Aspergers, Sensory Integration Disorder, and Anxiety

Question

My son is 8 and has Asperger's with sensory integration disorder. Recently he was having a LOT of anxiety, biting his nails until they bleed, he worries, etc. His pediatrician prescribed a low dose of Prozac and we had 2 weeks of that. It was a disaster… it really badly affected his sleeping habits. We stopped him cold turkey and now realize that wasn't the right thing to do. We stopped the medication about 2 weeks ago.

About one week ago he started having real problems in school with paying attention, etc. Now the Dr wants to put him on Concerta and I am just worried. He is very fidgety and has a really hard time sitting still and paying attention. But I fear that once we start on these meds it will be a merry-go-round that we can't get off of.

Answer

Although parents are often tempted to give up on a medicine when their youngster is having problems with it, since any medicine can cause side effects, it is often better to adjust the dose before switching to a new medicine. This can be especially helpful for kids having side effects from stimulants, with often include aggression, appetite suppression, and insomnia. In many of these situations, decreasing the dosage can eliminate the side effect. Unfortunately, it may also cause the dosage to be so low that it doesn't control your youngster's symptoms anymore.

Other times, a change to a different medicine can make a world of difference. Although similar meds have similar side effects, they do seem to affect kids differently. So, Adderall XR might cause one youngster to be very aggressive and moody, while another might do great and not have any side effects at all.

Although Concerta is a long acting form of Ritalin that does usually last for 10 to 12 hours, it only gives about 22 percent of the dose in the morning. If your son’s Concerta isn't working in the morning, it may be that he needs a higher dose, which would also increase his morning dose. A higher dose would also increase his afternoon dose though, which he may not need if he had been otherwise doing well. In this situation, a different med might work better.

15 year old son recently started having more meltdowns...

Question

My 15 year old son recently started having more meltdowns, is there a way to convince my wife that too much information may start these meltdowns. Such as repeating herself too many times when giving him direction for something that he really doesn't want to do?

Answer

Yes. Please refer to the "Anger Management" chapter [in Session #3] in the online version of My Aspergers Child eBook. Be sure to (a) read the text as well as (b) watch the instructional videos on that webpage.

My son with Aspergers tends to be tactless...

Question

My son with Aspergers tends to be tactless, very literal and overly honest and idealistic-is there any way that I can help him to be able to get a long a little better socially?

Answer

Socialization is a necessary component of life. Social communication is how we interact with the people around us. If a child struggles with socialization and communication, he will have problems getting along with his peers.

Asperger’s Syndrome manifests differently in each individual, although all children with Asperger’s have some form of social and communication deficit. There are ways to help turn your concerns into non-issues. You can help your son achieve a more balanced social life. You can start working on this at home where he is most comfortable.

Social stories are stories written about different real-life situations that follow the desired steps to correct problems in social behaviors. You can find books filled with social stories on the Internet or at your local library. You could even write you own, tailoring the stories to fit your son’s specific trouble spots. If you decide to use social stories, you should also pursue other options. A multiple-therapy approach is your best bet for a good outcome.

If your son has a program in place that includes occupational therapy, ask for a consultation with his therapist to add specific social communication goals. When you think of occupational therapy, you tend to think of something other than these types of problems. In reality, these therapists are very good at helping Asperger’s children learn to use correct social skills, as well as most other living skills. Most therapists will offer parent training sessions, as they are usually happy to know that the parent is interested enough to invest the time in their child.

Finally, check with your local Asperger’s support group or your child’s school system for available social skills groups. These groups are usually led by a psychologist or a therapist and provide opportunities for the Asperger’s child to practice social skills in a controlled environment. You can then follow through with extra practice at home.

There are books available that will help you work on social and communication skills completely at home. One such book is “Social Skills Training for Children and Adolescents with Asperger Syndrome and Social-Communication Problems” by Jed E. Baker”.

This book is an entire social skills curriculum complete with reproducible handouts and activity sheets. It covers all of the skills that cause most of the problems for children with Asperger’s and is a complete training package for Asperger’s kids of all ages. This program is very user-friendly and very detailed. You are sure to find specific examples of and solutions for the issues you see in your child.

All of these suggestions can be applied at home with a little training. You can help your son develop better social skills, enhancing his perspective and insuring a bright future.