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Tantrums and Meltdowns in Kids with Autism Spectrum Disorders

"How can I handle tantrums with my child on the autism spectrum? How should I deal with 'meltdowns'? Should the two be treated differently? If so, how does one know the difference between the two? Sorry for all the questions... but this is all new to me. My son was recently diagnosed with autism spectrum disorder and I want to do the right thing here! Please help. Thank you."

Autism Spectrum Disorders (ASD), also known as Pervasive Developmental Disorders (PDDs), cause severe and pervasive impairment in thinking, feeling, language, and the ability to relate to others. These disorders are usually first diagnosed in early childhood and range from a severe form, called autistic disorder, through pervasive development disorder not otherwise specified (PDD-NOS), to a much milder form, Asperger syndrome (now called "high functioning autism"). They also include two rare disorders, Rett syndrome and childhood disintegrative disorder.

Some ASD kids are more likely to have tantrums than other kids. Causes that contribute to a youngster's tendency to have tantrums include fatigue, the youngster's age and stage of development, temperament, stress in the child's environment, and whether underlying behavioral, developmental, or health conditions are present such as ADHD or ASD. Also, a youngster may be more likely to have tantrums if moms & dads react too strongly to difficult behavior or give in to the child's demands. Tantrums are normal behavior for most kids and there is no reason why kids with ASD should refrain from this stage of development.
 

Tantrums are one of the most common problems in young kids with ASD. They may appear to go into a state of rage, panic, anxiety or fear for no reason at all. This might involve screaming, crying, resisting contact with others, or pushing others away. Unfortunately for individuals with ASD and their families, ‘tantrums’ and destructive behaviors are especially common, among kids. The problem seems to be that it is more difficult for moms & dads to prevent ‘tantrums’ in kids with ASD, the youngster seems inconsolable during the ‘tantrum’, the episode might last a long time, and consist of more aggressive behavior, such as hitting, biting, and pinching. Most often the satisfaction that typically accompanies the end of the ‘tantrum’ rarely occurs. Similar episodes of panic, anxiety, rage or even aggression might be seen all through childhood, adolescence and even adulthood.

Ignoring the tantrum behavior and helping a young child learn how to handle and express anger and frustration are usually effective ways to deal with the behavior. Also, paying attention to what triggers tantrums can help you act before a youngster's emotions escalate beyond the point where he or she can control them. This is supposed to identify the cause of the behavior and prevent ‘blaming’ the individual. This is very important in ASD, as it is doubtful that any behavior which may cause difficulties for families is intended maliciously or menacing. There is almost always some other, unidentified, trigger that brings on challenging behavior.

It is important to intervene as early as possible so that behaviors are not constant and so that other means of expression and communication are open to kids with ASD.

Causes for Challenging Behaviors—

What causes this? As with such behavior in all kids there may be any number of causes. There might be underlying reasons (such as feeling upset, anxious or angry) and immediate triggers (such as being told to do something). In ASD however there is also a specific pattern of behavior, social interaction and understanding the tantrums are directed by frustration, can help explain some ‘challenging’ behaviors.

Kids with ASD often rely on ritual and structure. Structure is a method that helps define the world in terms of set rules and explanations in turn helps the person function most effectively. Most kids with ASD find their own methods of imposing structure and maintaining consistency. They need this structure because the world is confusing. Other people are complex and almost impossible to understand. The information they receive through their senses might be overwhelming and hard to bring together into a strong whole, and there is likely to be an additional learning disability that makes it hard to apply cognitive skills to all these areas at once.

When some form of structure or routine is disrupted the world becomes confusing and overwhelming again. It might be like losing a comforting toy when feeling alone or homesick. This disruption of structure might be obvious (having a collection of objects disturbed, being made to go a different way to school, getting up at an unusual hour) or it might be hidden (subtle changes in the environment which the youngster is used to for example). Some of these triggers might be out of the control of the individual or his or her family members. Some might be avoidable. Others might be necessary events, which can be slowly introduced so as to limit overt reactions.

Generally one of the most significant causes of ‘challenging behavior’ is a communicative need. For people with profound difficulties in understanding others and in communicating with them it is hardly surprising for frustration, anger and anxiety to build up. It is also quite likely that ‘challenging behaviors’ will directly serve as a form of communication. Natural ‘tantrums’, for example in response to changes in routine or requests to do something the individual does not want to do, may well become usual reactions to those involved.

Frequent Tantrums—

If your youngster continues to have frequent tantrums after age 3, you may need to use time-outs. A time-out removes the youngster from the situation, allows him or her time to calm down, and teaches the child that having a tantrum is not acceptable behavior. Time-out works best for kids who understand why it is being used.

Most kids gradually learn healthy ways to handle the strong emotions that can lead to tantrums. They also usually improve their ability to communicate, become increasingly independent, and recognize the benefits of having these skills. Kids who continue to have tantrums after the age of 4 usually need outside help learning to deal with anger. Tantrums that continue or start during the school years may be a sign of other issues, including problems with learning or getting along with other kids.
 

Talk with a health professional if:
  • Difficult behavior that frequently lasts longer than 15 minutes, occurs more than 3 times a day, or is more aggressive may indicate that a youngster has an underlying medical, emotional, or social problem that needs attention. These are not considered typical tantrums. Difficult behaviors may include: kicking, hitting, biting, scratching, hair pulling, or pinching other people, throwing or breaking things, head-banging or inflicting self-injury.
  • The youngster hurts him/her self, other people, or objects during a tantrum.
  • The youngster's behavior does not improve after 4 years of age.
  • The youngster's tantrums frequently last longer than 15 minutes or occur more than 3 times a day.
  • You have concerns about your youngster's tantrums.
  • You have problems handling your youngster's behavior, especially if you are concerned that you might hurt your youngster.
  • You have problems handling your youngster's behavior, especially if you are concerned that you might hurt your youngster.
  • You want help with learning to cope with your feelings during your youngster's tantrums.
  • Your youngster older than 4 years continues to have frequent tantrums.
  • Your youngster's tantrums escalate into violent behavior that endangers others or results in self-inflicted injuries.

Medical treatment for tantrums may be recommended for kids who:
  • Have long-lasting and frequent tantrums.
  • Regularly have tantrums after 4 years of age.
  • Causing self-injury or becomes violent.

This is where support is needed both in the form of direct interventions related to the behaviors, and in advising and helping moms & dads manage episodes in ways which can be applied at home.

These difficulties can be improved slowly through education and other interventions, but particular differences must be respected. Moms & dads can help by making an effort to manage the environment so that the individual is more comfortable (allowing some structure, avoiding distracting information when engaging in tasks, allowing personal space where necessary). The second major area is where ‘challenging behavior’ serves a communicative conduct. In this case the cause for the behavior must first be identified before teaching and developing other means of communicating.

Many young kids have so-called “temper tantrums” at one time or another in their lives. This type of behavior may continue for years in kids with ASD. Kids with ASD have perfectly “normal” appearances. They usually do not have any distinguishing features or characteristics that would make them appear different from any other youngster. Their behavior might be the only thing about them that makes them seem “different.”

People who witness a tantrum tend to make judgments on tantrum behaviors, often without anything to base their judgments on other than their own personal experiences. They will make hasty evaluations about the moms & dads of the youngster, about the situation, and assume that the youngster is a “spoiled brat,” when that may not be the case at all.

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What does a tantrum look like?

An ASD tantrum is different in many ways from the average type of temper tantrum. A regular temper tantrum usually starts at the mall, a grocery store, or other public place. A youngster sees an object such as candy, or a toy, and makes a request. The parent refuses the request. The onset of the tantrum begins with this initial refusal to grant the wish. The tantrum will last until the youngster’s wish is granted or the youngster loses the desire for the wish. In this circumstance, the tantrum is indeed “a violent, willful outburst” performed by the youngster to manipulate the environment for the purpose of obtaining the desired object.
 

Adults have all types of reactions to a temper tantrum. It is very embarrassing to have a youngster kicking and screaming on the floor. Some moms & dads will “give in” to the youngster in order to escape such a scene, which is about the worst thing a parent can do. Other moms & dads will take the youngster to a more private area for an “attitude adjustment,” which works some times. If it is really out of hand, the parent will remove the youngster from the store and go home. These are just some of the more typical reactions, but there are as many ways to deal with a temper tantrum as there are moms & dads. How to react to a temper tantrum is a very personal choice for moms & dads to make.

First of all, when an ASD outburst occurs, many times the triggering event is not obvious. The youngster will just start kicking and screaming for no apparent reason. We have no earthly idea what might have caused the onset of this behavior!

Second, the outburst or episode can last for HOURS! We don’t know what has started it, and we don’t know what we can do to end it! Rocking, comforting, scolding, spanking, and other measures we usually take do not help the situation. If anything, the outburst just escalates and the behaviors become even more extreme. We, as adults, are left feeling helpless and frustrated.

Third, no two ASD tantrums ever look quite alike. Kids with ASD can throw crying tantrums, where they just cry and cry for hours and they cannot be comforted. They might throw screaming tantrums, where they screech at the top of their lungs at such a high pitch that you are sure it can break glass. Kids can also throw giggling tantrums, though I hesitate to call it a tantrum exactly, it is more like a “fit” or a “spell.”

Giggling “fits” are much less annoying than the crying or screaming, but they can occur at the most unusual moments or inappropriate times. Too often, when they start giggling, the event is no laughing matter.

Why does a youngster with ASD have these tantrum behaviors?

The youngster or youth has deficits in developing and using verbal or non-verbal communication systems for receptive or expressive language.

Some kids with ASD can and do have language, but that does not mean that they are very good at communicating. There are people who have a form of ASD known as Asperger’s who are very articulate. Some people with ASD actually talk a great deal, but there is a lack of communication because they often fail to understand the purpose of language. Other people with ASD do not have the ability to speak, but they learn to communicate through other means. Kids may be somewhere in between, they may echo back what you say to them - this is one way that kids with ASD actually develop speech skills. However, just because a youngster can echo your words does not mean that the youngster understands what those words mean.

When a baby is born, its first method of communicating to the parent is by crying. It does not take very long for the infant to figure out that “If I cry someone will come and feed me.” or “change my diaper,” or “rock me and make me feel better.” Crying is a very primitive form of communication. Because ASD is a neurologically based disorder, infants later diagnosed with ASD even have impairments in this area. A youngster who is not developing language often will continue to use crying, or even temper tantrums, to indicate wants and needs.
 

Tantrums are a very primitive form of communication that can be used to indicate “no,” “I don’t want to,” and so on. It is also a way to communicate choices and preferences.

The youngster demonstrates abnormal responses to environmental stimuli.

A youngster with ASD may be hyposensitive (senses may be dulled) or hypersensitive (superman hearing) or anywhere in between. One or all senses may be affected.

Temple Grandin describes her responses to sensory stimuli like “tripping a circuit breaker.” One minute she was fine, and the next minute she was on the floor “kicking and screaming like a crazed wildcat.”

Dr. Grandin states that two things she hated as a youngster were washing her hair and dressing to go to church, because she has overly sensitive skin. She is very “tender headed” and washing her hair actually causes pain to her scalp. The petticoats that her mother made her wear to church felt like “sand paper scraping away at raw nerves.” I am sure that her mother misread her tantrums as not wanting to go to church, when really it was just Temple’s reaction to the clothing.

Other sensory related stimuli that might result in tantrum-like behaviors can include reactions to certain sounds, tastes or smells, bright lights or textures. Think of all the sounds, smells, lights and sensory experiences you have when you walk into a department store. Now imagine what it must be like for a person who is extra sensitive to all of these things! Tantrum-like behaviors in those places just might be a reaction to sensory overload.

Another reason kids with ASD might have tantrum-like behaviors is because they fail to understand social situations. This is certainly one of the criteria for ASD.

The youngster has deficits in social interaction, including social cues, emotional expression, personal relationships, and reciprocal interactions.

Sharing and taking turns are VERY difficult for my son to understand. He also has difficulty in sitting and participating in a large group, but he is getting much better at that. He does not know how to give a reliable yes or no response, but he has learned how to say “No, thank you.” when he does not want something.

One other reason that a youngster might have a tantrum-like behavior is because his or her routine has been upset or changed in some way, usually without advance notice.

The youngster demonstrates repetitive ritualistic behavioral patterns including insistence on following routines and a persistent preoccupation and attachments to objects.

People who have ASD have a very difficult time making sense of their environment. They cannot always rely on their sense of touch, taste, smell, vision, or hearing to give them accurate information. This is one of the reasons why they prefer to have everything exactly the way it was yesterday.

Reality to an autistic person is a confusing interacting mass of events, people, places, sounds and sights. There seem to be no clear boundaries, order or meaning to anything. A large part of my life is spent just trying to work out the pattern behind everything. Set routines, times, particular routes and rituals all help to get order into an unbearably chaotic life.
 

What should I do when my youngster has as a tantrum?

When a tantrum occurs it is a good idea for a youngster to have a “renewal area.” A renewal area is just a place for a youngster with ASD to go and calm down. The renewal area should be a quiet area away from any extra sensory stimuli. A spot at the end of a hallway is good. My son has a little tent in his room that he made from a folding card table with a blanket over it. He just crawls in there when things get to be too much for him to handle.

It is sort of like a “time out” spot, but differs in the fact that once the youngster does calm down they can leave that area. In time-out, the youngster is expected to sit in that spot for a set number of minutes. If a youngster is kicking and screaming, you are not going to be able to make them sit in time-out. It is more beneficial to have a spot for them to go when the “lose it.” Then once they are over the episode, you can decide what you want to do about the behavior.

It helps to think of an autistic tantrum more as an epileptic seizure. Just like a seizure, the tantrum has to run its course. It will help the youngster to calm down, if you are able to keep yourself calm. If you become angry or excited, this will make the tantrum worse. Never take an autistic tantrum as a youngster’s defiance of your authority. There might be any number of things at play here, just as I have described.

The first step you should take when you are trying to change a youngster’s behavior is to first figure out what the appropriate behavior is that you want to teach. It isn’t enough to just stop a tantrum-like behavior… you have to replace it with some sort of appropriate behavior. What does the youngster need to learn?

When you are trying to decide how to stop a youngster’s tantrum-like behaviors, you have to become a detective. Negative, punitive measures don’t work very well with kids who have ASD. You can take a youngster’s recess away for the next 100 years, and the kid will still have a tantrum every time he hears a fire truck. Just what do you want the youngster to do when he hears that fire truck coming down the road?

The second step is to analyze the purpose of the inappropriate behavior. You have to try and figure out what the behavior means from the youngster’s point of view. This is not as easy as it sounds, because kids with ASD view the world completely different from the rest of us. According to the Technical Assistance Manual on ASD for Kentucky Schools, we should be thinking about what happens before the behavior occurs, what is the exact behavior of the student, and what happens just after the behavior?

So a fire truck comes roaring down the road past the playground, sirens blaring, strobe lights flashing. This happens just before the behavior occurs.

The youngster grabs his ears and falls to the ground, kicking and screaming. This is the exact behavior of the student.

A teacher’s aid picks the youngster up and takes him back into the building. This happens every time just after the behavior occurs.

What are some possible reasons this youngster throws a tantrum-like fit every time the fire truck comes down the road? (Sensitive hearing, to get away from the noise.)

The third step is to teach the appropriate replacement behavior. What does the youngster need to learn? How about a more appropriate way to ask to go indoors? Instead of writhing on the ground in pain, when he first hears the siren he could go to the aid and give her tug on the sleeve, or indicate by pointing that he wants to go inside for a few minutes. Then after the fire truck is gone, he can resume the usual activities.
 

Points to remember:
  • A youngster with ASD who has tantrums is NOT a “spoiled brat,” “stubborn,” “bad,” “obstinate,” “strong willed,” or even “demon possessed” youngster, the tantrum like behavior is one of the manifestations of the disability.
  • Never take a tantrum as a personal threat against your authority.
  • With appropriate intervention strategies, tantrums do occur less frequently, so hang in there!

Meltdowns--

One of the most misunderstood autistic behaviors is the meltdown. Frequently, it is the result of some sort of overwhelming stimulation of which cause is often a mystery to moms & dads and teachers. They can come on suddenly and catch everyone by surprise. Autistic kids tend to suffer from sensory overload issues that can create meltdowns. Kids who have neurological disorders other than ASD can suffer from meltdowns. Unlike temper tantrums, these kids are expressing a need to withdraw and slowly collect themselves at their own pace.

Kids who have temper tantrums are looking for attention. They have the ability to understand that they are trying to manipulate the behavior of the others, caregivers and/or peers. This perspective taking or "theory of mind" is totally foreign to the autistic youngster who has NO clue that others cannot "read" their mind or feelings innately. This inability to understand other human beings think different thoughts and have different perspectives from them is an eternal cause of frustration.

A temper tantrum is very straightforward. A youngster does not get his or her own way and, as grandma would say, "pitches a fit." This is not to discount the temper tantrum. They are not fun for anyone.

Tantrums have several qualities that distinguish them from meltdowns:
  • A youngster having a tantrum will look occasionally to see if his or her behavior is getting a reaction.
  • A youngster in the middle of a tantrum will take precautions to be sure they won't get hurt.
  • A youngster who throws a tantrum will attempt to use the social situation to his or her benefit.
  • A tantrum is thrown to achieve a specific goal and once the goal is met, things return to normal.
  • A tantrum will give you the feeling that the youngster is in control, although he would like you to think he is not.
  • When the situation is resolved, the tantrum will end as suddenly as it began.

If you feel like you are being manipulated by a tantrum, you are right. You are. A tantrum is nothing more than a power play by a person not mature enough to play a subtle game of internal politics. Hold your ground and remember who is in charge.

A temper tantrum in a youngster who is not autistic is simple to handle. Moms & dads simply ignore the behavior and refuse to give the youngster what he is demanding. Tantrums usually result when a youngster makes a request to have or do something that the parent denies. Upon hearing the parent's "no," the tantrum is used as a last-ditch effort.

The qualities of a temper tantrum vary from youngster to youngster. When kids decide this is the way they are going to handle a given situation, each youngster's style will dictate how the tantrum appears. Some kids will throw themselves on the floor, screaming and kicking. Others will hold their breath, thinking that his "threat" on their life will cause moms & dads to bend. Some kids will be extremely vocal and repeatedly yell, "I hate you," for the world to hear. A few kids will attempt bribery or blackmail, and although these are quieter methods, this is just as much of a tantrum as screaming. Of course, there are the very few kids who pull out all the stops and use all the methods in a tantrum.
 

Effective parenting -- whether a youngster has ASD or not -- is learning that you are in control, not the youngster. This is not a popularity contest. You are not there to wait on your youngster and indulge her every whim. Buying her every toy she wants isn't going to make her any happier than if you say no. There is no easy way out of this parenting experience. Sometimes you just have to dig in and let the tantrum roar.

If the tantrum is straightforward, the meltdown is every known form of manipulation, anger, and loss of control that the youngster can muster up to demonstrate. The problem is that the loss of control soon overtakes the youngster. He needs you to recognize this behavior and rein him back in, as he is unable to do so. A youngster with ASD in the middle of a meltdown desperately needs help to gain control.
  • A youngster in a meltdown has no interest or involvement in the social situation.
  • A youngster in the middle of a meltdown does not consider her own safety.
  • A meltdown conveys the feeling that no one is in control.
  • A meltdown usually occurs because a specific want has not been permitted and after that point has been reached, nothing can satisfy the youngster until the situation is over.
  • During a meltdown, a youngster with ASD does not look, nor care, if those around him are reacting to his behavior.
  • Meltdowns will usually continue as though they are moving under their own power and wind down slowly.

Unlike tantrums, meltdowns can leave even experienced moms & dads at their wit's end, unsure of what to do. When you think of a tantrum, the classic image of a youngster lying on the floor with kicking feet, swinging arms, and a lot of screaming is probably what comes to mind. This is not even close to a meltdown. A meltdown is best defined by saying it is a total loss of behavioral control. It is loud, risky at times, frustrating, and exhausting.

Meltdowns may be preceded by "silent seizures." This is not always the case, so don't panic, but observe your youngster after she begins experiencing meltdowns. Does the meltdown have a brief period before onset where your youngster "spaces out"? Does she seem like she had a few minutes of time when she was totally uninvolved with her environment? If you notice this trend, speak to your physician. This may be the only manifestation of a seizure that you will be aware of.

When your youngster launches into a meltdown, remove him from any areas that could harm him or he could harm. Glass shelving and doors may become the target of an angry foot, and avoiding injury is the top priority during a meltdown.

Another cause of a meltdown can be other health issues. One example is a youngster who suffers from migraines. A migraine may hit a youngster suddenly, and the pain is so totally debilitating that his behavior may spiral downward quickly, resulting in a meltdown. Watch for telltale signs such as sensitivity to light, holding the head, and being unusually sensitive to sound. If a youngster has other health conditions, and having ASD does not preclude this possibility, behavior will be affected.

Practical steps to reduce ASD tantrums and meltdowns:

1. Address your youngster's sensory issues. Many kids with ASD have issues with sensory integration. This means your youngster is constantly bombarded with sensory information and lacks the ability to filter out the unimportant things. Loud noises, bright lights and large crowds are enough to cause a tantrum. Sensory integration therapy and occupational therapy help address the issue. However, these therapies are most effective if you start them while your youngster is really young. Learn more about sensory integration therapy at Healing Thresholds.

2. Get your youngster on a communication system. Sometimes tantrums occur because your youngster lacks the communication to adequately express herself. This is especially important if your youngster is non-verbal or only slightly verbal. Communication systems, like visual schedules, consist of objects, pictures or words. Sometimes a system as simple as a basic choice board really helps to reduce tantrums.

3. Make your youngster a visual schedule. Visual schedules provide structure to your youngster's day, through the use of visual supports. Whether the schedule consists of objects, pictures or printed words, it provides the youngster with a visual road map of his day. When your youngster knows what to expect next, it alleviates anxiety which reduces his potential for tantrums.

4. Use transition tools. Some kids with ASD have great difficulty with transitions. This means asking your youngster to switch from one activity to the next can cause a tantrum. Something as simple as a two columned "First, Then," card will alleviate anxiety . Divide a half sheet of paper in half by drawing a line down the middle. Label the first column, "First," and label the second column "Then." Place a picture card of the activity you youngster will do first in the "First," column and a picture card of the activity your youngster will do next in the "Then," column. When you transition your youngster to an activity, show them the card. Say, "First, we'll do homework, then we'll play outside." Point to each picture as you speak. 

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

 
COMMENTS:

•    Anonymous said... Keeping a diary of the temper tantrums is very important and will serve as a useful tool to you in determining times of the day that the tantrums occur and what type of situations may set him off.  As far as dealing with what's occurring the tantrums and meltdowns you can try time outs, or, how about speaking in a low tone voice. There's a book called 1-2-3 magic that discusses the whole time out program. You are smart to ask questions and you are seeking resources which is so important and your seeking answers. I want you to know that I'm here for you if u ever want to talk please just inbox me here. I will search additional resources for you. Don't know if you know about the CHADD organization you can search them online they are an excellent source of information.
•    Anonymous said... Oh wow... Lots of questions, lots of new worries.. I feel for you, sweet parent. Welcome to the "club", I suppose? No, really... You are on the right track. Asking questions, research, other parents advice, this is all the best things you can do for you and your child. I am proud you are striving to help your child by educating yourself, so many people just try to bend the child back towards "normal", rather than bend with the child. Yes, there are marked differences between a meltdown and a regular old spoiled tantrum... What those clues are for you and your child, unfortunately, may be different than mine, or anyone else on here dealing with Autism meltdowns. The best resource you will have for the next coming years, will be your mind, eyes, ears and heart. Watch the child, there will be "triggers" that you may not have ever noticed before... (Does he start grabbing his face or hair right before, does she grind her teeth, does his eyes start getting watery and his voice get shakey?) these are all signs the storm is about to hit. I've learned to stave off most meltdowns by watching for the signs and avoiding most triggers. This sounds like a LOT of work, and believe me... It is... But it's so worth it when you don't have to hold your screaming, thrashing child down, and instead get to watch the storm dissipate and no meltdown occur.
Good luck mommy and daddy... It's a rough road ahead of you... But by asking these questions and really really learning your child, I know you will be fine. smile emoticon thinking of you all!
•    Anonymous said... Try keeping a diary/record of tantrum and meltdowns see if there's a pattern this can help with noticing triggers and help nite the differences between the two. .. good luck x

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Reducing Hostility in Children on the Autism Spectrum

"When dealing with my autistic child (high functioning), I'm so often kept busy 'reacting' to his bad behavior - and it's hard to find the time to be proactive. I need a reminder about the necessity of this...just wish the schools would get on board and actually 'teach' our special needs kids what they 'should' be doing! In any event, my question is: how can I deal with my son's anger and rage?"

Hostility for many kids and teens with Aspergers or High-Functioning Autism (HFA) stems from the difficulty they have in communicating their needs to their educators, moms and dads, and peers. Aggressive behaviors are one way they have for conveying their needs and emotions to others. As their communication skills grow, continued violence may be the result of never having learned appropriate, non-aggressive ways of communicating when they were faced with a difficult situation. 

The cause of hostility may be due to any or all of the following:
  • Being placed in a stressful situation
  • Exhaustion
  • Extreme frustration
  • Inadequate speech development
  • Lack of adult supervision
  • Lack of routine
  • Mirroring the aggressive behaviors of other kids around them
  • Over-stimulation
  • Self-defense



The first step in managing hostility and aggression in kids with Aspergers and HFA is to understand what is causing it. Understanding the antecedents of a behavior (i.e., what happened before the behavior) will allow parents and teachers to better anticipate the likelihood a behavior problem will occur.

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's
 
Here are some questions that need to be answered:
  • How is the aggression expressed? Is it through words or behaviors? Does the child become verbally aggressive first, and then physically aggressive, or is the first response to strike out?
  • What seems to cause the aggressive behavior? Is it triggered by frustration, anger, or excitement? Are there patterns? Does the child act this way when toys are involved, and when he or she is frustrated about sharing? Or does the child become aggressive when there is too much going on and he or she is over-stimulated?
  • Where and when is the youngster most aggressive? A youngster on the autism spectrum may have difficulty coping with stress in unfamiliar or noisy locations, or when he is tired or overheated. Understanding where and when he becomes aggressive can provide important clues as to why the aggression is occurring.
  • Who does the youngster act aggressively towards? Is the target of her aggression one person in particular, or will she act aggressively to anyone who is around her? If it’s one person in particular, try to find out if there’s a reason why she’s attacking that person. Is there anything that the person does when he or she is around the youngster that causes the aggression to occur (e.g., overly-aggressive play, poor match of personalities, lack of clear-cut rules, loud voice, etc.)?

Collecting and analyzing data by getting answers to these questions is essential in developing a plan for coping with – and eliminating – aggressive behaviors in kids on the spectrum. Understanding the “function” of a particular behavior is the first step to (a) helping the youngster to be more aware of his angry feelings, (b) teaching him to calm himself down, and (c) finding alternative ways to solve his problems. Once parents and/or teachers have figured out why the youngster is behaving violently, it’s time to intervene.

Here are some concrete tips for dealing with hostility in children and teens with High-Functioning Autism:

1. At the first sign that a youngster is about to become hostile, immediately step-in and remove him from the situation. Be careful not to give too much attention to the youngster so that you do not give any negative reinforcement for the unwanted behavior. It can be useful to make a point of consoling the victim and ignoring the aggressor. If the youngster can’t calm down, remove him or her from the situation without getting angry yourself.

2. As grown-ups dealing with a hostile youngster, we need to demonstrate how to respond appropriately in stressful situations. Raising your voice tends to add stress to a difficult situation and will frequently result in an escalation of the behavior you are trying to stop.



3. Build the child’s language. If you can't get the HFA individual to be verbal, he should learn some sort of signs or picture system to give him some control over his life to communicate with people. That alone should help with a lot of behavioral issues. A variety of alternative communication devices, like the picture exchange communication system and other assistive technologies, enable an autistic youngster to express needs and desires.

4. Find out if the youngster has a comorbid condition influencing the aggressive behavior. A psychological or associated condition could be the root of the aggressive behavior. If that's the case, the youngster's behavior may need to be sorted out with a medical professional. In addition to seeking help from medical professionals, moms and dads should seek support from their own peers. It is important for parents of autistic children to get support from other parents of such children.

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's

5. Just because you have taught a youngster to cope with some stressful situations does not mean you should continuously place the youngster in situations you know causes him difficulties. This means knowing when to leave a potentially volatile situation or choosing to engage the youngster in a different activity to avoid angry confrontations. Also, if the aggressive behavior always happens during a certain activity, such as when it's time to go, then have the youngster bring a preferred item with him to make the transition easier. Look at the situation in which the behavior is occurring and see if there is a way to change the dynamic in a way that will be less stressful for the youngster.

6. Moms and dads should look at the reason why their youngster is being aggressive. Is it to get attention, or to get out of something he doesn't want to do, or to obtain something he wants? Look at the function of why he is expressing aggression in order to address the behavior. Also, remember that any sort of reaction you give to the youngster could also be making the situation worse.

7. There are a number of anger-control practices you can work on before, during and after hostile episodes. It can be useful to: (a) count to ten to provide the youngster time to calm down; (b) recognize the emotions behind the anger (e.g., “I know you’re angry, but we don’t kick”); (c) encourage the youngster to use his words by making statements like “I am really mad right now!”; and (d) teach the youngster how to do deep breathing in order to calm down.

8. There is no “one-size-fits-all” treatment to address aggression in kids with an autism spectrum disorder . Treatments should be carefully developed and based on each particular youngster's unique situation. Treatment should be implemented by a qualified professional. Many times, aggression can be worsened by a well-intentioned, but inexperienced therapist.

9. When you catch your youngster being good, be sure to praise her hard work and efforts. Look for and continue to praise good behavior as a way to motivate her to do better next time.

10. While it is easy to think that a 5-year-old will outgrow aggression – or there is time to deal with it later – moms and dads need to imagine their youngster as a 15-year-old engaging in the same type of behavior. When you are at this point, there will be a lot fewer options, and if your youngster were to hurt somebody, even fewer options will be available.

==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism


Tips for therapists who deal with hostility in children and teens with High-Functioning Autism:

Addressing hostile behaviors in kids and teens with High-Functioning Autism can be a frustrating and demanding process for therapists. The challenge is to teach parents to “respond” to the unwanted behavior in a systematic manner (i.e., using approaches specifically tailored to children and teens on the spectrum) instead of “reacting” to it.

When these kids exhibit aggressive behaviors, they may not be receiving adequate support in mastering their environments (e.g., home, school). Aggressiveness does not necessarily reflect willfulness. Often the youngster simply lacks the social skills needed to get his or her needs met in a non-aggressive manner.

HFA children with earlier ages of onset of aggressiveness are more likely to meet diagnostic criteria for ADHD during childhood than children with later ages of onset of aggressiveness. Anxiety disorders have also been found to co-occur with aggressiveness at ‘higher than chance rates’ in childhood and adolescence.

Aggressive children need help in altering the way they process social information so that they do not interpret violence as justified or useful. The development of “voice” is an important component so that the child’s emotions can be put into words leading to social skill development, identifying feelings, fostering cooperation, emphasis on empathy, conflict resolution, and assertive communication. If an autistic youngster or teenager is not behaving in a positive manner, it is irrational to assume that they know more favorable alternatives.

==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism

Cognitive problem solving is useful in addressing aggression in kids on the spectrum. This method focuses on each youngster’s unique outlook to discover possible social skill deficits resulting in violence. 

The steps in cognitive problem solving are:
  1. encoding
  2. interpretation
  3. goal formulation
  4. response search and formulation
  5. response decision
  6. enactment

Each step requires different approaches to discovering and linking the missing skills in social situations. Developmental deficits in cognitive processes are often associated with early aggression, and normal social development requires mastery of cognitive and behavioral skills for assessing social circumstances, communicating with others, and resolving conflicts without aggressive behaviors. These skills empower HFA kids to make friends, succeed academically, and excel in the social world.

1. Encoding: Attending to social cues that are often missed or misinterpreted by aggressive kids.

Therapeutic Activities:
  • Kids make videos of their own cues and then explain their feelings on the basis of cues demonstrated in the video including facial expressions, voice intonation, hand gestures, and other indicators of social intent
  • Help kids identify their own feeling states through self-report and observation
  • Enhance sensitivity to verbal and nonverbal social cues through games and role-play, teaching kids to identify social cues in body language and pitch of voice

2. Interpretation: Assign meaning to social cues.

HFA kids commonly interpret neutral interactions as threatening – and then respond aggressively. These young people are not born knowing socially acceptable behaviors, and the level of their required assistance depends on the social supports they receive and their ability to absorb information.

Therapeutic Activities:
  • With the help of videos of playground activities, kids should be taught to identify the sources of the problems with emphasis on correctly identifying friendly, as well as antagonistic, intent on the part of peers
  • Kids should learn to identify and classify social cues by friendly, neutral, and antagonistic categories of intent. Younger kids might practice this through puppet play, and older kids might practice by assuming the roles of other kids in disputes



3. Goal Formulation: Define goals that enhance social relationships with an awareness of the consequences of behavior.

Therapeutic Activities:
  • Kids are rewarded for having ideas about goals for various situations (goals might be rated as to whether they are likely to augment or harm interpersonal relationships with peers)
  • Kids should be given opportunities to practice identifying and attaching pro-social goals to various situations

 ==> Parenting Children and Teens with High-Functioning Autism: Comprehensive Handbook


4. Response Search and Formulation: Kids develop ideas about how to respond to each social circumstance they encounter.

Compared to neurotypical kids, HFA kids identify fewer alternatives and seem unaware of the various options that may be open to them when invited to participate in play or when confronted by a social problem. Remind parents that constantly telling kids on the spectrum what they are doing wrong is not beneficial, nor is it likely to improve future performance. Instead, these kids need help identifying their options and possible outcomes.

Therapeutic Activities:
  • Develop skills to control kid’s arousal and to create behavioral patterns in which aggression is only one of many responses
  • Increase a youngster’s skill in identifying alternatives to the use of aggression to solve social problems

5. Response Decision: Assess likely outcomes of aggressive behavior and select a response that can be characterized as assertive rather than violent.


Compared to neurotypical children, HFA kids tend to view pro-social responses less favorably. Thus, these young people are not behaving a certain way to annoy or harm others; rather, they are simply making decisions based on their limited of social skills.

Therapeutic Activities:
  • Evaluate the potential negative outcomes of each alternative
  • Evaluate the potential benefits of each alternative
  • Kids should be given opportunities to discuss likely gains and losses associated with each identified alternative in specific situations

6. Enactment: Apply a response.

This is where an aggressive youngster joins a group, offers and receives positive feedback, and learns to negotiate. Practicing these skills can be intimidating and challenging. Any attempts – successful or not – should be rewarded and reviewed to identify areas of strength, as well as areas for improvement.

Help for Men with Aspergers: 90 Tips for Husbands

Question

You talked in your ebook about behavior modification... I need some tips on how to connect with my wife’s emotions... That is her big complaint... As you know I do not understand them, I don't recognize them when they arise in their many subtleties... She will usually begin an emotional outburst by accusing me of a generalization like: "You NEVER take me out anymore!" I get defensive cause in my mind. I took her out last year, and as you aptly pointed out in your book, my main emotion is: ANGER. The fight then escalates to me leaving and not talking to her for a day or more...

Answer

Males and females approach problems with similar goals but with different considerations. While males and females can solve problems equally well, their approach and their process are often quite different. For most females, sharing and discussing a problem presents an opportunity to explore, deepen or strengthen the relationship with the person they are talking with. Women are usually more concerned about how problems are solved than merely solving the problem itself. For females, solving a problem can profoundly impact whether they feel closer and less alone or whether they feel distant and less connected. The process of solving a problem can strengthen or weaken a relationship. Most males are less concerned and do not feel the same as females when solving a problem.

Males approach problems in a very different manner than females. For most males, solving a problem presents an opportunity to demonstrate their competence, their strength of resolve, and their commitment to a relationship. How the problem is solved is not nearly as important as solving it effectively and in the best possible manner. Males have a tendency to dominate and to assume authority in a problem solving process. They set aside their feelings provided the dominance hierarchy was agreed upon in advance and respected. They are often distracted and do not attend well to the quality of the relationship while solving problems.

Some of the more important differences between males and females can be illustrated by observing groups of young teenage boys and groups of young teenage girls when they attempt to find their way out of a maze. A group of boys generally establish a hierarchy or chain of command with a leader who emerges on his own or through demonstrations of ability and power. Boys explore the maze using scouts while remaining in distant proximity to each other. Groups of girls tend to explore the maze together as a group without establishing a clear or dominant leader. Relationships tend to be co-equal. Girls tend to elicit discussion and employ "collective intelligence" to the task of discovering a way out. Girls tend to work their way through the maze as a group. Boys tend to search and explore using structured links and a chain of command.

While males and females can reach similar conclusions and make similar decisions, the process they use can be quite different and in some cases can lead to entirely different outcomes. In general, males and females consider and process information differently.

Females tend to be intuitive global thinkers. They consider multiple sources of information within a process that can be described as simultaneous, global in perspective and will view elements in the task in terms of their inter-connectedness. Females come to understand and consider problems all at once. They take a broad or "collective" perspective, and they view elements in a task as interconnected and interdependent. Females are prone to become overwhelmed with complexities that "exist", or may exist, and may have difficulty separating their personal experience from problems.

Males tend to focus on one problem at a time or a limited number of problems at a time. They have an enhanced ability to separate themselves from problems and minimize the complexity that may exist. Males come to understand and consider problems one piece at a time. They take a linear or sequential perspective, and view elements in a task as less interconnected and more independent. Males are prone to minimize and fail to appreciate subtleties that can be crucial to successful solutions. A male may work through a problem repeatedly, talking about the same thing over and over, rather than trying to address the problem all at once.

While there are differences in the ways that males and females think, it must be emphasized that they can and do solve problems in a similar manner. There are no absolutes, only tendencies.

Females have an enhanced ability to recall memories that have strong emotional components. They can also recall events or experiences that have similar emotions in common. Females are very adept at recalling information, events or experiences in which there is a common emotional theme. Males tend to recall events using strategies that rely on reconstructing the experience in terms of elements, tasks or activities that took place. Profound experiences that are associated with competition or physical activities are more easily recalled. There appears to be a structural and chemical basis for observed memory differences. For instance, the hippocampus, the area in the brain primarily responsible for memory, reacts differently to testosterone in males and it reacts differently to changing levels of estrogen and progesterone in females. Females tend to remember or be reminded of different "emotional memories" and content to some extent as part of their menstrual cycle.

There is evidence to suggest that a great deal of the sensitivity that exists within males and females has a physiological basis. It has been observed that is many cases, females have an enhanced physical alarm response to danger or threat. Their autonomic and sympathetic systems have a lower threshold of arousal and greater reactivity than males. In both males and females, higher levels of testosterone directly affect the aggressive response and behavior centers of the brain. Increasing estrogen and progesterone in males has a "feminizing" effect. Sexually aggressive males become less focused on sexual aggressive behavior and content when they are given female hormones. On the other hand, changing estrogen and progesterone levels in females during menstrual cycles can produce a "flood" of memories as well as strong emotions. Increasing or high levels of testosterone can produce an emotional insensitivity, empathic block and increased indifference to the distress others.

At the heart of sensitivity is our capacity to form, appreciate and maintain relationships that are rewarding. Even here there are important differences. For males, what demonstrates a solid relationship is quite different from that of most females. Males feel closer and validated through shared activities. Such activities include sports, competition, outdoor activities or sexual activities that are decidedly active and physical. While both males and females can appreciate and engage in these activities, they often have preferential differences. Females, on the other hand, feel closer and validated through communication, dialogue and intimate sharing of experience, emotional content and personal perspectives. Many males tend to find such sharing and involvement uncomfortable, if not, overwhelming.

How A Man With Aspergers Can Connect With His Wife’s Emotions—

1. Allow your wife to express herself freely, without fear of being called illogical or dumb.

2. Allow her to teach you things without being defensive.

3. Ask her and then listen to what makes her fearful and insecure (without judging).

4. Be a good listener. Show your wife you value what she says.

5. Be careful to choose your words, especially when angry.

6. Be especially helpful when she is not feeling well.

7. Be helpful and cooperative, both before and during the time you have other people over to your home. 

8. Be sensitive enough to ask your wife if you offend or hurt her sexually in any way.

9. Be supportive. For example, help your wife to finish her education and goals that are important to her.

10. Be sympathetic when she’s sick—and help her however you can.

11. Be verbally supportive and honor your wife in front of the children.

12. Brag about your wife to others, both in front of her and when she is not with you.

13. Call, email or text your wife when you’re apart so she knows you are thinking of her.

14. Communicate with your wife instead of talking AT her or shutting her out emotionally.

15. Compliment your wife for the giftedness you see in her. Be specific.

16. Consider your wife as your marital partner in how you spend money.

17. Continue to court your wife. You dated her before marriage, which helped you to fall in love, now date her to STAY in love.

18. Defend your wife to others—especially to your family.

19. Do something active together to lift her spirit —even taking a walk hand-in-hand.

20. Don’t belittle her intelligence.

21. Don’t criticize your wife in front of others—keeping her dignity intact.

22. Don’t embarrass your wife by arguing with her in front of others.

23. Don’t focus on the physical features of another woman (because, whether you understand her reasoning or not, that can make your spouse feel dishonored).

24. Don’t forget to hold her hand in public like you used to when you dated her.

25. Don’t ignore the small things that bother your wife and let them build into bigger issues.

26. Don’t negatively compare her relatives with yours.

27. Don’t tease and belittle your wife, saying “I was just joking” when she doesn’t find it funny.

28. Encourage your wife to relax in some way while you clean up after dinner.

29. Exhibit humility, admit your mistakes, and ask for forgiveness. She’ll appreciate that.

30. Express to your wife that you need and value her.

31. Express your love and appreciation for your wife in a love note which you give to her.

32. Find out what her sexual needs are (and then try to fulfill them).

33. Find something that makes you laugh together.

34. Find ways to help your wife know you are her partner in all areas life.

35. Fix dinner for your wife sometimes.

36. Give your wife grace when she offends you – and forgive (even as you want to be forgiven).

37. Give your wife the love gift of being thoughtful and considerate to her relatives.

38. Give your wife your undivided attention when she wants to talk.

39. Go out of your way to help your wife feel valued over everyone else.

40. Go shopping with your wife and don’t sigh or look at what time it is even once.

41. Guard your tongue from saying “unwholesome words” or down-grading her.

42. Hold your wife close and verbally express your love when she is hurt or discouraged.

43. Honor your wife by not disagreeing with her in front of the children.

44. Keep her trust at all costs. Leave no gray area when it comes to other female relationships, money and your word.

45. Keep yourself in as good of shape as is reasonable so she’s proud to be with you.

46. Let go of the small stuff. We all have annoying habits and preferences that are different from our spouse’s.

47. Maintain good grooming habits so you look and smell good. It shows you care.

48. Make a point of honoring anniversaries, birthdays, and other special occasions.

49. Make eye contact when she is talking to you and when you are talking with her.

50. Make it a point to write a mission statement together for your marriage and family.

51. Make sure she has money each paycheck to spend any way she would choose.

52. Make sure the children speak to your wife and treat her in respectful ways.

53. Make the time to set specific goals with your wife to achieve together for each year.

54. Plan a mini-honeymoon, where the two of you can spend quality time together.

55. Pray about and act upon what you can do to alleviate any fears.

56. Put your arms around your wife when she needs comfort, holding her silently.

57. Refuse to compare your wife unfavorably with others.

58. Relate what happened at work or whatever you did apart from her.

59. Remember to tell your wife or call her as soon as you know you are going to be late.

60. Run errands without complaining.

61. Scratch her back, rub her feet, or her rub her neck—whatever she’d prefer.

62. Share the responsibilities around the house (without looking for special recognition).

63. Show affection for your wife in front of friends.

64. Show enthusiasm for the things that she’s excited about—let your actions show it.

65. Show your wife affection without sexual intentions.

66. Show your wife that she matters more to you than any activity you could do, or any one you could be with, that somehow threatens her sense of security in your marriage.

67. Show your wife that you prefer her to others—give her your attention whenever possible.

68. Show your wife you are her marital partner by not making plans without her knowing and agreeing with them (unless it’s a surprise for her).

69. Show interest in her friends and give her time to be with them.

70. Show interest in that which she values as important in her life.

71. Sit close to your wife —even when you are just watching television.

72. Start - and end - each day with a kiss.

73. Stay away from web sites, chat rooms or anything that gives you sexual gratification from anyone other than your spouse.

74. Surprise your wife by asking her to give you a list of 3 things she’d like done around the house within the next month. And then make it your goal to do them.

75. Surprise your wife by doing some things around the house that she’s wanted done.

76. Surprise your wife by doing something you think she would want done before she asks.

77. Surprise your wife by giving her a special gift from time to time.

78. Surprise your wife by suggesting a marriage seminar or weekend retreat you can attend together to deepen your marital relationship.

79. Surprise your wife from time-to-time with a card and flowers or a little gift.

80. Surprise your wife with a 15 second kiss (with no expectations to go any further).

81. Take your wife out to breakfast or make her breakfast (cleaning up afterward).

82. Take the time to touch every day—even if it’s only for a minute or two.

83. Talk to your wife respectfully without demeaning her or hurting her feelings.

84. Tell your wife (and show her) you love her often.

85. Thank God for your wife by name when the two of you are praying together.

86. Try not to argue over money. Peacefully discuss future expenditures instead.

87. Try not to make sudden changes without discussing them with her first.

88. View and treat your wife as if God put a sign over her that said, “Make me feel special.”

89. When you feel you must correct your wife, be gentle —speaking the truth in LOVE. Allow her to teach you things without being defensive.

90. When you’ve been apart for a time and she asks how your day went, don’t just say “fine” — actually give her details.

Living With Aspergers: Help for Couples

Behavior Contracts for Aspergers Children

A behavior contract is an agreement between the child and parent. It is a written agreement about how the child will behave and will indicate the appropriate consequence should the child neglect to behave according to the contract. It also states the reinforcer to be used for successful compliance. The behavior contract provides the Aspergers (high functioning autistic) child with structure and self-management.

Developing the Contract—

The contract should be written with the child and parent (i.e., collaboration). Here are some points to consider:
  • Consequences and reinforcers need to be thought out clearly.
  • Contracts should name specific behaviors to be changed.
  • Define who and how the behavior will be monitored (e.g., parent’s initials, stickers, check mark system, etc.).
  • Focus only on 1 or 2 behaviors at a time.
  • How will the child receive a reward? (e.g., receive an extra hour of computer-time).
  • What is the consequence should the child not adhere to the behavior described in the contract?
  • Involve the child in the writing of the contract; ask him to make suggestions for reinforcement and consequence for failure to comply.
  • Sate the goal (e.g., will not speak out rudely, will keep hands to him/herself, will remain on task, etc.).
  • Set a date for reviewing the contract.
  • Time should be clearly stated in the contract; choose a half day, a full day, a week, etc.
  • You can include tangible reinforcers, social or activity-based reinforcers, curtailment of an activity, tokens that can be cashed in for a specific activity, etc.

Some Successful Reinforcers/Rewards—

o 5-10 Minute Free Choice Activity
o Free Computer Time
o Helping Mother with Cooking
o Invite Friend Over
o Listen to Favorite Music
o Watching Favorite Movie

A little patience goes a long way. It is critical for the child to know that you like him and that you're only disappointed in his behavior. Be sure to let him know that you share this goals, you both want what's best for him.

Praise goes a long way. I have been working with special education (behavioral) children for a long time, and these strategies have never failed me yet!

A minor problem with behavior contracts is that the focus is on controlling a child's behavior rather than helping him to make wise choices. Keep this in mind when developing behavior contracts.

Behavior contracts don't often work immediately. Be patient and consistent and you WILL see results. Know when it's time to review and revise. When the contract is not working well, be sure to include the child when making revisions.

Here is a sample behavior contract for Aspergers children:


Child:

Grade:

Date:

Members Present:

Describe Inappropriate Behaviors Observed (Physical, Verbal, Other)

___________________________________________________________________

___________________________________________________________________

 

Describe What precedes the Inappropriate Behaviors:


___________________________________________________________________

___________________________________________________________________

 

 

Target 1 or 2 Behaviors to be Modified


___________________________________________________________________

Describe Unsuccessful Intervention Approaches:

___________________________________________________________________



Brainstorm a List of Potential Successful Approaches:

___________________________________________________________________



Describe the New Behavior Goals Include consequences and reinforcers

___________________________________________________________________



___________________________________________________________________

Date For Review:

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