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Preparing For An Evaluation

"We are going to a psychiatrist tomorrow to have our 7 year old son evaluated (who we suspect has asperger syndrome, high functioning). What can we expect to happen, and is there anything we should take to the appointment?"

Being well prepared for the evaluation can help you make the most of your appointment. Here's some information to help you get ready for your appointment, and what you can expect from your son’s psychiatrist:
  • Ask a family member or friend to join you and your youngster for the appointment, if possible. Sometimes it can be difficult to soak up all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
  • Make a list of any medications as well as any vitamins or supplements that your youngster is taking.
  • Write down any symptoms you've noticed in your youngster, including any that may seem unrelated to an autism spectrum disorder.
  • Write down key personal information, including any major stresses or recent life changes.
  • Write down questions to ask your doctor.

Preparing a list of questions ahead of time will help save time for the things you want to discuss most. List your questions from most important to least important in case time runs out. For Aspergers and high-functioning autism (HFA), some basic questions to ask your doctor include:
  • Are there any specialized programs available to help educate my son regarding social skills?
  • What are the alternatives to the primary approach that you're suggesting?
  • What is likely causing my son’s behavior?
  • What kinds of tests does my son need?
  • What should I tell his school?
  • What treatments can help?
  • What's the prognosis for my son?
  • Will he outgrow this condition?
  • Would changes in diet help?



In addition to the questions that you've prepared to ask your psychiatrist, don't hesitate to ask additional questions during your appointment.

Your psychiatrist will probably ask you a number of questions too, including:
  • Does anything seem to improve your son’s symptoms?
  • Does your son have close friends?
  • Have these behaviors been continuous, or occasional?
  • Have you noticed a change in his level of frustration in social settings?
  • What are some of your son’s favorite activities?
  • What specific behaviors prompted your visit today?
  • What, if anything, appears to worsen your son’s symptoms?
  • When did you first notice these symptoms in your son?
  • When did your son first crawl?
  • When did your son first say his first word?
  • When did your son first walk?

Because Aspergers and HFA varies widely in severity and signs, making a diagnosis can be difficult. If your son shows some signs of the disorder, your psychiatrist may suggest a comprehensive assessment by a team of professionals. This evaluation will likely include observing your son and talking to you about his development. You may be asked about your son’s social interaction, communication skills and friendships.

Your son may also have a number of tests to determine his level of intellect and academic abilities. Tests may examine his abilities in the areas of speech, language and visual-motor problem solving. Tests can also identify other emotional, behavioral and psychological issues.

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

==> Highly Effective Research-Based Parenting Strategies for Children with Asperger's and High-Functioning Autism

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Do you need the advice of a professional who specializes in parenting children and teens with Autism Spectrum Disorders?  Sign-up for Online Parent Coaching today.

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Helping Your Adult Child with Aspergers or HFA to Live Independently

If you are in a situation where your adult child with Aspergers (HFA) is living with you and it is mutually beneficial (or at least mutually respectful), then this article may not be for you. However, if he or she is overly-dependent and lives at home in a situation that has become uncomfortable or intolerable, then read this now!

CLICK HERE for full article...


==> Launching Adult Children With Aspergers and HFA: How To Promote Self-Reliance

The Walmart Woes: Help for Over-Stimulated Kids on the Autism Spectrum

When you take a child with Aspergers or High-Functioning Autism (HFA) to a large retail store (e.g., Walmart, Home Depot, Best Buy, the Mall, etc.), you are risking replacing your serenity with a migraine. These children tend to become over-stimulated when exposed to large, noisy crowds – which may result in meltdowns or shutdowns.

To be able to manage your youngster’s behavior when going to a busy shopping center, it is always a good idea to take her preference into consideration. Identify the type of environmental conditions that make her upset. Usually, bright lights, huge crowds, long lines, weird smells, and loud noises are among the most common offenders. Take note of these and identify the places which she could find particularly stressful.

Of course, there will be certain situations (e.g., funerals, weddings, birthdays, holidays, etc.) when you will be compelled to bring your youngster with you to places which are outside his comfort zone. In cases like these, it is a good idea to let him know ahead of time ‘where’ you will be going, ‘when’ you are going, and ‘how long’ you will be there. In this way, he will know what to expect. When possible, it will also be helpful to show him some photos of where you are going (Google Earth works great for this). If you do not have any photos with you, you can always do a search online.

The main thing to remember when you bring your youngster along with you is to always have a plan. Do your research ahead of time and come up with options and alternatives to help make her feel comfortable and at ease. Also be prepared to leave when she is having a bad time.

Super stores can be overwhelming places for kids on the spectrum, but that doesn't mean you can never go shopping, but it does mean you have to plan carefully.

These five tips will make your trip shorter, smoother, and less stressful:

1. Consider bringing another grown-up. Shop with your spouse, your sister, your most understanding friend. A spare adult can (a) wait outside with your child while you run into stores, (b) supervise him while you try on clothes, or (c) take him (while he is approaching a meltdown state) to the car while you finish up.

2. Have an escape route. Maybe you miscalculated your youngster's tolerance. Maybe you're both having a bad day. Maybe there's something extra stressful at the Mall (e.g., Girl Scouts selling cookies at every entrance and exit). Whatever the reason, if your youngster loses the ability to behave in an acceptable way, don't argue or cajole or bribe or threaten or whine. Just get the hell out of there. Right now. Be aware, every moment, of how you are going to do this - if needed.



3. Make a plan. Figure out what you can reasonably do within the time limit you've set. Be realistic. Do not count on being able to rush around frantically, or find everything you want instantly. Schedule yourself for a few stops, then out. And choose a time when the store is least likely to be packed with customers. Take a pass on those big sale days, or find a babysitter and leave your youngster at home.

4. Pack supplies. If your youngster has an iPod, this is a good time to bring it along. If you have a bag of tricks for your youngster, make sure it's in your purse or pack. Snacks that won't make too much mess and a juice box or two can keep children busy in a crunch. Books, portable CD and DVD players, travel games, toy cars, etc. – whatever can be easily toted and deployed to distract – can be brought along.

5. Set a time limit. Figure out how long your youngster can control his behavior in a noisy, active, distracting environment. Subtract 15 minutes. Set that amount of time as your absolute, unbreakable deadline for getting in and out of that place.

Good luck …you’ll need it!

==> Preventing Meltdowns and Tantrums in Kids on the Autism Spectrum

Understanding the Relationship Between Autism Spectrum Disorder (ASD) and Insecure Attachment

Autism Spectrum Disorder (ASD) and attachment theory are fundamental concepts in psychology that together shed light on the complexities of ...