My ASD Child

Neurocognitive disorders affect cognitive abilities (e.g., learning, memory, perception, and problem solving). The DSM-5 defines six key domains of cognitive function: social cognition, perceptual-motor function, learning and memory, language, executive function, and complex attention. Mind-blindness, the opposite of empathy, is a cognitive disorder in which the child with Asperger’s (AS) or High-Functioning Autism (HFA) is unable to predict the mental states of others (i.e., their thoughts, beliefs, emotions, desires, behaviors, intentions, and so on). It’s not necessarily caused by an inability to imagine an answer, but is often due to an inability to gather enough information to decipher which of the many possible answers is correct. This is referred to as an empathetic cognitive deficit. Empathy is usually divided into two major components: (1) cognitive empathy is the ability to understand another's perspective or mental state, and (2) affective empathy is the abil

"How can I help my daughter with autism (high functioning) to deal with her anxiety in ways other than simply hiding in her room all evening and on weekends?" Anxiety is a common problem in children with Asperger’s (AS) and High-Functioning Autism (HFA). In fact, in some cases fear is their main emotion. One study revealed that 84.1% of kids on the autism spectrum met the full criteria of at least one anxiety disorder (i.e., phobia, panic disorder, separation anxiety disorder, avoidant disorder, overanxious disorder, and obsessive compulsive disorder). This does not necessarily go away as the youngster grows up. Many teens and young adults with AS and HFA report intense feelings of anxiety that may reach a level where treatment is required. For some children, it is the treatment of their anxiety disorder that leads to a diagnosis of AS or HFA. Children with AS and HFA are particularly prone to anxiety as a consequence of the social demands made on them. Any social

"How can you handle an explosive child (high functioning autistic) who has tantrums and/or meltdowns that end up becoming violent in nature?" Some children with Aspergers and High-Functioning Autism (HFA) are known for their “explosive” and “out-of-control” behavior. This is referred to as “blind rage.” A blind rage is “blind” in the sense that the affected child may not be totally aware of his or her behavior during the rage episode.  It’s a feeling of intense and growing anger that is associated with the fight-or-flight response, but should not be confused with temper tantrums or meltdowns. During a tantrum, the child is aware of his or her behavior and motives, whereas rage occurs in a semi-conscious state. Meltdowns are driven more by anxiety-related issues (e.g., sensory sensitivities), whereas rage is driven more by anger-related issues and a need to retaliate. An Aspergers or HFA child with ADHD and/or ODD has an increased susceptibility to blind rage. Ra

 "What is 'behavioral rehearsal' [the social skills method used for kids on the autism spectrum] and how do you use it exactly?" Behavioral rehearsal is used primarily to teach basic social skills to children with Asperger’s (AS) and High-Functioning Autism (HFA) in a way that allows for the “creative practice” of such skills. This technique involves acting-out situations and activities in a structured environment in order to repeat newly acquired skills (or previously learned skills) that the youngster is having difficulties performing. Behavioral rehearsal can be either scripted or spontaneous. In the spontaneous approach, the youngster is provided with a scenario (e.g., asking a peer to play with him), but not with the specific script. Usually, it’s best to combine scripted and unscripted elements to each rehearsal (e.g., the youngster might be provided with an opening statement or question, but the rest of the interaction would be spontaneous).  Be

"My son is 8 yrs old. He is fairly high functioning. Here's the problem. I don't feel like he loves me. Can he truly understand love at all. He does not hug, kiss or cuddle. He never has. He likes to have his back scratched at night, but that's it. He struggles emotionally at school- a lot of anger. But at home you would notice anything out of the ordinary, until supper. Same meal every single night. He has no problems sharing emotions every once in a while with his father (who lives outside of the home). How can I help him to open up to me?!"   Many emotional concepts are difficult for kids with ASD. Love is probably one of the most complicated emotions of all. The lack of empathy and inflexibility that many kids on the spectrum live with will definitely make understanding the concept of love difficult – difficult, but not impossible. It is sometimes hard to separate the idea of a person with autism loving someone from the true source of difficu

CLICK TO ENLARGE Children with ASD level 1, or High-Functioning Autism, are known to misinterpret other people’s feelings, motives, behaviors, etc. “Cognitive restructuring” is a fancy term that simply means helping these young people to correct their distorted conceptualizations and dysfunctional beliefs. The process, which parents can implement, involves challenging their current thinking with logical evidence and ensuring the rationalization and cognitive control of their emotions. The first stage is to establish the evidence for a particular belief. Kids on the autism spectrum can make false assumptions of their circumstances and the intentions of others. They have a tendency to make a literal interpretation (e.g., a casual comment may be taken out of context or may be taken to the extreme). For instance, a teenage male with ASD was once told his voice was “breaking.” He became extremely anxious that his voice was becoming faulty and decided to consciously alter the

“Is it common for a child with high functioning autism to have difficulty interpreting the messages others give in conversations? Our son does not seem to understand the rules of social interactions. If he doesn’t understand what someone is saying or doing, he will always be unable to give the appropriate response.” Yes, these issues are very common. This is why social-skills training in crucial for young people with High-Functioning Autism and Asperger’s. Skills that “typical” children gain naturally do not become so automatic for kids on the spectrum. Below are some of the socially-related deficits that are part of the disorder. The child may: “Tell” on peers, breaking the “code of silence” that exists (he will then be unaware why others are angry with him). Avert eye contact, or keep it fleeting or limited. Avoid observing personal space (is too close or too far). Avoid turning to face the person he is talking to. Be unable to use gestures or facial expressions to co

Difficulty with social skills is not isolated to kids with High-Functioning Autism (HFA) and Asperger’s. Many of these young people exhibit difficulties with a variety of social skills for numerous reasons. However, a social skills program developed to address general social impairments doesn’t adequately address the social skills deficits specific to HFA and Asperger’s. When selecting social goals for intervention, it’s crucial that parents prioritize and address the skill deficits that are most relevant to their child (e.g., eye contact may be a greater priority than negotiation skills, given its significance in social interaction, such as monitoring other’s reactions to indicate interest or engagement). In addition, it’s important that all instructional activities have an underlying social purpose. Make clear to your child how and why the goals selected are relevant for him or her. The five broad skills that are particularly relevant to HFA and Asperger’s are: social pro

"Our daughter (autistic) has trouble managing her mood and behavior when changes in her daily routine occur. How should we handle this?" Children with Asperger’s (AS) and High-Functioning Autism (HFA) tend to crave sameness, despise change, become upset when there is a break in routine, or experience a “meltdown” when it is time to transition from one activity to another. Among these “special needs” children, there is a propensity for doing - or thinking about - the same things over and over, because doing so brings great comfort (e.g., repeatedly lining up toys in a certain order). Unlike “typical” children who may, for example, experiment with lining up train cars in a variety of ways, and move them along the track once they have decided on an order, a youngster with AS or HFA might have only one acceptable order – and have a temper tantrum if a single car is moved out of place. Many children on the autism spectrum have deep-seated “rituals" where certain thi