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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



19.12.09

Aspergers Child Abuse: Physical, Emotional, and Sexual


Aspergers Child Physical Abuse—


The statistics on physical child abuse are alarming. It is estimated hundreds of thousands of kids are physically abused each year by a parent or close relative. Thousands actually die as a result of the abuse. For those who survive, the emotional trauma remains long after the external bruises have healed. Communities and the courts recognize that these emotional “hidden bruises” can be treated. Early recognition and treatment is important to minimize the long term effect of physical abuse. Whenever a youngster says he or she has been abused, it must be taken seriously and immediately evaluated.

Aspergers kids who have been abused may display:

• a poor self image
• aggressive, disruptive, and sometimes illegal behavior
• anger and rage
• anxiety and fears
• drug and alcohol abuse
• fear of entering into new relationships or activities
• feelings of sadness or other symptoms of depression
• flashbacks, nightmares
• inability to trust or love others
• passive, withdrawn or clingy behavior
• school problems or failure
• self destructive or self abusive behavior, suicidal thoughts
• sexual acting out
• sleep problems

Often the severe emotional damage to abused kids does not surface until adolescence or even later, when many abused kids become abusing moms and dads. An adult who was abused as a youngster often has trouble establishing lasting and stable personal relationships. These men and women may have trouble with physical closeness, touching, intimacy, and trust as adults. They are also at higher risk for anxiety, depression, substance abuse, medical illness, and problems at school or work.

Early identification and treatment is important to minimize the long-term consequences of abuse. Qualified mental health professionals should conduct a comprehensive evaluation and provide treatment for kids who have been abused. Through treatment, the abused youngster begins to regain a sense of self-confidence and trust. The family can also be helped to learn new ways of support and communicating with one another. Moms and dads may also benefit from support, parent training and anger management.

Physical abuse is not the only kind of child abuse. Many kids are also victims of neglect, or sexual abuse, or emotional abuse. In all kinds of child abuse, the youngster and the family can benefit from evaluation and treatment from a qualified mental health professional.

In the view of some experts, Aspergers child abuse in this country has reached almost epidemic proportions. According to a recent report, more than two million kids are subjected to neglect and physical, emotional, or sexual abuse every year.

There is no standard definition of what constitutes child abuse, but each state has statutes that describe the forms of child abuse. Regardless of distinctions in legalistic terminology, however, experts agree that the abuse cases reported represent a small percentage of the actual number of kids who are victims of sever abuse.

Causes and Consequences:

Most moms and dads prefer to think of chronic child abuse as something that happens to other people’s kids. While it is evident that certain kinds of stress make abuse statistically more likely – poverty, job loss, marital problems, extremely young and poorly educated mothers – abuse also occurs across all economic lines and in seemingly good homes. Many people blame the prevalence of violence on TV and in the movies, and while that theory has not as yet been fully substantiated, media violence may contribute to our acceptance of physical aggression toward kids. It is worth noting that cultures in which corporal punishment is not sanctioned have much lower rates of child abuse.

Aspergers Child Sexual Abuse—

Child sexual abuse has been reported up to 80,000 times a year, but the number of unreported instances is far greater, because the kids are afraid to tell anyone what has happened, and the legal procedure for validating an episode is difficult. The problem should be identified, the abuse stopped, and the youngster should receive professional help. The long-term emotional and psychological damage of sexual abuse can be devastating to the youngster.

Child sexual abuse can take place within the family, by a parent, step-parent, sibling or other relative; or outside the home, for example, by a friend, neighbor, child care person, teacher, or stranger. When sexual abuse has occurred, a youngster can develop a variety of distressing feelings, thoughts and behaviors.

No youngster is psychologically prepared to cope with repeated sexual stimulation. Even a two or three year old, who cannot know the sexual activity is wrong, will develop problems resulting from the inability to cope with the overstimulation.

The youngster of five or older who knows and cares for the abuser becomes trapped between affection and loyalty for the person, and the sense that the sexual activities are terribly wrong. If the youngster tries to break away from the sexual relationship, the abuser may threaten the youngster with violence or loss of love. When sexual abuse occurs within the family, the youngster may fear the anger, jealousy or shame of other family members, or be afraid the family will break up if the secret is told.

A youngster who is the victim of prolonged sexual abuse usually develops low self-esteem, a feeling of worthlessness and an abnormal or distorted view of sex. The youngster may become withdrawn and mistrustful of adults, and can become suicidal.

Some kids who have been sexually abused have difficulty relating to others except on sexual terms. Some sexually abused kids become child abusers or prostitutes, or have other serious problems when they reach adulthood.

Often there are no obvious external signs of child sexual abuse. Some signs can only be detected on physical exam by a physician.

Sexually abused Aspergers kids may also develop the following:

• aspects of sexual molestation in drawings, games, fantasies
• delinquency/conduct problems
• depression or withdrawal from friends or family
• refusal to go to school
• secretiveness
• seductiveness
• sleep problems or nightmares
• statements that their bodies are dirty or damaged, or fear that there is something wrong with them in the genital area
• suicidal behavior
• unusual aggressiveness, or
• unusual interest in or avoidance of all things of a sexual nature

Child sexual abusers can make the youngster extremely fearful of telling, and only when a special effort has helped the youngster to feel safe, can the youngster talk freely. If a youngster says that he or she has been molested, moms and dads should try to remain calm and reassure the youngster that what happened was not their fault. Moms and dads should seek a medical examination and psychiatric consultation.

Moms and dads can prevent or lessen the chance of sexual abuse by:

• Encouraging professional prevention programs in the local school system
• Teaching kids that respect does not mean blind obedience to adults and to authority, for example, don't tell kids to, Always do everything the teacher or baby-sitter tells you to do
• Telling kids that if someone tries to touch your body and do things that make you feel funny, say NO to that person and tell me right away

Sexually abused kids and their families need immediate professional evaluation and treatment. Child and adolescent psychiatrists can help abused kids regain a sense of self-esteem, cope with feelings of guilt about the abuse, and begin the process of overcoming the trauma. Such treatment can help reduce the risk that the youngster will develop serious problems as an adult.

Many moms and dads are unsure or squeamish about bringing up sexual matters, especially with their kids. Yet, there are ways of laying the groundwork so that you can talk to your youngster without scaring her. Establish an open dialogue about sexual issues early on. If you introduce the subject of sex in a discussion of abuse, there is the danger that the idea of sex may become automatically linked in your youngster’s mind with danger and anxiety.

If you have fostered in your youngster a sense of ownership regarding her body, she will likely have an instinct about what is okay for her body and what is not. You build on her natural sense of ownerships of her body by letting her pick out her own clothes or wash herself in her own way. Also, avoid pushing her to kiss or hug other adults when she clearly does not want to.

Finally, when moms and dads treat their kid’s bodies with respect, kids tent to demand that others treat their bodies in a similar manner. Kids who are consistently hit, grabbed, or physically punished at home may feel that adults are entitled to misuse their bodies simply because they are bigger.

Responding To Aspergers Child Sexual Abuse—

When a youngster tells an adult that he or she has been sexually abused, the adult may feel uncomfortable and may not know what to say or do. The following guidelines should be used when responding to kids who say they have been sexually abused:

What to Say—If a youngster even hints in a vague way that sexual abuse has occurred, encourage him or her to talk freely. Don't make judgmental comments.

• Assure the youngster that they did the right thing in telling. A youngster who is close to the abuser may feel guilty about revealing the secret. The youngster may feel frightened if the abuser has threatened to harm the youngster or other family members as punishment for telling the secret.

• Show that you understand and take seriously what the youngster is saying. Child and adolescent psychiatrists have found that kids who are listened to and understood do much better than those who are not. The response to the disclosure of sexual abuse is critical to the youngster's ability to resolve and heal the trauma of sexual abuse.

• Tell the youngster that he or she is not to blame for the sexual abuse. Most kids in attempting to make sense out of the abuse will believe that somehow they caused it or may even view it as a form of punishment for imagined or real wrongdoings.

• Finally, offer the youngster protection, and promise that you will promptly take steps to see that the abuse stops.

What to Do—Report any suspicion of child abuse. If the abuse is within the family, report it to the local Child Protection Agency. If the abuse is outside of the family, report it to the police or district attorney's office. Individuals reporting in good faith are immune from prosecution. The agency receiving the report will conduct an evaluation and will take action to protect the youngster.

Moms and dads should consult with their pediatrician or family physician, who may refer them to a physician who specializes in evaluating and treating sexual abuse. The examining doctor will evaluate the youngster's condition and treat any physical problem related to the abuse, gather evidence to help protect the youngster, and reassure the youngster that he or she is all right.

Kids who have been sexually abused should have an evaluation by a child and adolescent psychiatrist or other qualified mental health professional to find out how the sexual abuse has affected them, and to determine whether ongoing professional help is necessary for the youngster to deal with the trauma of the abuse. The child and adolescent psychiatrist can also provide support to other family members who may be upset by the abuse.

While most allegations of sexual abuse made by kids are true, some false accusations may arise in custody disputes and in other situations. Occasionally, the court will ask a child and adolescent psychiatrist to help determine whether the youngster is telling the truth, or whether it will hurt the youngster to speak in court about the abuse.

When a youngster is asked as to testify, special considerations--such as videotaping, frequent breaks, exclusion of spectators, and the option not to look at the accused--make the experience much less stressful.

Adults, because of their maturity and knowledge, are always the ones to blame when they abuse kids. The abused kids should never be blamed.

When a youngster tells someone about sexual abuse, a supportive, caring response is the first step in getting help for the youngster and reestablishing their trust in adults.

My Aspergers Child: Preventing Meltdowns and Tantrums

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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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