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Will Your Autistic Child’s Symptoms Get Worse Over Time?

Question

Will my child’s symptoms get worse over time?

Answer

It doesn't actually worsen, but when a child with ASD level 1 (high functioning autism) reaches puberty, he/she can come under tremendous pressure and stress. So even though there is no actual cure for ASD, it can be made less noticeable if the youngster is taught the correct ways to behave. This can mean going to occupational therapists, speech therapists, or the like. The more positive work you put towards helping your child, the less noticeable his/her traits will be.

ASD symptoms often become more noticeable at two critical points in the child’s development: (1) when he/she starts school and (2) during, and just before, the teen years.

There is no cure, no magic pill that will take the symptoms of ASD away. There are however interventions and treatments that can improve functioning and reduce the occurrence of undesirable behaviors in a child with ASD. The treatment may be a combination of education, behavior modification, speech or physical or occupational therapy, and different medications to treat associated conditions such as anxiety, depression, hyperactivity, and obsessive-compulsive behavior.

Because the symptoms vary as the child grows the treatment too will change over the years. A youngster may have difficulty picking up on social cues, may not know how to recognize personal space when in group situations and therefore preschool educators can help by establishing routines that teach how to interact with others and make a game about personal body space.

The elementary school aged youngster may have a large vocabulary but has difficulty with tone (monotone) and the speech pattern may seem rigid. The youngster may fixate on a topic and talk for a long time without being aware that others are bored. The school-aged youngster needs to have routines that are stable. The youngster with ASD will learn better if a subject is broken into steps instead of having the "big picture" presented at once.

The adolescent has a difficult time dealing with relationships, with communicating with others and with social situations where body language is used to express ideas. School counseling or private counseling may help the adolescent to express how he or she is feeling about body changes and peer-pressure. Speech therapy, physical therapy and occupational therapy can assist any age youngster including adolescents to be able to communicate better and to deal with social situations with better understanding. Adolescents can be helped to have a better chance at getting jobs when they are helped with interviewing skills and are taught how to behave in the work environment.

It is common for children and teens with ASD to have other associated conditions or disorders such as depression, anxiety disorders, and bipolar disorder, even attention deficit disorder. Medications for these conditions can be beneficial in helping kids and grown-ups to cope with a life in which being able to communicate means being able to belong or not, being able to participate in sports or not, being able to function well in a work environment or not, being able to form friendships, date, or get married and have a normal family life.

The treatment plan for autism is individualized as symptoms can range from mild to severe. Medications may reduce anxiety, agitation, and idiosyncratic thinking and may help to improve someone who is depressed. Common medications are Paxil, Prozac, Zoloft, and Risperidone.

Social skills training are typically part of the treatment plan. The child with ASD needs to learn how to make eye contact, learn proper personal space perimeters, be able to function in a group, and learn how to relate to another child and hold a conversation without monopolizing it.

Education interventions are common for school age and adolescents with autism. Educators, and other staff should be educated in how to handle someone with this syndrome; this may include extra training for the teacher, or giving the youngster an instructional assistant.

Psychotherapy can help sort out the intense emotional feelings, and can help the child to learn concrete, behavioral techniques, including role-playing. Group therapy or support groups may be utilized to add to the network of support for the child. An adolescent needs someone such as an older adolescent to teach them how to dress, and use the current slang or the rules of cliques at school.

The ideal treatment coordinates therapies that address the three core symptoms of the disorder: poor communication skills, obsessive or repetitive routines, and physical clumsiness. There is no single best treatment package for all kids on the spectrum, but most professionals agree that the earlier the intervention, the better.

An effective treatment program builds on the youngster’s interests, offers a predictable schedule, teaches tasks as a series of simple steps, actively engages the youngster’s attention in highly structured activities, and provides regular reinforcement of behavior.

With effective treatment, kids and teens with ASD level 1 can learn to cope with their difficulties, but they may still find social situations and personal relationships challenging. Many grown-ups with the disorder are able to work successfully in mainstream jobs, although they may continue to need encouragement and moral support to maintain an independent life.


Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
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Difficulties in Physical Education Class for Kids on the Spectrum

"My child (high functioning) absolutely hates gym class. He has a lot of difficulty keeping up with the others and says the teacher yells at him a lot. Is this a fairly normal thing for such children? Do you have any suggestions on how I can help him with gym class activities?"

Physical education classes are usually a nightmare for a youngster with ASD level 1, or High-Functioning Autism (HFA). Many have awkward gaits and can’t run very fast. Their poor motor coordination means they have great difficulty throwing or catching balls, balancing themselves, or mastering certain movements (e.g., hopping, skipping, jumping, etc.).

Besides being unable to perform many activities required in gym class, some HFA kids may be overwhelmed by the smell (i.e., stink) of the locker room. The coach's high-pitched whistle and the screaming in the swimming pool may be painful to the child’s ears. Others can’t stand to take showers due to tactile sensitivities.

Many of these kids are unable to button themselves or tie their shoelaces without help. So, getting out of their regular school clothes and into their gym gear -- and then back into school clothes again after gym -- can be a real time-consuming chore. Many HFA children are late for gym class -- and the next class after gym -- for this very reason.

Children on the spectrum often have trouble following a gym teacher's spoken directions, especially if there is more than one part to them (e.g., "Choose a partner, line up against the wall, and stand arm’s length apart"). They may be unable to imitate the teacher's motor activity, especially if it is modeled as a mirror image.

Competitive sports often cause trouble too, because HFA kids can be extremely rule-oriented. They may have rigid ideas about how a game should be played and be unable to change course midstream. They may have a temper tantrum if they are not first at bat, or if their team loses.

Many autistic kids do not like to “roughhouse.” They may have fears of playground equipment, prefer sedentary activities, or have a strong desire to play alone (e.g., one 5-year-old with AS reportedly spent all day quietly lining up his toy cars to match the sequence in his dad's car pool line at school). Bottom line: it can be hard for moms and dads to get their ASD kids to exercise.

In addition, autistic children with a high pain-tolerance can be injured in sports and not even report it to school staff. There have been many reports of these kids with broken arms and legs who went on playing the game.

For all these reasons, moms and dads may want to consider requesting adapted physical education for their child. These are special classes with activities appropriate for their youngster's special needs. Some schools will allow the mother or father to substitute participation in outside activities (e.g., bowling) for attendance in gym classes.

Some moms and dads have hired physical therapists to work with their HFA kids individually at home. Many of these parents report that a little "rough house" helps their youngster not only physically – but also socially. Also, parents can purchase special equipment for "proprioception training" over the Internet.

After-school programs at the YMCA or individual sports (e.g., karate, swimming, etc.) are good choices for young people on the autism spectrum. Another technique is to have your youngster do physical chores such as mowing the grass, racking leaves, running out to the mailbox to fetch the mail, etc. – anything that gets the child moving physically.




 
Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
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PARENTS' COMMENTS:

o    Anonymous said… Good suggestions on here. Hopefully one of them will work for your son. My son liked to play at gym but hated changing into gym uniform. As a result he did not have a good grade. I don't understand why children should be obligated to change into clothing they don't feel comfortable in. I would discuss these items with the PE teacher and also with his IEP counselor and come up with a solution.
o    Anonymous said… I had to have my aspie pulled out of gym class. It was too loud, unorganized, and she kept having meltdowns.
o    Anonymous said… I talked with my child about "yelling." Sometimes the acoustics in the gym sound louder than other classrooms. I also explained that a P.E. teacher might need to talk louder because the classroom is larger. In our old school two classes were combined. I explained that the teacher might not be necessarily "yelling" to be mean but instead the teacher needed to talk louder to compensate for the larger class size. This helped tremendously! P.E. teacher's also tend to have voices that carry. A conversation about differences in voice is also helpful. Take your child outside and have them play a game where they are allowed to shout and use quiet voices. This helps tremendously in demonstrating the differences between voice modulation. If it's still too difficult you may need to help your child work on this in P.T. Good luck!
o    Anonymous said… My son also had issues in gym class but once we taught him that its okay for him to stop and take a break when he felt he needed it things been going a lot smoother
o    Anonymous said… My son also had issues in gym class. We always knew the days he had gym class. He was always sick in the morning. There were also issues with bullying. I removed him from the public school and placed him in a small school that focuses on Autism/Aspergers. He loves going to school and there are no bullies.
o    Anonymous said… my son had adaptive pe they arent obligated to change clothes and they are smaller classes and teacher helps with moter skills.
o    Anonymous said… My son hated it because he was never chosen for a team Or as a partner for anything! Kids are so cruel! I guess you can blame the ignorant parents
o    Anonymous said… My son hated it when he was younger, but at 12 is now doing well. His biggest problems are coordination and "absolutely cannot lose" attitude. It makes him very upset when he can't do as well as he wants to and even worse when someone else causes him to lose because they don't give it their all (the girls mostly). Thankfully his teachers all work with him and get him through it.
o    Anonymous said… My son hated it when he was younger, but at 12 is now doing well. His biggest problems are coordination and "absolutely cannot lose" attitude. It makes him very upset when he can't do as well as he wants to and even worse when someone else causes him to lose because they don't give it their all (the girls mostly). Thankfully his teachers all work with him and get him through it.
o    Anonymous said… My son hates Gym class but has come a long way. He now is used to the noises in the Gym and has progressed to actually joining in. It's a plus that the GYm Teacher is the Special Ed/Resource Teacher responsible for coodrinating his IEP/etc...
o    Anonymous said… Our gym teacher allows kids who do not wish to participate in whatever game they are playing to walk laps around the gym or track. My son does a lot of walking...
o    Anonymous said… Painfully normal in our household.
o    Anonymous said… Put it in an IEP that he doesn't have to do it.
o    Anonymous said… School insisted my son do adaptive phys Ed in addition to regular p. e. he hated that and after seeing that class, I pulled him out. Regular phys Ed is not his favorite. Between bad vision, bad coordination he would rather work on the computer. He has been attending a non school adaptive PE class that he likes better.
o    Anonymous said… We have active kids fit at the YMCA. They do all kinds of different things for about 45 minutes. They start off telling jokes. The classes aren't that big and their is no pressure. My oldest loves it and the younger one not so much because he would rather be playing video games. It has helped a lot over time. Both can do jumping jacks now and both are doing better in gym!
o    Anonymous said… Yelling at Aspies is outright stupid. IMHO it might be best to get your son excluded frm that nonsense. You cant educate autism away, teachers who think aln that line are hopeless, better avoid them.
o    Anonymous said… You could ask for adaptive PE.
•    Anonymous said... I guess we are lucky, our son is in something called adapted PE as part of his IEP at his school. He has specific goals that address balance, gait etc. It has made such a difference.
•    Anonymous said... If schools take on children with Aspergers, its should be a duty for all teachers to know something about how to deal with our youngsters. Ignorance is no longer acceptable. It is up to administration to let all teachers know of ANY special need a child has (by way of indicator on the register), and for teachers to obtain information on to help that child in their particular class.
•    Anonymous said... I've gone into school and asked for the pe teacher to be told more about my sons problems.dont assume they all know how to deal with aspergers.they don't!
•    Anonymous said... Mine has problems with balance etc so makes it stressful for him ,he's waiting to see a occupational therapist to see what problems are there and what can be done to help,he has problems doing simple things like running jumping and he's scared of unfamiliar stairs and hates escalators etc his paediatrician says its typical of children with aspergers wish I had got help sooner
•    Anonymous said... My son had to be taken out of gym because he couldn't handle the noise. He does a "paper" to get his grade. We thought it was just because he suffers from migraines, but after getting his diagnosis of Aspergers it's all starting to make sense!
•    Anonymous said... My son hates PE class. School even out him in an adaptive PE class and he hated that.
•    Anonymous said... Gym class is mostly unstructured. That is what drives my son nuts. Also, unless the teacher is really watching, students will "bend" the rules which is also annoying and confusing to an Aspie. They often have physical deficiencies that are made fun of.
•    Anonymous said... Mine learned to like gym class after he got a plan in place so that he can go to the resource room when overwhelmed. I was worried he would just leave all the time but it turned out that giving him the option so that he doesn't feel trapped removed a lot of the anxiety.
•    Anonymous said... My aspie loves running, jumping and gym. The only similarity is that he can think people are yelling at him when in fact they are using a stronger voice tone.
•    Anonymous said... My nephew hated the gym as well. But when I replaced it with power walking out in the open in fresh air he took it better. He complained initially, but after about 3 days into the routine he started looking forward to it and now enjoys it in a daily basis.
•    Anonymous said... My son got lucky and they put together a robotics class during sports so he does not have to do it smile emoticon He detests sport for the most part and used to come home very stressed after sport day. I feel lie robotics is a much better use of his time.
•    Anonymous said... Our aspie hates doing anything that involves moving
•    Anonymous said... This is a prime time for bullying behavior. I'm not saying this is happening to your child. For me (As an aspie kid) it was a nightmare. Kids would laugh and throw their shoes at me and the PE teacher was oblivious because there were so many kids to control.
•    Anonymous said... This is true lol

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Literal Thinking in Children on the Autism Spectrum

“My son with high functioning autism takes everything literally. I have to be careful to say exactly what I mean. For example, recently I was in a hurry and told him to ‘Step on it!’ – which utterly confused him. If I don’t keep conversations focused and simple, he’s lost. Plus, he only wants to talk about the 1 thing he is really interested in at the time.”

Literal thinking in a child with High-Functioning Autism (HFA) goes far beyond the concrete thinking that is associated with young kids or learning disabled children. It results from the underlying communication disorder, which makes them unable to understand the shifting meaning of words in changing situations. In addition, they tend to persevere in their first impression rather than discarding it to test other meanings.

Many times, a youngster on the autism spectrum will have a difficult time understanding that some words have different meanings. For example, my grandson's face was red from playing outside, and I said, "Your face is beet red." He couldn't understand how his face could be like a vegetable.

A good example of a homonym is to use the word "bow." You could mean a violin bow, a ribbon tied into a bow, a bow and arrow. Same spelling, but a different pronunciation is the bow of the ship or bowing from the waist. Same pronunciations, but different spellings are a bough from a tree or a beau. Confusing, isn't it? Imagine how confusing it is to a youngster with special needs!
 

Kids on the spectrum have a very difficult time understanding when it's polite to say something. When the child sees an obese person, he thinks nothing of informing that lady that she's fat. He also doesn't understand why his statement would cause such a negative reaction. To him, he was simply telling the truth.

These young people don't understand "white lies" or why we tell them. For example, why would I tell my mother-in-law that I love the tie she got me for Christmas, and then turn around and donate it to Goodwill? So I don’t hurt her feelings. A youngster with HFA will be brutally honest upon receiving an undesirable gift, and to say otherwise would be lying.

Since it is impossible to teach your son every innuendo of speech as well as nonverbal cues and multiple meanings, he may eventually compensate in such ways as the following:
  • By reading extensively for information rather than pleasure, preferring fact to fiction
  • By developing any nonverbal talents he may have to the point where he can earn the social approval he craves
  • By concentrating on subjects in which he can be exceedingly well-informed
  • By becoming precise in language, seeking words which have a definite concrete meaning

As a result of their literal thinking, HFA children are easy victims of the unkind peer who likes to make fun at their expense. If they react with anger to trickery, their problem is compounded. Even if they are philosophical about being teased, literal thinking is a decided handicap in school and on the job, because most people communicate with a kind of shorthand speech, which is not to be taken literally.


Everyone has a "blind spot" in learning and understanding things. Many of us don't understand algebra or chemistry. And how many of us just ‘laugh off’ the fact they can't even program our VCR? These are deficiencies we can usually work our life around or completely avoid. In your HFA son, the "blind spot" happens to be reading social and non-verbal cues – something he can't work around or avoid.

Learning to say what we mean - and mean what we say - is often easier said than done. You can't just tell your son, "If you don't do your homework - you're in deep trouble." Otherwise, he envisions himself in a hole - or worse. If you mean "it's raining hard," then don't say "it's raining cats and dogs."

It is important to think about how we, as parents, word things to the literal youngster. If you have one of these literal kids, know that he is not doing this purposefully. Be patient and try to learn to think how he thinks. Some of the best minds in the world are very literal. Looking at life through the eyes of a child on the autism spectrum can give you a whole new outlook on life.
 
 
As one mother of a child with autism stated: "ASD kids have a hard time reorienting and recalibrating their perceptions and understanding of meanings to adjust for new info and scenarios. This is linked strongly to generalisation and abstract thought and understanding. They are often 'lost' hence the feeling of being on the 'wrong planet'. In fact it's their map that is poor. Try and help them update the map by sharing yours to make theirs more high definition."




Resources for parents of children and teens on the autism spectrum:
 
 
 
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.

Click here for the full article...

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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.

Click here to read the full article…

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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."

Click here to read the full article…

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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.

Click here to read the full article...

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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.

Click here for the full article...
 
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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.

Click here for the full article...
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