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Showing posts from August, 2009

The Rage Cycle in Aspergers: Group Discussion

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I am reading about the rage cycle with Aspergers or High Functioning Autistic kids. One of my son's problems is his meltdowns and tantrums. The cycle is supposed to have three parts: 1) Rumbling (like warnings of thunder) 2) Rage (the storm) 3) Recovery (the calm after the storm. Sometimes if handled poorly it can merely be the eye of the storm). Various suggestions were made regarding interventions during the rumbling stage. My son's camp therapist has not been successful at preventing blow ups. As a matter of fact, a good day seems to be followed by a seriously bad day. Does anyone have any experience working with this? ==================================================== Oh, I know these tantrums very well. They're very hard to get under control. I don't know what methods my mother used on me. Or better I don't know what method worked. I know what she tried. She tried to bring me in my room and let me stay there until I cal

ASD Teens & Aggression

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“My teenage son is very aggressive and lacks any type of impulse control. He cannot be left alone with his siblings. Does you have any recommendations? I know he does not want to do these things, because when we talk about it, he says he loves his sister, etc., but he hurts her all the time. My poor daughter has to put up with his aggressions on a daily basis. I can't watch him every second he's awake. I also can't put either child in a protective bubble or send my son to his room and leave him there all day. I really don't know what to do with him and I'm not a big advocate of drug therapy. He's starting to internalize his behavior, and now said to me this morning that he's a bad boy even though no one tells him that, not us, or his teacher. I worry about his self-esteem as he grows older. We praise him when he's good, but he gets a ton of negative feedback: “Don't do this… don't do that, etc… you need to go to your room for hitting your sis

Aspergers and OCD

Question My son has Aspergers and OCD and he will have hand tremors that he is not aware of. I am trying a more holistic approach but this is not covered by insurance. I wish I knew which ones were beneficial and which ones are not beneficial. Answer Traditional treatment for obsessive-compulsive disorder involves a combination of medication and behavioral therapy techniques. The traditional medicines used in this process are SSRI’s, or serotonin selective reuptake inhibitors. Many parents do not want to treat their children suffering from OCD with these traditional methods, but turn to holistic methods of treatment. Because holistic therapies are designed to treat the whole person, not just the symptoms of a disease or disorder, holistic approaches appeal to many people. Holistic therapies can be added to traditional medical approaches, or can be tried by themselves. Holistic practices often take into consideration lifestyle factors and address physical aspects o

Aspergers Kids Are In A World Of Their Own

"My 10 year old daughter has been diagnosed with Aspergers. It is a constant struggle to get her to pay attention or to even look at me. She seems in a world of her own sometimes. Any suggestions?" Adults who are diagnosed with Aspergers have suggested that it is easier for them to make eye contact if they don’t have to listen. Some describe situations where having to make eye contact causes breaks in their concentration. So clearly there are some problems for individuals with Aspergers if they have to do more than one task like this at the same time (i.e., eye contact and listening). It is also difficult for a youngster with Aspergers to understand what a person is communicating through eye contact. Others actually describe the experience of having to make eye contact as frightening. It is important to recognize that Aspergers is a neurological disorder (caused by a medical problem with the brain) and the youngster is not choosing to behave this way. In fact it may w

Non-Drug Treatments for Aspergers?

"Are there any non-drug treatments for AS?" Some moms and dads introduce specific diets for their kids with Aspergers in an attempt to improve the condition or relieve uncomfortable physical symptoms. The most widely known diet for kids on the autistic spectrum is the Gluten/Casein free diet (GF/CF diet). In this diet all wheat and dairy products are removed. Reported effects include the reduction of any existing gut/digestive problems, improved attention, eye-contact and general behavior. The diet has many devoted followers, but all evidence at this time is anecdotal and nothing has been proven. However, if you decide to try the diet, it is important to do as much research as possible before you start and to consult your physician. You may find your physician is not supportive as this approach is not, as yet, widely accepted by the medical profession, although some physicians may be sympathetic. Another diet followed is the Feingold Diet which eliminates al

What is the best treatment option for defiant teens with Asperger’s and High-Functioning Autism?

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Although there is no single treatment that is right for all teens on the autism spectrum, available supports and treatments include: Dietary interventions Occupational therapy Medication Experiential therapy Physical activity and exercises designed to improve motor skills and coordination Physical therapy Special education services pursuant to the Individuals with Disabilities Education Act, including an Individualized Education Program (IEP) Role modeling Recreational therapy Psychotherapy Speech therapy The frustration of not being able to express themselves, combined with social challenges, leads some Asperger’s teens to develop behavioral problems or become depressed or anxious. Treatment should address these needs as well as help the teenager manage his or her other symptoms. In some cases, the teen may need more specialized, in-depth services than a public school can provide. Therapeutic boarding schools that specialize in autism spectrum disorders and le

Children on the Autism Spectrum and "Low-Frustration Tolerance"

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"I was just wondering, my daughter who is 9 (diagnosed as asd, as our doctor doesn’t like to put them into one category, but says if she did my child would be high functioning!) doesn't have aggressive meltdowns, it’s more a crying depressive meltdown. Like I just had to ask her to tidy her room, and was explaining that if she picked up her things she wouldn’t have to tidy it this much. While I was telling her (I never shout or swear, i promise) she was crying, whilst putting things away, getting frustrated with drawers and things. I then came back after doing other things in the house, and found her just lying on the floor of her room with her comfort blanket. She is now watching a film in her room, took off her clothes and is in bed with one of the blinds shut. I asked her what was wrong…But she never seems to know how she is feeling, and just says she is ill. She said I had told her to do too many things. (Plus we had just been to the super market half an hour before) d

How can I bottle break him without causing him extra stress?

"My son Jacob has aspergers (high functioning). He turned 3 years old several months ago, but still is in diapers and takes a bottle. How can I bottle break him without causing him extra stress?" In general, Aspergers kids can try a cup at 6 months and be weaned off the bottle around 12 to 18 months. It does vary from child to child, and it is up to the mother to decide when to encourage the change from bottle to cup. The things to look out for are when the baby can sit up for themselves; obviously drinking from a cup is going to be near impossible when baby is still lying on his back. Also, your baby should be taking bottle feeds at regular times. You should also be noticing that your Aspergers child starts to show a real interest in the food of others. Aspergers kids being bottle fed are more likely to suffer from tooth decay. So, it is important to not allow your him to carry on bottle feeding longer than is necessary, but don't force the issue - remember, weanin

How To Get Other Family Members To Accept Your Child's Diagnosis

"I'm a stay-at-home mom. My husband works out of town and is only home on weekends. My question is how can I get my husband and in-laws to accept our daughter’s diagnosis? They claim I am just 'making this up' and that it's really a behavior problem with her – not a 'disorder'." Click here for the answer...

High-Functioning Autism and Associated Disorders

“We’re in the process of having our son assessed for high functioning autism. We’ve had numerous problems in the past that have brought us to this point. The doc said he believes our son may have several ‘comorbid’ conditions as well. What does this mean? What other ‘conditions’ might there be?” Click here for the answer...

Why does a child with Aspergers have a short attention span?

Kids with Aspergers frequently exhibit problems associated with other special needs (e.g., attention problems and obsessive/compulsive disorders). Researchers and practitioners are unsure whether these behaviors are a part of Aspergers or are comorbid, (i.e., related) disorders. The characteristics of Aspergers include difficulties in social communication, sensory problems and organizational difficulties. All of these combined will certainly affect their ability to sustain concentration for any length of time. For example, a room may be too bright, noisy, too many pictures, etc., which are all distractions and high stimulation. This means that certain sights, noises, tastes and textures can bother a child more than they would a child without Aspergers. Aspergers kids will often not fully understand what is being said to them and will often misinterpret crucial verbal and non-verbal information. They also find it difficult to give consistent eye contact as this sometimes i

Individual Education Plan for Aspergers Children

Question How can I get help in obtaining services that are supposedly out there and available? My son’s ISSP (IEP) looks fantastic on paper, but in reality, most of the services are not obtainable due to extremely long wait lists or shortage of workers to completely fill the positions. Answer Developing a relationship with your son’s school and creating an acceptable IEP, or Individual Education Plan, is very important. “How Well Does Your IEP Measure Up?” by Diane Twachtman-Cullen and Jennifer Twachtman-Reilly is a book that can help you grow to be a valuable member of your son’s IEP team, giving you insight into the IEP process. You’ll learn about often-neglected areas that should be addressed during the IEP meeting. Your son’s school has obviously been cooperative, working with you and acknowledging his disabilities. However, without follow-through, all you have is a stack of papers. By law, your son is entitled to FAPE or a free, appropriate public education d

Aspergers Students: Navigating Through the Educational System

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"Please give me some ideas on how I can work with my son's school (he is high functioning with Aspergers). We are starting to have some academic and behavior problems with him, have tried to educate his teacher about things that set him off and calm him down, but no one seems willing to try anything different, treating our son as though he had no special issues." If you are wondering how to navigate through the system in order to get your Aspergers (high functioning autism) youngster educated you are not alone. Our kids don't fit so neatly into the main stream educational system. They are often too high functioning for some programs and still need more assistance than other programs offer. While they are in desperate need of socialization, too much is often detrimental. One on one for academics is perfect but does not provide enough stimulation and a classroom environment is just the opposite. The first step is to look at all of our options without leaving any o

Symptoms and Treatments for Aspergers and HFA

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There are various symptoms that can be seen in a youngster with Aspergers (AS) or High Functioning Autism (HFA). Parents can use a checklist to closely observe their kids when they are fairly young. Children on the autism spectrum: often lack motor skills often speak in an odd tone or pitch adhere to routines and have repetitive habits have difficulty interacting at a social level are often unable to make a coordinated plan fail to get the undertone of a speaker have difficulty empathizing because they have a hard time understanding the feelings of others have narrowed interest fields and are often focused on one particular subject or topic There is no treatment for AS or HFA as such, but there are many ways in which a parent can help his or her youngster to cope with this disorder. Often times, there is an additional disorder found in the child, which worsens the situation. Fortunately, medication is used to help the child deal with these comorbid conditions. There

Why do Aspergers kids behave in an obsessive manner?

It is very common for a youngster with Aspergers to become fascinated by a special interest that dominates his time. It is important to recognize what the fascination may provide for this youngster before attempting to eliminate it or control access to it. The fascination or obsession may provide the order and consistency he craves. It may also provide a method of relaxation. Rather than try to eliminate these altogether (which is almost impossible), create a plan that uses these unusual interests as a reward for completed tasks. For example, if you ask the youngster to complete a task that he is familiar with and in which he can be successful. Then give him time on the interest as a reward. This way your kid will learn to manage and control the obsession better.

Aspergers: A Clinical Account

The many patterns of abnormal behavior that cause diagnostic confusion include one originally described by the Austrian psychiatrist, Hans Asperger (1944, 1968, 1979). The name he chose for this pattern was 'autistic psychopathy' using the latter word in the technical sense of an abnormality of personality. This has led to misunderstanding because of the popular tendency to equate psychopathy with sociopathic behavior. For this reason, the neutral term Aspergers is to be preferred and will be used here. Not long before Aspergers original paper on this subject appeared in 1944, Kanner (1943) published his first account of the syndrome he called early infantile autism. The two conditions are, in many ways, similar, and the argument still continues as to whether they are varieties of the same underlying abnormality or are separate entities. Whereas Kanner's work is widely known internationally, Aspergers contribution is considerably less familiar outside the German litera