My ASD Child

Your child is majorly upset over something - but is it a meltdown, shutdown, tantrum, or full-blown panic attack? As a parent of a child with High-Functioning Autism (HFA), you know that your child is capable of having a meltdown occasionally. We’ll describe a meltdown as “an over-reaction to environmental stimuli designed to give HFA children a sense of control when they feel that their world is out-of-control.”  Let’s also make the distinction between a meltdown and a temper tantrum. We’ll describe tantrums as “normal acting-out behaviors designed to help children assert their independence as they learn they are separate beings from their parents.” Having defined meltdowns and tantrums, parents need to know that there are times when their “acting-out” HFA children are having neither a meltdown nor a tantrum; rather, they are in the throes of a legitimate panic attack. Let’s describe panic attacks as “periods of intense fear and apprehension that are of sudden onset and of

"We have a 2½ year old son with Alpha-1 Antitrypsin Deficiency and some other undiagnosed problems. When we did the routine screening at his Pedi’s office, the Pedi said he showed possible Autism and wanted us to see a behavioral specialist. When we went to see her, my sister and I showed her a couple of videos of him “blacking out” during one of his meltdowns and hurting himself.   We explained to her his sensory and tactile issues and other things we had noticed.  This was the winter of 2015 when he was just 1½.  She said “I don’t think he has Autism because he makes eye contact occasionally and has good interaction with us.  I think he is pretending and acting this way because he does not feel good and he knows if he does this he can be left alone.”  With that we left and drove the 1 hour 45 min back home.  Now he still have the same behavior and he is not only hurting himself (he just punched himself in the lip) but he is becoming aggressive towards others.  The babysitter

Emotional dysregulation is a term used in the mental health community to refer to an emotional response that is poorly modulated and does not fall within the conventionally accepted range of emotive response. Emotional dysregulation may be referred to as labile mood or mood swings. Possible manifestations of emotional dysregulation include behavioral outbursts (e.g., destroying or throwing objects, aggression towards self or others, anger and rage, etc.). These variations usually occur in seconds to minutes or hours. Emotional dysregulation can lead to behavioral problems and can interfere with a child’s social interactions and relationships at home and school. Emotional dysregulation is quite common in Aspergers and High-Functioning Autistic (HFA) children. In my practice, the most frequently asked question by parents is: “What do I do when my child loses control of his emotions?” When emotional dysregulation is occurring, the best reaction is to ensure the safety of all co

"Is it common for a child with an autism spectrum disorder to have a split personality (so to speak)? My daughter is a really good kid at school, but then a complete monster at home. Is this normal?" The disorder is known to manifest itself differently with different children. Also, children on the autism spectrum may react differently to various situations depending on their individual personalities. Your daughter may feel more comfortable with the familiar surroundings at home, and feel freer to act out more at home than in public, where she is surrounded by strangers and in a less familiar environment. The stress of school may be relieved by a “meltdown” or other difficult behavior at home. This is a common occurrence. Quite a few kids with High-Functioning Autism (HFA) and Asperger's are saints at school, but they soak up the anguish and then squeeze it out on their family members when they get home. HFA is treated in two ways, and both of them help manage t

"Our 5 y.o. son with Aspergers [high functioning] can be very aggressive when he's frustrated. He's not beyond attacking whoever is the closest to him at the time, especially his playmates and siblings. He will push, spit, hit, kick ...and it's uncontrollable once his anger reaches that level. Any suggestions?!" Few situations are more difficult to deal with than having a youngster who is aggressive toward other kids. It can be embarrassing as well as frightening when your Aspergers (high functioning autistic) youngster bites, hits, scratches or kicks to get his or her way. It’s not uncommon for younger Aspergers kids to engage in this type of behavior at various points in their development and in a variety of settings. However, when it becomes very frequent or seems to be their consistent way of reacting to something they don’t like, it’s time to step in and help them change their behavior. The first step is understanding the underlying reasons why your

“My son has autism (high functioning, age 11) and is referred by his doctor with the chief complaint of “severe mood swings, rule out bipolar disorder (BD).” In the past, he was treated for ADHD with stimulants with mixed results. I’m concerned about his “flipping out” whenever he is asked to do something he does not want to do. I have a history of depression and anxiety, and his dad had a drinking problem. There is no history of BD in his first- or second-degree relatives. Are my son’s rapid mood swings a sign of ADHD, autism, BD, or another disorder?” It’s not uncommon for a child with High-Functioning Autism (HFA) or Asperger’s (AS) to experience frequent mood swings (i.e., an emotional response that is poorly modulated and does not fall within the conventionally accepted range of emotive response). Overwhelming emotions can take over, and the child will use some type of coping mechanism (at an unconscious level) to deal with them. The trigger for a mood swing might be t