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How to Intervene When Your Child is Being Bullied at School

"My son (age 9) with high functioning autism tells me that he has been bullied by one of his classmates since the start of the school year. My son said he didn't mentioned it earlier because he didn't realize until recently that this other student was actually doing something "wrong" (go figure). How do you address bullying when the school seems to be indifferent about it – and has even blamed my son for initiating some of the conflict? If they don’t actually see the bullying taking place, they seem to assume that it’s not going on and that my son is simply exaggerating the problem."

According to research, 94% of kids with High-Functioning Autism (HFA) and Asperger’s (AS) are bullied. Bullying usually begins when the HFA or AS student is harassed by another student (or a group of students), but is unable to resist and lacks the support of others. It usually continues if the student doing the bullying has little or no sympathy for the peer they are hurting – and especially if the bully is getting some pleasure out of what he is doing.



The mental torment that HFA and AS victims feel is indisputable. However, since many of us have experienced some kind of schoolyard cruelty and lived to tell the tale, bullying is still written off as a “soft” type of abuse that leaves no apparent injuries. However, the current research into the effects of bullying indicates something more than “hurt feelings.” 
 

Bullying often leaves an indelible imprint on a child’s brain at a time when it's still developing. These neurological scars bear much resemblance to those carried by kids who are physically and sexually mistreated in early childhood. Neuro-scientists now know that the human brain continues to develop and change long after the initial few years of life. Bullying is not simply an unfortunate rite of passage, rather it is a severe form of childhood trauma that triggers psychological damage.

HFA and AS students are easy targets for a variety of reasons:
  • They have difficulty with multi-tasking and interpreting other’s intentions
  • They seem “out of step” with the other kids
  • Due of built-up frustration, they may over-react to most provocations, thus the bully knows he can always push the HFA or AS student’s buttons at will
  • Due to having a low social IQ, they let things build up, and then retaliate without an awareness of what the consequences will be
  • They have difficulty telling the difference between good natured teasing versus someone being mean
  • They may be oblivious to an act of bullying or teasing behavior
  • They have motor difficulties, so participating in athletics is difficult (even games at recess may be a challenge)
  • They process information at a different pace than expected, as a result, they may appear “space-out” or “disconnected” 
  • Their special interests may be boring to others, so it’s hard for them to find other students with similar interests
  • Low-frustration tolerance can lead to a meltdown (and a child who has a meltdown in school is often looked at as a “freak”)
  • They appear different than their peers

Most schools are cracking down on bullying and are treating such behavior as assault and punishable by legal means. As the parent, you have every right to speak with the principal, teacher or counselor in order to ask their help in controlling the problem. Some schools have behavioral support staff whose job is to get to the bottom of behavior issues and crack down on bullies.

Here are some ways that you can intervene - as well as advocate - for your HFA son:

1. Your son may find it difficult to explain what is wrong. Talking it over with his teacher may lead to a better understanding of what is really happening. The more you can do to intervene with the help of school staff, and the more you can teach your son methods for self-preservation that don’t include fighting back, the more likely this unfortunate situation will be put to rest. Your son may be reluctant to have you intervene, because he may fear the social stigma of having his “mommy” fight his battles. However, it is up to you to intervene on his behalf with school administrators to ensure his physical and emotional well-being.

2. Don't talk to the parents of the alleged bully. They may become defensive when their child is accused of bullying, and the conversation may not be a productive one. Let the school administrators manage the communication with the bully’s parents.

3. Explore with your son what leads up to the bullying. It’s possible that, on occasion, he does provoke the bully by annoying or irritating him, in which case, your son can learn not to do so.

4. Find out how bullying is addressed in the school's curriculum and how staff members are obligated to respond to known or suspected bullying. 
 

5. If possible, your son should try to stick with a trusted classmate during the school day. If he walks home from school, maybe he can find someone to walk with him. Sometimes, just having another friend around reduces the incidence of bullying. If your son has problems making friends on his own, try to facilitate a friendship with a mature, understanding child who can both be a friend to your son and can help out if bullies try to tease or hurt him. Facilitating friendships may mean inviting another child over for a meal or for some games or television, or it may mean taking both of them to a movie or on a shopping trip.

6. Remember that it can take time for teachers and administrators to investigate bullying in a fair and factual way. Most schools want to get the problems resolved as quickly as possible. So, patience is key here. Also, write down the details of reported incidence of bullying (e.g., the date, who was involved, what specifically happened, etc.). Record the facts as objectively as possible. Show this data to your son’s teacher(s) to help them make an informed decision regarding how to best address the issue.

7. Maintain open communication with your son. Talk to him every day about details small and large. How did his classes go? What does he have for homework that night? Who did he sit with at lunch? Who did he play with at recess? Listen carefully and be responsive to show interest.

8. Role-playing can help your son identify bullying. If he has a brother or sister, he or she may be able to help shed some light on bullying (kids have a closer connection to today’s playground politics than grown-ups).

9. Scenes from television, movies and video games provide plenty of opportunities to talk about bullying. You and your son can discuss how the bullied character handled the situation, and whether he or she handled it appropriately or not. The two of you can share what you would do in a similar situation.

10. Discuss with your son what places it might be best to avoid, and on occasion, whom to stay close to in threatening situations.

11. Suggest to your son things to do when he is picked on. Sometimes by acting “as if” you are not afraid – or by not over-reacting – the bullying can be stopped. It’s better if your son, with a bit of good advice, can do something to help himself.

12. Take complaints seriously, whether they be stories of physical, verbal or psychological bullying. If your son is just now telling you about problems he has had at school, you can bet that there is plenty that he hasn't told you yet.

13. Teach your son to manage negative emotions by setting an example with your own behavior. Reflect on how you respond to strong feelings of anger, fear or sadness — being careful to identify and accept your emotions, express them without blaming other people, and respond without hostility.

14. Teach your son to walk away from the bully, preferably before the bully gets started. Help your son learn to recognize those situations that may lead to bullying (e.g., after school, on the playground, during lunch, etc.), and teach him to be more vigilant and stay near adults in such circumstances.

15. Teach your son to walk tall, make eye contact, and speak assertively to the bully. Just saying "stop" and walking away from the bully may be enough.

16. Lastly, if all else fails, you may want to consider taking legal action. For more information on this topic, click here ==> Bullying: How Parents Can Take Legal Action To Get It Stopped

Research reveals that kids who have been bullied report more signs of depression, anxiety, and other psychological issues compared to kids who have not. In fact, psychological abuse from same-age peers is as harmful to mental health as psychological abuse from parents. Most HFA and AS children who are bullied (a) have low self-esteem (which may continue for many years), (b) often complain of headaches, concentration difficulties, stomach aches, etc., and (c) are frequently distracted from schoolwork, resulting in poor academic performance.

If the bullying is severe and prolonged, and the targeted child is unable to overcome the problem or get help, he may (a) seek revenge, and in extreme cases, use a weapon to get even, (b) refuse to go to school, (c) become isolated, and (d) distrust others and find it impossible to make friends.

There are a few crucial things that need to happen in order to fully resolve the bullying problem in schools: The HFA or AS youngster needs to learn how to identify bullying or teasing behavior. Schools that have instituted bullying prevention programs that are working should be visited and copied. School officials need to learn more about autism spectrum disorders and how it affects “special needs” students in the classroom. And a network of like-minded professionals and community members to join in a partnership should be developed.

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COMMENTS & QUESTIONS [for August, 2017]

Do you need some assistance in parenting your Aspergers or HFA child? Click here to use Mark Hutten, M.A. as your personal parent coach.

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Good Afternoon Mark: 
An area where I struggle (there are many)  is feeling guilty that I seem to live a "better life" than my son.  I say that because my son has spoken to me in length and in great detail how he wants a long lasting romantic and loving relationship.  His dad, my husband, have been married for 32 years and have been empty nesters for since 2011.  We both work and when we can travel we do..  Matter of fact...My son recently made the comment...several times...that "my friends (most friends via facebook...as he only has a handful of friends he associates with in person) ask "are you parent's retired?" and I comment  "no they just travel like they are."  My son loves to travel but when he travelled to NYC about 5 years ago, he and his behaviors upset my husband so much that he said "I will never travel with him on an overnight again!!" and he has only once a twice since then and only because I expressed how I really wanted to do a family event out of    town that necessitated an overnight in a hotel.  We got him his own room...which I even felt kind of bad about that because I wasn't sure if that would hurt my son's feelings.  I don't think it did and if it did he didn't share with me.  I wish I had a support group in my area that I and or I and my husband could go and get help with trying to communicate more effectively with our son or just accept the way he lives and thinks without taking it personal.  I should clarify that my son has lived on his own since 2011 and has a  dual diagnosis of Asperger's and depression/anxiety diagnosis, lives in HUD housing, and receives all of his income via Social Security Disability, he just graduated and received his associates degree from our local community college (So happy and proud of him for this achievement!) He is working with a case manager at this time as to whether he continues on with his bachelors degree or does an internship with a law firm (not sure what they would have him doing) but he has expressed quite an interest in becoming a lawyer so she thought he should be in that environment to see what he thinks of it.  In any case, any suggestions for me to help with my feelings.  Thank you

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Hello Mark,
I am just realizing my 33-year-old daughter is showing some signs of Oppositional Defiant Disorder.  Since high school she has been angry and disrespectful towards me.  She is now married with a 5-month old son, and she is still very short-tempered with me. 
She has disliked her supervisors at work, although she has obtained 2 Master's Degrees.
She barely speaks to me.  She gives me one-word answers when I ask how she is or how her husband is or how her work is, etc.  Her husband has told me she has vowed to remain angry at me.  She is very strong-willed.
She has said she is hurt and angry that I wanted to have another child after I had her.  She absolutely rales against my having tried to give her helpful suggestions in the past, considering this a criticism that I don't think she is smart enough to figure things out for herself.

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I always seen when I watched your videos before I would purchase your e books and of course I get the daily newsletter to email with questions etc. I really never thought I would have to but here I am a basket case after my daughter's, that's 9yrs old, teacher sent me her 3rd email of the school year (been in school starting 3rd week here in Ga) about Ragan's crying.
I would rather call it her emotions getting the best of her. Ragan is in a regular class setting but has speech once a week for 30 mins. We have come so very far since kindergarten it's actually obscure, for the better of course. I have read and read until I finally pass out at night for the last several months since we got a diagnosis from school psychologist, but talking and preaching to Ragan about how she reacts to things just is not helping. I have helped with routine changes, making friends, the fire alarm that terrifies her, and more but I am at the ends when it comes to trying to explain to her how to respond to things when it don't go her way or turns out different than she might think it should.
The school system here in Paulding County made sure the kids did Eclipse activities all day as we got to see 97% of it, then went out 4 different times to view as it progressed.  Outer space, in general, is a very close interest we share with each other. From planets to stars to the moon and sun all of it we love and could talk forever about it (I do have a point and am going somewhere with all this) but we have been waiting for months for today. Ragan knew it was not going to be totality and we have looked at pics for weeks of just the difference 3% makes in the eclipse, total darkness and what we witnessed which was kinda like dusk.
Well when they said that was it today and started going back in, she lost it crying and mad that it "did not get dark as it was SUPPOSED to" as she put it.
We can go weeks and nothing happen and everything be ok and as I read in one of your books, we can't cure this but we can mask it. I'm sorry it was your words or Tony Atwood's because I did purchase one of his books (didn't want to quote the wrong person).
By far is this about me but  from the minute I drop her off in the morning to the time I get her from daycare, I am holding my breath. Then when the emails come I feel completely defeated every single time, like I am having to start over with her. When she is upset I'm upset I would assume that's a natural thing for a mother, it breaks my heart, I can't focus at work and I feel in a way I have isolated myself from people and no one even knows anything about this.
I have made excuses for years for Ragan and I now see it was me being defensive when teachers would complain about disruptive behavior but in a way I can see why she was upset today, which is why I went in to our interest in all of it.
Point is and question is, what else can I do to teach her or help "mask" her emotions?  While reading I did come across the incredible 5 point scale but have not even read it yet to know what it is I just printed it off before I left work today to read tonight. Any advise would truly be appreciated. I did print off the back to school thing for teachers, you sent out but figured I would meet with her teacher and give it to her, point is her teacher does not know we have this going on nor does she probably know what Aspergers is.  I know I might have went on and on but I was trying to give u all the information I could so maybe you could point me in the right direction.

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I stumbled across your Online Parent Coaching website (http://www.myoutofcontrolteen.com/OnlineParentCoaching).  Is this help still available and could you help us to try to live with our 28 year old son Ryan? 

We've been at our wits end for years.  I told my husband today that if we don't evict him, I'm moving out. And my husband gets along with him worse than I do. I've said this many times before.  We've had the eviction paper notice for a while. I don't think he would be able to make it on his own or at least it would be very sloppy.  But I can't stand the nastiness, foul language, messiness of his room, clothing, surroundings, lack of chores, etc.  If I tell him he is wrong or rude, he will increase the nastiness and use of foul language, saying unbelievably nasty things about me and my husband, and it could go on for hours.  He is never ever wrong, not in the least.  Yesterday his younger brother took the car back to college with Ryan's drivers license and birth certificate in it.  Ryan had an important job interview today and really needed the documents.  He cannot reschedule and get in before the 1st group of candidates get evaluated, reducing his chances for the 13 week training program/job. He was ranting and raving about how wrong and selfish his brother was.  When we told him like we always have, that he needs to keep track of his own things, we both got yelled at about how wrong we were.  Then I said we could drive to the college and get the documents and get back in time for the interview.  When he finally agreed, I asked him to put a building address in GoogleMaps.  He said I talk too loud, and sound like a man and must be frustrated/unhappy, etc, and need help.  I had to put on the breaks and drive home, since I thought I might have a car accident if I had to listen to him yell at/criticize me for an hour and a half.  Ryan didn't want to drive by himself because his legs were too tired.  This is not unusual.  This type of event is common with Ryan. 

We've never had any assistance for him.  The signs were there, but somehow he made it through high school (actually we put him in Michigan Youth Challenge Academy so he could finish with a GED (since he was flunking his harder high school classes).  When in high school, I said there is something wrong and he is soooo immature. While testing, they said they weren't finding anything wrong with him, but gave him a IEP for immaturity (which I told them about).  We didn't hear the term Aspergers until he was 18 and he didn't want to get any diagnosis until he though it might benefit him at 26.  It doesn't seemed to have served any purpose to get the diagnosis, since he doesn't want counseling for himself (only we need counseling he says), and Michigan Works just helps you fill out a resume, etc.    We feel we've encouraged him and he's tried various things. He flunked out of freshman 4 yr college. He was a student pilot and solo'd (but failed his test, failed some classes in the program, didn't really check out the plane, etc). He went to 2 welding schools and got certificates, and got a job after persistent calling (which was good on his part). But he kept complaining that he didn't want to paint, only weld.  He said he didn't like the people or the job and got fired in 2 wks.  He was hired for a remote factory job, but got let go after 2 days.  It was a food plant and he told them he was going to bring food in his pocket anyway breaking the rules.   He only wants a high paying job and they require experience.  He then said welding isn't good for your eyes.  Then he got an associated degree in general studies (after struggling in a manufacturing techn associates prog), but then he got a certificate in Web development. He has supposedly been studying coding for like 2 years, but stopped applying for jobs and coding.

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Hello there,
     I am a fifth grade teacher in a a public IB school in California.  I was doing some research online and I came across your parent program for working with children with Asperger's or high functioning Autism.  I have a new student in my class who was essentially kicked out of his former school because there were no longer willing to work with him and the mother.  I know I have an opportunity to make a difference in this young man's life and I want to do right by him, but I am grossly under-trained!  I was wondering if you had a program or tips that you would advise for teachers who are wanting and willing to put in the extra work to help these special, and at times challenging, kids succeed.
Thank you for your time and any advice.

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Hi Mark,
Thing goes extremely hard for our family now. We moved out of our old high school zone, and Jeffrey can no longer go back to the high school he wants to go. Yesterday is his first day in school, today he refused to go to Green Hope high and stayed at home for the whole day. We contacted  North Carolina Wake county school board to appeal and explain why it is so important for us to transfer Jeffrey to Enloe high(Lottery Magnet School) or the Panther Creek high( Our old base school now capped, we still have our property in this school zone). Jeffrey said he will accept either of these two high school if he can go. Unfortunately, the school board decline our appeal. My husband and I are very disappointed. I don't know why they didn't approve our special case and what kind of hardship appeals they think they can approve.

We feel very stressful. I don't know whether it is a good time to tell Jeffrey that he is an Asperger child. Now he is more self-enclosed. We worry about him. We don't know where we can look for the help. 

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Dear Sir,

I am disabled, despondent, desperate and asking for mercy from my beloved Abba.

Don't know why I never found your program before after decades in CR, ACA, Al-Anon, Aspires, Oasis, etc and multiple failed counseling attempts to cope with my autism marriage of 26+ years.

I just have one question -- do you ever provide financial aid for your ebook? We have only $10 to live on this week after my 61 yr old husband has repeatedly been unemployed or underemployed. We still have internet this week. I have health issues and had an MTBI in 2009 so I do not have income anymore. We have lived in our camper for 18 months after losing the ability to pay for standard housing --

All I want is to find a way to live through this with my belief in the Father intact and my sanity and health intact. I must make it through to continue caregiving for our 18 yr old Aspie son.

I would be grateful, so deeply grateful to read your book and access some fellowship and understanding of this insane life. Btw, I forgot to mention that I also was dx'd with Asperger's and anxiety. Who wouldn't have anxiety in my position? I raised six kids, three on the spectrum.

I have met the enemy, and the enemy is me.

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My husband (family with aspergers, no diagnosis for him, but her psychologist sister is quite convinced about it) and I have been together for 15 years.
I was still a girl, very naive, an with low self-esteem when we met. He was/is 20 years older and with a god job. I am only now getting somewhere with my career, after 2 children and studying more.
We had problems 8-10 years back, then in therapy, but he never understood why and rejected any hints he should consider changing in his behaviour. I  moved out during his worktrip, because had no strength to do it when he was around. It was a shock. And then, I realised I was pregnant and we got back together. He has tried and made efforts for the marriage, but blamed on not trusting me. He also feels that I stay with him for money. I just want to avoid the fights as divorced couple, I know he can be very cruel on children at those times. I also have learned to love him again, though feeling I would deserve more, as living him him lacks affection and we never talk about the challenges we have, he does not trust on me and never talks about the bad stuff with anyone. He is social, but with no friends. people find him uncomfortable as he is quite dominant. We almost divorced 2 yeras ago, but hav ebeen able to build up a nice everyday-life since then and I have felt that things have gone a lot better. But then I decided to make some changes at home and he did not accept. I changed the place of 3 furniture, to make it easier to clean and to look nicer. I work from home mostly, and I have wanted to do many changes in the last years, he always says no. I know he liked the change, but got mad that I had not asked if it was ok with him. As a result, he has not spoken to me for 1 month. He thinks that we should change the places back before he will discuss. Yet, I cannot do that for not showing our daughters that this is how Mums always make what they husbands want. That is, he has bought a TV for kitchen without asking me, he decided that a sofa will be in a room I did not want to and he decided that he will have a TV room next to bedrooms although I wanted to get rid of an old TV of huge size. When I have tried to discuss about those changes, he refused to even talk. I tried to change things and he took my car keys away. So, he can make changes but I can not? I have a strong character and I have no problem being against him. But as children become always part of it, I have this far accepted to always “compromise” and do things his way. Now I said to daughters, I cannot make them see how I always give up.

For 1 month now, I have tried to find a solutions, I have not. My husband feels I hurt him very bad and he honestly thinks so. That I did not care of his opinion. That I have neglected him for a long time and now he´s done with it. I know he does not want to divorce and loves me, but he will not stop a fight unless he feels like winning it. How can I show him a way out so that he will win, but I will not loose? These things happen with us quite often, power struggles, but I need to find a way how it is not always me who adjusts for the sake of the children and peace.

I do research on systems thinking and co-creation and try to understand things from many perspectives.
With this, when the person is not willing to talk when somethings is wrong, I am confused. Adults talk and face problems, right? But not the asperger…
What I have already done different, is that I have not been shouting at him all the way, but have tried to be as if nothing was wrong and mainly succeed with it. I just have not accepted to put the furniture back, because there are so many people who have seen it and agree that they are a LOT better than before. And I did not do it to irritate him. Instead, I have told him that it is ok if he decides to stop talking for a few days if I have behaved in un-respectful ways, but that I love him and do not want to destroy the good we have in fighting. And that I am listening if he wants me to explain why he thinks there are good reasons I should not have made the changes. 

So, how can I change things at this point, when there is no connection to speak? How can I stop this nonsense and get back on tracks? How can I now make him choose peace over winning?

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Hi Mark,
My oldest son Anders has Aspergers Syndrome. He is 15 years old and has completely isolated him self at home. It has gotten so bad that he is unable to go to a dentist appointment or even just a small dog park 20 feet from our apartment. My wife is exhausted and so am i. In addition to his isolation he has for 3-4 month now been hating me his dad to a degree where i have to leave the home for longer periods of time or hid out in our bedroom.
I am not sure how much more we can take.
In regards to school we are now working with a slew of people from wrap around services who comes to our apartment to help get him out to the assessment team to private ABA team.
He refuses to talk to anyone and act paranoid.
He has broken several of our doors in our apartment but is not hurting anyone nor a danger to him self.
My wife and i are pushing for having him move to a residential school but are at the same time extremely worried about his reaction as it will no be a voluntary move.
Do you have any wise dome or thoughts you can share that will help us move forward?

Addressing the Root Causes of Disobedience in Kids on the Autism Spectrum

“How can I get my 9 y.o. son (high functioning autistic ) to obey and do as he's told? He won't do his homework and refuses to clean his room. He is defiant and talks back. When we try to discuss these problems with him in a peaceful, mature manner, he usually ends up getting angry and yells at us. And with the recent start of summer school, things have gotten much worse. What are we doing wrong?”

Unfortunately, disobedience is an issue more common in High-Functioning Autism (HFA) than in the general population. It can occur for numerous reasons. For example, anxiety, low-frustration tolerance, sensory sensitivities, social skills deficits, difficulty understanding emotions and their impact on others, when rituals can’t get accomplished, when the youngster's need for order or symmetry can’t be met… just to name a few. Thus, it’s important to understand that in many cases, the child’s oppositional behavior may be a symptom of some underlying issue related to his or her disorder.



Children on the autism spectrum possess a unique set of attitudes and behaviors related to their disorder that may result in the appearance of willful misbehavior. For example:
  • They tend to be physically and socially awkward, which makes them a frequent target of school bullies.
  • They suffer from “mindblindness,” which means they have difficulty understanding the emotions others are trying to convey through facial expressions and body language. Mindblindness often gives parents the impression that their HFA child is insensitive, selfish and uncaring.
  • They may have other issues like ADHD or Oppositional Defiant Disorder.
  • They may have anxiety about a current or upcoming event (e.g., the start of school).
  • They may fixate on their own interests and ignore the interests and opinions of others.
  • They may become so obsessed with their particular areas of interest that they get upset and angry when something or someone interrupts their schedule or activity.
  • They may be unable to resist giving in to their obsessions and compulsions.
  • They may be reluctant to participate in an activity they can’t do perfectly or an activity that is difficult.
  • They have trouble expressing their own emotions and understanding the feelings of others. 
  • They have difficulty understanding rules of society.
  • They have difficulty transitioning to another activity (this is especially hard if the current activity is not finished).
  • They don’t understand social cues.
  • They don’t understand implied directions.
  • They don’t know how to “read between the lines.”
  • They don’t “take in” what is going on around them.
  • They can’t fully appreciate what impact their behaviors have on others.
  • They can be extremely sensitive to loud noise, strong smells and bright lights. This can be a challenge in relationships as they may be limited in where they can go on, how well they can tolerate the environment, and how receptive they are to instruction from parents and teachers.
  • The parent or teacher changes a circumstance or rule that has been established.
  • Social conventions are a confusing maze for these “special needs” kids, resulting in an inability to tolerate the little frustrating things that come up throughout the day.
  • Low self-esteem caused by being rejected and outcast by peers often makes these kids even more susceptible to “acting-out” behaviors at home and school.
  • Due to trouble handling changes in routine, a simple variation in schedules may be enough to cause a meltdown.
  • Because they struggle to interpret figures of speech and tones of voice that “typical” kids naturally pick up on, they may have difficulty engaging in a two-way conversation.
 
Any or all of these triggers can result in certain behavioral patterns that “look like” disobedience (e.g., arguing, tantrums, refusing to listen, etc.). However, their responses to these triggers often have more to do with anxiety and rigidity than their need to defy authority.

So, what can parents do to help their HFA child to cope better? Do some investigation and create a plan:

The Investigation— 

1. Keep a journal (or if it is a frequently occurring behavior, keep a chart) for noting every incidence of the targeted behavior (e.g., the child getting angry when asked to stop playing video games and start doing homework).

2. Include the time of day the behavior occurred.

3. Think of what might have happened directly before the behavior, and also earlier in the day.

4. Think, too, of what happened during and directly after the behavior, and whether it offered your child any reward (even negative attention can be rewarding if the alternative is no attention at all).

5. Ask yourself the following questions. Does the behavior tend to:
  • occur when things are very noisy or busy?
  • occur when something happens - or doesn't happen?
  • occur when routine is disrupted?
  • occur in anticipation of something happening?
  • occur during transitions?
  • occur after a certain event?
  • be more frequent during a certain time of day?

6. Keep track over the course of a few weeks and look for patterns.

7. Take the data from your journal or chart (e.g., patterns you've discovered, observations on environments, etc.) and see if you can figure out what's behind the behavior. For example:
  • Maybe your child acts-out because “being good” gets him or her no attention.
  • Maybe your child explodes over something inconsequential because he has used up all his patience weathering frustrations earlier in the day.
  • Maybe your child begs for punishment because going to her room feels safer than dealing with a challenging situation.
  • Maybe your child balks at math when he or she sees too many problems on the page.

8. Once you have a working theory, make some changes in your youngster's environment to make it easier for him or her to behave appropriately. For example:
  • Recognize situations your child feels challenged by, and offer an alternative between compliance and disobedience.
  • Instead of being happy that your child seems to be handling frustrating situations, provide support earlier in the day so that his patience will hold out longer.
  • If your child’s worksheet has too many problems, fold it to expose only a row at a time, or cut a hole in a piece of paper and use it as a window to show only one or two problems at once.
  • Give your child lots of attention when she is being good - and none at all for bad behavior (other than just a quick and emotionless timeout).

 ==> Parenting System that Reduces Defiant Behavior in Teens with Autism Spectrum Disorder
 
You may not always guess right the first time, and not every change you try will work. Effective parents will have a big bag of tricks they can keep digging into until they find the one that works that day, that hour, that minute. But analyzing behavior and strategizing solutions will help you feel more in control, and your youngster will feel safer and more secure. This alone often cuts down on a lot of “misbehavior.”

The Plan—

The basic idea in developing a behavior-management plan for an HFA youngster is to try many different strategies and find the management techniques that work best for him or her. This is an ongoing process. As working strategies are identified, they can be added to the plan and used when the child starts to get upset.

Some kids refer to their behavior-management plans as their “toolbox” and the specific strategies they use to control their behavior and emotions as their “tools.” This analogy may be very helpful. You can take this even further by creating a physical box for your child to put the strategies in (written on pieces of paper). And you could be really creative and have the pieces of paper shaped like various tools.

Again, it’s important to identify the specific behavior-management strategies that work best for your child. These strategies should be put down in a formal plan for referral when he or she encounters an aggravating event. It is also important to explore how different techniques may be used at different times.

Referring back to the toolbox, a screwdriver can be very useful, but not for pounding in nails. Application: An HFA youngster may feel better after running around in the yard, but this may not be possible when he or she is getting upset about something in the classroom. Strategies need to be in place to handle the different situations that may arise.
 

Meltdowns and the 9 Temperaments of Children with Asperger's and HFA

A meltdown appears to most parents as a tantrum. However, a meltdown has more to do with the child's temperament, whereas a tantrum has more to do with the child's anger at not getting his or her way.

There are nine different temperaments in children with Asperger's and High-Functioning Autism (HFA):


1. Poor Adaptability: This shows itself when Asperger's and HFA children resist, shut down, and become passive-aggressive when asked to change activities. Change in routine is very difficult for kids on the spectrum.

2. Negative Persistent: This is seen when the Asperger's or HFA youngster seems stuck in his or her whining and complaining. This occurs because he or she hasn't learned any other way to deal with frustration yet.

3. Negative Mood: This is found when Asperger's and HFA children appear lethargic, sad and lack the energy to perform a task.

4. Low-Sensory Threshold: This is evident when the youngster complains about tight clothes and people staring and refuses to be touched by others, for example.

5. Irregular: This moves the youngster 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. Initial Withdrawal: This is found when Asperger's and HFA children get clingy, shy, and unresponsive in new situations and around unfamiliar people.

7. Hyperactive: This predisposes the youngster to respond with fine- or gross-motor activity.

8. High-Intensity Level: This moves the youngster to yell, scream, or hit hard when feeling threatened.

9. Distracted: This predisposes the youngster to pay more attention to his or her surroundings than to the parent.

Unfortunately, there's not a lot parents can do when a meltdown occurs in a child on the autism spectrum. The best thing they can do is to train themselves to recognize a meltdown before it happens and take steps to avoid it. This task is made much easier when parents identify their child's predominant temperament. 

Relationship Skills for Couples Affected by Asperger's and High-Functioning Autism

Rebuilding Self-Esteem in Discouraged ASD Teens: Tips for Parents

“Dustin, my son with high functioning autism, recently turned 13. He started back to school this week (8th grade) and we are already having some issues. He still has a hard time engaging with other classmates, his personal hygiene is lacking (e.g. hates to shower or comb his hair), and he’s simply not interested in the current fads or topics of conversation among his peer-group. Now he tells us that he’s being teased by a few kids in his class. Last school year, he 'failed' socially and became completely ostracized from his peer-group and felt a sense of general isolation from everybody. It appears that we are going to have a repeat performance of these issues again this time around. He mostly just stays to himself (playing his digital piano and video games in his room). How can I help my son in this situation? Any advice would be greatly appreciated.”

Due to the fact that the adolescent with High-Functioning Autism (HFA) tends to be a loner, develops odd mannerisms, and has poor people skills in general, he can be shunned from the peer-group and be the focus of teasing, thus resulting in low self-esteem – and even depression.



Here are some symptoms to look for in your HFA son’s behavior when he is “failing” socially:
  • Frequent stomach aches, headaches, etc.
  • Appears depressed
  • Preference for isolation at home or school 
  • Poor academic performance
  • Starts refusing to go to school or skips classes
  • Increase in anger and frustration
  • Disengagement from peers
  • Conflicts at school with peers or teachers

Young people on the autism spectrum possess certain traits - and face certain obstacles - that “typical” adolescents don’t. For example, they: 
 
(a) don’t understand the importance of eye contact – and may avoid it altogether; 
 
(b) have trouble understanding jokes or sarcasm; 
 
(c) seem insensitive or look unemotional, but often they just don't know how to express how they're feeling; 
 
(d) don’t understand socially acceptable ways to express frustration and may become aggressive or throw tantrums; 
 
(e) feel "sensory overload" (e.g., have heightened senses that can make noises seem louder and more startling); 
 
(f) are socially awkward since they have difficulty processing social cues (e.g., body language, sarcasm, humor, figurative language, emotional responses, facial expressions); 
 
(g) have trouble coping with change and may not react well to changes in routine; and 
 
(h) prefer to be alone and may not show an interest in making friends.

Your son, Dustin, needs to decide for himself when he will work on his poor people skills. I’m sure it’s tough for you to sit back and watch him struggle in the social arena, but you should try to let things play out on their own time. To charge-in and assert that Dustin “needs to work harder on developing some friendship skills” will only add to his low self-esteem and sense of being an “odd ball.”

==> Parenting System that Reduces Defiant Behavior in Teens with Autism Spectrum Disorder 

Possibly, your son is simply not in a head-space where he is ready to make changes (but when he gets older, he may start to feel differently). Some of the reasons why Dustin may not be up for addressing his social skills deficits may include the following:
  • He may be particularly put-off about the idea of accepting help or criticism from you, the parent
  • He may not think there is any hope of improving
  • He may not see himself as awkward, just different
  • He may realize he has some things he needs to work on, but doesn't feel they are a priority at the moment
  • He may recognize he has some social problems, but is ashamed of them
  • He may be perfectly content to stay at home all the time and play video games
  • His lack of social skills may not have cost him enough yet (e.g., the teenager who doesn't need a lot of friends and who is content to spend his free time on the computer is not losing much by being ostracized from the peer-group)

In any event, here are a few ideas that you can use to help your HFA son deal with his social skills deficits:

1. While Dustin may have some real social weaknesses, in other ways, he may be different from the norm in a way that is perfectly valid. Those differences may be tied to social skills deficits, but you need to distinguish between true deficits and normal variations in personality. For instance, there's nothing wrong with being a bit reserved, being uncomfortable in certain social situations, having a unique hobby, having an odd sense of humor, or preferring to spend time alone. Thus, it would be helpful to not come across like you are rejecting Dustin’s core self.

2. Try to avoid feeling disappointed in your son. Maybe you were somewhat popular in school and can't really understand how Dustin seems to be having the opposite experience you did. Maybe you always hoped he would be a great saxophone player or football player, and you can't help but roll your eyes when he spends all Sunday afternoon playing “childish” video games in his bedroom (i.e., games that much younger children might play).

3. Try not to get angry with your son for not realizing he has a problem, or not wanting to do anything about it. True, the problem seems so obvious to you, but Dustin probably doesn’t see things the same way. For instance, he may tell you that it is impossible for him to make friends. His logic and explanations may not make sense to you, but he still seems to believe them.

4. Point your son to some resources (e.g., books, videos, CDs, etc.) that discuss self-help strategies for people looking to develop interpersonal skills.

5. Don’t feel that you have “failed” somehow as a parent because your “special needs” teenager is awkward, or because you didn't step in earlier. You may be prone to feeling guilty or blaming yourself if your son is going through a tough time. The fact is that most HFA adolescents are simply emotionally immature compared to their “typical” peers. After all, they have a “developmental disorder.”

6. Dustin may fare best with one or two close friends with whom he can practice teen social skills and "adult" behaviors. Even one relatively close relationship can make the difference between a depressed, awkward teen -- and one who is beginning to learn valuable social skills with a select few others.

7. It takes time for adolescents on the autism spectrum to improve their social skills. If your son does start working through his issues, don't feel like he is dragging his feet or not working hard enough if he doesn't transform over a period of a few months. In addition, give him space to change at his own pace. Maybe he will be eager about making some changes for a few months, but then get distracted by other things for a while.

8. Don't make your son feel monitored, or that your approval is connected to his rate of progress. For instance, you go to a family cookout and Dustin doesn’t feel like mingling with other family members, but you watch him to see if his ability to socialize has improved. Give Dustin the impression that you accept him for who he is – unconditionally! Of course, you will be delighted for him and share in his success if he makes some positive changes. But if he doesn't, you're O.K. with that too.

==> Parenting System that Reduces Defiant Behavior in Teens with Autism Spectrum Disorder 

9. If you were socially awkward as a teenager, some of your own baggage may come up as you witness your son struggling. You may frantically want to help him avoid some of the social blunders you made. But, he will need to learn from his own mistakes rather than from yours.

10. If you have already tried to help your son with his social awkwardness, but he shot you down, try to avoid feeling slighted or resentful. Don’t take it personally. He will take a hard look at himself and the changes that may need to happen when the timing is right.

11. If there is a relative or family friend your son may be more open to talking to, mention that person’s name. For example, maybe he will be more open to chatting with his uncle who he looks up to.

12. Pick a moment when you have time to talk and your son is in a decent mood. Tactfully mention that you've noticed that he seems to be having some trouble with __________ (fill in the blank with the problem in question), and that if there is anything you can do to help, you are there for him. He may deny that there is a problem or want the conversation to be over. But even if he gives that response, you can still lay out some options for him.

13. Try to engage your son in an activity or program where there are adult mentors to help him increase his self-esteem and build self-confidence. Research reveals that having just one activity in a teen’s life where he feels successful will result in a higher sense of self-esteem and a greater ability to negotiate a variety of social situations.

14. Don’t fall into the trap of feeling sorry for your son. It's only natural that you want to make his pain go away, but that attitude often results in over-protective parenting that tends to make a bad problem worse (e.g., doing too much for your son to the point where he never learns to do things for himself).

15. Young people on the autism spectrum need extra time to learn and practice adult life-skills, because their “emotional age” is much younger than their “chronological age.” In other words, your son is 13-years-old chronologically, but emotionally, he is probably more like a 9-year-old. So, the earlier you begin helping out in the area of social skills training – the better!

Children with HFA eventually go through adolescence on their way toward becoming strong, focused adults -- regardless of the misinformation you may have been fed. While adolescence is a difficult time for all teenagers, it can easily be much worse for those dealing with an autism spectrum disorder. However, with the right education and support, most HFA adolescents go on to graduate from high school.



__________

As the years go by, are you seeing your HFA or AS child rapidly becoming reduced to a person who is surviving on: anger, being a mistake, depression, hate, isolation, low self-esteem, resentment, sadness and self-hate. Have you heard your  teenager say things like: I'm a mistake. I'm dumb. I'm useless. I hate myself. I wish I was dead. What is wrong with me? Why was I born? If so, then alarm bells should be going off. You know changes need to happen! Low self-esteem and behavioral problems go hand-in-hand! 

==> CLICK HERE for help on the matter...


COMMENTS:

•    Anonymous said… I have a 12 year son with HF autism , it has been so difficult to have conversation the past year.
•    Anonymous said… I think online school is the best option. Grooming is tough but my son is Ten and we use a reward system that includes play dates with friends. We also have a support group of 5 boys that also have Asperger's. We get together once a month. It's great to have parents to talk to about the issues that come up. My advice look for local support. Ask him what you can do to help him with his hygiene. Look into online school. Lastly find a career option that he is already obsessed with. Start classes in that. My son is obsessed with video games and he spent the summer in coding camps. You can do this dig deep they need our help!
•    Anonymous said… I wish there were more social groups for kids with special needs to get together. The school tries to offer social skills but it really is no contender for real life relations.
•    Anonymous said… My 15 YO son started 10th grade last week. We moved and changed school districts over the summer and he has decided that he wants to "reinvent himself". I am still having to remind him of showers/deodorant/shave/etc, but it is not he fight it has been in the past. He is conscientious of his clothing and has even shown interest in keeping his backpack more organized. I know it has only been 2 days but I consider it a step in the right direction. I think it helps that he is only doing 3 classes at the high school and then has an hour and a half break before going to 2 classes at the tech school for engineering. He says those are "his people". He came home Friday and a girl at the tech school came up and asked to sit w him during lunch. They talked for a long time before they both agreed that they should say their names and introduce themselves. He was so stimmy and excited when he got home. He said they both laughed when they were talking about how awkward they each were. He got invited into a group text about a class project. It all seems so simple but very few understand how big of a deal this is. Last year, he spent a ton of time in his resource classroom. That was his safe space. I think it gave him some confidence to be around other students like him. I also think that he is simply just ready this year. He has aged a bit and is talking about getting a job. It isn't that has happened in the past by trying to force it, so I am just going with it. He is just finally ready and has loads of resources and copying skills to help him along the way. I hope this gives you a bit of hope that it can get better...it may be on his schedule but that is ok.
•    Anonymous said… my son became suicidal because of school so I took him out and quit my job. we are poor, but he is alive. I do not think children with autism should be forced to conform to neurotypical environments. it becomes a form of child abuse. I am also aware that many parents have no choice, but find an alternative to school for the child's sake. think about it this way, how would you feel being forced to spend all day in an environment where everyone speaks a different language than you, but you were told to Buck up and blend in or bullied. you would leave right? learning the new language would help, but that is like asking a blind person to learn to see so that everyone else feels better when they are around.
•    Anonymous said… Same here....doing home school....showering clothing choices ect...starting high school today....in the diningroom
•    Anonymous said… School. Ugh!
•    Anonymous said… So hard. I engage with my son as much as I can, fortunate enough to be self employed and live close to school so pop in at morning tea and lunch times to check in
He's usually by himself but chooses too. We have family friends whose children also attend and they come up to me to say hi and whether they've hung out with him which is amazing and nice. I dont do it every day, maybe once or twice a week . Really helps keep him focused and I can deal/ chat with teachers anytime too. Communication and participation are vital i think
•    Anonymous said… This is what I am totally afraid of this year. It's going to be a tough one.
•    Anonymous said… This might sound INSANE to other people but the best I have done for my son is find a church with a good kids program. Generally the children in church are just taught to accept differences. They work out the differences easily and don't just toss other kids to the side.... hang in there mama you are doing amazing.
•    Anonymous said… Very similar situation, with a daughter (gr 7). I've got no advice, I'm sorry. But am interested in the advice .
*    Rita said... Acknowledge to yourself and your son that he is wired differently from most people. Stop expecting him to behave and react like them. The book "Look Me in the Eye" by John Elder Robison was helpful to my son at age 14. It showed him that Aspies also have some positive differences. Focusing on finding what your son is good at and promoting it will help with the self-esteem. We were fortunate to be able to send ours to computer camp to start learning some marketable skills beyond playing games.

Post your comment below…

Symptoms of Asperger's and High-Functioning Autism that "Look Like" Misbehavior


As parents of children on the autism spectrum know, there are a multitude of symptoms: 
  • physical (e.g., fine and gross motor skills deficits, sensory sensitivities),
  • mental (e.g., attention difficulties),
  • emotional (e.g., shutdowns, meltdowns, obsessions),
  • and social (e.g., problems reading nonverbal language, difficulty understanding sarcasm).

However, sometimes it becomes extremely difficult for parents to differentiate between (a) behavior problems and (b) symptoms of the disorder that "look like" behavior problems. For example, the Asperger's or high-functioning autistic child who has an allergy or food sensitivity may be cranky during periods of the day. The child who finds it difficult to transition from one activity to the next may experience a meltdown. The child who has difficulty waiting his turn may throw a tantrum. Thus, we need to learn how to adjust our parenting strategies accordingly. 

Sometimes, a consequence for misbehavior is indeed warranted. Other times, the "misbehavior" may be the result of something that stresses the child to the point of acting-out his emotions, because he has not learned any other way to cope with the problem in question (yet).



Any of the following symptoms can result in a behavior pattern that "looks like" intentional misbehavior (or a disrespectful attitude):
  1. Allergies and food sensitivities
  2. Appearance of hearing problems (but hearing has been checked and is fine)
  3. Can become overwhelmed with too much verbal direction
  4. Causes injury to self (e.g., biting, banging head)
  5. Difficulty attending to some tasks
  6. Difficulty changing from one floor surface to another (e.g., carpet to wood, sidewalk to grass)
  7. Difficulty maintaining friendships
  8. Difficulty moving through a space (e.g., bumps into objects or people)
  9. Difficulty reading facial expressions and body language
  10. Difficulty sensing time (e.g., knowing how long 5 minutes is or 3 days or a month)
  11. Difficulty transferring skills from one area to another
  12. Difficulty transitioning from one activity to another
  13. Difficulty understanding directional terms (e.g., front, back, before, after) 
  14. Difficulty understanding group interactions
  15. Difficulty understanding jokes, figures of speech or sarcasm
  16. Difficulty understanding the rules of conversation
  17. Difficulty waiting for their turn (e.g., standing in line)
  18. Difficulty with fine motor activities (e.g., coloring, printing, using scissors, gluing)
  19. Difficulty with reading comprehension (e.g., can quote an answer, but unable to predict, summarize or find symbolism)
  20. Does not generally share observations or experiences with others
  21. Exceptionally high skills in some areas -- and very low in others
  22. Experience sensitivity - or lack of sensitivity - to sounds, textures, tastes, smells or light
  23. Extreme fear for no apparent reason
  24. Feels the need to fix or rearrange things
  25. Fine motor skills are developmentally behind peers (e.g., hand writing, tying shoes, using scissors, etc.)
  26. Gross motor skills are developmentally behind peers (e.g., riding a bike, skating, running)
  27. Has an intolerance to certain food textures, food colors, or the way food is presented on the plate (e.g., one food can’t touch another)
  28. Has an unusually high - or low - pain tolerance
  29. Inability to perceive potentially dangerous situations
  30. Irregular sleep patterns
  31. Makes honest, but inappropriate observations
  32. Makes verbal sounds while listening (i.e., echolalia)
  33. May need to be left alone to release tension and frustration
  34. Meltdowns
  35. Minimal acknowledgement of others
  36. Obsessions with objects, ideas or desires
  37. Odd or unnatural posture (e.g., rigid or floppy)
  38. Often experiences difficulty with loud or sudden sounds
  39. Overly trusting or unable to read the motives behinds peoples’ actions
  40. Perfectionism in certain areas
  41. Play is often repetitive
  42. Prefers to be alone, aloof or overly-friendly
  43. Resistance - or inability - to follow directions
  44. Resistance to being held or touched
  45. Responds to social interactions, but does not initiate them
  46. Ritualistic or compulsive behavior patterns (e.g., sniffing, licking, watching objects fall, flapping arms, spinning, rocking, humming, tapping, sucking, rubbing clothes)
  47. Seems unable to understand another’s feelings
  48. Seizure activity
  49. Short attention span for most lessons
  50. Speech is abnormally loud or quiet
  51. Talks excessively about one or two topics (e.g., dinosaurs, movies, etc.)
  52. Tends to either tune out - or break down - when being reprimanded
  53. Tends to get too close when speaking to someone (i.e., lack of personal space)
  54. Transitioning from one activity to another is difficult
  55. Unaware of/disinterested in what is going on around them
  56. Uses a person’s name excessively when speaking to them
  57. Usually resists change in their environment (e.g., people, places, objects)
  58. Verbal outbursts
  59. Very little or no eye contact

Your child's behavior is observable and measurable (i.e., any action that can be seen or heard). An effective method of examining his or her behavior is the ABC model:

A=Antecedent: The event occurring before a behavior (the event prompts a certain behavior)

B=Behavior:  Response to the events that can be seen or heard

C=Consequence: The event that follows the behavior, which effects whether the behavior will occur again (when the behavior is followed by an unpleasant consequence, it is less likely to reoccur; when the behavior is followed by a pleasant consequence, it is more likely to reoccur)

Let’s look at a simple example of how the ABC model works:

Your child is throwing a temper tantrum because he wants your attention.  If you respond to the tantrum (whether to comfort or scold), your child's misbehavior is being rewarded by your reaction (even though it’s a negative reaction).  Thus, in this situation, it would be best if you waited for the tantrum to stop, and then reward (i.e., reinforce) the calm behavior verbally (e.g., “I like how quiet you are being right now”).  In this way, your child learns that he can gain the your attention through more appropriate behavior.

When using the ABC model, always remember that your child is not an experiment, rather he is an individual capable of changing unwanted behavior - when offered the correct means to do so. It's your job to focus on the behavior you would like to increase or decrease. The more you learn about behavior modification techniques, the more tools you will possess to help shape and promote the behavior you want to see more often in your child.


More resources for parents of children and teens with High-Functioning Autism and Asperger's:

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's

==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism

==> Launching Adult Children with Asperger's and High-Functioning Autism: Guide for Parents Who Want to Promote Self-Reliance

==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism

==> Parenting Children and Teens with High-Functioning Autism: Comprehensive Handbook

==> Unraveling The Mystery Behind Asperger's and High-Functioning Autism: Audio Book


==> Parenting System that Reduces Problematic Behavior in Children with Asperger's and High-Functioning Autism

"Best-of" Teaching Strategies for Students on the Autism Spectrum

We're all dealing with the coronavirus currently, but school will be back in session for most of the U.S. eventually. We have compiled a series of articles that will be especially helpful for teachers and home-schoolers who may have a student on the autism spectrum when classes resume.

Here, teachers will find nearly everything they need to know to help their "special needs" students be successful - both academically and socially.

"Best-of" Teaching Strategies for Students on the Autism Spectrum:

  1. Crucial Strategies for Teachers 
  2. Problems in Physical Education Classes 
  3. Anxiety-Based Absenteeism and School-Refusal
  4. Poor Academic Performance
  5. Effective Academic Accommodations
  6.  Behavior-Management in the Classroom 
  7. Capitalizing on Strengths 
  8. The Easily Discouraged Student
  9. Difficulty with Transitions
  10. Skills and Deficits
  11. Teaching Social Skills
  12. Understanding the Difficult Student
  13. Fact Sheet for Teachers
  14. How to Create an Effective Behavioral Intervention Plan 
  15. Behavioral Support
  16. Teaching the Anxious Student
  17. Teaching the Visually-Oriented Student
  18. Helping Students Cope with Recess 

More teaching strategies can be found here: The Complete Guide to Teaching Students with Aspergers and High-Functioning Autism

Problem Behavior in Children and Teens with Asperger's and High-Functioning Autism



If you have tried talking, screaming, punishing, pleading, and negotiating - but your Asperger's or HFA teenager still walks all over you…

If you find yourself "walking on eggshells" around your child trying to avoid saying something that will set him off…

If you are tired of struggling with a person who is disrespectful, obnoxious, or even abusive toward you in your own home…

If you are frustrated and exhausted from constant arguing…

Suicidal Ideation in Autistic Teenagers: Understanding the Complex Challenges and Essential Support Strategies

Suicidal ideation among adolescents has emerged as a pressing public health issue, and when it comes to autistic teenagers, the gravity of t...