Search This Blog
Showing posts sorted by date for query aggression aggressive. Sort by relevance Show all posts
Showing posts sorted by date for query aggression aggressive. Sort by relevance Show all posts

Rage-Control for Children on the Autism Spectrum

"Any tips for dealing with a high functioning autistic child who flips into a rage at the most inopportune times for no apparent reason whatsoever? This erratic behavior occurs at school as well."

Advice for Parents—

All of us exhibit some "signs" just as we begin to act-out our anger in the form of rage. Thus, it is possible to identify the rage signs in a child with ASD level 1, High-Functioning Autism (HFA). For example, you may detect a certain look in the eye, the tone of voice, or the tightness in the body. Parents need to help their youngster observe these signs right at the onset of rage. Once the child can identify the early signs, he or she can also learn to diffuse it by such methods as walking away or taking deep, vigorous breaths.

Teach your child to respond to your "signal" (e.g., your hand motion) to stay calm. Give that signal as soon as he or she starts "stewing" about something. If your child is too young for such self-control techniques, use distraction as soon as you notice him or her exhibiting a rage sign. A distraction, in order to be effective, has to be of interest to the youngster (e.g., suggest to your youngster, "Let's ride a bike" or, "Let's play a game").

It’s important to teach HFA kids to talk about how they feel. Give them a language to express their feelings. For example, ask them how they feel. If they are too angry to talk or don't have the vocabulary to express their feelings, ask about the feelings relevant to the specific situation. For example, "Do you feel embarrassed?" "Humiliated?" "Let down?" or, "Is your pride hurt?" When your child expresses the feeling behind his or her rage, such as embarrassment or humiliation, suggest some other ways to look at the same event that might not be embarrassing or humiliating.
 
==> My Aspergers Child: Preventing Meltdowns and Tantrums in Children on the Autism Spectrum

The thought, "It's not fair," is a big rage-arouser for many kids on the autism spectrum. If that is the case, ask them, "Do you feel you are being treated unfairly?" When your child answers the question, listen and don't rush to negate his or her feelings.

If the child refuses to be distracted or engaged in dialoguing about his or her rage and starts yelling, stomping or breaking an object, impose appropriate consequences. It's better to have these consequences in place to serve as a guideline. That means that you have discussed them with your child beforehand and have written them out for future reference. Armed with a list of consequences (which preferably consist of withdrawing privileges or charging the child a "penalty"), moms and dads should encourage their child to choose such alternatives as doing something else, walking away, or talking about the rage rather than acting it out.

How about your own rage in response to your child's rage? You can set an example of “rage control” for your youngster. No teaching technique is as effective as a parent "modeling" for the youngster with his or her own example.


One thing that makes many moms and dads angry is to see their own child challenging their authority and defying them. Sometimes, it may appear so, but that may not be the intention of the child. For example, he or she may be too unhappy to be told “no” because he or she wants it so badly. Of course, you shouldn't give in to the wishes of the child, but try to understand what might really be the intention behind the behavior.

Some HFA kids get upset when they know they made a mistake. Instead of admitting their mistake, they act-out in rage to deflect the attention off them. If you realize that this may be the case, it's helpful to say to your child, "Everyone makes mistakes. I am okay with it. Don't feel so bad about it."

Advice for Teachers—

Kids on the spectrum, who in a rage lash out at others, should be often reminded of such consequences as going to the Principal's office, being detained and losing privileges at home. If the rage outbursts occur in relation to classmates and you didn't observe the whole interaction from the very beginning, it's better to impose a penalty on all parties involved.

Some HFA kids get angry because they don't have appropriate peer-interaction skills. For example, some don't know how to join in a conversation or a game. They abruptly try to get in. When resisted or rejected by peers, they explode. Teaching appropriate social skills can go a long way to avoid such negative encounters. We can establish a culture that reduces rage and teaches tolerance. For example, we can set a personal example for these "special needs" kids that "big people" do apologize and it's graceful to loose and try again.

Rage is believed to have three components (Lewis & Michalson, 1983):

1. The Emotional State of Rage. The first component is the emotion itself, defined as an affective or arousal state, or a feeling experienced when a goal is blocked or needs are frustrated. Fabes and Eisenberg (1992) describe several types of provocations that young Aspergers kids face daily in classroom interactions:
  • Conflict over possessions, which involves someone taking the kid's property or invading their space.
  • Issues of compliance, which often involve asking or insisting that HFA kids do something that they do not want to do--for instance, wash their hands.
  • Physical assault, which involves one child doing something to another child, such as pushing or hitting.
  • Rejection, which involves a youngster being ignored or not allowed to play with peers.
  • Verbal conflict, for example, a tease or a taunt.

2. Expression of Rage. The second component of rage is its expression. Some HFA kids vent or express rage through crying, but do little to try to solve a problem or confront the provocateur. Others actively resist by physically or verbally defending their positions, self-esteem, or possessions in non-aggressive ways. Still others express rage with aggressive revenge by physically or verbally retaliating against the provocateur. Some HFA kids express dislike by telling the offender that he or she cannot play or is not liked. Others express rage through avoidance or attempts to escape from or evade the provocateur. And some use adult seeking, looking for comfort or solutions from a teacher, or telling the teacher about an incident.

Educators can use child guidance strategies to help HFA kids express angry feelings in socially constructive ways. These young people develop ideas about how to express emotions (Michalson & Lewis, 1985; Russel, 1989) primarily through social interaction in their families and later by watching television or movies, playing video games, and reading books (Honig & Wittmer, 1992). Some kids on the spectrum have learned a negative, aggressive approach to expressing anger (Cummings, 1987; Hennessy et al., 1994) and, when confronted with everyday conflicts, resort to using aggression in the classroom (Huesmann, 1988). A major challenge for educators is to encourage AS and HFA kids to acknowledge angry feelings and to help them learn to express them in positive and effective ways before they escalate into rage.

3. An Understanding of Rage. The third component of the rage experience is understanding--interpreting and evaluating--the emotion. Because the ability to regulate the expression of rage is linked to an understanding of the emotion (Zeman & Shipman, 1996), and because the HFA kid's ability to reflect on their rage is somewhat limited, they need guidance from educators and moms and dads in understanding and managing their feelings.
 
Understanding and managing rage:

The development of basic cognitive processes undergirds HFA kid's gradual development of the understanding of rage (Lewis & Saarni, 1985):

1. Memory. Memory improves substantially during early childhood (Perlmutter, 1986), enabling young HFA kids to better remember aspects of rage-arousing interactions. Children who have developed unhelpful ideas of how to express anger (Miller & Sperry, 1987) may retrieve the early unhelpful strategy even after educators help them gain a more helpful perspective. This finding implies that educators may have to remind some "special needs" kids, sometimes more than once or twice, about the less aggressive ways of expressing anger.

2. Language. Talking about emotions helps young kids on the spectrum understand their feelings  (Brown & Dunn, 1996). The understanding of emotion is predicted by overall language ability (Denham, Zoller, & Couchoud, 1994). Educators can expect individual differences in the ability to identify and label angry feelings, because HFA kid's families model a variety of approaches in talking about emotions.

3. Self-Referential and Self-Regulatory Behaviors. Self-referential behaviors include viewing the self as separate from others and as an active, independent, causal agent. Self-regulation refers to controlling impulses, tolerating frustration, and postponing immediate gratification. Initial self-regulation in young HFA kids provides a base for early childhood educators who can develop strategies to nurture the  emerging ability to regulate the expression of rage.

Guiding the expressions of rage:

Educators can help kids on the autism spectrum deal with rage by guiding their understanding and management of this emotion. The ideas described below can help these young people understand and manage angry feelings in a direct and non-aggressive so they don’t escalate into rage outbursts:

1. Create a Safe Emotional Climate. A healthy environment permits these children to acknowledge all feelings, pleasant and unpleasant, and does not shame rage. Healthy classroom systems have clear, firm, and flexible boundaries.

2. Model Responsible Rage-management. HFA kids have an impaired ability to understand emotion when grown-ups have anger issues themselves (Denham, Zoller, & Couchoud, 1994). Grown-ups who are most effective in helping these young people model responsible rage-management by acknowledging, accepting, and taking responsibility for their own angry feelings and by expressing them in direct and non-aggressive ways.

3. Help HFA kids Develop Self-Regulatory Skills. Educators do a lot of self-regulation "work," realizing that the these students in their classroom have a very limited ability to regulate their own emotions. As these kids get older, grown-ups can gradually transfer control of the self to the children, so that they can develop self-regulatory skills.

4. Encourage them to Label Feelings of Rage. Educators and moms and dads can help young kids on the spectrum to produce a label for their rage by teaching them that they are having a feeling and that they can use a word to describe it. A permanent record (a book or chart) can be made of lists of labels for anger (e.g., mad, irritated, annoyed), and the class can refer to it when discussing angry feelings.

5. Encourage them to Talk About Rage-Arousing Interactions. HFA kids better understand rage and other emotions when grown-ups explain emotions (Denham, Zoller, &Couchoud, 1994). When these kids are embroiled in a rage-arousing interaction, educators can help by listening without judging, evaluating, or ordering them to feel differently.

6. Use Books and Stories about Rage to Help HFA Children to Understand and Manage Rage. Well-presented stories about rage and other emotions validate the kid's feelings and give information about rage (Jalongo, 1986; Marion, 1995). It is important to preview all books about anger, because some stories teach irresponsible “rage-management.”

7. Communicate with other moms and dads. Some of the same strategies employed to talk with moms and dads about other areas of the curriculum can be used to enlist their assistance in helping these kids learn to express emotions. For example, articles about learning to use words to label rage can be included in a newsletter to moms and dads.

Children on the spectrum guided toward responsible rage-management are more likely to understand and manage angry feelings directly and non-aggressively and to avoid the stress often accompanying poor anger-control (Eisenberg et al., 1991). Educators can take some of the bumps out of understanding and managing rage by adopting positive guidance strategies.


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

==> Videos for Parents of Children and Teens with ASD
 
----------
 
By

How to Reduce Aggression in Kids on the Autism Spectrum

There are many sources of stress for kids and teens with Aspergers and High-Functioning Autism (HFA). Some will deal with stress by becoming anxious, some by feeling depressed, while others become angry and rage against the frustrating situations – and people – in their day.

Some of these young people internalize their feelings and tend to blame others when things go wrong. Others externalize their feelings. Those who externalize their feelings have great difficulty in controlling their temper. There may be no particular rationalization or focus – just an aggressive mood or an excessive reaction to frustration or provocation. The provocation can be deliberate teasing by other kids.

Kids on the autism spectrum seem to evoke either the maternal or the predatory instinct in others. They often lack subtlety in retaliating. Other kids may wait for an appropriate moment to respond without being caught. The youngster with Aspergers or HFA can also lack sufficient empathy and self-control to moderate the degree of injury inflicted on others. The child is in a blind fury that gets him into trouble. The teacher sees the child being aggressive and may not be aware of the taunts by his peers that precipitated the anger.
 

It is helpful to use strategies to help the "special needs" youngster understand the nature and expression of specific feelings, particularly anger. It is also helpful to encourage self-control, and to teach the youngster to consider alternative options. Self-control can be strengthened by the traditional approaches of stopping and counting to ten, taking a deep breath, and reminding oneself to keep calm. Specific relaxation techniques can be practiced, and the youngster can learn cues when he must calm down and relax.

It is also important to explain the alternative option to hitting the other person. The youngster can use words, not actions, to express his anger. He can simply walk away, ask the other person to leave him alone, or seek an adult for help or to be a referee.

The level of stress that the youngster on the spectrum has been feeling may have been increasing for some time, and one incident can become the trigger that releases feelings that have long been suppressed. The angry moment can leave the youngster relieved at having discharged his stress in one brief episode. Thus the behavior becomes negatively reinforced, because it helps end an unpleasant feeling. When the incident is over, the youngster can be visibly relaxed, but confused as to why everyone else continues to be so distressed.

Strategies to reduce and channel aggression:

1. Activities that involve “creative destruction” can be particularly effective. If the youngster feels better after they have damaged or destroyed something, then ensure this becomes a productive activity (e.g., crushing cans or cardboard boxes for recycling, tearing up old clothing to make rags, etc.).
 

2. Comic Strip Conversations by Carol Gray can be used. A story-board approach is used, with a frame for each stage in the sequence of events. These are discussed, and the incident is used as an opportunity to learn the perspective of others, and to consider alternative actions and solutions.

3. Consequences of actions need to be discussed. Having the disorder is not a license to behave irresponsibly. It is, however, important for all the information and perspectives to be available before appropriate consequences are considered.

4. Construct a “menu” of activities to reduce levels of stress (e.g., listen to music, close eyes and imagine a relaxing scene, a massage, a soothing bath, lots of reassurance and compliments, etc.).

5. Construct a list of signs that indicate the rising of stress levels (e.g., bombastic gestures, rigid thinking, rude words, etc.), and draw the child’s attention to this list.

6. Explain to the youngster what to do should the situation arise again, with instructions to tell an adult of the provoking activity or comments. It is essential that the youngster learns alternative (preferably verbal) ways of dealing with the situation.

7. If the angry youngster will tolerate a discussion of why he is so angry, try to discover the cause. If it is an anger provoked by the actions of another, getting an apology (sometimes from both parties) can help.

8. Most kids on the spectrum will respond well if a situation is explained visually rather than verbally. In practical terms, this means using drawing materials (e.g., pens, paper, computers, paints, chalkboards, white boards) to illustrate the situation and to understand what happened.

9. Should the agitation become greater, attempt to “burn up” the tension and anguish with a rigorous physical activity (e.g., going for a run or bike ride).

10. The question “what’s wrong?” can make things worse, because the youngster may have difficulty in explaining the causes of his increasing anger. It is good to learn when it is tactful not to ask, and to divert the attention away from the causes, to more pleasant things.

11. To become equally angry just inflames the situation. Try to remain calm and rational – a model of what the youngster should be doing.

12. Video tape the child in a rage, and then when he is calm, play the video back for him in order to (a) allow him to see himself behaving “irrationally” and (b) discuss feelings and alternative responses to stressful situations.

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

Anger-Control Problems in Kids on the Autism Spectrum

“My 8-year-old son with ASD (high functioning) gets extremely frustrated and angry at various times throughout the day. There doesn’t seem to be a whole lot of rhyme or reason to these outbursts. They are as unpredictable as the weather. Please help me understand what can be done to either curb his temper, or better yet, prevent this from occurring in the first place.”

Moms and dads of kids with ASD level 1, or High Functioning Autism (HFA), are faced with many behavior problems like aggression and violent behavior, anger, depression and many other difficult behaviors. However, you can deal effectively with all these concerns much easier with the correct strategies. 

Part of the child’s problem stems from (1) a conflict between longings for social contact and (2) an inability to be social in ways that attract friendships and relationships. Thus, parents should focus on prevention and on helping their HFA kids develop communication skills and a healthy self-esteem. These skills can create the ability to develop relationships and friendships, lessening the chances of having issues with anger.

An anger control problem can also manifest itself in HFA children when rituals can't get accomplished or when their need for order or symmetry can't be met. Frustration over what doesn't usually bother others can lead to anger and violent outbursts. This kind of anger is best handled through cognitive-behavioral therapy that focuses on maintaining control in spite of the frustration of not having one’s needs met.
 

While it is better to teach communication skills and self-esteem to kids with HFA, communication skills and friendship skills can be taught to teenagers and young adults, which can eliminate some of the social isolation they feel. This can avert or reverse anger control issues.

There are many sources of stress for kids and teenagers with HFA. Some will react to stress by becoming anxious, some by feeling depressed, while others become angry and rage against the frustrating incidents in their day. Some of these children internalize their feelings and tend to blame others when things go wrong.




 ==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism
 
Those who externalize their feelings have great difficulty in controlling their temper. There may be no particular rationalization or focus – just an aggressive mood or an excessive reaction to frustration or provocation. The provocation can be deliberate teasing by peers, or being “set up” as a form of live theater enjoyed by the peers who don’t get into trouble.


Unfortunately, kids with HFA seem to evoke either the maternal or the predatory instinct in their peers. These young people often lack subtlety in retaliating. “Typical” kids would wait for an appropriate moment to get revenge without being caught.

The youngster with HFA can also lack sufficient empathy and self-control to moderate the degree of injury. They often find themselves in a blind fury that gets them into trouble. The educator may witness the youngster being aggressive, but may not be aware of the taunts that precipitated the angry outburst.

It’s helpful to use techniques to help the “special needs” youngster understand the nature and expression of specific feelings – particularly anger. It is also helpful to encourage self-control, and to teach the youngster to consider alternative options.
 
 
Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
----------
 


COMMENTS:

•    Anonymous said... A gluten free diet, low sodium intake and no red food color... plus regular probiotics are what initially saved my son! Good luck! Worth a try!
•    Anonymous said... How early were your kids diagnosed? I ask because we were diagnosed early so we have been getting therapy since he was 3-1/2 and he is almost 5 now. That said, there has not been a lot, if any, therapy regarding anger issues. I am just wondering if we can nip it in the bud or will these issues keep coming up regardless.
•    Anonymous said... I agree with Indra... especially on the hunger and thirst. You could also look into reactions to foods. A treatment called NAET has helped alot with my children. It is for allergies/intolerances. A clue to if it could be linked to food reactions is if they wake up calm and happy but get worse as the day goes on. My kids react with either aggression or hyperactivity to all of the food dyes. Social stories also helped quite a bit in preventing meltdowns over particular events.
•    Anonymous said... It could be hormones. Neurologist may help. My son needs to be on mood stabilizers, but he is a teen now. You never know how the body grows and reacts to different things. Can relate to your frustration.
•    Anonymous said... My 7 yr old daughter does same thing at my wits end on what to do seems to be getting worse then better even with counseling doesn't work anymore need help
•    Anonymous said... My son is now 11, and sometimes it seems that the outbursts will go on forever...but as I look back, things have gotten so much better. Sensory issues, frustration, changes in routine, too much input can all cause outbursts, and there isn't much therapy can do to help at younger ages, because it requires the child to understand what's happening and take measures to curb it. As a parent, though, you can help your child understand what is happening by making her constantly aware of her moods. Try to head off an outburst by beginning to identfy what caused it in the first place: what was she doing, what else happened, how you responded. Once you can figure out what the issues are (because your child may not know), you can try to head off the outburst before it happens.  Even if you can't, there are techniques that you can teach her to help calm herself: jumping up and down, "squeezing lemons" with her fists, etc. You will have to encourage her in the beginning, because when she's in the middle of an outburst she probably won't be reasonable. Give her time to calm down, and then review with her: why were you yelling (and make suggestions), how else could you have solved it, how could you have clamed yourself down, etc. It takes a LONG TIME. Finally try to figure out what she needs for sensory input (weighted or neoprene vests or blankets, squeeze balls, sand or pebbles to sift through, warmth, water, darkness) on a constant basis. I noticed when my son was young that if he swam in the pool every day, he was calmer overall. As he got older, we used water (showers, baths) to redirect him when he was upset. As he began to be more self-aware, he began to realize what things calmed him down -- weight (he likes to be sandwiched between two beanbag chairs), warmth (make him into a "taco" with a heavy blanket, and water (swimming, baths, showers) -- so now we can suggest those to him as well. Your situation is not unusual, so don't feel alone. It takes kids with autism longer to learn sometimes, but they can do it if you are persistent. HUGS to you.
•    Anonymous said... My son use to be like this and at times it wasn't 1 thing, my paediatrician felt he was getting wound up like a spring over a lot of little things then he would explode, but it was finding out the little things that annoyed him that was the issue. When you talk about the weather, my son is a lot worse on really windy days. Diet also has a lot to do with his behaviour all artificial colours and preservatives are removed as much as possible.
•    Anonymous said... There is also something to be said about perfectionism in young kids on the spectrum. I know I had trouble with being able to picture how to do something perfectly in my head, but not physically being able to do it, perfectly. This caused enormous amounts of frustration/anger with me as a child. If you find they have a low frustration tolerance, and this seems to relate, you can help by explaining how mistakes help us learn, that we don't need to be perfect every time. Encourage trying, without worrying about results. Praise effort, not outcome. Hope this helps
•    Anonymous said... This happened with us too. Help your child learn what makes him comfy temperature wise (is he cold, needing a sweater or hot, needing to take off clothing and put on something lighter?). Teach him about sensory issues as well (a PT does a great job with this...especially learning the program, "How Does Your Engine Level Run"). Does something itch? Is it a tag? Is it seams on the inside of his clothes. Teach him about hunger. The different signs/levels of hunger. Your belly makes a rumbling sound but thats when you're really hungry (ABA therapy helps). What other signs can cue you to hunger before you get to the point of being so hungry that you melt down? Teach him about thirst as well. Teach him about needing rest and the importance of going to sleep. Sleep shouldn't be viewed as a negative. Try to nap for special things and give positive reinforcements for napping. Show the positive effects that napping do for your body. Calms you, helps you make more friends because....
Lastly, teach him about getting ill. What are the signs that illness may be coming. Itchy throat, pain in the throat, fever (feeling hot on the forehead), etc. Our pediatrician helped to reinforce our teaching! I hope this helps!
•    Anonymous said... This was my exact sentiment yesterday.....
•    Anonymous said... Very interested in what others have to say... this describes my 8 year old daughter as well.
•    Anonymous said... Wow! He sounds like every other person I know including myself. Human being need to run. We used to do it everyday to hunt for food. If I don't get physical for awhile everyday I get frustrated at some point, "who knows when" and I can need to blow out the steam. Should I take a pill? No thank you BIG PHARMA. I'll keep my money and my brain chems "al natural" (same for my son). I have come to the conclusion lately that I may be over-reacting to everything my Aspie does. I think maybe I'm over analyzing and judging every behavior. Is this normal? Is this Asperger's. Is he normal yet? Who cares??? I enjoy his Asperger's too. He is brilliant!My son is nearly 8 now and I only have a few more years for he and I to enjoy what's left of his, oh so troubling childhood. Funny thing is, I knew a kid who behaved so much like my son when he was little. He played with my now grown two other children. This kid was so "bad" we thought back then, before ADHD, Asperger's and all the other multiple diagnosis we label our kids. You know what, Nick "monsters" became an Eagle scout and is now at the top of his class in MEDICAL SCHOOL. He grew out of it. Whatever "IT" was that caused his "off the chain" behavior. His mom only over reacted if she thought she was being judged for his behavior or she needed to blow off steam. Sound familiar? One thing I remember is she used to just laugh about a lot of the stuff he did, some of the other mother's myself included, judged her as a bad mom for this but, maybe she was on to something. Maybe more laughter and less over analyzing is just the kind of medicine we need in our lives. It's free and it does not permanently alter brain chemistry. Just sayin............I guess you can tell I've had a good day. Been thinking a lot about those little ones that didn't make it home from school the other day in OK. I keep thinking how I would feel if he were gone. (Crying now) I keep telling myself I wouldn't have over reacted so much to his "different behaviors" I would have tried to enjoy him more. I'm so grateful for having him in my life. Let's keep it in perspective ladies. God Bless you all!
•    Anonymous said... ABA therapy over the past 2 years has had a major positive impact on my now 8-yr old son who previously was having 1hr+ meltdowns at least 3-5 times a week. Our therapists are private and work with him 2-3 times a week. It's literally saved our family.
•    Anonymous said... Exercise a little before school. Some of quiet time after school. My ten yr old grew out of some of the meltdowns. I read somewhere that it is most difficult between year 5 and 8. I think its true. So you are on the tail end and it should get better soon.
•    Anonymous said... Gluten free casein free diet, ot in the morning at your house, beans weight blanket at night to sleep w. Less sugar. Jumping on a trampoline in the morning, these are all the things I do w my daughter daily an nightly. And she is high functioning aspergers w a lot of sensory problems. She is 6 and her behavior has improved since we have put her on the gluten free casein free diet and she takes klair lab supplements because she has the leaking gut. Good luck an god bless you and your family.
•    Anonymous said... i have a child wit autism also nd these temper tantrums are called meltdowns. they cant handle change of plan or change of routine, so in my experience the more notice our children have when set plans change the better.in my experience the meltdown can last ten mins to an hour. dont trynd reason during these outburstst bcoz it wont register nd wen they cool down explain situation, and this can take its toll. consistence is the key here. i give my child udos oil daily for her skin, bcoz shes at that stage of teen acne, and also melissa dreams 4 sleep, both can be got at health shop, hope i was some help. very best of luck 2 u nd ures.xxx
•    Anonymous said... I would do a behavior chart of the times,places and situation before the meltdown. Behavior therapist call this ABC. Antecedent or what was going on before the meltdown, where did it happen? B for behavior what did your child do when he had a meltdown? Scream and cover his ears? Hit someone? Run? The next is C or consequence. For example, due to the meltdown was he removed from a room? Activity? Remember all behavior is communication. The meltdown are his way of telling you that something is bothering him. It could be noises, lights or someone touching him. Many meltdowns are due to a sensory issue.
•    Anonymous said... It may not be 1 big thing, I have a son that explodes and usually then you find out that it is a whole lot of small things and he has got him self wound up like a spring then snaps. The things may be small and insignificant to most people, but they a huge things to him. Working out what is getting to him is not always easy.
•    Anonymous said... My son also has Aspergers, and we give him Omega3 (fish oil) supplement gummies twice a day. His emotions seem to be more in check when he takes them. If we miss a day or two, he tends to have more meltdowns (crying, getting mad, etc.)
•    Anonymous said... my son has low cortisol levels and with low cortisol one gets irritable and can't tolerate any kind of stress. I started giving him Adrenal Cortex Extract and other supplement to raise his cortisol.
•    Anonymous said... My step son was hungry when he had his outburst. I worked like magic to just try to have him eat when we saw him getting mad. We even put in a "snack time" into his IEP. He would not eat well because of his meds so we filled him up in the morning and night then snack time during the day. It was almost like he was a diabetic. Hope that helps.
•    Anonymous said... We walk to school and that helps a lot. He needs lots of physical stuff to do (dig up garden, clear path, walk the goat etc). Everything is scheduled and he knows what is going to happen. Melatonin at night for sleep with strict bed time. We removed all unnatural dyes. I also know triggers and work on them. His therapist has also been a life saver.
*   Anonymous said... Anger or rage in my son seems to me to more often to be when he is frazzled and at the point of being unable to cope with anymore. I do have behaviour management techniques which generally work well and preventative techniques but when his brain is overloaded no technique really works and it's a matter of just riding it out and not doing anything that makes it worse.
•    Anonymous said... I've learned that many aspergers kids have a magnesium deficiency. Giving my son magnesium everyday has significantly reduced his anger and violent outbursts. I give him magnesium glycinate which is the most absorbable kind.
•    Anonymous said... My Aspie son is 7.5. If we cannot understand the trigger we go back to basic (is he sick, is he sleeping right amount and quality, is he over stimulated or under stimulated, is he eating right). When he is In a rage is not the right time to try and talk to him but something is bothering him or upset his balance and he likely does not even know what it is.
•    Anonymous said... They pretty much have to have their way or this happens.we pick our battles with our son.
•    Anonymous said... when their need for order or symmetry can't be met. Frustration over what doesn't usually bother others can lead to anger and violent outbursts.
100% our boy
•    Anonymous said... Yip, sounds like my 8 year old. Talking in a calm controlled manner seems to help.... Slightly. I have also started picking battles .
 
Post your comment below…
By

Defiance in Teenagers with High-Functioning Autism

"My son (high functioning autistic) is now 13 ...he was diagnosed at the age of 8. All of a sudden he is acting out, cussing all the time, lying, being disrespectful and verbally abusive, and has an overall grumpy attitude. Are these years the hardest, or is this just the beginning? When he finally hits puberty, will things get better?"

Yes, the teen years are the hardest, whether your son has High Functioning Autism (HFA) or not! He has probably “hit” puberty already, but it’s just beginning.

Raging hormones and frustration with social interactions at school can cause a lot of anger and bad behavior during the teen years, especially for adolescents with "special needs!" Many need counseling to negotiate this time in their lives successfully. Peer-rejection, teasing, bullying, and all other other stressors that your son may have to endure can take a psychological toll, which may in turn influence him to act-out his frustration on a "safe" target at home (i.e., YOU).

Your son is exhibiting rebellious behavior, and this type of behavior fulfills his needs. For example, he may have the need to:
  • Avoid responsibility (e.g., attending school, obeying parents)
  • Get something (e.g., his way in a decision, your attention, control over a situation)
  • Manage pain (e.g., physical and/or emotional stress that must be alleviated)
  • Fulfill sensory needs (e.g., relief from heat, cold, or to satisfy thirst)

Having a developmental disorder such as HFA or Asperger’s is no excuse for being verbally abusive. However, it is important for you to understand that some of the associated symptoms do contribute to defiant behavior. Teens on the autism spectrum may display some - or all - of the following characteristics, many of which contribute to problematic behavior:
  • the teen may be able to talk extensively on a topic of interest, but have difficulty with more practical tasks such as recounting the day’s events, telling a story, or understanding jokes and sarcasm
  • sensitivity to criticism 
  • preference for playing alone or with adults
  • narrow field of interests (e.g., a teen with HFA may focus on learning all there is to know about cars, trains or computers)
  • language may be considered to be very advanced or ‘precocious’ when compared to their peers
  • lack of appreciation that communication involves listening as well as talking (e.g., they may not allow their communication partner an opportunity to engage in the conversation)
  • inability to understand the rules of social behavior or the feelings of others
  • difficulty ‘reading’ body language (e.g., a teen with HFA may not understand that someone is showing that they are unhappy by frowning)
  • having rules and rituals that they insist all family members follow
  • difficulty in forming friendships
  • behavior varies from mildly unusual, eccentric or ‘odd’ to quite aggressive and difficult
  • apparently good language skills, but difficulty with communication
  • anger and aggression when things do not happen as they want

 
Your son is unlikely to identify with your feelings or comprehend others’ objections to his behavior. The only explanation you should use with him is to specifically state that the objectionable behavior is not permitted. Your son needs to follow rules, and following rules can help to focus and modify his rebellious behavior.

Behavior modification is a therapeutic approach that can change your son’s behavior. You need to determine the need that his rebellion/aggression fulfills and teach him an acceptable replacement behavior. For example, your son can be taught to ask for, point to, or show an emotion card to indicate the need that he is trying to fulfill.

Sometimes, self-stimulating behaviors such as rocking or pacing are taught as replacement behaviors, but it will take time for your son to integrate these behaviors into his daily activities. If your son is severely out of control, he needs to be physically removed from the situation. Granted, this may be easier said than done, and you may need someone to help you; yet, behavior modification can be helpful, and it must be started as soon as possible.

For adolescents on the autism spectrum, the importance of maintaining a daily routine can't be stressed enough. A daily routine produces behavioral stability and psychological comfort. Also, it lessens their need to make demands. When you establish a daily routine, you eliminate some of the situations in which your son’s behavior becomes demanding. For example, by building in regular times to give him attention, he may have less need to show aggression to try to get that attention.

Ideally over time, your son will learn to recognize and communicate the causes of his aggression and get his needs met by using communication. Unfortunately, teens who get their needs met due to aggression or violence are very likely to continue and escalate this defiant behavior.

A behavior therapy program may help; however, an individualized program has to be designed specifically for your son because adolescents on the spectrum vary greatly in their challenges and/or family circumstances. Treatment approaches that work well with other diagnoses may not work with HFA. Consult a psychiatrist who can oversee a treatment plan as well as any medication regimen that your son may be need.

In addition to the suggestions listed above, here are a few simple parenting tips that may help:
  • Take care of yourself. Counseling can provide an outlet for your own mental health concerns that could interfere with the successful management of your son's defiant behavior. If you're depressed or anxious, that could lead to disengagement from your son, which can trigger or worsen oppositional behaviors. Let go of things that you or your son did in the past. Start each day with a fresh outlook and a clean slate. Learn ways to calm yourself, and take time for yourself. Develop outside interests, get some exercise, and spend some time away from your son to restore your energy.
  • Set up a routine. Develop a consistent daily schedule for your son. Asking him to help develop that routine can be helpful.
  • Set limits and enforce consistent reasonable consequences.
  • At first, your son is not likely to be cooperative or appreciate your changed response to his behavior. Setbacks and relapses are normal, so be prepared with a plan to manage those times. 
  • Remind yourself that your son’s defiance is most likely a temporary inconvenience rather than a permanent catastrophe.
  • Recognize and praise your son's positive behaviors. Be as specific as possible (e.g., "I really liked the way you cleaned up your room tonight").
  • Pick your battles carefully. Avoid power struggles. Almost everything can turn into a power struggle — if you let it.
  • Model the behavior you want your son to exhibit.
  • Develop a united front. Work with your partner/spouse to ensure consistent and appropriate discipline procedures.
  • Remember that behavior often temporarily worsens when new limits and expectations are set. However, with persistence and consistency, the initial hard work will pay off with improved behavior.
  • Build in time together. Develop a consistent weekly schedule that involves you and your son being together.
  • Assign your son a household chore that's essential and that won't get done unless he does it. Initially, it's important to set him up for success with tasks that are relatively easy to achieve, then gradually blend in more important and challenging expectations.



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

==> Videos for Parents of Children and Teens with ASD
 
----------
 
 

COMMENTS FROM PARENTS:

•    Anonymous said... Its so good to not feel alone in this. My son emailed the principle and councilor this week with a page of cuss words, then says "he doesn't remember it". He never talks at home like that. Trying to find alternatives for anger, like using a punching bag. But that day I had no idea he was even upset that is what scares me. Praying lots and lots.
•    Anonymous said... My Son doesnt like going outside at all eather!... Not very nice if he's got a little Sis that does want to go and do nice things tho... But tried to take him out today, but it was Far to Busy! Really made him have a Noise overload in his head till now... We'v been back for 10 hours... Must be horrible for him...
•    Anonymous said... my son like that as well. Does not want to go outside because the kids are making poor choices
•    Anonymous said... Not only does the stew of Aspie issues flare up at new situations and new social expectations. But puberty hits and the hormones kick in like they do in non-Aspie kids. So you get a double dose of Teenage attitude.
•    Anonymous said... Puberty makes them begin to resemble something of aliens. lol Seriously though they do become quite difficult. The acting out, cussing, lying, etc., all are magnified x 3 during this time. Counseling and keeping the schedule has helped us. In the end however not much helps lately. Praying a lot. Good luck.
•    Anonymous said... There may be commorbid conditions. Mine has ODD and ADHD. But, yes, teens will always test limits. Be thankful he's a boy; ) Deep breaths. And approach delicately. Never demand, request. Always give him time to respond, and make a consequence that fits the "crime" and stick to it. Consistency is key to any austism spectrum disorder. Hugs.
•    Anonymous said... We have been through hell with my son since he turned 13 and now he is 16. I try to see the silver lining with him having to deal with ASD - one is that he doesn't want to leave the house because of his heightened social anxiety - so I know where he is at all times! At least he is not out hooning around and making bad choices with other idiot teenage boys. I'm hoping that by the time he is happy to engage again with society he will be dealing with other guys whose frontal lobe has developed (him too).
•    Anonymous said... You have to adjust your responses to the outbursts and also reinforce what good choices look like for your child as well as what bad choices look like. The teen years are rough for everyone, but Aspergers and kids in the Autism Spectrum have it even harder. Pick your battles. You do not always have to win an argument. Actively listening and explaining what is going on is the best win for both you and your family.
*   Anonymous said...My upstairs neighbors (mom) are very uncooperative when it comes to respecting my household! The teenage son stalks me, destroys my plants and flowers.. breaks my patio decor and had almost destroyed my 5ft windmill. He makes a lot of noise constantly and walks in place to make the floor squeak in many areas of their apartment... And, how does he know when I am using my bathroom... It's embarrassing that he lets me know he knows I'm in my bathroom because he will make noise or flush the toilet or run the water in the sink or bathtub... He will run out and sometimes stomp very loud upon exiting.

Post your comment below…


By

The Challenges of Puberty in Teenagers on the Autism Spectrum

"We seem to be having ever increasing difficulty with our 13-year-old daughter (high functioning autistic). We began to notice a change for the worse around the time she reached puberty. Her anger and anxiety have reached a new level. She also seems very very depressed much of the time. Is this normal for a teen with this disorder? What can we do to slow down what I see as a train wreck in the making?"

Puberty brings with it challenges for all children, however, children with ASD level 1 [High-Functioning Autism] face increased challenges through puberty. The behavior issues of impulsivity can increase in both frequency and intensity.

Kids with ASD who experienced bullying in elementary school - and now continue to experience bullying during their middle school years - may become increasingly aggressive. 

Adolescence can become a very difficult time for a child with ASD as peers may no longer be willing to tolerate someone who seems different. Moodiness, depression and anxiety can also develop in adolescence due to hormonal imbalances, resulting in increased separation of the "special needs" teen from his/her peers.
 

Adolescence is a time when social demands become more complex, and it becomes increasingly important to be able to understand social cues. Children with ASD can be more vulnerable to (a) manipulation by others and (b) peer pressure. They are likely to experience more rejection among their peers. With young people on the autism spectrum, interaction with peers usually creates more anxiety than interaction with younger or older people.


In order to create a few parenting changes that may help your daughter through this difficult time, answer the following:
  • Do any particular situations seem to trigger defiant behavior in your daughter?
  • Has your daughter been diagnosed with any other medical conditions?
  • Have your daughter's teachers reported similar symptoms?
  • How do you typically discipline your daughter?
  • How have you been handling your daughter's disruptive behavior?
  • How often has she refused to follow through with your rules or requests?
  • How often over the last six months has your daughter argued with you or her teachers?
  • How often over the last six months has your daughter been angry or lost her temper?
  • How often over the last six months has your daughter been vindictive, or blamed others for her own mistakes?
  • How often over the last six months has your daughter been touchy or easily annoyed?
  • How would you describe your daughter's home and family life?
  • What are your daughter's symptoms?
  • When did you first notice these symptoms?

Here are a few parenting strategies that can help:

1. If you're depressed or anxious, that could lead to disengagement from your daughter, which can trigger or worsen her behavior. Let go of things that you or your daughter did in the past. Start each day with a fresh outlook and a clean slate. Learn ways to calm yourself, and take time for yourself.

2. Set up a routine. Develop a consistent daily schedule for your daughter. Asking your daughter to help develop that routine can be helpful.

3. Remind yourself that your daughter’s behavior is most likely a temporary inconvenience rather than a permanent catastrophe.
 
==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism

4. Recognize and praise your daughter's positive behaviors. Be as specific as possible (e.g., "I really liked the way you helped pick up your room tonight").

5. Pick your battles carefully. Avoid power struggles. Almost everything can turn into a power struggle — if you let it.

6. Model the behavior you want your daughter to exhibit.

7. Develop a united front. Work with your spouse to ensure consistent and appropriate discipline procedures.

8. Build in time together. Develop a consistent weekly schedule that involves you and daughter being together.

9. Assign your daughter a household chore that's essential and that won't get done unless she does it. Initially, it's important to set your daughter up for success with tasks that are relatively easy to achieve, then gradually blend in more important and challenging expectations.

10. At first, your daughter is not likely to be cooperative or appreciate your changed response to her behavior. Setbacks and relapses are normal, so be prepared with a plan to manage those occasions. Behavior often temporarily worsens when new limits and expectations are set. But, with persistence and consistency, the initial hard work will pay off with improved behavior. Also, as she passes though the storms of adolescence, things are likely to improve by default.

 

COMMENTS:

•    Anonymous said... Alpha-Stim AID for anxiety. And, it gets better once adult.
•    Anonymous said... Encouraging articles.
•    Anonymous said... I'm having the same problem with my son. He is on a low dose antidepressant and it made such a difference. My happy boy is back.
•    Anonymous said... I've been going through that with my 13 y/o Aspie, too. Wicked anxiety and depression. It really started at about 10 or 11 and peaked for us this year. Luckily, between therapy and regular talks, we're in a better place now. I try not to rush her or stress her out. Her daily routines help calm her so we do our best not to interfere with them.
•    Anonymous said... Jed Baker gave the best explanation of one of the reasons why this happens, they become aware of all the drs, meds, therapies, spec schools etc, that they feel they are broken and unfixable. This happened to my son too. Meds and therapy helped, but Jed Baker also adds that we must increase our praise to help them during these years. I can honestly say doing this has helped our son. Good Luck!
•    Anonymous said... Medication. Risperdal and depakote work great but cause weight gain.
•    Anonymous said... My daughter too is in a major depression, she is on depokote and it is not working, neither did Prozac and another anxiety medicine. Feeling hopeless/helpless over here
•    Anonymous said... my son is 16 and is a nightmare with moods, temper, despite what we do as parents its not enough. he wont chat.!
•    Anonymous said... Totally! Normal! My guys meltdowns increased & aggression. I stuck to my guns with him and haven't used Meds. I've used humour, timeouts & rewards. It's hard but he's trying very hard!
•    Anonymous said... We are in the SAME boat over here!!!
•    Anonymous said... Yes yes yes!!! Totally normal...unfortunately! We got my daughter back into counseling and had a medication change also. Good luck .
•    Anonymous said… She's probably having trouble making/keeping friends and is likely being bullied. This is the age where they become acutely aware that they are different from others. Does she have any hobbies? I would strongly suggest getting her involved with a group of kids with similar interests, social skills groups, etc.
•    Anonymous said… my son has autism and i know is similar to aspergers. He is 17 now and I wish all the parents out there with teenage children with aspergers all the luck in the world through this difficult stage in both yours and their lives xxxx
•    Anonymous said… My daughter is only 10, going through puberty and anxiety is at an all time high!
•    Anonymous said… My daughter is 6 (almost 7) and is showing physical signs of puberty (breast development and armpit hair - along with the odor). She has become increasingly non-compliant in school and becoming more aggressive towards her teachers... At home she's almost a perfect little angel. Of course we have a very strict schedule/routine at home and any change in it has to be explained thoroughly before we get compliance.
•    Anonymous said… I'm 26 and autistic and still can't deal with puberty. It's extremely hard to explain. I just can't accept the physical change in myself or friends I knew before/during it. It's just too different seeing them with facial hair etc. I find it very crippling that my mind makes these natural things so hard to deal with even when they've happened a long time ago.

Please post your comment below...

By

Parents' Problem-Solving Skills for Hostile Teens with Autism Spectrum Disorder

“My wife and I are struggling dealing with our angry, increasingly aggressive 14 yr old son with high functioning autism. He's now refusing to hand over his electronics at night and shouting occurs. He is testing the boundaries, of course, but physical confrontation is something we don't know how to cope with.”

Addressing hostility and aggressiveness in teens with Asperger’s (AS) and High-Functioning Autism (HFA) can be a frustrating and demanding process. The challenge for parents and teachers is to address the behavior in a constructive manner, rather than simply reacting to it.

When AS and HFA teens are exhibiting hostile behaviors, it is often a sign that they are not receiving adequate support in mastering their environments, both at home and school. In addition, their aggressiveness does not necessarily reflect willfulness, rather they lack the social skills needed to “fit-in” and to be accepted by others – especially their peers.



What makes AS and HFA teens act-out may lie in the way they process social information, including what aspects of the social environment they pay attention to, and how they interpret what they perceive. These “special needs” teens need help in altering the way they process social information so that they do not view hostility as justified or useful.

The development of an “emotions vocabulary” is an important component in addressing aggressive behaviors so that feelings can be put into words leading to social skills development, identifying feelings, fostering cooperation, emphasis on empathy, discussions of future desires, conflict resolution, and assertive communication.

If the AS or HFA adolescent is acting-out, it is irrational for parents and teachers to assume that he knows more favorable alternatives. If adults are always telling this adolescent what NOT to do, when are they telling him what he SHOULD be doing and helping him to learn how?

Why Teens with Asperger's and HFA Can Be Moody and Depressed--




 ==> Disciplinary Strategies for Asperger's and HFA Teens


Teaching Problem-Solving Skills—

Developmental deficits in cognitive processes are often associated with aggressive behavior, and social development requires mastery of cognitive and behavioral skills for communicating with others, assessing social circumstances, and resolving conflicts without aggressiveness. These skills empower AS and HFA teens to make friends and flourish socially.

Teaching problem-solving skills is useful in addressing hostility and aggressiveness in these adolescents. Below are 6 effective steps to teaching problem-solving skills. Each step requires different approaches to discovering - and linking - the missing skills in social situations.

Step 1: Help the teen to attend to social cues that are often missed or misinterpreted.

Methods: 
  • Help the teen identify his own feeling states through self-report and observation.
  • Enhance sensitivity to verbal and nonverbal social cues through games and role play, teaching the teen to identify social cues in body language and pitch of voice.
  • Have the teen make a video of his own nonverbal cues, and then have him explain his feelings on the basis of cues demonstrated in the video (e.g., hand gestures, facial expressions, voice intonation, and other indicators of social intent).

Step 2: Help the teen to assign meaning to social cues. This step is necessary because hostile teens commonly interpret neutral interactions as threatening – and then respond defensively. Unlike “typical” teenagers, AS and HFA teens do not intuitively know how to exhibit socially acceptable behavior, and the level of their required assistance depends on the social supports they have previously encountered.

Methods: 
  • With the help of videotapes of social encounters, the teen should be taught to identify the sources of the problems and the feelings of participants with emphasis on correctly identifying friendly and neutral – as well as hostile – intent on the part of others.
  • The teen should learn to identify and classify social cues by friendly, neutral, and hostile categories of intent. The teen can practice by assuming the roles of his peers in disputes.

Step 3: Help the teen to define goals that enhance social relationships with an awareness of the consequences of behavior.

Methods: 
  • Brainstorming example: The teen is rewarded for having ideas about goals for various situations. Goals can be rated as to whether they are likely to enhance or damage interpersonal relationships with peers.
  • The teen should be given opportunities to practice identifying and fitting pro-social goals to various situations.

 ==> Disciplinary Strategies for Asperger's and HFA Teens

Step 4: Help the teen to develop ideas about how to respond to each social circumstance he encounters. This step is necessary because compared with “typical” teens, AS and HFA teens identify fewer alternatives and seem unaware of the various options that may be open to them when confronted by a social problem. These “special needs” teens need help identifying their options and possible outcomes (this is why constantly telling them what they are doing wrong does not increase the likelihood of improved future performance).

Methods: 
  • Help the teen to develop skills to control arousal and to generate behavioral responses in which anger and use of force are only two of many response possibilities.
  • Help to increase the teen’s skill in identifying alternatives to the use of force to solve social problems.

Step 5: Help the teen to assess likely outcomes of potential responses and to select a response that can be initiated given the limitations of the situation. Compared to non-hostile teens, hostile ones tend to evaluate pro-social responses less favorably. Thus, they are not behaving a certain way to purposely hurt those around them, rather they are simply making decisions based on social skills deficits.

Methods: 
  • Evaluation of each alternative: The teen should be given opportunities to discuss likely gains and losses associated with each identified alternative in specific social situations.
  • Like goals, gains may be described as short and long term, material and social, or affective and concrete.
  • In addition to benefits, look at costs (i.e., negative outcomes) of each alternative.

Step 6: Help the teen to implement a response. This step is where a teen with hostile tendencies joins a group, negotiates deals, offers and/or receives positive feedback, and bargains for the exchange of social opportunities by implementing a strategy from previous steps. Practicing this step will be intimidating and challenging for the AS or HFA teen. Any attempts – successful or not – should be praised and reviewed to identify areas of strength as well as need for improvement.

The development of problem-solving skills includes the AS or HFA teen as a contributor in planning and execution. Thus, be sure to include his input in all the steps listed above. The methods described are something you are doing WITH the teen, rather than TO him. Addressing hostility in these “special needs” young people demands an understanding of their perspective. Any approach to correcting hostility that does not include the teen himself is not going to have long-term benefits.

Behind every behavioral problem is a skill deficit – and a need to acquire that skill. Identifying with whom, over what, where and when behavioral problems occur will highlight specific circumstances so that appropriate problem-solving skills can be taught. Including the teen in the plan to address his aggression and hostility is allowing him to be assertive in a positive way; it gives him a sense of control that is often craved when he is lacking a skill and acting-out aggressively.
 

 
By
Subscribe to: Posts (Atom)

Understanding the Role of Risperidone and Aripiprazole in Treating Symptoms of ASD

Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition characterized by social communication challenges and restricted, re...