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WELCOME! Feel free to post a comment or question in the chat room above. For information regarding psychiatric medication, please address your question to David McLaughlin, MD (Consultant: Psychiatry). For information regarding psychiatric testing, please address your question to Julie Kennedy, Psy.D (Consultant: Clinical Psychology). For all other questions, please address Mark Hutten, M.A. (Counseling Psychology). Someone will respond to your inquiry within 12 to 24 hours.

Aspergers Children & Tantrums/Meltdowns

Click=> How to Stop Meltdowns & Temper Tantrums in Aspergers Children


What are meltdowns? They are overwhelming emotions that are quite common in Asperger’s children.

What causes them? It can be anything from a very minor incident to something more traumatic.

How long do they last? It’s anyone’s guess. They last until the child is either completely exhausted, or he gains control of his emotions -- which is not easy for him to do.


Meltdowns are not a pretty sight. They are somewhat like overblown temper tantrums, but unlike tantrums, meltdowns can last anywhere from ten minutes to over an hour. When it starts, the Asperger's child is totally out-of-control. When it ends, both you and the Asperger’s child are totally exhausted.


But...

Don’t breathe a sigh of relief yet. At the least provocation, for the remainder of that day -- and sometimes into the next -- the meltdown can return in full force.

If your child suffers from Asperger’s Syndrome, expect him to experience both minor and major meltdowns over incidents that are part of daily life. He may have a major meltdown over a very small incident, or may experience a minor meltdown over something that is major. There is no way of telling how he is going to react about certain situations. However, there are many ways to help your child learn to control his emotions.


Click=> How to Stop Meltdowns and Temper Tantrums in Aspergers Children



23.6.09

Asperger's Children and Behavior Problems


Disciplining kids displaying Aspergers-characteristic behavior will often require an approach which is somewhat unique to that of other kids. Finding the balance between understanding the needs of a youngster with Aspergers and discipline which is age appropriate and situationally necessary is achievable when applying some simple but effective strategies. These strategies can be implemented both at home and in more public settings.

General Behavior Problems—

Traditional discipline may fail to produce the desired results for kids with Aspergers, primarily because they are unable to appreciate the consequences of their actions. Consequently, punitive measures are apt to exacerbate the type of behavior the punishment is intended to reduce, while at the same time giving rise to distress in both the youngster and mom or dad.

At all times the emotional and physical wellbeing of your youngster should take priority. Often this will necessitate removing your youngster from a potentially distressing situation as soon as possible. Consider maintaining a diary of your youngster's behavior with a view to ascertaining patterns or triggers. Recurring behavior may be indicative of a youngster taking some satisfaction in receiving a desired response from peers, moms & dads or teachers.

For example, a youngster with Aspergers may come to understand that hurting another youngster in class will result in his being removed from class, notwithstanding the associated consequence to his peer. The solution may not be most effectively rooted in punishing the youngster for the behavior, or even attempting to explain the situation from the perspective of their injured peer, but by treating the root cause behind the motivation for the misbehavior...for example, can the youngster be made more comfortable in class so that they will not want to leave it?

One of the means to achieve this may be to focus on the positive. Praise for good behavior, and reinforcement by way of something like a Reward Book, can assist. The use of encouraging verbal cues delivered in a calm tone are likely to elicit more beneficial responses than the harsher verbal warnings which might be effective on kids who are not displaying some sort of Asperger characteristic. If necessary, when giving directions to cease a type of misbehavior, these should also be couched as positives rather than negatives. For example, rather than telling a youngster to stop hitting his brother with the ruler, the youngster should be directed to put the ruler down.

Obsessive or Fixated Behavior—

Almost all kids go through periods of development where they become engrossed in one subject matter or another, but kids with Aspergers often display obsessive and repetitive characteristics, which can have significant implications for behavior.

For example, if an Aspergers youngster becomes fixated upon reading a particular story each night, they may become distressed if this regime is not adhered to, or if the story is interrupted. Again, the use of a behavior diary can assist in identifying fixations for your youngster. Once a fixation is identified, it is important to set appropriate boundaries for your youngster. Providing a structure within which your youngster can explore the obsession can assist in then keeping the obsession within reasonable limits, without the associated angst which might otherwise arise through such limitations. For example, tell your youngster that they may watch their favorite cartoon for half an hour after dinner, and make clear time for that in their routine.

It is appropriate to utilize the obsession to motivate and reward your youngster for good behavior. Always ensure any reward associated with positive behavior is granted immediately to assist the youngster recognizing the nexus between the two.

A particularly useful technique to try to develop social reciprocity is to have your youngster talk for five minutes about a particularly favored topic after they have listened to you talk about an unrelated topic. This serves to help your youngster understand that not everyone shares their enthusiasm for their subject matter.

Bridging the Gap between Aspergers and Discipline and Other Siblings—

For siblings without Aspergers, the differential and what at times no doubt appears to be preferential treatment received by an Aspergers sibling can give rise to feelings of confusion and frustration. Often they will fail to understand why their brother or sister apparently seems free to behave as they please without the normal constraints placed upon them.

It is important to explain to siblings or peers of Aspergers kids and encourage open discussion about the disorder itself. Encouragement should extend to the things siblings can do to assist the Aspergers youngster, and this should be positively reinforced through acknowledgement when it occurs.

Sleep Difficulties—

Aspergers kids are known for experiencing sleep problems. Kids with Aspergers may have lesser sleep requirements, and as such are more likely to become anxious about sleeping, or may find they become anxious when waking during the night or early in the morning.

Combat your youngster's anxiety by making their bedrooms a place of safety and comfort. Remove or store items which might be prone to injure your youngster if they decide to wander at night. Include in the behavioral diary a record of your youngster's sleep patterns. It may assist your youngster if you keep a list of their routine, including dinner, bath time, story and bed, in order to provide structure. Include an image or symbol of them waking in the morning to provide assurance as to what will happen. Social stories have proven to be a particularly successful tactic in decreasing a youngster's anxiety by providing clear instructions on how part of their day is likely to play out.

At School—

Another Asperger characteristic is that kids will often experience difficulty during parts of the school day which lack structure. If left to their own devices their difficulties with social interaction and self management can result in anxiety. The use of a buddy system can assist in providing direction, as can the creation of a timetable for recess and lunch times. These should be raised with class teachers and implemented with their assistance.

Explain the concept of free time to your youngster, or consider providing a separate purpose or goal for your youngster during such time, such as reading a book, or helping to set up paint and brushes for the afternoon tasks.

In Public—

Kids with Aspergers can become overwhelmed to the point of distress by even a short visit in public. The result is that many moms & dads with Aspergers simply seek to avoid as much as possible situations where their youngster is exposed to the public. While expedient, it may not offer the best long term solution to your youngster, and there are strategies to assist with outings.

Consider providing your youngster with an iPod, or have the radio on in the car to block out other sounds and stimuli. Prepare a social story or list explaining to the youngster a trip to the shops, or doctor. Be sure to include on the list your return home. Consider giving your youngster a task to complete during the trip, or having them assist you. At all times, maintaining consistency when dealing with Aspergers and discipline are key concerns. It pays to ensure that others involved in your youngster's care are familiar with your strategies and techniques, such as those outlined above, and are able to apply them.

Most importantly, don't hesitate to seek support networks for moms & dads with Aspergers, and take advantage of the wealth of knowledge those who have dealt with the disorder before you have developed. The assistance you can gain from these and other resources can assist you in developing important strategies to deal with problems with Aspergers in a manner most beneficial to your youngster.

My Aspergers Child

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Aspergers Test

Psychologist Simon Baron-Cohen and his colleagues at Cambridge's Autism Research Centre have created the Autism-Spectrum Quotient, or AQ, as a measure of the extent of autistic traits in adults. In the first major trial using the test, the average score in the control group was 16.4. Eighty percent of those diagnosed with autism or a related disorder scored 32 or higher. The test is not a means for making a diagnosis. Many who score above 32 - and who even meet the diagnostic criteria for mild autism or Asperger's - report no difficulty functioning in their everyday lives.



Definitely agree Slightly agree Slightly disagree Definitely disagree
1 I prefer to do things with others rather than on my own.
2 I prefer to do things the same way over and over again.
3 If I try to imagine something, I find it very easy to create a picture in my mind.
4 I frequently get so strongly absorbed in one thing that I lose sight of other things.
5 I often notice small sounds when others do not.
6 I usually notice car number plates or similar strings of information.
7 Other people frequently tell me that what I've said is impolite, even though I think it is polite.
8 When I'm reading a story, I can easily imagine what the characters might look like.
9 I am fascinated by dates.
10 In a social group, I can easily keep track of several different people's conversations.
11 I find social situations easy.
12 I tend to notice details that others do not.
13 I would rather go to a library than to a party.
14 I find making up stories easy.
15 I find myself drawn more strongly to people than to things.
16 I tend to have very strong interests, which I get upset about if I can't pursue.
17 I enjoy social chitchat.
18 When I talk, it isn't always easy for others to get a word in edgewise.
19 I am fascinated by numbers.
20 When I'm reading a story, I find it difficult to work out the characters' intentions.
21 I don't particularly enjoy reading fiction.
22 I find it hard to make new friends.
23 I notice patterns in things all the time.
24 I would rather go to the theater than to a museum.
25 It does not upset me if my daily routine is disturbed.
26 I frequently find that I don't know how to keep a conversation going.
27 I find it easy to 'read between the lines' when someone is talking to me.
28 I usually concentrate more on the whole picture, rather than on the small details.
29 I am not very good at remembering phone numbers.
30 I don't usually notice small changes in a situation or a person's appearance.
31 I know how to tell if someone listening to me is getting bored.
32 I find it easy to do more than one thing at once.
33 When I talk on the phone, I'm not sure when it's my turn to speak.
34 I enjoy doing things spontaneously.
35 I am often the last to understand the point of a joke.
36 I find it easy to work out what someone is thinking or feeling just by looking at their face.
37 If there is an interruption, I can switch back to what I was doing very quickly.
38 I am good at social chitchat.
39 People often tell me that I keep going on and on about the same thing.
40 When I was young, I used to enjoy playing games involving pretending with other children.
41 I like to collect information about categories of things (e.g., types of cars, birds, trains, plants).
42 I find it difficult to imagine what it would be like to be someone else.
43 I like to carefully plan any activities I participate in.
44 I enjoy social occasions.
45 I find it difficult to work out people's intentions.
46 New situations make me anxious.
47 I enjoy meeting new people.
48 I am a good diplomat.
49 I am not very good at remembering people's date of birth.
50 I find it very easy to play games with children that involve pretending.

How to score:

"Definitely agree" or "Slightly agree" responses to questions 2, 4, 5, 6, 7, 9, 12, 13, 16, 18, 19, 20, 21, 22, 23, 26, 33, 35, 39, 41, 42, 43, 45, 46 score 1 point.

"Definitely disagree" or "Slightly disagree" responses to questions 1, 3, 8, 10, 11, 14, 15, 17, 24, 25, 27, 28, 29, 30, 31, 32, 34, 36, 37, 38, 40, 44, 47, 48, 49, 50 score 1 point.
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