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10.6.09

Aspergers Kids & Sensory Sensitivities

Kids with Aspergers often have to deal with extreme sensitivities to everyday sights, sounds, smells and touch. This sensitivity is not one of their "official symptoms" as described in the Physician's Desk Reference doctors use for diagnoses. However, there are thousands of parent and therapist's anecdotes about this condition. Some experts believe that while sensitivity may cause Aspergers kids to tantrum and "act out" in the first place, after a while such behaviors become learned. Aspergers kids hold on to them because of the rigidity of their personalities. Nevertheless, certain studies indicate that between 42% and 88% of kids with Aspergers do experience such sensitivities.

Hearing problems are the most common. Some Aspergers kids seem to hear sounds others do not. They can be driven to distraction by noises everyone else filters out, such as the buzz of fluorescent lights or the brush of corduroy against a desk. The inability to filter out background noises makes it hard for many Aspergers kids to follow conversations or listen to their teachers' directions.

Some sounds seem actually painful to Aspergers kids. For example, a small child may scream at the sound of the vacuum cleaner; a teen covers his ears at the sound of a police siren. One little boy was so scared of the fire drill siren he sat in fear that it would go off. His mother had to home school him during Fire Safety Month.

Auditory sensitivity makes it hard for parents to take their Aspergers kids to noisy places like video arcades or restaurants with singing waiters, etc.

Taste and Smell. Many experts conclude that Aspergers kids rely more on their senses of smell and taste than sight and hearing. They have strong memories of smells; for example, they may be able to recognize kids by their unique body odors.

Certain smells like food, cleaning fluids, perfumes, shampoos and lotions can make them nauseous. This makes it hard for them to handle routine places like the school cafeteria or shopping mall cosmetic counter.

An Aspie's acute sense of smell and taste may also create eating problems. She may limit herself to certain foods, eat one food at a time, not allow foods to touch on her plate, and so forth.

Many Aspergers kids vomit easily. Everyday substances like toothpaste can make them sick to their stomachs.

Touch. Aspergers kids may be overly or under-sensitive to touch.

If overly sensitive, he may find tags on clothing very irritating. He may only wear certain fabrics or clothes that are old and soft from washings. He may refuse to work with certain textures like glue. He screams in the shower because he cannot stand the feel of water on his skin. One Aspie would hit anyone who touched him: a fact that his little brother used to get him in trouble all the time.

Hyposensitivity can cause Aspergers kids not to feel or report pain. They may not react to temperatures. One Aspie did not respond whenever his teacher tapped him to get his attention.

Visual problems are less common. Perhaps only one in five persons with Aspergers has them. However, some Aspergers kids get upset by certain pictures, colors or bright lights. Some experience colors as sounds. They often stand too close to others or stare at them inappropriately. They can search for an object and not notice that it is right in front of them. The majority of Aspergers kids have problems making eye contact with other kids.

Proprioceptive and Vestibular disorders. These are about orienting yourself in space, keeping your body in balance and maintaining good posture and movement. In normal kids, a complex network of nerves works together with the senses naturally. You can sit down without looking at your chair. You know where your feet are. You know how to straighten your shirt without looking into a mirror.

Aspergers kids have problems with such abilities that operate on the unconscious level for normal kids. This makes simple activities such as climbing stairs feats that must be learned. Activities that involve complex movements, changes in speed and hand-eye coordination such as handwriting or playing baseball become nightmares for many Aspergers kids.

There are many therapeutic techniques to help Aspergers kids with sensory integration and sensitivity. Early intervention is often crucial.

Working with Sensory Integration Disorders—

Kids with Aspergers often have problems processing, organizing and using information received their senses. This is called Sensory Integration Disorder.

When normal kids sit down to do a task, they filter out background noise. The vast array of sights and smells of a shopping mall do not distract them. They zero in and find the exact object they set out to buy.

However, Aspergers kids often over-attend to some stimuli and under-attend to others. This creates not only problems in the classroom, but also difficulties in completing routine tasks like sitting in a chair, getting dressed, and understanding the intentions of other kids.

Because of Sensory Integration Disorders, kids with Aspergers are often easily frustrated. They may shut down emotionally when they feel overwhelmed or throw tantrums. They can fail at school because little things like a student's sharpening a pencil distract them. This distractibility combined with hypersensitivity to noise, lights, touches and smells often means that they cannot process new material fast enough to produce a normal workload.

Kids with Aspergers will not outgrow Sensory Integration Disorder. Parents cannot cure it by telling their kids to ignore whatever is bothering them.

Therapists and teachers who work with kids with Aspergers use many techniques to help them cope with Sensory Integration Disorder. Some are as simple as playing background music or increasing the child's exercise time. Aromatherapy, art therapy, object manipulation and massage help some kids. Some kids benefit by working one-on-one with a personal coach.

Applied Behavioral Analysis is another key therapeutic technique used with all forms of autism and Attention Deficit Disorder. Its main principle is to break tasks into tiny steps and to reward correct responses with treats, stickers or small toys. For example, if a child manages to keep working despite a distraction placed near his desk, his therapist may give him a reward.

Applied Behavioral Analysts praise the child specifically. For example, they would say, "You did a good job answering the phone," not just "Good job."

Applied Behavioral Analysis also helps Aspergers kids who do not know how to break jobs into small steps. For example, if they need a book, it may never occur to such a child to ask his parent to take him to the library as a first step.

Another method is called Dialectical Behavior Technique, originally invented to help those with Borderline Personality Disorder. The therapist helps the child learn how to tolerate higher levels of frustration and to control his emotional responses to conflict or frustration.

Another technique involves the parents keeping diaries of their kid's tantrums and frustrations in terms of Sensory Integration Disorder. There are usually three columns in the diary. The first is a record of the incident. For example, a parent would write, "Threw tantrum getting dressed." The second column is the reason in terms of Sensory Integration Disorder: "Johnny cannot tolerate tags on clothes." The third column is the intervention: "Cut off tags."

Many kids with Aspergers go through occupational therapy. They learn through "hands-on" methods how to translate visual and auditory input into motor tasks like handwriting, tying shoes, opening a milk carton or sports activities. Therapists often use specialized equipment such as "Thera-putty," camping pillows, T-stools, inflatable discs and other objects to help kids better orient themselves in space.

Finally, many kids with Aspergers benefit from prescription drugs to reduce anxiety, increase concentration, or help them fall asleep.

The Parenting Aspergers Resource Guide: A Complete
Resource Guide For Parents Who Have Children Diagnosed
With Aspergers Syndrome.

1 comments:

Anonymous said...

Hilary Ann Baird
alot of things can factor into a meltdown, sensativity, social anxiety, bullying etc, when a child with austim has a melt down its often bc they are experiancing panic and anxiety, and if they dont understand that its just anxiety it can make them feel upste, they dont have tantrums bc its fun, or to get attention, its linked to panic disorder. Im 24 and have aspergers and I had meltdowns as a child due to panic attacks, and these things cause them.

My child has been rejected by his peers, ridiculed and bullied !!!

Social rejection has devastating effects in many areas of functioning. Because the Aspergers child tends to internalize how others treat him, rejection damages self-esteem and often causes anxiety and depression. As the child feels worse about himself and becomes more anxious and depressed – he performs worse, socially and intellectually. Thus, the best treatment for Aspergers children and teens is, without a doubt, “social skills training.”

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Parenting Defiant Aspergers Teens

Although Aspergers is at the milder end of the autism spectrum, the challenges parents face when disciplining a teenager with Aspergers are more difficult than they would be with an average teen. Complicated by defiant behavior, the Aspergers teen is at risk for even greater difficulties on multiple levels – unless the parents’ disciplinary techniques are tailored to their child's special needs.

The standard disciplinary techniques that are recommended for “typical” teenagers do not take into account the many issues facing a child with a neurological disorder. Violent rages, self-injury, isolation-seeking tendencies and communication problems that arise due to auditory and sensory issues are just some of the behaviors that parents of teens with Aspergers will have to learn to control.

Parents need to come up with a consistent disciplinary plan ahead of time, and then present a united front and continually review their strategies for potential changes and improvements as the Aspergers teen develops and matures.

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How to Prevent Meltdowns in Aspergers Children

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.

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Aspergers Children “Block-Out” Their Emotions

Parenting children with Aspergers can be a daunting task. In layman’s terms, Aspergers is a developmental disability that affects the way children develop and understand the world around them, and is directly linked to their senses and sensory processing. This means they often use certain behaviors to block out their emotions or response to pain.

Although they may vary slightly from person to person, children with Aspergers tend to have similar symptoms, the main ones being:

=> A need to know when everything is happening in order not to feel completely overwhelmed
=> A rigid insistence on routine (where any change can cause an emotional and physiological meltdown)
=> Difficulties with social functioning, particularly in the rough and tumble of a school environment
=> Obsessive interests, with a focus on one subject to the exclusion of all others
=> Sensory issues, where they are oversensitive to bright light, loud sounds and unpleasant smells
=> Social isolation and struggles to make friends due to a lack of empathy, and an inability to pick up on or understand social graces and cues (such as stopping talking and allowing others to speak)

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