Search This Site

Followers

Showing posts sorted by relevance for query emotions. Sort by date Show all posts
Showing posts sorted by relevance for query emotions. Sort by date Show all posts

Affective Education for Children and Teens on the Autism Spectrum

A major part of emotional development in “typical” (i.e., non-autistic) kids and teens is how they recognize, label, and control the expression of their feelings in ways that generally are consistent with social norms (i.e., emotional control). Self-regulation of feelings includes recognition and description of feelings. Once a youngster can articulate an emotion, the articulation already has a somewhat regulatory effect.

Typical kids are able to use various strategies to self-regulate as they develop and mature. They begin learning at a young age to control certain negative feelings when in the presence of grown-ups, but not to control them as much around friends. By about age 4, they begin to learn how to alter how they express feelings to suit what they feel others expect them to express.



By about age 7 to 11 years, “typical” kids are better able to regulate their feelings and to use a variety of self-regulation skills. They have likely developed expectations concerning the outcome that expressing a particular feeling to others may produce – and have developed a set of behavioral skills to control how they express their feelings. By the teenage years, they adapt these skills to specific social relationships (e.g., they may express negative feelings more often to their mom than to their dad because they assume their dad will react negatively to displays of emotion). “Typical” teens also have heightened sensitivity to how others evaluate them.

Unfortunately, young people on the autism spectrum do not develop emotionally along the same lines and time-frame as “typical” children do. Children with Asperger’s (AS) and High-Functioning Autism (HFA), after all, have a “developmental disorder” – their emotional age is younger than their chronological age. Thus, they must be taught emotion management and social skills. Affective education (i.e., teaching children about emotions) is an effective way to accomplish this goal.

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's
 
Affective education is a crucial stage in a course of Cognitive Behavioral Therapy (CBT) and an essential component for children and teens with AS and HFA. The main goal is to learn why one has emotions, their use and misuse, and the identification of different levels of expression.

A basic principle is to explore one emotion at a time as a theme for a project. The choice of which emotion to start with is decided by the Cognitive Behavioral therapist, but a useful starting point is happiness or pleasure. A scrapbook can be created that illustrates the emotion. For younger kids, this can include pictures of people expressing the different degrees of happiness or pleasure, but can be extended to pictures of objects and situations that have a personal association with the feeling, (e.g., a photograph of a rare rock for a child with a special interest in rock collecting).

For older teens, the scrapbook can illustrate the pleasures in their life. The content also can include the sensations that may elicit the feeling (e.g., aromas, tastes, textures). The scrapbook can be used as a diary to include compliments, and records of achievement (e.g., certificates and memorabilia). At a later stage in therapy, the scrapbook can be used to change a particular mood, but it also can be used to illustrate different perceptions of a situation.

If therapy is conducted in a group, the scrapbooks can be compared and contrasted. Talking about dinosaurs may be an enjoyable experience for one group member, but perceived as terribly boring for another. Part of affective education is to explain that, although this topic may create a feeling of well-being in the one participant, his attempt to cheer up another person by talking about dinosaurs may not be a successful strategy (perhaps producing a response that he did not expect).

One of the interesting aspects noticed is that group members with AS and HFA tend to achieve enjoyment primarily from knowledge, interests, and solitary pursuits, and less from social experiences, in comparison with “typical” group members. They are often at their happiest when alone.

Affective education includes the clinician describing – and the AS or HFA child discovering – the prominent cues that indicate a particular level of emotional expression in facial expression, tone of voice, body language, and context. The face is described as an information center for emotions. The typical errors that young people on the autism spectrum make include not identifying which cues are relevant or redundant, and misinterpreting cues. The clinician uses a range of games and resources to “spot the message” and explain the multiple meanings (e.g., a furrowed brow can mean anger or bewilderment, or may be a sign of aging skin; a loud voice does not automatically mean that a person is angry).

Once the key elements that indicate a particular emotion have been identified, it is important to use an “instrument” to measure the degree of intensity. The clinician can construct a model “thermometer,” “gauge,” or volume control, and can use a range of activities to define the level of expression. For instance, the clinician can use a selection of pictures of happy faces and place each picture at the appropriate point on the instrument.

During the therapy, it is important to ensure that the AS or HFA child shares the same definition or interpretation of words and gestures and to clarify any semantic confusion. Clinical experience has indicated that some young people on the spectrum can use extreme statements (e.g., “I am going to kill myself”) to express a level of emotion that would be more moderately expressed by a “typical” child or teen. During a program of affective education, the clinician often has to increase the AS or HFA child's vocabulary of emotional expression to ensure precision and accuracy.




The education program includes activities to detect specific degrees of emotion in others – but also in oneself – using internal physiologic cues, cognitive cues, and behavior. Technology can be used to identify internal cues in the form of biofeedback instruments (e.g., auditory EMG and GSR machines). The AS or HFA child – and those who know him well – can create a list of physiologic, cognitive, and behavioral cues that indicate an increase in emotional arousal. The degree of expression can be measured using one of the special instruments used in the program (e.g., the emotion thermometer). One of the aspects of the therapy is to help the child perceive his “early warning signals” that indicate emotional arousal that may need cognitive control.

When a particular emotion and the levels of expression are understood, the next component of affective education is to use the same procedures for a contrasting emotion. For example, after exploring happiness, the next topic explored could be sadness; feeling relaxed could be explored before a project on feeling anxious. The child is encouraged to understand that certain thoughts or emotions are “antidotes” to other feelings (e.g., some activities associated with feeling happy may be used to counteract feeling sad).

Some young people with AS and HFA can have considerable difficulty translating their feelings into conversational words. There can be a greater eloquence, insight, and accuracy using other forms of expression. The clinician can use prose in the form of a “conversation” by typing questions and answers on a computer screen, or by using certain techniques (e.g., comic strip conversations that use figures with speech and thought bubbles). When designing activities to consolidate the new knowledge on emotions, one can use a diary, e-mail, art, or music as a means of emotional expression that provides a greater degree of insight for both the child and clinician.

Other activities to be considered in affective education are the creation of a photograph album that includes pictures of the child and family members expressing particular emotions, or video recordings of the child expressing her feelings in real-life situations. This can be particularly valuable to demonstrate her behavior when expressing anger.

Another activity entitled “Guess the message” can include the presentation of specific cues (e.g., a cough as a warning sign, a raised eyebrow to indicate doubt, etc.). It is also important to incorporate the AS or HFA child's special interest into the program (e.g., a child whose special interest is the weather can express his emotions as a weather report).

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

Emotional Flooding—

The opposite of emotional control is emotional flooding, which is characterized as overwhelming and intense feelings that can't be controlled. During an episode of emotional flooding, the autistic child's rational mind is disconnected, his nervous system is saturated, and his prefrontal cortex ceases to exercise its controlling function. Flooding may turn into panic and fear, fight or flight. It takes a long time to come down from this heightened state, and afterward, the "special needs" youngster is often completely drained to the point of exhaustion.

Here is a 7-step plan that parents can use to deal with emotional flooding in their AS or HFA child:

1. Create signals your AS or HFA youngster can use to let you know he is about to have an episode of emotional flooding. Signals can give these kids a tool to put some space in between the reaction and their response. One 11-year-old boy with AS came up with the word “burning” to use when he felt himself getting ready to spin out-of-control. He would shout “burning, burning, burning.” His sister knew this was the signal to back off, and his mom knew this was the signal to intervene. It worked for him by giving him a few seconds before his emotions took over.

2. When your child is flooding, don’t leave him alone – but don’t try to take away his uncomfortable emotions either. If you have an AS or HFA adolescent, give him some distance until he is ready to talk.  With a younger kid, wait and listen for a shift in the intensity, and then step-in to help soothe. Sometimes you can directly ask if your child needs help to feel better (e.g., “I notice you are really upset. Do you need some help to calm down?”). If your child is not ready, he will let you know. But if he is ready, you will get a nod yes, at which point you can make some moves to soothe. When an AS or HFA youngster is out-of-control emotionally, she needs your help to get her equilibrium back. You can’t problem solve until this has been accomplished. This is true even if the emotional flooding has occurred as a result of some disciplinary measure.

3. Understand the difference between emotional flooding and a child’s drama-driven display that is created to get something. If you have a youngster that you really feel uses emotional flooding strategically to get a particular response out of you, then back off until the intensity dies down, and then offer some assistance (but don’t give in to an unreasonable demand). If your youngster is using flooding manipulatively, and she is not successful in getting the results she is after, she will eventually stop. The goal here is to help your youngster learn to self soothe and problem solve.

4. Help your youngster move from (a) acting out intense emotions to (b) labeling and describing them verbally. Words help to diffuse and give a youngster some tools to begin regulating emotions. The better able your youngster is at describing in detail her emotional state or reactions, the better she can regulate them.

5. Never attempt to suppress negative emotions. No child can help the feelings he has. He can only learn how to best manage them. Getting rid of negative emotions prematurely just sends them underground, where they can gain intensity and explode later during an unrelated event.

6. Try to figure out what the trigger is for your child’s emotional flooding. Sometimes triggers are obvious (e.g., reactions to change of routine). But, sometimes out-of-control behavior is a reaction to something that isn’t so obvious in the current situation.  For example, an AS or HFA youngster who has been repeatedly rejected and/or teased by peers may be overly-sensitive to even the slightest hint of criticism from parents.

7. When emotional flooding has run its course and the child is calm, parents can attempt to address the problem in question. Encourage your child to talk, and then reflect back to him what you heard (i.e., provide feedback). In this stage of the game, it’s more important that your child feels understood than for you to correct his way of thinking. Let him play out the scenario, and then show you understand his point of view. After you have accomplished this, you can start helping him to come up with a solution to the problem that caused him to “flood” in the first place.

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

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

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

==> Launching Adult Children with Asperger's and High-Functioning Autism: Guide for Parents Who Want to Promote Self-Reliance

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

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

==> Unraveling The Mystery Behind Asperger's and High-Functioning Autism: Audio Book


==> Parenting System that Reduces Problematic Behavior in Children with Asperger's and High-Functioning Autism


COMMENTS:

•    Anonymous said… I needed this today. My so. Had an "emotional flooding" moment and let me know that kids walk away from him or ignore him completely when he tries to talk to them. How do i get services for social and cognitive behavior help at age 14?
•    Anonymous said… I wish we could have found people that actually knew how to do this. My daughter is now 22 and things have not gotten any easier. We put her in 3 different places when she was younger and none of them helped at least not long term.
•    Anonymous said… I would like to know if anyone here has a HFA adult age now that cusses them out constantly and nothing at all is ever their fault.
•    Anonymous said… My daughter is 18 and heading to college in the fall. I've always wanted her to be able to get this kind of help. I've tried in my own way, but it's hard. So nervous to let her go. Don't give up smile emoticon
•    Anonymous said… Once my son got to high school...he became more discerning of people's motives. After a while he could care less what anyone said or thought about him (negatively ). He had a few friends in Anime Club and pretty much ignored the bullies.
•    Anonymous said… So very true!! It breaks my heart every time our son THINKS a kid is either making fun of him, when he or she is not and it's just "typical kid banter". Or like recently, when a boy at his middle school was taking GREAT advantage of him because he knew how desperately our son wanted friends. He just didn't see the insincere behavior and thought it was what friendship is supposed to be. Just killed me when he figured it out after we talked to him about the "bad thing" that happened. frown emoticon But there is a bright spot to this. It can be taught and learned, understanding certain social cues and how to watch for them. He's getting there. It's just that, for so many others, this sort of thing is instinctive. For our kiddos, we have to help them, point things out, role play, help them learn it. Merry Christmas everyone!!!
•    Anonymous said… That's is all we all can do with a child with Aspergers is try in our own way. What worked yesterday may not work today so we just keep trying. smile emoticon
•    Anonymous said… This is exactly my son too
•    Anonymous said… You are not alone, my son is 11. Place after place he went and all they would do is CBT. Now we live where there is an Autism center and he's too old, their age cut off is 8.
•    Anonymous said…. It's hard when you just want to make everything ok. Milan is not on the spectrum but he struggles socially and it's so hard to watch or answer why his five year old brother has so many friends and party invites

Please post your comment below…

Affective Education: Teaching Children on the Autism Spectrum About Emotions


Does your child have difficulty expressing troubling emotions using his or her words rather than acting-out? Does your child seem to lack an understanding about the emotions of other people? If so, here are some ways to educate your child on the subject:

The main goal of Affective Education is to teach children with ASD level 1, or High-Functioning Autism (HFA), why they have emotions, their use and misuse, and the identification of different levels of expression. A basic principle is to explore one emotion at a time as a theme for a project.

The choice of which emotion to start with is decided by the parent (or teacher), but a useful starting point is happiness or pleasure. A scrapbook can be created that illustrates the emotion. This can include pictures of people expressing the different degrees of happiness, but can be extended to pictures of objects and situations that have a personal association with the feeling (e.g., a photograph of a rare lizard for a child with a special interest in reptiles).

The content of the scrapbook also can include sensations that may elicit the feeling of happiness or pleasure (e.g., aromas and textures), and/or can be used as a diary to include compliments, and records of achievement (e.g., certificates and memorabilia).
 
==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism

Affective Education includes the parent describing - and the child discovering - the relevant cues that indicate a particular level of emotional expression in facial expression, tone of voice, body language, and context. The face can be described as an “information center” for emotions.

The typical errors that children with HFA make when trying to comprehend emotions include not identifying which cues are relevant or redundant, and misinterpreting cues. The parent can use a range of games to “spot the message” and explain the multiple meanings (e.g., a furrowed brow can mean anger or bewilderment, or may be a sign of aging skin; a loud voice does not automatically mean that an individual is angry).

Once the key elements that indicate a particular emotion have been identified, it’s important to use an “instrument” to measure the degree of intensity. The parent can construct a model “thermometer,” “gauge,” or volume control, and can use a range of activities to define the level of expression (e.g., the parent can create a selection of pictures of happy faces and place each picture at the appropriate point on the instrument).

Some kids on the spectrum can use extreme statements (e.g., “I am going to kill myself”) to express a level of emotion that would be more moderately expressed by a “non-autistic” child. During a program of Affective Education, the parent often has to increase the child’s vocabulary of emotional expression to ensure precision and accuracy.

Affective Education not only includes activities to detect specific degrees of emotion in others - but also in oneself. The child (and those who know him well) can create a list of his physical, cognitive, and behavioral cues that indicate his increase in emotional arousal. The degree of expression can be measured using one of the special instruments mentioned earlier (e.g., an emotion thermometer). One of the aspects of Affective Education is to help the child perceive his “early warning signals” that indicate emotional arousal that may need cognitive control.
 
==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism

When a particular emotion and the levels of expression are understood, the next part of Affective Education can be to use the same procedures for a contrasting emotion. For example, after exploring happiness, the next emotion explored might be sadness. Feeling relaxed would be explored before a project on feeling anxious. In addition, the child should be encouraged to understand that certain thoughts or emotions are “antidotes” to other feelings (e.g., some strategies or activities associated with feeling happy may be used to counteract feeling sad).

Many children with HFA have considerable difficulty translating their feelings into conversational words. The parent can create “comic strip conversations” that use figures with speech and thought bubbles (e.g., a cartoon of an angry boy who is thinking to himself, “I’m really upset right now”).

Other activities to be considered in Affective Education are the creation of a photograph album that includes pictures of the child and family members expressing particular emotions, or video recordings of the child expressing her feelings in real-life situations. This can be particularly valuable to demonstrate the child’s behavior when expressing anger.

Another activity called “Guess the Message” can include the presentation of specific cues to indicate doubt (e.g., a raised eyebrow), surprise (e.g., wide-opened mouth and eyes), disgust (e.g., crinkled nose with tongue sticking out), and so on.

Lastly, it’s important to incorporate the child’s special interest in the program (e.g., a child whose special interest is the weather and has suggested that his emotions are expressed as a weather report). 


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

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

Aspergers and Lack of Empathy

Aspergers is an autism spectrum disorder (ASD), and is now referred to as "high-functioning autism" in the U.S. It is distinguished by a pattern of symptoms rather than a single symptom, and is characterized by (a) qualitative impairment in social interaction, (b) stereotyped and restricted patterns of behavior, activities and interests, and (c) no clinically significant delay in cognitive development or general delay in language. Intense preoccupation with a narrow subject, one-sided verbosity, restricted prosody, and physical clumsiness are typical of the condition, but are not required for diagnosis.

The lack of demonstrated empathy is possibly the most dysfunctional aspect of Aspergers. People with Aspergers experience difficulties in basic elements of social interaction, which may include a failure to develop friendships or to seek shared enjoyments or achievements with others, a lack of social or emotional reciprocity, and impaired nonverbal behaviors in areas such as eye contact, facial expression, posture, and gesture.

A mother of an Aspergers child tells her story of a son who seemed to lack empathy:

“The realization that my child was lacking the feeling of empathy gradually came to me when he was between the ages of 2 and 4. I had a vague idea someplace in the back of my mind that a part of my child's difficulties with coping in the world around him had something to do with the reality that he did not seem to really feel his emotions apart from experiencing anger and sadness. Even if I said that he was happy, he could not agree with me proclaiming that just because he was poking fun at something did not mean that he was happy. 

As a young child, he totally couldn't cope with his 8 month old sibling crying whenever he fell down, bumped his head or pinched a finger. My child asked the most perplexing questions like "why is that baby shouting?" …"why is he doing that?" …and, my personal favorite …"can't we take that loud baby back to the store and get a new one?" I patiently spelled out many times that after an infant injures himself, he or she whines until the discomfort stops but my child continued to be convinced that this infant made that racket simply to irritate him.

When my child was 4, it started to be clear to me that he was not able to empathize. I had come down with an especially awful flu virus and passed out on the family room floor in the center of a game that I was playing with the children. When I came to, my younger child was patting my cheek and saying "Mommy, what's wrong?", while my older child had a meltdown because I had stopped playing! Actually, after my hubby raced me to the hospital, children in tow, my Aspergers child continued to be upset with me for interrupting "his" game. 

Soon after that, I had a summary of feelings stuck on the refrigerator in big letters and spent part of everyday hoping to get him to comprehend his emotions and the emotions of other people. He came to hate the "face game" when I put a collection of catalogues in front of him and asked him to cut out all of the faces that matched up the list of feelings. Since I did not know back then that he had Aspergers, I'm not completely sure I approached this issue in the best way. 

As he grew older and began school, we experimented with numerous discussions around the issue of emotions, how they may control us, or we can control them. We talked about how to be warm and friendly to other children, how they would feel if he treated them all like insects, and how to recognize his own emotions. Honestly, I don't know that we really succeeded in this area. I believe he has learned not to say what he truly believes in certain circumstances due to parental disapproval. It is really an issue that we will most likely focus on for a long time.”

Aspergers individuals have difficult reading body language (i.e., non-verbal communication). This reduced ability to read body language means less displays of empathy; however, in this case, "empathy" is used in the sense of mimicry of emotions.

There is a natural tendency of people to mimic others in their behavior. So if one person laughs, it is more likely that other people within earshot will laugh too. The same occurs with sadness. Empathy comes to play because sadness is not just tears but an entire set of circumstances.

So what happens is that the Aspergers individual is seen as responding inappropriately to other’s emotions. That's because he/she is not connecting through body language. So in a very real sense, the person with Aspergers is less empathetic. One would not expect an Aspie to respond to body language just as you would not expect a deaf person to respond to your voice.

Does this mean that people with Aspergers have no feelings? No. In the commonly understood sense, Aspies have feelings like anyone else. If you don't know about an event, you have no feelings about it. So to use a rather strange example here, you would have no worries about running over an invisible man. There are people and events we know about only by reading about them or by hearing the stories. Just like people without Aspergers, Aspies have empathy with people they read about.

Many people with Aspergers have the ability to feel empathy (some more so than others, some maybe not so much). Aspergers is not the same for each and every person who has it. However, the blanket statement that people with Aspergers lack empathy is not all that accurate. It is a statement without explanation –a statement, black-and-white as it is, that doesn’t take into account each person’s individuality, and the reality that others can feel more than you can know. This is especially true when much that can be felt by those with Aspergers is not met with the same need for expression as it is for those without Aspergers.

A groundbreaking study suggests people with Aspergers do not lack empathy – rather, they feel other’s emotions too intensely to cope. Thus, the “lack of empathy issue” may have more to do with “sensitivity to stimuli” than an inability to put oneself in someone else’s shoes.


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

Teaching Your Autistic Child Alternatives to Temper Tantrums

“My 5 y.o. son Noah (with high functioning autism) will tantrum over all things big and small. If he is the least bit frustrated over something – well look out, because ‘it’s on’!  Not uncommon for him to have a dozen tantrums in a day. I would be happy to just get that cut in half. Any tips for the chronic ‘tantrum-thrower’ would be greatly appreciated. Thanks in advance.”

The best time to teach your son alternatives to throwing a tantrum is immediately after he has one. Once Noah has settled down, you and he should have a talk while the memories of the episode are still fresh in his mind.

Your son threw the tantrum because he was frustrated or mad. Don't get into the issue of why he was “out of control.” Focus on the tantrum itself, explaining to Noah that the behavior isn't appropriate. Then teach him what he should do instead when he feels upset.



Here’s a simple method that often works when done the right way:

1. First describe the behavior. For example, "You felt frustrated and threw a tantrum. You were throwing things, screaming and kicking the walls." You say this so your son will understand exactly what you are talking about.

2. Then you explain that tantrums are not proper behavior. Make sure that you are clear that the tantrum is “bad” – not your son. Say something such as, "Tantrums are not appropriate behavior. In our family, we don't kick, scream or throw things. That behavior is not acceptable."

This will have an impact on Noah, because like most children, he really does want to do the right thing and please you. You can help him by explaining that tantrums are the wrong thing to do when feeling upset.

As a side note, don't worry about using big words such as "inappropriate." If you use big words with Noah, he will learn big words. If you use only little words, he will learn only little words.

3. Next, give your son some alternatives. For example, "I know you felt frustrated and angry. When this happens again, what you do is say, “I'm angry! Can you say that?" Have Noah repeat the phrase after you.

==> How to Prevent Meltdowns and Tantrums in Children with Aspergers and HFA

4. Lastly, review what you have said. For example, "What are you going to say the next time you're angry?" Get Noah to repeat the phrase, "I'm angry!"

Then say, "The next time you're angry, are you going to scream?" Your son will probably say or indicate "no."

Then say, "The next time you're angry, are you going to throw things?" …and "The next time you're angry, are you going to kick?"

End up with, "Tell me again what you're going to do the next time you're angry."

You will have to repeat this discussion many, many times. It takes a long time for a youngster on the autism spectrum to learn how to control a tantrum and reach for alternatives instead.

Hunger + Tiredness + Low-Frustration Tolerance = Tantrums

Although the triggers for tantrums vary widely, the causes are often very simple, tiredness and hunger being the biggest two.  Low-frustration tolerance is usually the third major trigger. Tantrums can occur as your son tries and fails at new tasks and struggles to express his frustration in an appropriate manner.

When tiredness and hunger are at play, you may have noticed Noah’s frustration level go from 0 to 100. If so, this is your cue to remove him from the situation and try to get him fed and rested.  When tiredness and hunger are NOT at play, you may still notice your son’s frustration level gradually building up. This is why it’s important for him to learn to recognize when his uncomfortable emotions come into play.

When your son learns to identify when he is starting to feel frustrated, he can then learn to take advantage of the other alternatives. But, this requires having an understanding of his emotions. You will want to focus on nurturing your son’s self-awareness with respect to his feelings. Make it your goal to help Noah reach a place where he is able to pause and self-reflect – even in the grip of intense emotions – then constructively answer two questions: “What am I feeling?” and “What do I need?"

When it comes to coaching your son in managing his emotions, you will want to follow some basic ground rules for healthy discussions on the matter:
  • Consistently prove to your son that it’s safe to share his feelings with you. Whenever and however Noah reveals his emotions (e.g., through angry outbursts or tearful whispers), it’s important that you remain calm, keeping your own responses and emotions in check.
  • Explain to your son that emotions are not right or wrong, including frustration and the subsequent anger. However, what is right or wrong is how he behaves when he is upset in this way.
Best of luck!



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

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

Helping Aspergers Students Deal with Anger: Advice for Teachers

Aspergers (high functioning autistic) kid’s anger presents challenges to educators committed to constructive, ethical, and effective youngster guidance. This post explores what we know about the components of Aspergers kid’s anger, factors contributing to understanding and managing anger, and the ways educators can guide kid’s expressions of anger.

Three Components of Anger—

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

The Emotional State of Anger. 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 stress-producing anger provocations that young kids face daily in classroom interactions:
  • Conflict over possessions, which involves someone taking kid’s property or invading their space.
  • Issues of compliance, which often involve asking or insisting that kids do something that they do not want to do--for instance, wash their hands.
  • Physical assault, which involves one youngster doing something to another youngster, 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.

Expression of Anger—

The second component of anger is its expression. Some kids vent or express anger through facial expressions, crying, sulking, or talking, 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 other kids express anger with aggressive revenge by physically or verbally retaliating against the provocateur. Some kids express dislike by telling the offender that he or she cannot play or is not liked. Other kids express anger through avoidance or attempts to escape from or evade the provocateur. And some kids use adult seeking, looking for comfort or solutions from a teacher, or telling the teacher about an incident.

Educators can use youngster guidance strategies to help Aspergers students express angry feelings in socially constructive ways. Kids 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 Aspergers students have learned a negative, aggressive approach to expressing anger (Cummings, 1987; Hennessy et al., 1994) and, when confronted with everyday anger conflicts, resort to using aggression in the classroom (Huesmann, 1988). A major challenge for early childhood educators is to encourage Aspergers students to acknowledge angry feelings and to help them learn to express anger in positive and effective ways.

An Understanding of Anger—

The third component of the anger experience is understanding - interpreting and evaluating - the emotion. Because the ability to regulate the expression of anger is linked to an understanding of the emotion (Zeman & Shipman, 1996), and because kid’s ability to reflect on their anger is somewhat limited, Aspergers students need guidance from educators and parents in understanding and managing their feelings of anger.

Understanding and Managing Anger—

The development of basic cognitive processes undergirds kid’s gradual development of the understanding of anger (Lewis & Saarni, 1985).

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 kids provides a base for early childhood educators who can develop strategies to nurture kid’s emerging ability to regulate the expression of anger.

Memory—Memory improves substantially during early childhood (Perlmutter, 1986), enabling young kids to better remember aspects of anger-arousing interactions. Aspergers students 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 Aspergers students, sometimes more than once or twice, about the less aggressive ways of expressing anger.

Language—Talking about emotions helps young Aspergers students understand their feelings (Brown & Dunn, 1996). The understanding of emotion in preschool kids 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 kid’s families model a variety of approaches in talking about emotions.

Guiding Kid’s Expressions of Anger—

Educators can help Aspergers students deal with anger by guiding their understanding and management of this emotion. The practices described here can help Aspergers students understand and manage angry feelings in a direct and non-aggressive way.

Communicate with 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 Aspergers students learn to express emotions. For example, articles about learning to use words to label anger can be included in a newsletter to moms and dads.

Create a Safe Emotional Climate—A healthy early childhood setting permits kids to acknowledge all feelings, pleasant and unpleasant, and does not shame anger. Healthy classroom systems have clear, firm, and flexible boundaries.

Encourage Kids to Label Feelings of Anger—Educators and parents can help young Aspergers students produce a label for their anger by teaching them that they are having a feeling and that they can use a word to describe their angry feeling. 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.

Encourage Kids to Talk About Anger-Arousing Interactions—Preschool kids better understand anger and other emotions when adults explain emotions (Denham, Zoller, &Couchoud, 1994). When Aspergers students are embroiled in an anger-arousing interaction, educators can help by listening without judging, evaluating, or ordering them to feel differently.

Help Kids Develop Self-Regulatory Skills—Educators of infants and toddlers do a lot of self-regulation "work," realizing that the Aspergers students in their care have a very limited ability to regulate their own emotions. As Aspergers students get older, adults can gradually transfer control of the self to kids, so that they can develop self-regulatory skills.

Model Responsible Anger Management—Aspergers students have an impaired ability to understand emotion when adults show a lot of anger (Denham, Zoller, & Couchoud, 1994). Adults who are most effective in helping Aspergers students manage anger model responsible management by acknowledging, accepting, and taking responsibility for their own angry feelings and by expressing anger in direct and non-aggressive ways.

Use Books and Stories about Anger to Help Kids Understand and Manage Anger—Well-presented stories about anger and other emotions validate kid’s feelings and give information about anger (Jalongo, 1986; Marion, 1995). It is important to preview all books about anger because some stories teach irresponsible anger management.

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


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

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

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

==> Launching Adult Children with Asperger's and High-Functioning Autism: Guide for Parents Who Want to Promote Self-Reliance

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

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

==> Unraveling The Mystery Behind Asperger's and High-Functioning Autism: Audio Book


==> Parenting System that Reduces Problematic Behavior in Children with Asperger's and High-Functioning Autism

Aspergers Children and Anger Problems

Question

My Aspergers son has anger problems. How can I help him understand what his real emotions are?

Answer

For kids with Aspergers (high functioning autism), anger can be a major challenge. Many people do not realize the strong connection between Aspergers and behavioral issues like anger, anxiety, and depression. The very characteristics of Aspergers lead to these behavioral issues. Some of these characteristics are:
  • Gross and fine motor problems
  • Inflexible thinking
  • Lack of language skills, especially social language, gestures and cues
  • Narrow interests
  • Sensory issues
  • Social skills weaknesses

Understanding anger in Aspergers children is quite simple. Nearly all of your son’s anger stems from frustration. The characteristics of Aspergers listed above (plus others) create a confusing and uncomfortable social environment. The natural reaction is frustration, and the natural escalation of frustration is anxiety, then anger. Helping an Aspergers child understand his anger and other emotions, however, can be quite difficult. You must help your son understand the cause of his emotions, and then develop a plan to avoid the negative emotions that stem from frustration. There are several options available for the mother/father searching for anger-management for their Aspergers children. Here are a couple of those options:

1. Home Solutions— Not everyone with Aspergers anger issues choose private therapy. For some people, these therapies are not covered by insurance or are simply not available. Others choose to handle therapy and learning situations at home, in their own way. This is perfectly acceptable, and in all honesty, quite helpful for the child even if you do choose private therapy. Support at home will increase progress. Some examples of home solutions are:
  • Five point scale assessments teach a youngster how to recognize his anger or anxiety and prepare to control their emotional responses.
  • Parenting discipline programs teach parents how to use proper discipline techniques, which in turn, may diffuse some of the youngster’s anxiety and anger.
  • Play therapy/activities make learning emotional control fun.
  • Social stories can be written for specific behavioral problems and situations. These stories can put your youngster’s feelings into words and offer him simple solutions.

2. Cognitive-Behavioral Therapy— Many people with Aspergers anger choose to try cognitive-behavioral therapy. This therapy is highly recommended for kids with Aspergers. Cognitive-behavioral therapy is individual therapy designed around the idea that a child’s emotions and thought processes are what control that child’s outward feelings and behaviors. Most people tend to blame the situation or other people. This therapy places the focus on a child’s internal thoughts. In other words, if we think a certain way, even though the situation makes us feel the opposite, we can begin to feel better about that situation.

For your Aspergers child, anger can get in the way of learning, playing, and life. Perhaps you can use some of the above suggestions to help him handle his anger and better understand his emotions.

I cover a lot of ground on anger issues for children with Aspergers in my eBook entitled My Aspergers Child: Preventing Tantrums and Meltdowns.

Help for Depressed, Lonely Children on the Autism Spectrum

“Is it common for children on the autism spectrum to be depressed? Lately, my teenage daughter has been quite sad much of the time for no apparent reason that any of us can identify. She does tend to be a 'loner' - but she says she prefers it that way.”

Research suggests that almost 70 percent of young people with ASD level 1, or High-Functioning Autism (HFA), suffer from depression at some point in their life. Mood disorders and anxiety disorders are very common. Also, around 30 percent of these children have ADHD. Depression and anxiety can be more difficult to detect, because their facial expressions and body language are often not as easy to read - and they may have difficulties in describing emotions.

Kids on the spectrum have difficulty verbalizing their feelings and thoughts. This can be misinterpreted by adults and can lead to the assumption that because these thoughts and feelings aren’t verbalized, that they don’t exist. Often, the opposite is true. Many have an overwhelming number of thoughts and feelings that go unexpressed. This inability to express feelings can lead to depression.

Young people with HFA often find school a challenging environment. Difficulty with social interaction can lead to a youngster feeling isolated and friendless, especially during adolescence. Those feelings of isolation and confusion can lead to depression. This can be compounded by an inability to express the feelings of depression to parents.
 

Learning to cope with depression is an important part of learning to cope with the disorder. Since depression in these "special needs" individuals is often linked to feelings of isolation and frustration with not being able to express themselves, it’s important for you to understand that while your HFA daughter doesn't necessarily express her feelings, this doesn’t mean that she doesn’t have them. 

The three best things you can do to help your daughter avoid - or beat - depression are (1) help her to identify emotions, (2) teach social skills, and (3) watch for the early warning signs of depression.

Identifying Emotions

Talk with your daughter about how she might be feeling about her social relationships with peers. Try to give her the words to use (e.g., mad, glad, sad, frustrated, etc.). By giving her these “feeling words” and trying to help her differentiate the words and identify those feelings, you can help her develop her voice while expressing her emotions. You may not be able to make her social relationships smoother for her, but you can try to get her to understand that her feelings surrounding those relationships are valid.

Talking to your daughter about emotions can be a frustrating experience for you, but the benefits will hopefully outweigh the frustrations you are dealing with. 

Teaching Social Skills

Each youngster on the spectrum has his or her own temperament. Some enjoy higher levels of social activity, while others prefer less. While this may be a preference, young people with the disorder don't have the same degree of what experts call “social competence” (i.e., the ability to get along with others) as compared to non-autistic children. Social competence must be taught. This means that it needs to be practiced and improved upon - and the youngster's mother or father must be a patient coach.

Teens on the spectrum don't need to be the most popular people in their class, but they do need good social skills. Being sociable helps them with resilience (i.e., the ability to withstand hard times). Those who are constantly rejected by peers are lonely and have lower self-esteem. When they are older, they are more likely to drop out of school and use drugs and alcohol. Moms and dads can help their teenagers learn social skills so that they are not constantly rejected or begin to bully and reject others.
 
In an ideal world, social skills include the child’s emotions, intellect, ethics, and behaviors. Emotionally she learns to manage strong feelings (e.g., anger) and show empathy for others. Her intellect is used to solve relationship conflicts and make decisions. Ethically, she develops the ability to sincerely care for others and engage in socially-responsible actions. Behaviorally, she learns specific communication skills (e.g., turn-taking, how to start a conversation, etc.). But we don’t live in an ideal world. Your daughter will need your guidance to achieve these skills.

Moms and dads can act as coaches for their youngster to develop these social skills. The child learns a lot from how his parents treat him and when he observes how they interact with others. Parents, like other coaches, will need to be creative and specific in teaching social skills. Beyond saying "You need to be better at X," good coaches teach concrete skills and then support the use of these skills across a variety of situations. The goal should be not just to teach kids to "be nice," but also to help them to advocate for themselves as well as care for others. 
 
==> Parenting System that Reduces Defiant Behavior in Teens with Autism Spectrum Disorder

Many kids experience occasional rejection, and some are often socially clumsy, insensitive, or even unkind. Signs that a youngster may need some social coaching include:
  • Acts bossy or insists on own way a lot
  • Can't seem to start or maintain a conversation 
  • Doesn't show empathy when others are hurt or rejected 
  • Has trouble losing or winning gracefully 
  • Lacks at least one or two close mutual friends 
  • Seems constantly ignored or victimized by other kids or constantly teases or annoys other kids
  • Uses a louder voice than most kids

Moms and dads can use opportunities to point out when others are using desired social skills. It might be a specific behavior of the parent, another adult, a youngster, or even a character in a book or on TV. The idea is to give kids examples and role models of people engaging in the appropriate social skill.

A parent can help the youngster substitute a specific appropriate response for a specific inappropriate one. This might mean brainstorming with the youngster about different alternative responses and then practicing one or more with the youngster. Practicing can involve mapping out actual words to say or behaviors to use, role-playing, and using the newly learned skills in real situations.

Often, kids on the autism spectrum are not eager to work on new skills, so moms and dads must reward them with praise when the new skills are practiced as a way of helping the skills become habits. This might be a specific verbal statement (e.g., "You did an awesome job of X instead of Y when you got angry at the store"), a nonverbal sign (e.g., a thumbs up), or even a treat (e.g., 10 minutes extra computer time before bed).

Without nagging, moms and dads can gently remind their youngster to use a new skill when the opportunity arises. This might be verbal (e.g., "Now might be a good time to count to ten in your head") or nonverbal (e.g.,  zipping the lips when a youngster is about to interrupt).
 Any good coach knows that patience is important, because learning new skills takes time and practice. And everyone differs in how long it takes to learn something new. Coaches often have to be creative in their teaching strategies, because HFA kids have different ways of learning. 
 
The important thing to remember is that the ability to have good social relationships is not simply about personality or in-born traits. Children and teens that get along with others have learned skills to do so, and they practice these regularly. Just like a good coach can make the difference for a budding football player, moms and dads can help their HFA kids become socially skilled.

Watching for Warning Signs

It’s also helpful for you to understand the warning signs of depression. Watch for behavioral changes that might indicate depression in your daughter. For example:
  • Does she have difficulty sleeping?
  • Has she gained or lost a significant amount of weight?
  • Has she lost interest in things that typically gave her pleasure?
  • Is she giving up on her social relationships?
  • Is she more easily frustrated?
If you notice unusual changes, speak with your daughter’s pediatrician about the possibility of depression and possible treatments.

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

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

The 3 Interventions to Prevent Meltdowns in Kids on the Autism Spectrum

"Mark, You refer to 'meltdowns' quite frequently in your articles. Is it not similar to a tantrum... if not, what can be done to prevent them?"

A meltdown is not identical to a tantrum (although there is an overlap on occasion). From a biological standpoint, a meltdown is an emotional outburst wherein the higher brain functions are unable to stop the emotional expression of the lower (i.e., emotional and physical) brain functions. 
 
Kids who have neurological disorders are more prone to meltdowns than others (although anyone experiencing brain damage can suffer from meltdowns too).

From a psychological standpoint, there may be several goals to a meltdown, which may or may not be the "rewards" that are consciously desired by the youngster. To many parents and teachers, these goals may seem irrational, inappropriate, and sometimes criminal. 
 
To kids familiar with - or trained to recognize - the psychological causes of such behavior, however, there are clear emotional, cognitive, behavioral, and biochemical correlates to meltdowns.
 
==> How to Prevent Meltdowns and Tantrums in Children with Autism Spectrum Disorder

The three major interventions that are usually most effective in preventing a meltdown from manifesting in children with High-Functioning Autism (HFA) include (1) managing emotions, (2) a sensory diet to maintain optimal sensory regulation, and (3) visual supports.

1. Managing emotions:

Most often, the youngster's feelings are way too big for the situation. Managing felt emotions does not come automatically, but can be learned over time with systematic instruction. CBT is one example of an effective therapy for managing emotions.

2. Sensory diet:

Children with High-Functioning Autism usually do not have sensory systems that regulate automatically; rather, they must discover how to keep themselves regulated. This is most often accomplished by employing a sensory diet.

Just as a youngster needs food throughout the course of the day, he needs sensory input – and opportunities for getting away from stimulation – spread out over the whole day. A “sensory diet” is a carefully designed, personalized activity plan that provides the sensory input an autistic child needs to stay focused and organized throughout the day. In the same way that you may soak in a hot tub to relax, kids on the autism spectrum need to engage in stabilizing, focusing activities, too.

Each ASD youngster has a unique set of sensory needs. Generally, a youngster whose nervous system is causing him to be hyperactive needs more calming input, while the youngster who is more under-active or sluggish needs more arousing input.

The effects of a sensory diet are usually immediate and cumulative. Activities that perk up your youngster - or calm him down - are not only effective in the moment, but they actually help to restructure your youngster’s nervous system over time so that he is better able to:
 
(a) handle transitions with less stress,
(b) limit sensory seeking and sensory avoiding behaviors,
(c) regulate his alertness,
(d) increase his attention span, and
(e) tolerate sensations and situations he finds challenging.

3. Visual supports:

 “A picture is worth a thousand words” is the absolute truth. Although each child on the autism spectrum has a unique experience, processing written and spoken words is not considered to be her “first language.” Visual supports can be anything that shows rather than tells. Visual schedules are often used successfully with many ASD children. 
 
Having a clear way to show beginnings and endings to the activities shown on the visual schedule helps the child to have smooth transitions, thus keeping a meltdown from gathering momentum. For the best results, visual supports need to be in place proactively rather than waiting until the child's behavior unravels to pull them out.
 
 
Resources for parents of children and teens on the autism spectrum:
 

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

 
COMMENTS:

Anonymous said… Meltdowns are not always "temper tantrums." I am a certified Aspie and my meltdowns usually have nothing to do with temper to anger. Meltdowns are the result of overstimulation in some area. It could be related to sensory issues such as a certain noise, or certain colored lights, or it could be a reaction to an emotionally charged situation (we don't understand emotions so when emotions are high it is unnerving and we can't handle it). I recently wrote about a meltdown on my own blog The Christian Aspie. It is a first hand account, through the eyes of an Aspie. It is horrible to experience. There is a lot of anxiety and stress, an out of control feeling. I have had milder meltdowns when people lie to me. I have also had rather serious meltdowns when I have just been overloaded in one way or another (usually sensory related). The thing to remember is that 1. We can't help it. Sometimes I have to stomp or flap my hands to release the pressure. 2. There is nothing you can do about it except to try to get the person into a sensory friendly (low sensory input - low lights, muted sound, isolated, etc) area.

Anonymous said… I think a lot of it is semantics. The closest term to describe a 'Meltdown', is a severe temper tantrum, altho a temper tantrum in a 'normal' child is generally caused by a child that is simply not getting his way and has learned that if he pitches a big enough fit, he will get his way. No Aspie or Aspie parent wants that perception to be used to describe an Aspie meltdown. I think there is also a big difference between a 'meltdown' and a 'shutdown', depending on how the aspie deals with the anxiety and often overwhelming experience of trying to navigate the 'normal' world. Some aspies INternalalize their feelings and emotions, and some EXternalize them. An internal 'meltdown' I would describe more as a 'shutdown'. They may be just as devastating to the child, but don't have the same outward effect on those around them, as a full-blown 'meltdown' can have. Especially if it happens in public. In my opinion, the term 'meltdown' has become way overused by some parents to describe anytime their child, aspie or not, cries or doesn't behave perfectly. I often want to tell these parents, "you apparently have never seen a real meltdown". In our experience, Mark Hutton described a meltdown perfectly, and I think the overuse, and misuse of the term minimizes what Aspies and their caregivers deal with daily. Thank you Mark for clarifying this. 


Anonymous said... A meltdown can be very subtle. Essentially they are overwhelmed with emotion or sensory input. Early on this can be expressed as irritability (early in the meltdown). It can go into a tantrum/screaming fit or just as easily into what I call a shutdown (retreating somewhere "safe" and trying to block the world out).

Anonymous said... A meltdown is NOT the same as a tantrum. A meltdown is involuntary, it is not under the child's control, and it is usually due to sensory overload, something important getting changed unexpectedly, or some kind of "straw that broke the camel's back," when somebody's been under chronic stress and there's a final incident that they just can't take anymore. Good ways to avoid one are to tell a child in advance if something in their plans or schedule is getting changed--not waiting until the last minute. Figure out what kind of environmental/sensory stresses cause them sensory overload, and avoid those, or make sure they have a way to escape if they need to.

Anonymous said... I found my meltdowns used to occur mostly in social situations that were noisy -- too much noise, too many people talking, too much input. I have learned to handle them by staying to the side of a room, so it is not all around me and occasionally having a time out (from the noise) where I would go outside or to the bathroom & just breath and calm down. But them I am over 50 and have had many years to figure out what works. It is not a tantrum which, as I understand it, comes from anger and not having ones own way; it seems to be a sensory overload which explodes.

Anonymous said... Tantrums are typically from not getting their own way. Meltdowns or at least with my son are usually because he got overwhelmed with something and doesn't know how to properly express it to me. Kudos for finding something that works for you!
 

Post your comment below…
 

My child has been rejected by his peers, ridiculed and bullied !!!

Social rejection has devastating effects in many areas of functioning. Because the ASD child tends to internalize how others treat him, rejection damages self-esteem and often causes anxiety and depression. As the child feels worse about himself and becomes more anxious and depressed – he performs worse, socially and intellectually.

Click here to read the full article…

How to Prevent Meltdowns in Children on the Spectrum

Meltdowns are not a pretty sight. They are somewhat like overblown temper tantrums, but unlike tantrums, meltdowns can last anywhere from ten minutes to over an hour. When it starts, the Asperger's or HFA child is totally out-of-control. When it ends, both you and your child are totally exhausted. But... don’t breathe a sigh of relief yet. At the least provocation, for the remainder of that day -- and sometimes into the next - the meltdown can return in full force.

Click here for the full article...

Parenting Defiant Teens on the Spectrum

Although Aspergers [high-functioning autism] is at the milder end of the autism spectrum, the challenges parents face when disciplining a teenager on the spectrum are more difficult than they would be with an average teen. Complicated by defiant behavior, the teen is at risk for even greater difficulties on multiple levels – unless the parents’ disciplinary techniques are tailored to their child's special needs.

Click here to read the full article…

Older Teens and Young Adult Children with ASD Still Living At Home

Your older teenager or young “adult child” isn’t sure what to do, and he is asking you for money every few days. How do you cut the purse strings and teach him to be independent? Parents of teens with ASD face many problems that other parents do not. Time is running out for teaching their adolescent how to become an independent adult. As one mother put it, "There's so little time, yet so much left to do."

Click here to read the full article…

Parenting Children and Teens with High-Functioning Autism

Two traits often found in kids with High-Functioning Autism are “mind-blindness” (i.e., the inability to predict the beliefs and intentions of others) and “alexithymia” (i.e., the inability to identify and interpret emotional signals in others). These two traits reduce the youngster’s ability to empathize with peers. As a result, he or she may be perceived by adults and other children as selfish, insensitive and uncaring.

Click here
to read the full article...

Highly Effective Research-Based Parenting Strategies for Children with Asperger's and HFA

Become an expert in helping your child cope with his or her “out-of-control” emotions, inability to make and keep friends, stress, anger, thinking errors, and resistance to change.

Click here for the full article...