl, or that nothing gets touched by the preparer of the food. While this kind of behavior is seemingly ridiculous, it's typical of Aspergers kids. Offering your youngster a limited choice is often enough to end the power struggle. But make your rules clear: "At home, you can choose your plate, but when we're eating out, you have to use whatever plates they have."

12. You may have to stick with one basic food color. Aspergers children may like a lot of colors in their pictures, but not always on their plates. When he only wants white foods, for example, consider:
  • fruit smoothies (blend a banana with vanilla yogurt)
  • half white-/half whole-wheat (make toast and sandwiches in fun shapes using cookie cutters)
  • mac and cheese made with whole-wheat (or whole-wheat blend) macaroni
  • oven-baked fries (half regular and half sweet potato to ease your youngster into the idea of trying other spuds)

13. Be creative with the veggies. Hating vegetables is the most common picky-eater problems with Aspergers kids. To convince your child that eating vegetables is not poisonous, try one or more of the following:
  • carrot slices and baby corn are a good start toward more serious veggie consumption
  • lettuce wraps (use a filling he'll eat, like turkey or cream cheese, and wrap it in a romaine lettuce leaf)
  • put a plate of raw veggies next to a sure thing (e.g., grilled cheese sandwich) to lure your child into eating at least one bite
  • thinly sliced veggies stir-fried with teriyaki sauce with a little chicken and rice
  • try dressing (e.g., honey mustard, ranch, ketchup, melted butter) with veggies for dipping
  • veggie lasagna
  • water chestnuts have little taste and can be a good stepping-stone to serious veggies
  • zucchini muffins

14. Many Aspergers kids like to “nitpick” their way through food (i.e., a nibble here – a nibble there). Use an ice-cube tray, a muffin tin, or a compartmentalized dish, and put bite-size portions of colorful and nutritious foods in each section. Give these “finger foods” names in order to disguise how disgustingly healthy that may be, such as:
  • egg canoes (hard- boiled egg wedges)
  • cheese building blocks
  • carrot swords (cooked and thinly sliced)
  • broccoli trees (steamed broccoli florets)
  • banana wheels
  • avocado boats (a quarter of an avocado)
  • apple moons (thinly sliced)

Place the food on an easy-to-reach table. As your Aspie makes his rounds through the house, he can stop, sit down, nibble a bit, and, when he's done, continue on his way. These foods have a table-life of an hour or two.

15. A veggie pizza is one the most cleaver ways to disguise healthy foods. We tried a spinach-cheese pizza with our 5-year-old several years ago. We knew he probably wouldn’t even touch it – but guess what? It is his favorite food item now! Go figure :)

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

How To Improve Your Aspergers Child's Self-Image

 "Any tips on how to help my newly diagnosed daughter (high functioning autistic) to improve her self esteem. She thinks she's 'stupid' ...she thinks she's 'ugly' ...she thinks nobody likes her... I don't know where she's coming up with these negative evaluations of herself, but it breaks my heart. We are all a bit anxious since we got the news about this disorder. But how can I help my daughter have a better perspective of her true self and her strengths?"

Click here for the answer...



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

The Difference Between Aspergers and PDD-NOS

Question

My 7-year-old son has been diagnosed with ADHD. The pediatrician also thinks that he may have Aspergers or Pervasive developmental disorder not otherwise specified. After researching the two diagnoses, I see that they are very similar. What type of testing can I have done to determine what kind of help my son needs?

Answer

Like Autism and Aspergers, Pervasive developmental disorder not otherwise specified (PDD-NOS) is one of the five subtypes of the Autism Spectrum Disorders. Children diagnosed with PDD-NOS will have less social impairment than a youngster with Autism or Aspergers.

The Autism Spectrum Disorders are:

1. Pervasive developmental disorder not otherwise specified
2. Autism
3. Asperger syndrome
4. Rett syndrome
5. Childhood disintegrative disorder

To confuse matters, there is a division among therapists on the use of the term Pervasive Developmental Disorder (PDD), which is the same thing as Autism Spectrum Disorder (ASD). Many use the term PDD as a short way of saying PDD-NOS. Others use the general category label of PDD because they are hesitant to diagnose very young kids with a specific type of PDD (e.g., Autism). Both approaches contribute to confusion about the term, because the term PDD actually refers to a category of disorders and is not a diagnostic label.

PDD is not itself a diagnosis, while PDD-NOS is. To further complicate the issue, PDD-NOS can also be referred to as “atypical personality development,” “atypical PDD,” or “atypical Autism.”

Some clinicians use PDD-NOS as a "temporary" diagnosis for youngsters under the age of 5, when for whatever reason there is a reluctance to diagnose Autism. There are several justifications for this. Very young kids have limited social interaction and communication skills to begin with, thus it can be tricky to diagnose milder cases of Autism in a toddler. The unspoken assumption is that by the age of 5, unusual behaviors will either resolve or develop into diagnosable Autism.

Because of the "NOS" (i.e., not otherwise specified), it is hard to describe what PDD-NOS is, other than its being an Autism Spectrum Disorder (ASD). Some children diagnosed with PDD-NOS are close to having Aspergers, but do not quite fit the profile. Others have near full-blown Autism, but without some of its symptoms. The field of psychology is considering creating several subclasses within PDD-NOS.

To confirm the diagnosis, continue to consult with your doctor and get a referral to either a neurologist or child and adolescent psychiatrist to figure out exactly what is going on with your child. Once you have a definitive answer, you can then check for resources in your local area. Each U.S. state has different resources tied-in with the local schools. Your doctor should be able to point you in the right direction. If not, the local school district should have some referrals for you.

The Aspergers Comprehensive Handbook

Children on the Autism Spectrum and Auditory Processing Disorder

Auditory Processing Disorder (APD) is an umbrella term for a variety of disorders that affect the way the brain processes auditory information. It is not a sensory or inner ear hearing impairment. Kids with APD usually have normal peripheral hearing ability. However, they cannot process the information they hear in the same way as others do, which leads to difficulties in recognizing and interpreting sounds, especially the sounds composing speech.

Click here for the full article...

Aspergers Teens and Driving a Car

"My daughter is 18 and has Aspergers. Hers is particularly with anti-social behavior and thoughts. My entire family is ridiculing me for not forcing her to get her drivers license, but she is scared and doesn't want to. Should I force her to? Am I wrong?" 

Click here for my response...

Talking To Aspergers and HFA Children About Puberty

"Our son with high-functioning autism (age 12) has never really had the 'official' discussion about what to expect in puberty. We may have waited too long at this point, but in any case, how can we approach this topic in a way that a person with his challenges can understand (he takes most things very literally by the way - and is a bit immature for his age)?"

Click here for the answer...

Auditory Integration Training: Help for Sensory Problems

Auditory Integration Training (AIT) was used in the early 1990s as a treatment for autism. It has also been promoted as a treatment for ADHD, depression, and a wide variety of other disorders. It typically involves 20 half-hour sessions over 10 days listening to specially filtered and modulated music. The American Academy of Pediatrics and three other professional organizations consider AIT to be an experimental procedure.

AIT aims to address the sensory problems such as hearing distortions and hyperacusis (i.e., oversensitive hearing), which are said to cause discomfort and confusion in children suffering from learning disabilities, including autism spectrum disorders. These hypersensitivities are believed to interfere with a youngster’s attention, comprehension, and ability to learn.

The training typically involves the youngster attending two 30-minute sessions per day, separated by a minimum of three hours, for ten consecutive working days. The youngster listens via headphones to a program of specially filtered and modulated music with wide frequency range. The program is modified for each youngster with certain frequencies of sound filtered using an electronic device, which randomly switches between low- and high-pass filtering for random durations between 1/4 and 2 seconds. The filtering device also varies the sound's intensity, creating a modulated effect. The volume is set as loud as possible without causing discomfort. If the listener has shown unusual sensitivities to certain frequencies, these may be filtered out additionally.

Although no AIT device has been approved for marketing as a medical device by the FDA, devices used only to aid education are not subject to FDA regulation.

Most AIT practitioners are speech-language pathologists or audiologists and occupational therapist. Other practitioners include psychologists, physicians, social workers, and teachers.

Parents who are seeking interventions for their Aspergers (high functioning autistic) youngster should explore the many options currently available and evaluate each one. Factors to evaluate include:
  • cost and accessibility
  • the benefit versus the risk
  • the effectiveness of the intervention
  • the timing of the program relative to other interventions that are being done
  • whether it is appropriate for their particular youngster

There are some immediately recognized advantages to Auditory Integration Training:
  • it can be provided as young as 3 years of age
  • it only requires 10 days, with two 30 minute listening sessions each day
  • the main pre-requisite skill is that the listener must accept the head-phones

Many Aspergers kids receiving special education services often have an undiagnosed problem with the way they hear and process information, thus learning and behavior may be affected by problems (e.g., hearing distortions, hypersensitive hearing, lack of coordination, processing delays, etc.),which interfere with efficient processing of sound signals.

AIT stimulates the auditory system with unique sounds that stimulate the auditory system to reduce or eliminate the problems within this system. AIT is a method of retraining the way the sounds are processed. When the Aspergers child can process sounds properly, he/she can maintain a state of alert readiness, concentration, and effective comprehension.

The auditory system is responsible for many jobs other than hearing. For example, the auditory system:
  • assists in the control of eye movements
  • assists in the control of the hand and fingers when writing
  • contains the control center for all sensory processing
  • controls balance
  • controls motor planning and coordination
  • enables people to use language
  • help us sing on key

Thus, it makes sense that when the auditory system is not functioning effectively, many diverse problems may appear, including:
  • delays in speech and language development
  • difficulty with reading skills
  • difficulty with vision skills
  • poor balance and motor coordination skills
  • poor concentration
  • poor fine motor skills
  • problems with sensory processing

When the auditory system is retrained, the benefits may extend well beyond just the ability to listen better. Moms and dads often report improvement in their Aspergers youngster’s ability to ride a bike, catch a ball, pronounce words, and modulate speech volume.

Other reported benefits include the following:
  • children are able to attend and concentrate on the important things
  • hearing sensitivity is often reduced (as a result, the child no longer needs to cover his ears or avoid crowds and noisy events)
  • many children are calmer
  • many children begin to color, draw and write with more skill
  • many moms and dads and professionals report that the youngster’s educational progress accelerates
  • many show a higher level of self-confidence
  • most children begin to show increased interest in socialization
  • occupational, speech/language and physical therapists comment that IEP goals are mastered much more quickly
  • some Autistic kids may begin to speak for the first time
  • some demonstrate less anxiety and irritability
  • some quickly learn to tie their shoes or button clothes
  • the need to constantly regulate sensory experiences decreases (e.g., covering the ears, wearing noise-protection headsets)
  • those who have been speaking may expand to much more complex use of language

The Aspergers Comprehensive Handbook

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

As the incidence of Autism Spectrum Disorder (ASD) continues to rise, it has become increasingly important to understand the challenges face...