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Comprehensive Comparison of ASD Level 1, Level 2, and Level 3


Autism Spectrum Disorder (ASD) is classified into three levels based on the complexity of symptoms and the degree of support an individual requires. This classification helps to understand the functional capabilities of those on the spectrum and ensures that they receive appropriate interventions. Below is a comprehensive comparison of ASD Level 1, Level 2, and Level 3.


### ASD Level 1: Requiring Support


**Characteristics:**

- Individuals diagnosed with Level 1 ASD typically exhibit mild symptoms that allow for some degree of independence. They can engage in conversations and maintain relationships, but they may find certain social contexts challenging.

- Communication may often be characterized by difficulties in starting conversations or responding appropriately in social exchanges. For instance, an individual might initiate small talk but struggle to respond to follow-up questions, thereby disrupting the conversational flow.

- These individuals can struggle to interpret social cues such as body language, tone of voice, or facial expressions, leading to potential misunderstandings in social interactions.


**Behavioral Traits:**

- Individuals may display limited or specific interests, showing little inclination towards engaging in diverse activities. For example, they might become fixated on a particular subject, such as trains or a specific type of video game, often reciting facts or stories related to that interest.

- Repetitive behaviors may be present but are usually not as overwhelming as those seen in higher levels. This could manifest as fidgeting with objects or engaging in specific routines at home or school.

- While they can manage changes in their environment, they may still experience slight discomfort when faced with unexpected transitions, such as a change in daily routines or plans.


**Support Needs:**

- Those at Level 1 often benefit from targeted support, particularly in enhancing their social skills and communication abilities. This support may include attending social skills training sessions, where they learn how to initiate and maintain conversations, or participating in group activities that encourage interaction, such as group projects or team sports.

- Educational settings may require some accommodations, such as structured plans that provide clear instructions and expectations for tasks and assignments.

- With the right encouragement and tools, many individuals at this level can lead an independent life, holding jobs and participating in community activities with minimal assistance.


### ASD Level 2: Requiring Substantial Support


**Characteristics:**

- Individuals at Level 2 display more significant challenges in social communication and may require substantial support to navigate social situations. Their communication skills may be limited, often consisting of simple, direct sentences or phrases.

- The inability to understand basic social cues can hinder their ability to form friendships. For example, they might not recognize when someone is disinterested or is attempting to end a conversation, leading to awkward or prolonged interactions.

- Many individuals at this level experience heightened distress in response to changes in their environment or routines, making transitions particularly challenging.


**Behavioral Traits:**

- Repetitive behaviors often become more pronounced and can interfere with the individual’s daily life. This may include stereotypical movements, such as hand-flapping or rocking, or fixating intensely on specific topics or objects, disrupting their ability to focus on essential tasks.

- Social interactions may often be clumsy or inappropriate, with limited eye contact and difficulty expressing emotions or empathy. For instance, they may find it hard to understand why another person is upset and might respond in ways that seem out of place or insensitive.

- The combination of repetitive behaviors and social withdrawal can lead to frustration and anxiety, resulting in emotional outbursts or meltdowns, particularly in a highly stimulating environment.


**Support Needs:**

- Individuals at Level 2 typically require substantial assistance across several areas, including education, daily living skills, and social engagement. This may necessitate consistent one-on-one support, where a caregiver or educator is always present to guide them, or small group settings where guidance is readily available, such as a classroom with a low student-teacher ratio.

- Interventions focusing on the development of social skills, communication strategies, and emotional regulation are vital. These may include speech therapy, occupational therapy, and behavioral therapy to help shape appropriate responses to social situations.

- caregivers and educators play a crucial role in establishing a predictable environment and helping individuals feel secure in their routines.


### ASD Level 3: Requiring Very Substantial Support


**Characteristics:**

- Level 3 is characterized by significant impairments in social communication and severe restrictions in behavior. Individuals at this level frequently struggle with verbal communication and may be completely nonverbal or have very limited speech, relying on alternative communication methods like picture exchange systems or sign language.

- Their ability to engage in social interactions is substantially impaired, with many showing little to no interest in social relationships or activities. They may prefer to be alone and re-engage with their environment through solitary play or repetitive activities.


**Behavioral Traits:**

- Repetitive and restrictive behaviors can be intense and disruptive to daily living. This might include obsessive routines or rituals, and a strong resistance to any changes, leading to pronounced distress when faced with unexpected situations.

- Individuals might also engage in self-stimulatory behaviors, such as hand-flapping, spinning, or making unusual sounds, which can serve as a coping mechanism in stressful scenarios.

- Emotional regulation can be a significant challenge, often resulting in extreme emotional outbursts or aggressive behavior when overwhelmed. Responses to stressors can be immediate and intense, making understanding and support vital.


**Support Needs:**

- Those at Level 3 require very substantial support in all facets of life, including personal care, communication, and educational settings. Continuous and consistent support is often critical in helping them navigate daily activities.

- Intensive, individualized interventions provided by specialized professionals — such as therapists trained in applied behavior analysis (ABA) — are necessary. These interventions aim to foster basic communication skills and work on behavior modification strategies to reduce distress during environmental changes.

- Active family involvement is essential. Families need to create structured and supportive environments where routines are predictable and where individuals can feel safe and understood. This can involve setting up a daily schedule, providing clear instructions, and offering emotional support during challenging situations.


Understanding the distinct differences between the three levels of ASD is essential for providing effective support and interventions tailored to individual needs. By recognizing and appreciating the unique strengths and challenges facing individuals with ASD, we can enhance their quality of life and promote meaningful participation in society.


 
 
More articles for parents of children and teens on the autism spectrum:
 
Social rejection has devastating effects in many areas of functioning. Because the ASD 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.

Click here to read the full article…

---------------------------------------------------------------

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 or HFA child is totally out-of-control. When it ends, both you and your 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.

Click here for the full article...

--------------------------------------------------------------

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

Click here to read the full article…

------------------------------------------------------------

Your older teenager or young “adult child” isn’t sure what to do, and he is asking you for money every few days. How do you cut the purse strings and teach him to be independent? Parents of teens with ASD face many problems that other parents do not. Time is running out for teaching their adolescent how to become an independent adult. As one mother put it, "There's so little time, yet so much left to do."

Click here to read the full article…

------------------------------------------------------------

Two traits often found in kids with High-Functioning Autism are “mind-blindness” (i.e., the inability to predict the beliefs and intentions of others) and “alexithymia” (i.e., the inability to identify and interpret emotional signals in others). These two traits reduce the youngster’s ability to empathize with peers. As a result, he or she may be perceived by adults and other children as selfish, insensitive and uncaring.

Click here
to read the full article...

------------------------------------------------------------

Become an expert in helping your child cope with his or her “out-of-control” emotions, inability to make and keep friends, stress, anger, thinking errors, and resistance to change.

Click here for the full article...
 
------------------------------------------------------------
 
A child with High-Functioning Autism (HFA) can have difficulty in school because, since he fits in so well, many adults may miss the fact that he has a diagnosis. When these children display symptoms of their disorder, they may be seen as defiant or disruptive.

Click here for the full article...

Strategies to Help a Child with Autism Spectrum Disorder (ASD) Stop Hitting

Addressing hitting behavior in children with Autism Spectrum Disorder (ASD) can be a complex task for parents and caregivers. However, with a deeper understanding of the underlying causes and proactive strategies, it is possible to help children express themselves more appropriately. This article will provide specific methods to identify triggers, enhance communication skills, employ behavior modification techniques, and teach emotional regulation.


#### Understanding the Behavior


1. **Identify Triggers and Contexts**: 

   - Children with ASD may hit due to various triggers, such as frustration, sensory overload, impulsivity, or communication difficulties. To effectively reduce hitting, it is essential to carefully observe and note the circumstances surrounding each incident. Keep a detailed log that includes the time of day, setting, activities involved, and interactions leading up to the aggressive behavior. For example, a child may hit when waiting too long for their turn on a toy, indicating frustration related to waiting and impulse control.


2. **Recognizing Sensory Sensitivities**: 

   - Many children on the spectrum experience a heightened or reduced sensitivity to sensory inputs, which can lead to overwhelming feelings. For instance, a child may react aggressively in a crowded environment filled with noise and bright lights. Understanding these sensitivities allows caregivers to anticipate situations that may trigger hitting and modify the environment accordingly. Strategies could include wearing noise-canceling headphones in loud spaces or offering quiet, dimly lit areas where the child can retreat when feeling overwhelmed.


#### Enhancing Communication Skills


1. **Implementing Alternative Communication Methods**:

   - If hitting behaviors arise from an inability to express needs or emotions verbally, introducing alternative communication methods is crucial. Techniques may include:

     - **Visual Supports**: Use picture exchange systems where the child can exchange pictures of items or actions they want instead of resorting to physical aggression.

     - **Speech Therapy**: Engaging with a speech-language pathologist can help improve the child's verbal skills and confidence.

     - **Sign Language**: Teaching basic signs for emotions and needs can empower the child to communicate without resorting to hitting.


2. **Role-Playing Scenarios**:

   - Practicing role-play scenarios where the child encounters typical challenges can help them develop appropriate reactions. For instance, create a situation where another child takes a toy they were playing with. Guide the child through expressing their feelings verbally by using phrases like “I’m upset!” or “I want my turn!” This practice fosters social skills and encourages appropriate responses to frustration.


#### Behavior Modification Strategies


1. **Utilizing Positive Reinforcement**:

   - Positive reinforcement plays a pivotal role in encouraging desirable behavior. For example, when the child successfully uses words or communicates their feelings instead of hitting, acknowledge their efforts with specific praise, such as, “I’m so proud of you for using your words instead of hitting!” Consider implementing a reward system where the child earns points for positive behavior that can be exchanged for privileges or small treats.


2. **Establishing Consistent and Clear Consequences**:

   - Address inappropriate behaviors such as hitting through consistent consequences. It’s vital to clarify why the behavior is unacceptable by explaining to the child in simple terms the negative impacts of hitting—both on others and themselves. Frameworks such as social stories can provide context and help children understand alternative actions.


3. **Implementing a Time-Out Protocol**:

   - A structured time-out strategy can be beneficial in addressing aggressive behavior. If hitting occurs, guide the child to a designated cool-down area, allowing them to take a moment to calm down. This space could include calming visual aids, soft surfaces, or sensory toys. During this time, assist them in reflecting on their feelings and discussing better ways to manage anger in the future.


#### Teaching Emotional Regulation


1. **Facilitating Emotion Recognition**:

   - Educating a child to recognize and label their emotions is a fundamental step in decreasing hitting behavior. Use visual aids like emotion charts that depict various feelings with expressive faces. Engage in discussions about emotions by asking what they see in the chart and relating it to personal experiences. For instance, you might say, “This face shows anger. Can you tell me when you feel that way?”


2. **Teaching Problem-Solving Skills**:

   - Instruct the child on how to navigate frustrations and disagreements without resorting to aggression. Present them with problem-solving strategies that involve thinking of at least two alternatives when faced with challenges. For instance, if a toy is taken, they might think, "I can ask for it back," or "I can play with another toy."


3. **Introducing Calming Techniques**:

   - Equip the child with practical, accessible calming strategies to use when they start feeling overwhelmed. Techniques can include:

     - **Deep Breathing Exercises**: Practice inhaling through the nose and exhaling through the mouth, possibly counting to four for each breath to help center their feelings.

     - **Grounding Exercises**: Encourage them to focus on their surroundings or engage their senses, such as finding five things they can see, four they can touch, three they can hear, two they can smell, and one they can taste.


#### Creating a Supportive Environment


1. **Establishing Routine and Structure**:

   - Children with ASD thrive in structured environments with clear, predictable routines. Establish a daily schedule that includes visual cues and checklists for activities. Consistent routines can minimize anxiety, which often contributes to aggressive behaviors like hitting. Use tools such as visual timetables to help the child know what to expect throughout the day.


2. **Designating Safe Spaces**:

   - Create a specific, designated area in the home where the child can retreat when feeling overwhelmed or frustrated. This safe space should be calm, quiet, and equipped with comforting items. Encourage the child to go to this place when they feel they need a break or are struggling with big emotions.


3. **Seeking Professional Support**:

   - Consider involving professionals such as occupational therapists, behavioral specialists, or psychologists who specialize in ASD. They can provide tailored strategies and interventions that address the child’s specific needs and assist in developing social and emotional skills.


Reducing hitting behaviors in children with Autism Spectrum Disorder is achievable through a multifaceted approach. By identifying triggers, enhancing communication skills, implementing positive behavior strategies, and focusing on emotional regulation, caregivers can create an environment that ultimately reduces aggressive responses. It’s important to recognize that every child is unique, and patience, persistence, and support from professionals are essential. Celebrate each step the child takes toward improvement, focusing on progress rather than perfection, as that journey itself is worthy of recognition.


 
 
More articles for parents of children and teens on the autism spectrum:
 
Social rejection has devastating effects in many areas of functioning. Because the ASD 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.

Click here to read the full article…

---------------------------------------------------------------

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 or HFA child is totally out-of-control. When it ends, both you and your 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.

Click here for the full article...

--------------------------------------------------------------

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

Click here to read the full article…

------------------------------------------------------------

Your older teenager or young “adult child” isn’t sure what to do, and he is asking you for money every few days. How do you cut the purse strings and teach him to be independent? Parents of teens with ASD face many problems that other parents do not. Time is running out for teaching their adolescent how to become an independent adult. As one mother put it, "There's so little time, yet so much left to do."

Click here to read the full article…

------------------------------------------------------------

Two traits often found in kids with High-Functioning Autism are “mind-blindness” (i.e., the inability to predict the beliefs and intentions of others) and “alexithymia” (i.e., the inability to identify and interpret emotional signals in others). These two traits reduce the youngster’s ability to empathize with peers. As a result, he or she may be perceived by adults and other children as selfish, insensitive and uncaring.

Click here
to read the full article...

------------------------------------------------------------

Become an expert in helping your child cope with his or her “out-of-control” emotions, inability to make and keep friends, stress, anger, thinking errors, and resistance to change.

Click here for the full article...
 
------------------------------------------------------------
 
A child with High-Functioning Autism (HFA) can have difficulty in school because, since he fits in so well, many adults may miss the fact that he has a diagnosis. When these children display symptoms of their disorder, they may be seen as defiant or disruptive.

Click here for the full article...

Comprehensive Guide to Understanding ASD and Behavioral Challenges in Educational Settings

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by a broad spectrum of challenges that significantly influence an individual's ability to communicate, interact socially, and behave in a conventional manner. 
 
The complexities of ASD can lead to a variety of behavioral issues, particularly in school environments where social expectations are often heightened. This article delves deeply into the behavioral challenges associated with ASD in schools, examining their nature, impacts on learning, and effective strategies for support and intervention.

### Key Characteristics of Autism Spectrum Disorder

ASD encompasses a wide variety of symptoms that can manifest differently in each individual. Understanding these characteristics is not just crucial, but empowering for educators and peers alike, as it equips them with the knowledge to provide effective support.

1. **Difficulties in Social Communication**: Children with ASD often face significant hurdles when it comes to social interaction. They may find it challenging to interpret non-verbal cues, such as facial expressions or gestures, leading to misunderstandings in social settings. Their attempts at conversation might lack the natural back-and-forth flow typical of peer interactions, resulting in feelings of isolation.

2. **Repetitive and Restrictive Behaviors**: Many children with ASD engage in repetitive movements, such as hand-flapping, rocking, or lining up objects. Additionally, they may develop an intense focus on specific interests, which can dominate their conversations and activities. These behaviors can lead to distress if their routine is disrupted, creating an emotional barrier to their learning.

3. **Sensory Processing Challenges**: Sensory sensitivities are common among children with ASD. They might experience discomfort or overwhelming sensations from lights, sounds, textures, or smells. For instance, the buzzing of fluorescent lights or the sound of a bell ringing can be unbearable, leading to anxiety that affects their ability to concentrate in class.

4. **Highly Variable Cognitive Abilities**: Cognitive capabilities in children with ASD can vary significantly, ranging from severe intellectual disability to exceptionally high abilities in specific areas, such as mathematics or music. Understanding where a child falls on this spectrum is essential for tailoring educational approaches that respect their cognitive strengths and weaknesses.

### Behavioral Problems Manifesting in School Environments

The behavioral challenges unique to children with ASD can present themselves in various forms in school settings, creating hurdles for both the students and the educators:

1. **Meltdowns and Shutdowns**: In an overstimulating environment, a child with ASD might experience a meltdown—an explosive reaction that could involve screaming, crying, or even aggressive behavior. Alternatively, they may shut down, withdrawing into themselves and becoming unresponsive. Such episodes are often rooted in sensory overload or emotional frustration.

2. **Avoidance of Social and Academic Activities**: Many students with ASD exhibit reluctance or outright refusal to participate in classrooms' social activities, particularly those that involve group work or discussions. This avoidance can stem from anxiety about social interactions or fear of being judged by peers, preventing them from fully engaging in the educational experience.

3. **Impulsivity and Inattention**: Students with ASD may struggle with impulsivity, leading to difficulties in following instructions or staying focused on tasks. They might blurt out answers before being called upon or drift off topic in discussions, disrupting the flow of instruction and leading to frustration among educators.

4. **Aggressive Outbursts**: Some children may express their frustration through aggressive behaviors. This could involve hitting, kicking, or throwing objects when they feel overwhelmed or when communication breakdowns occur. Such actions can generate a heightened sense of fear and discomfort among classmates.

5. **Social Isolation and Loneliness**: The unique communication styles and behaviors associated with ASD can lead to social isolation, where the child may struggle to connect with peers. This isolation can exacerbate feelings of loneliness and lead to a cycle of further withdrawal from social opportunities.

### Implications of Behavioral Challenges on Learning Outcomes

The behavioral issues arising from ASD have far-reaching effects on a child's educational experience. Frequent emotional outbursts can disrupt not only the learning process for the affected student but also that of their classmates. Moreover, avoidance of social engagement can hinder the acquisition of critical social skills, leaving the student ill-prepared for interactions outside the classroom. The resulting stigma and negative peer interactions can lead to significant challenges in mental health, including increased risk of anxiety and depression.

### Effective Strategies for Supporting Students with ASD

To effectively support students dealing with behavioral challenges due to Autism Spectrum Disorder, educators and caregivers must adopt a multifaceted approach that is tailored to the individual needs of each child. Several effective strategies include:

1. **Structured Learning Environments**: Establishing a predictable classroom routine greatly benefits children with ASD. Visual schedules that outline daily activities can offer clarity and reduce anxiety around transitions, allowing students to feel more secure in their learning environment.

Another effective strategy is the clear communication of behavioral expectations. Teachers should communicate their expectations clearly and consistently. This helps create a structured environment where children with ASD know what is expected of them, reducing stress and promoting confidence in their abilities.

3. **Sensory-Friendly Areas**: Designating a quiet space within the classroom where students can retreat when feeling overwhelmed can be invaluable. This sensory-friendly area should be equipped with calming tools, such as noise-canceling headphones, soft lighting, and stress-relief toys.

4. **Individualized Education Plans (IEPs)**: An IEP tailored to the child's unique abilities and challenges can facilitate appropriate accommodations, such as modified assignments, alternative learning methods, or additional support from a teaching aide. Regular reviews of the IEP can ensure that it continues to meet the child’s evolving needs.

5. **Social Skills Training Programs**: Implementing specific training programs that focus on teaching social skills can aid students with ASD in navigating social interactions. Techniques such as role-playing, using social stories, and peer mentoring are effective in enhancing their understanding of social norms.

6. **Collaborative Partnerships with Parents**: Strong communication between educators and parents is essential for creating a consistent approach to behavior management. Regular meetings to discuss effective strategies utilized at home can help foster an integrated support system for the child.

7. **Professional Development for Educators**: Offering ongoing training for teachers and staff about ASD can ensure they are well-equipped to understand and nurture the needs of students with this condition. This training fosters empathy and sensitivity, fostering a more inclusive classroom atmosphere.

Understanding and addressing the behavioral challenges associated with Autism Spectrum Disorder in school settings is vital for fostering a positive and productive educational experience. By recognizing the unique needs of these students and implementing targeted strategies, educators can create an inclusive environment where children with ASD can thrive academically and socially. 
 
Through collaboration, sensitivity, and continuous support, we can ensure that all students, regardless of their challenges, have the opportunity to succeed and contribute positively to their school communities.
 

 
 
More articles for parents of children and teens on the autism spectrum:
 
Social rejection has devastating effects in many areas of functioning. Because the ASD 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.

Click here to read the full article…

---------------------------------------------------------------

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 or HFA child is totally out-of-control. When it ends, both you and your 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.

Click here for the full article...

--------------------------------------------------------------

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

Click here to read the full article…

------------------------------------------------------------

Your older teenager or young “adult child” isn’t sure what to do, and he is asking you for money every few days. How do you cut the purse strings and teach him to be independent? Parents of teens with ASD face many problems that other parents do not. Time is running out for teaching their adolescent how to become an independent adult. As one mother put it, "There's so little time, yet so much left to do."

Click here to read the full article…

------------------------------------------------------------

Two traits often found in kids with High-Functioning Autism are “mind-blindness” (i.e., the inability to predict the beliefs and intentions of others) and “alexithymia” (i.e., the inability to identify and interpret emotional signals in others). These two traits reduce the youngster’s ability to empathize with peers. As a result, he or she may be perceived by adults and other children as selfish, insensitive and uncaring.

Click here
to read the full article...

------------------------------------------------------------

Become an expert in helping your child cope with his or her “out-of-control” emotions, inability to make and keep friends, stress, anger, thinking errors, and resistance to change.

Click here for the full article...
 
------------------------------------------------------------
 
A child with High-Functioning Autism (HFA) can have difficulty in school because, since he fits in so well, many adults may miss the fact that he has a diagnosis. When these children display symptoms of their disorder, they may be seen as defiant or disruptive.

Click here for the full article...

Handling Aggressive Teens with Autism Spectrum Disorder: An In-Depth Guide

Navigating the tumultuous waters of adolescence is challenging for any teenager, but it can be particularly daunting for those with Autism Spectrum Disorder (ASD). Aggressive behaviors may surface during this critical developmental phase for a variety of reasons, including difficulties in communication, sensory overload, significant changes in routine, and struggles with emotional regulation. 

Understanding the roots of these aggressive tendencies and developing practical strategies to manage them can create a more harmonious environment for both teens and their families. Below is a comprehensive guide designed to assist parents, caregivers, and educators in addressing aggression in teens with ASD.

Understanding the Roots of Aggression: The Key to Empowerment

To effectively address aggressive outbursts, it’s crucial to identify and understand their underlying triggers:

1. **Communication Barriers**: Teens with ASD often experience challenges in articulating their feelings or needs verbally. This communication gap can lead to intense frustration and, ultimately, aggressive outbursts when they feel unheard or misunderstood.

2. **Sensory Sensitivities**: Many individuals on the autism spectrum possess heightened sensitivity to sensory stimuli. For instance, overwhelming lights, loud noises, or crowded settings can lead to sensory overload, pushing them to react aggressively as a means of coping with discomfort.

3. **Changes in Routine**: Adolescents with ASD typically thrive on predictability and routine; thus, unexpected changes—like a switch in school schedules, family dynamics, or even meal times—can provoke anxiety and lead to aggressive behaviors as a reaction to confusion or insecurity.

4. **Emotional Regulation**: Many teens on the spectrum find it challenging to recognize, interpret, and manage their emotions effectively. This difficulty often results in intense emotional responses in situations perceived as threatening or distressing.

5. **Social Interaction Challenges**: Misinterpretations in social situations can lead to feelings of exclusion or irritation. A misunderstanding on the playground or in the classroom can escalate quickly into aggressive actions stemming from frustration or anxiety about social interactions.

#### Strategies for Prevention and Management

1. **Create a Predictable Environment**:
   - **Establish Consistent Routines**: Implement daily schedules that are consistent and predictable. Utilize visual schedules with clear timeframes and activities to help the teen anticipate what comes next, reducing anxiety and uncertainty.
   - **Prepare for Changes**: When changes are unavoidable, take the time to prepare the teen. Use social stories—short narratives that describe a situation and appropriate responses—to help them understand and anticipate the adjustments.

2. **Enhance Communication Skills**:
   - **Alternative Communication Tools**: Invest in communication aids such as picture exchange communication systems (PECS) or mobile applications designed for non-verbal communication, which can empower the teen to express needs and feelings more effectively.
   - **Teach Emotion Recognition**: Utilize tools like emotion wheels or feelings charts to help the teen identify and name their emotions. Engage in role-playing scenarios to practice expressing these emotions in a safe and constructive manner.

3. **Develop Coping Strategies**:
   - **Introduce Relaxation Techniques**: Teach the teen various stress-relief practices, such as deep breathing exercises, guided imagery, or progressive muscle relaxation, which can help them calm down when they feel frustration mounting.
   - **Designate a Calming Space**: Create a "calm-down corner" equipped with sensory-friendly items like fidget toys, noise-canceling headphones, and weighted blankets. This designated space should be a safe retreat where the teen can go to de-escalate their feelings.

4. **Implement Positive Behavior Supports**:
   - **Reinforce Positive Behavior**: Focus on and encourage appropriate behavior by utilizing positive reinforcement techniques. For instance, a token economy system that rewards positive actions can significantly motivate a teen to adhere to expected behaviors.
   - **Establish Clear Expectations and Consequences**: Clearly lay out what behaviors are expected and what the consequences will be for aggressive actions. Consistency in applying these guidelines will help the teen understand boundaries.

5. **Teach Problem-Solving Skills**:
   - **Engage in Role-Playing Exercises**: Conduct role-playing exercises to practice responses to potential triggers or frustrating situations, giving the teen tools to handle conflicts more effectively.
   - **Create a “Calm-Down” Plan**: Collaboratively develop a personalized plan with the teen that outlines specific steps to take when they feel overwhelmed, including identifying preferred coping strategies they can turn to.

6. **Seek Professional Guidance**:
   - **Consider Behavioral Therapy**: Engaging a therapist who specializes in ASD can provide tailored strategies to help manage aggression. Therapeutic approaches like Applied Behavior Analysis (ABA) can be particularly effective.
   - **Consult for Medication if Necessary**: For cases where anxiety or mood disorders severely impact behavior, consult with a psychiatrist experienced with ASD. Medication might support better emotional regulation, thus reducing aggressive episodes.

7. **Engage in Family Support**:
   - **Participate in Parent Training Programs**: Enroll in programs designed to educate parents on effective management strategies for challenging behaviors associated with ASD, equipping them with coping mechanisms.
   - **Join Support Groups**: Connecting with support groups can provide valuable opportunities for sharing experiences, offering insights, and fostering a sense of community among families facing similar struggles.

8. **Foster Social Skills Development**:
   - **Enroll in Social Skills Training**: Enrich the teen's social competence by introducing them to social skills groups where they can practice interactions in a structured environment, promoting effective communication and relationship-building.
   - **Facilitate Peer Relationships**: Encourage the formation of friendships by organizing activities that allow the teen to interact with peers who share similar interests, ensuring these experiences are positive and constructive.

#### When Aggression Occurs

In the unfortunate event of an aggressive outburst, it is essential to respond appropriately, keeping both the teen and others safe:

- **Stay Calm**: Your composure can significantly influence the situation. Use a soothing tone and body language to reassure the teen while maintaining a calm demeanor.
- **Ensure Safety**: Assess the environment to ensure everyone’s safety, removing any objects that could be used to cause harm during the outburst.
- **De-Escalate the Situation**: Implement de-escalation techniques, such as creating physical distance if needed, softly redirecting their focus, or guiding them to their calming area to promote tranquility.
- **Reflect Post-Incident**: After the situation has calmed down, engage the teen in a discussion about what triggered the aggressive behavior. Focus on identifying key triggers and brainstorming effective responses or coping mechanisms for the future.

Managing aggressive behaviors in teens with Autism Spectrum Disorder requires a thoughtful, multifaceted approach grounded in empathy, understanding, and structured support strategies. By enhancing communication, creating predictable environments, and teaching effective coping mechanisms, parents and caregivers can empower their teens to navigate the complexities of adolescence with greater confidence and resilience. 

Education and ongoing support are invaluable—not only for the individuals with ASD but also for their families. Through the implementation of these strategies, challenging behaviors can be transformed into profound opportunities for personal growth, emotional connections, and understanding.

 

 
 
More articles for parents of children and teens on the autism spectrum:
 
Social rejection has devastating effects in many areas of functioning. Because the ASD 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.

Click here to read the full article…

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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 or HFA child is totally out-of-control. When it ends, both you and your 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.

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

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Your older teenager or young “adult child” isn’t sure what to do, and he is asking you for money every few days. How do you cut the purse strings and teach him to be independent? Parents of teens with ASD face many problems that other parents do not. Time is running out for teaching their adolescent how to become an independent adult. As one mother put it, "There's so little time, yet so much left to do."

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Two traits often found in kids with High-Functioning Autism are “mind-blindness” (i.e., the inability to predict the beliefs and intentions of others) and “alexithymia” (i.e., the inability to identify and interpret emotional signals in others). These two traits reduce the youngster’s ability to empathize with peers. As a result, he or she may be perceived by adults and other children as selfish, insensitive and uncaring.

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Become an expert in helping your child cope with his or her “out-of-control” emotions, inability to make and keep friends, stress, anger, thinking errors, and resistance to change.

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A child with High-Functioning Autism (HFA) can have difficulty in school because, since he fits in so well, many adults may miss the fact that he has a diagnosis. When these children display symptoms of their disorder, they may be seen as defiant or disruptive.

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ASD Meltdown-Management: Key Points for Parents of Kids on the Autism Spectrum

A meltdown is a condition where the youngster with ASD level 1, or High Functioning Autism, temporarily loses control due to emotional responses to environmental factors. It generally appears that the youngster has lost control over a single and specific issue, however this is very rarely the case. 

Usually, the problem is the accumulation of a number of irritations which could span a fairly long period of time, particularly given the strong long-term memory abilities of young people on the autism spectrum.

Why The Problems Seem Hidden—

ASD kids don't tend to give a lot of clues that they are very irritated:
  • Often ASD child-grievances are aired as part of their normal conversation and may even be interpreted by NTs (i.e., neurotypicals, or people without autism) as part of their standard whining.
  • Some things which annoy ASD kids would not be considered annoying to NTs, and this makes NT's less likely to pick up on a potential problem.
  • Their facial expressions very often will not convey the irritation.
  • Their vocal tones will often remain flat even when they are fairly annoyed.

What Happens During A Meltdown—

The meltdown appears to most people as a temper tantrum. There are marked differences between adults and kids. Kids tend to flop onto the ground and shout, scream or cry. Quite often, they will display violent behavior such as hitting or kicking.

In adults, due to social pressures, violent behavior in public is less common. Shouting outbursts or emotional displays can occur though. More often, it leads to depression and the ASD man or woman simply retreats into themselves and abandons social contact.

Some ASD kids describe the meltdown as a red or grey band across the eyes. There is a loss of control and a feeling of being a powerless observer outside the body. This can be dangerous as the ASD youngster may strike out, particularly if the instigator is nearby or if the "Aspie" is taunted during a meltdown.

Depression—

Sometimes, depression is the only outward visible sign of a meltdown. At other times, depression results when the ASD youngster leaves the meltdown state and confronts the results of the meltdown. The depression is a result of guilt over abusive, shouting or violent behavior.

Dealing With Meltdowns—

Unfortunately, there's not a lot you can do when a meltdown occurs in a child on the autism spectrum. The best thing you can do is to train yourself to recognize a meltdown before it happens and take steps to avoid it.

Example from one mother: "ASD kids are quite possessive about their food, and my autistic child will sometimes decide that he does not want his meat to be cut up for him. When this happens, taking his plate from him and cutting his meat could cause a full-blown meltdown. The best way to deal with this is to avoid touching it for the first part of the meal until he starts to want my involvement. When this occurs, instead of taking his plate from him, it is more effective to lean over and help him to cut the first piece. Once he has cut the first piece with help, he will often allow the remaining pieces to be cut for him."

Once the youngster reaches an age where they can understand (around age 4 or so), you can work on explaining the situation. One way you could do this would be to discreetly videotape a meltdown and allow them to watch it at a later date. You could then discuss the incident, explain why it isn't socially acceptable, and give them some alternatives.

One adult "Aspie" stated the following:

"When I was little, I remember that the single best motivation for keeping control was once when my mother called me in after play and talked about the day. In particular, she highlighted an incident where I had fallen down and hurt myself. She said, 'Did you see how your friend started to go home as soon as you fell down because they were scared that you were going to have a meltdown?' She went on to say, 'When you got up and laughed, they were so happy that they came racing back. I'm proud of you for controlling your emotions.' That was a good moment for me that day. It really gave me some insight into how I tended to respond quickly without much forethought. I carried this with me for years later and would always strive to contain myself. I wouldn't always succeed, but at least I was trying."

Meltdowns And Punishment—

One of the most important things to realize is that meltdowns are part of the ASD condition. You can't avoid them; merely try to reduce the damage. Punishing an ASD youngster for a meltdown is like punishing someone for swearing when they hit their thumb with a hammer. It won't do any good whatsoever and can only serve to increase the distance between you and your youngster.

In addition, meltdowns aren't wholly caused by the current scenario, but are usually the result of an overwhelming number of other issues. The one which "causes" the meltdown is the straw that breaks the camel’s back. Unless you're a mind reader, you won't necessarily know what the other factors are, and your ASD youngster may not be able to fully communicate the problem.

Every teacher of ASD students and every mom or dad of an ASD child can expect to witness some meltdowns. On average, meltdowns are equally common in boys and girls, and more than half of autistic kids will have one or more per week.

At home, there are predictable situations that can be expected to trigger meltdowns, for example:
  • bath time
  • bedtime
  • car rides
  • dinner time
  • family activities involving siblings
  • family visiting another house
  • getting dressed
  • getting up
  • interactions with peers
  • mom or dad talking on the phone
  • playtime
  • public places
  • visitors at the house
  • watching TV

Other settings include:
  • answering questions in class
  • directives from the teacher
  • getting ready to work
  • group activities
  • individual seat work
  • interactions with other children
  • on the school bus
  • the playground
  • transitions between activities

From time to time, all ASD kids will whine, complain, resist, cling, argue, hit, shout, run, and defy authority figures. Meltdowns, although normal, can become upsetting to parents and teachers because they are embarrassing, challenging, and difficult to manage. Also, meltdowns can become particularly difficult to manage when they occur with greater frequency, intensity, and duration than is typical for the age of the ASD kid.

There are nine different types of temperaments in kids on the spectrum:

1. Distracted temperament predisposes the kid to pay more attention to his or her surroundings than to the caregiver.

2. High-intensity level temperament moves the kid to yell, scream, or hit hard when feeling threatened.

3. Hyperactive temperament predisposes the kid to respond with fine- or gross-motor activity.

4. Initial withdrawal temperament is found when kids get clingy, shy, and unresponsive in new situations and around unfamiliar people.

5. Irregular temperament moves the kid to escape the source of stress by needing to eat, drink, sleep, or use the bathroom at irregular times when he or she does not really have the need.

6. Low sensory threshold temperament is evident when the kid complains about tight clothes and people staring and refuses to be touched by others.

7. Negative mood temperament is found when kids appear lethargic, sad and lack the energy to perform a task.

8. Negative persistent temperament is seen when the kid seems stuck in his or her whining and complaining.

9. Poor adaptability temperament shows itself when kids resist, shut down, and become passive-aggressive when asked to change activities.

Around age 2, some ASD kids will start having what I refer to as "normal meltdowns." These bouts can last until approximately age 4. Some parents (thinking in terms of temper tantrums) mistakenly call this stage "the terrible twos," and others call it "first adolescence" because the struggle for independence is similar to what is seen during adolescence. Regardless of what the stage is called, there is a normal developmental course for meltdowns in children on the autism spectrum.

Children on the spectrum  during this stage will test the limits. They want to see how far they can go before mom or dad stops their behavior. At age 2, ASD kids are very egocentric and can't see another person’s point of view. They want independence and self-control to explore their environment. When they can't reach a goal, they show frustration by crying, arguing, yelling, or hitting. When their need for independence collides with the parents' needs for safety and conformity, the conditions are perfect for a power struggle and a meltdown. 

A meltdown is designed to get the parents to desist in their demands or give the child what he or she wants. Many times, ASD kids stop the meltdown only when they get what is desired. What is most upsetting to parents is that it is virtually impossible to reason with ASD kids who are having a meltdown. Arguing and cajoling in response to a meltdown only escalates the problem.

By age 3, many young people on the spectrum are less impulsive and can use language to express their needs. Meltdowns at this age are often less frequent and less severe. Nevertheless, some preschoolers have learned that a meltdown is a good way to get what they want.

By age 4, most ASD kids have the necessary motor and physical skills to meet many of their own needs without relying so much on the parent. At this age, these young people also have better language that allows them to express their anger and to problem-solve and compromise. Despite these improved skills, even kindergarten-age and school-age ASD kids can still have meltdowns when they are faced with demanding academic tasks and new interpersonal situations in school.

It is much easier to “prevent” meltdowns than it is to manage them once they have erupted.  Here are some tips for preventing meltdowns and some things you can say:

1. Avoid boredom. Say, “You have been working for a long time. Let’s take a break and do something fun.”

2. Change environments, thus removing the child from the source of the meltdown. Say, “Let’s go for a walk.”

3. Choose your battles. Teach them how to make a request without a meltdown and then honor the request. Say, “Try asking for that toy nicely and I’ll get it for you.”

4. Create a safe environment that these children can explore without getting into trouble. Childproof your home or classroom so they can explore safely.

5. Distract them by redirection to another activity when they meltdown over something they should not do or can't have. Say, “Let’s read a book together.”

6. Do not "ask" ASD kids to do something when they must do what you ask. Do not ask, “Would you like to eat now?” Say, “It's dinnertime now.”

7. Establish routines and traditions that add structure. For teachers, start class with a sharing time and opportunity for interaction.

8. Give these children control over little things whenever possible by giving choices. A little bit of power given to the kid can stave-off the big power struggles later (e.g., “Which do you want to do first, brush your teeth or put on your pajamas?”).

9. Increase your tolerance level. Are you available to meet the ASD kid’s reasonable needs? Evaluate how many times you say, “No.” Avoid fighting over minor things.

10. Keep a sense of humor to divert the child's attention and surprise him or her out of the meltdown.

11. Keep off-limit objects out of sight and therefore out of mind. In an art activity, keep the scissors out of reach if the child is not ready to use them safely.

12. Make sure that ASD kids are well rested and fed in situations in which a meltdown is a likely possibility. Say, “Dinner is almost ready, here’s a cracker for now.”

13. Provide pre-academic, behavioral, and social challenges that are at the ASD kid’s developmental level so that he or she doesn't become frustrated.

14. Reward them for positive attention rather than negative attention. During situations when they are prone to meltdowns, catch them when they are being good and say things like, “Nice job sharing with your friend.”

15. Signal them before you reach the end of an activity so that they can get prepared for the transition. Say, “When the timer goes off 5 minutes from now, it will be time to turn off the TV and go to bed.”

16. When visiting new places or unfamiliar people, explain to the child beforehand what to expect. Say, “Stay with your assigned buddy in the museum.”

There are a number of ways to “handle” a meltdown that is already underway.  Strategies include the following:

1. Hold the ASD  kid who is out of control and is going to hurt himself or herself (or someone else). Let the child know that you will let him or her go as soon as he or she calms down. Reassure the child that everything will be all right, and help him or her calm down. Moms and dads may need to hug their Aspergers kid who is crying, and say they will always love him or her no matter what, but that the behavior has to change. This reassurance can be comforting for an Aspergers kid who may be afraid because he or she lost control.

2. If the youngster has escalated the meltdown to the point where you are not able to intervene in the ways described above, then you may need to direct the child to time-out. If you are in a public place, carry your child outside or to the car. Tell him that you will go home unless he calms down. In school, warn the student up to three times that it is necessary to calm down, and give a reminder of the rule. If the student refuses to comply, then place him in time-out for no more than 1 minute for each year of age.

3. Remain calm and do not argue. Before you manage her, you must manage your own behavior. Punishing or yelling at the child during a meltdown will make it worse.

4. Talk with the child after he has calmed down. When he stops crying, talk about the frustration the he has experienced. Try to help solve the problem if possible. For the future, teach the child new skills to help avoid meltdowns (e.g., how to ask appropriately for help, how to signal an adult that he  needs to go to “time away” to “stop, think, and make a plan” ...and so on). Teach the Aspergers kid how to try a more successful way of interacting with a peer or sibling, how to express his feelings with words, and recognize the feelings of others without hitting and screaming.

5. Think before you act. Count to 10 and then think about the source of the ASD kid’s frustration, the child’s characteristic temperamental response to stress (e.g., hyperactivity, distractibility, moodiness, etc.), and the predictable steps in the escalation of the meltdown.

6. Try to intervene before the youngster is out of control. Get down at her eye level and say, “You are starting to get revved up, let's slow down.” Now you have several choices of intervention.

7. You can ignore the meltdown if it is being thrown to get your attention. Once the ASD kid calms down, you can give the attention that is desired.

8. You can place the youngster in "time away." Time away is a quiet place where he goes to calm down, think about what he needs to do, and with your help, make a plan to change the behavior.

9. You can positively distract the child by getting her focused on something else that is an acceptable activity (e.g., remove the unsafe item and replace with an age-appropriate game).

Post-Meltdown Management—

1. Do not reward the child after a meltdown for calming down. Some kids will learn that a meltdown is a good way to get a treat later.

2. Explain to the child that there are better ways to get what she wants.

3. Never let the meltdown interfere with your otherwise positive relationship with your child.

4. Never, under any circumstances, give in to a meltdown. That response will only increase the number and frequency of the meltdowns.

5. Teach the youngster that anger is a feeling that we all have, and then teach her ways to express anger constructively.


Best Comment—

My name is Sharon, I have been with Elliott for over ten years and we have a son Brandon who is 6 yr old. They both have aspergers syndrome we are awaiting Brandon’s appointment with the paediatrician consultant for diagnosis, but I am 110% sure it will be aspergers. I am feeling in the thick of it of late I have and am constantly looking for local support and forums online etc to reach out for guidance and any support also to offer my own support to others. I am a person centred therapist and in the past have worked in supporting children and adults on the autistic spectrum, I do have a good insight into the autistic spectrum but nothing prepares you for how it feels actually living 24/7 with it.

Firstly the biggest part for me is the heart break and hurt I feel for my son, then the worry and concern how he will get along in life. I am very pro active and of late have worked well with school to best advise them how we support Brandon’s needs it’s been an uphill struggle for the last year especially as they don't seem to have the knowledge or the amenities to support him.

I have been called to school several times of late because of his "disruptive" behaviour,, basically his stimming he does get louder if in a louder environment the teachers know this is a trigger and he is left alone to deal with this instead of being prepared for a change of noise or scenery or even a much needed teaching assistant who could work alongside him. If he gets too disruptive he is taken out of the class environment for "time out" is this a good way of dealing with it? As we have told school time out at home is if he is naughty, which generally he is never naughty. we have what we call quiet time at home where sometimes when he feels over load we just find a quiet place to sit together and relax or read whatever he wants really but it brings him down and more settled to cope better.

Again it will mean another meeting or ten..... To resolve or make a better learning environment for Brandon. They say they can’t do anything till he’s been statemented and funded for an assistant or further support. But they will assist him as best they can and I do feel listened to but there is of late something new nearly every day that needs adaption which imp fine with I am aware he defiantly needs some support. I have been on an emotional roller coaster.

It feels so isolating as support around this neck of woods is minimal. Brandon’s upset of late is his lack of friends he just wants his family to be at school all day every day his words because we love him! So the social aspect this is. So I discussed with head teacher and she has set a buddy system up for him its yet to be seen to be working, as I know how difficult it is for Brandon to mix and communicate with his peers and when he does he gets rejected.

We have tried so many routes with this he seems to connect with kids in play areas as he and they are generally being quite boisterous but its time limited so he feels less pressure. We are also in process of groups i.e. dancing as he loves to dance (street dance) and maybe other recreations of his choice. It feels like a very long a winding road what we are on I know I haven't spoke much bout Elliott having spent ten years with him would have thought Brandon’s aspergers may come easier to me understanding wise yes but on a personal level it’s so upsetting.

Other points are his eating habits he is a very bland eater and eats the same few foods we supplement with vitamins he is quite small in frame but eats quite well the foods he does enjoy think they call it the beige diet he has no colour in his food at all (pasta, no sauce, chicken nuggets, crisps plain flavour, crumpets, bread, some types of rice, certain chocolate, milk, Yorkshire puddings) there’s a few more but as you can see limited. We have tried so many different ways to entice him I would be grateful if you could give me any tips.

Feels like I am going on now, the list goes on his sensory issues really do dictate to him and us how the day goes sometimes, and he is becoming more and more aware of his stims and repetitive behaviour today its clapping and repeating words it was a machine gun noise (constantly)and random moves it varies from day. I feel I need more guidance in how to help/support Brandon. The melt downs are becoming more and more but he only does this with his dad I have a calming effect as soon as he starts in melt down they pretty much calm after I’ve been around him a few minutes. The routines he has etc seem to help a lot too.

If you can pull anything out of this letter and feedback I would be grateful there will be things I have missed but feel free to ask me any further questions. He also as 3 older step siblings 15, 19, 21 and they are very loving and supportive with him and very understanding. He as a great relationship with all of us in our family unit. Feels like the outside world is a daunting prospect right now.

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Crucial Strategies for Parents of Challenging Kids on the Autism Spectrum

    Resources for parents of children and teens on the autism spectrum :   ==> How to Prevent Meltdowns and Tantrums in Children ...