Search This Blog

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

Calming Techniques for High-Functioning Autistic Children (ASD Level 1)

"What are some things I can do as a parent of a 6-year-old autistic son (high-functioning) to help him calm down when he has a temper tantrum (which usually results in him hurting himself or destroying something in the house)? He just started the first grade, and his teacher is already having issues with his behavior as well."

In order to understand what calming techniques will work, you will first need to determine what things excite and upset your high-functioning autistic (HFA) son, and have some understanding of the context in which he is throwing a tantrum.

1. Make sure your child knows what the expectations are, and do not confuse the issue with trying to talk to him about things at a time when he is already upset.

2. Try to redirect him to an alternative activity -- something that he enjoys. 

3. If this does not stop the tantrum, tell him to stop. Don't add any extras, just STOP -- calmly and directly.

4. If he still doesn't stop, provide some physical redirection to an area where he can calm down. It can be very effective to call this his SAFE place. It may include a bean-bag chair, where he can sit. But, eliminate any extras in the area, such as toys, or other preferred items. If he doesn't voluntarily go to his SAFE place, physically escort him there.


5. Tell him he must be calm for 5 minutes before he can get up.

This may seem like a overly simple process in order to deal with what may be a challenging behavior. The key is to be consistent, so that he will always know what is coming. If the child is in school, try to provide this program across all environments.

It is amazing how many HFA children will actually learn to go to their SAFE place independently, as a way for them to control themselves. We want them to self-monitor their behavior and show them that we believe they have the ability to calm themselves down.
 

There are no easy and quick fixes to reduce or eliminate severe behavioral problems (e.g., self-injury, aggressiveness, severe tantrums and destructiveness). There may be, however, a few fixes that may not require an incredible amount of time and effort to implement:

1. One possible reason for behavioral problems may be difficulties in receptive language. HFA kids often have poor auditory processing skills. As a result, they often do not understand what people are saying to them (i.e., they hear the words but they do not understand what the words mean). The child’s lack of understanding can lead to confusion and frustration, which can escalate into behavior problems. Visual communication systems can be useful in teaching and in informing kids of what is planned and what is expected of them.

2. Behavioral problems may also be due to difficulties in expressive language. In fact, many researchers feel strongly that the majority of behavioral problems are simply due to poor expressive communication skills. There are numerous communication strategies, such as the Picture Exchange Communication System and Simultaneous Communication (i.e., using speech and sign language at the same time) which can be used to teach expressive communication skills.

3. Food allergies are an often overlooked cause of behavior problems. Some kids may have red ears, red cheeks, or dark circles under their eyes. These are often signs of food allergies. The most common allergens are dairy and wheat products, food preservatives, and food coloring. Some of the symptoms associated with food allergies are headaches, tantrums, feelings of nausea or spaciness, and stomach aches. As a result, the child is less tolerant of others and he/she may be more likely to strike out at others or have a tantrum.

Since many of these kids have poor communication skills, the parent and/or teacher may not be aware that the child is not feeling well. The child should be tested if food allergies are suspected. If the child tests positive for certain foods, then these products should be eliminated from his/her diet.

4. If the child’s behavior is worse at school but not at home, there are many possible reasons, such as a lack of consistency. There are, however, several physical causes that should be considered. Two possible causes, which are seldom considered, are cleaning solvents and florescent classroom lighting. Janitors often use powerful chemicals to clean the classroom. Although the smell may be gone by the next day, the chemical residue may still be in the air and on surfaces. Breathing these chemicals may affect sensitive people. During the day, students often place their hands and face on the tables and floors, and these chemicals can eventually wind up in the child’s mouth and alter brain functioning and behavior. Many parents and teachers wipe the students’ desks with water or a natural cleaning solution prior to class each morning, and they have reported rather remarkable improvements in the students’ behaviors.

Florescent lighting, which is the most common lighting used in classrooms, may also affect behavior. Many adults with autism report that florescent lights bothered them greatly during their school years. In addition, U.C.L.A. researchers observed more repetitive, self-stimulatory behaviors under florescent lighting compared to incandescent lighting. Teachers may want to turn off the florescent lighting in their classroom for a few days to see if there is a decrease in behavioral problems for some or all of the students. During this trial period, the teacher can use natural light from the windows and/or incandescent lights.
 

5. In many instances, a behavior problem is a reaction to a request or demand made by a caregiver/teacher. The child may have learned that he/she can escape or avoid such situations, such as working on a task, by ‘acting up.’ A functional assessment of the child’s behavior (i.e., antecedents, consequences, context of the behavior) may reveal certain relationships between the behavior and the function the behavior serves. If avoidance is the function the behavior serves, the caregiver/teacher should follow through with all requests and demands he/she makes to the child. If the child is able to escape or avoid such situations, even only some of the time, the behavior problem will likely continue.

6. It is also important to consider the child’s level of arousal when formulating a strategy to treat behavioral problems. Sometimes behavioral problems occur when the child is overly excited. This can occur when the child is anxious and/or when there is too much stimulation in the environment. In these cases, treatment should be aimed at calming the child.

Some popular calming techniques include: vigorous exercise (e.g., a stationary bicycle) which would act as a release of their high excitement level, vestibular stimulation (e.g., slow swinging), and deep pressure (e.g., Temple Grandin’s Hug Machine). In some cases, behavioral problems may be due to a low level of arousal such as when the child is passive or bored. Behaviors such as aggression and destructiveness may be exciting, and thus appealing, to some of these kids. If one suspects behavior problems are due to underarousal, the child should be kept busy or active. Vigorous exercise is another good way to increase arousal level.

7. Many families are giving their children safe nutritional supplements, such as Vitamin B6 with magnesium and Di-methyl-glycine (DMG). Nearly half have reported a reduction in behavioral problems as well as improvements in the child’s general well-being. Sometimes powerful drugs are prescribed to autistic kids to treat their behavior. Interestingly, the most commonly prescribed drug for autistic children is Ritalin. A survey conducted by the Autism Research Institute in San Diego revealed that 45% of 2,788 parents felt that Ritalin made their child’s behavior worse and only 20% reported improvement (27% of parents of autistic children felt that Ritalin made no difference).

8. Occasionally a child may exhibit a behavior problem at school but not at home, or vice versa. For example, the parent may have already developed a strategy to stop the behavior at home, but the teacher is unaware of this strategy. It is important that the parent and teacher discuss the child’s behavioral problems since one of them may have already discovered a solution to handle the behavior.

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

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

  
PARENTS' COMMENTS:

•    Anonymous said... A weighted blanket. Or a calm room at school.
•    Anonymous said... At home, we started with a lycra style sensory swing. Then once he sort of brought it down a notch we started sending him to his room (most of our meltdowns were also correlated with bad behavior), in his room we have a heavy comforter, a bean bag, a DVD player with story DVDs and we recently added a lycra sheet on his bed. We set the timer based on his offense and willingness to go to his room, he usually first goes right under his bean bag then he will usually lay on the bean bag with the heavy comforter and watch a story, or read a book. At school, we had to change programs.
•    Anonymous said... change is very difficult for them,does he have a therapy aid at school?
•    Anonymous said... Failing that a tent in the corner of the classroom?
•    Anonymous said... For my son, "tantrums or meltdowns" were usually the result of some anxiety that he didn't know how to handle. Figuring out what the problem was and teaching him to deal with it was helpful but was a process. My son needed to be able to leave the classroom which was very stimulating. Sometimes the hallway or even the OT room. We found that a certain book that played music worked to calm him at home and as he got older he started using it in his own. Sometimes I would Just hold him tight. If you pay close attention you will be able to figure out what works for him. Listen to your gut and remember that no one knows and loves him like you. It was very hard for our family at that age. He is 13 now and things have gotten so much better. There is hope!
•    Anonymous said... Get the best professional help while he is a little boy.
•    Anonymous said... Most meltdowns are a result of anxiety/stress/upsets. Fix the cause (whatis upsetting the child) and the meltdowns will ease off. Significantly.
•    Anonymous said... My 7yr just finished a 10 session program with his OT called the Alert Program - How Does Your Engine Run. It was awesome and he is sooo much better now for it. It helps the kids to recognise how their body is feeling and what types of things help them to get their 'engine' running just right. I can't say enough about it - absolutely amazing!!! My son would yell, throw things, hurt kids, bang and slam furniture/doors etc. We get the occasional growl or stomping feet when he is REALLY worked up, but the majority of the time we can nip it in the bud with what we both learnt at these sessions
•    Anonymous said... My son's teachers allowed him to pick a place in the classroom that he could go to when he felt upset. It seemed like it helped a lot. One year it was under the row of "cubbies" and coat hooks. It was usually only for a few minutes, but seemed to help him. Now that he is a little older they have a resource room between the classrooms and he can sit in there until he calms himself.
•    Anonymous said... Needs a good routine at school, talk to teacher and tell her parts of your routine at home, All about routine and prompts. I always use the clock, when change occur, always a quick 10 minute reminder, AS children love knowing what's set out for them in the day, as you know they don't really like change. Sleep is another important issue. I hope this has helped you.
•    Anonymous said... Prevention.
•    Anonymous said... Rescue Remedy!!!!

Post your comment below…

How to Create a Behavioral Management Plan for Aspergers and HFA Children

Behavior problems are often observed in kids with Aspergers and High-Functioning Autism. Negative behavioral outbursts are most frequently related to frustration, being thwarted, or difficulties in compliance when a particularly rigid response pattern has been challenged or interrupted. Oppositional behavior is sometimes found when areas of rigidity are challenged.

First, attempt to analyze the “communicative intent” of the negative behavior. A harsh, punitive approach to negative behavior is especially ill-advised when the child’s negative behavior was his attempt to communicate his feelings.


Example Positive Behavior Support Plan

1. Issues impacting behavior are:
  • aggression 
  • attention-seeking 
  • excessive “dawdling” whenever parent requests a task to be completed 
  • no internal regulatory “sensors” to move forward while experiencing tasks too demanding or difficult 
  • non-compliance 
  • possible abusive verbal outbursts 
  • unable/unwilling to complete chores/tasks

2. Estimate of current severity of behavior problem: moderate to serious

3. Current frequency/intensity/duration of behavior: 3-4 times/week to multiple times/day; lasts a few seconds for aggression, a few minutes to a few hours for non-compliance

4. Current predictors for behaviors:
  • being misunderstood 
  • challenging task 
  • entering into a new social situation 
  • feelings of rejection 
  • inability to express himself 
  • not understanding task or instruction 
  • sensory challenges 
  • uncomfortable emotional state (e.g. anxiety, embarrassment, shame, anger, frustration)

5. What should child do instead of this behavior:
  • complete tasks/chores with appropriate attempts to seek help when needed 
  • participate in activity/conversation in context 
  • use socially and situationally acceptable strategies for calming himself 
  • verbally express difficulties and feelings appropriately

6. What supports the child using the problem behavior:
  • attention for inappropriate behaviors 
  • escape from demands 
  • return of control 
  • sensory stimulation (sometimes in the form of confrontation or power struggles)

7. Behavioral Goals/Objectives related to this plan:
  • compliance 
  • development of age and context appropriate social skills 
  • coping skills and self-monitoring 
  • increased tolerance to frustration 
  • sensory stimulation and challenging tasks/chores 
  • staying on task 
  • development of positive replacement behaviors

8. Parenting Strategies for new behavior instruction:
  • check for understanding of directions/expectations 
  • consistent encouragement to express difficulties 
  • discuss rules/consequences in advance and ensure comprehension 
  • immediately reinforce all appropriate attempts at communication and other appropriate behaviors 
  • model appropriate behaviors 
  • proactive and periodic checking for understanding and issues 
  • probe to understand root causes of problem behaviors 
  • role play challenging situations 
  • validate feelings and offer alternative replacement behaviors in the form of limited choices

9. Environmental structure and supports:
  • anticipate predictors of behavior and avoid or prepare for intervention 
  • avoid confrontation through calmness, choices, negotiation 
  • designate a “safe place” to calm down (not for punishment) 
  • reduce distractions 
  • set up situations for success

10. Reinforcers/rewards:
  • immediately reward appropriate behaviors with smiles, verbal praise, thumbs up, pat on the back for sitting quietly 
  • positive report to other parent 
  • standard aversive disciplinary techniques (e.g., red cards, punishment time-outs, citations) are ineffective and will not be used 
  • video-game time for work completed

11. Reactive strategy to employ if behavior occurs again:
  • offer “safe place” to calm down 
  • offer limited choices 
  • validate feelings

12. Monitoring results and communication:
  • discuss results of plan 
  • ensure consistency 
  • make any necessary changes



Follow-up Question:

My daughter is 5 years old and was diagnosed with PDD-NOS last December. My husband and I have known "something" wasn't right pretty much from the start as a baby. However, we aren't entirely convinced if she has PDD-NOS, high functioning autism, aspergers, ADHD, or a combination of them. Based on her behaviour and the multitude of tests and profiles we've filled out, we feel that she had 75% ADHD (hyperactive, and especially no impulse control) and 25% high functioning autism or aspergers (same thing?).

From a medical perspective, she has been tested for thyroid issues and diabetes (as her behaviour gets worse when she has low blood sugar) but both were fine. She hasn't been tested for allergies, but we did have her on a dairy/gluten free diet for about 2 weeks and she was amazing the first week (a different child), but regressed the second week. The diet was tough to do, so we stopped it, but we're still considering putting her back on it for a longer period of time. The positive change in her was too significant, and too well timed to be a coincidence.

Her main symptoms are no impulse control, doesn't recognize clear danger (will bolt into traffic or walk away with any stranger), talks excessively and loudly, interupts her parents talking constantly, defiant to her parents (not her teachers), frequently cranky/unhappy, has both tantrums and meltdowns frequently, has much difficulty in transitioning from one activity to another, and sensitive to sensory overload (loud noises and bright lights). She also has what I'm told is a "stim" - since she was about 1 years old, she will squeeze her arms together in a hugging action when excited or happy. She also will often line up toys. She is quite hyper-active, although she can focus at length on activities that she enjoys (crafts, puzzles, etc). Also, while she can look you in the eye for more than 2 seconds, it doesn't happen often. I don't know if this is from an autistic origin, or if she's just hyperactive and unfocused. She has been diagnosed as needing some speech therapy for issues with not using pronouns correctly and the past tense, and from describing the story in a picture kind of like a memory instead of using descriptive words. She has had some speech therapy, but now they are mainly focusing on her ability to read and understand social cues from the other kids, and respond accordingly. Where she doesn't fit the autism diagnosis is that she is extremely outgoing and sociable, she will point and look where pointed to, she will mimic (although she doesn't play pretend with her dolls or anything that much), and she has excellent gross and fine motor skills.

From a treatment persepctive, she is receiving 1 hr/week of speech therapy in the classroom, attends 2 days per week pre-school, and we are working with a child psychologist about once every 3 weeks. The psychologist has helped us with parenting strategies, including child focused play and using social stories (which are helping). We have an appointment with a pediatrician who specialises in autimsm, PDD, adhd in July, as we are hoping for a second opinion on the diagnosis.

OK, so enough history! My question to you is about a key issue that is causing much angst and strife in our family. Whenever we are together as a family (in the evenings  and on the weekends), my daughter will interrupt my husband and I constantly, to the point that he goes out every evening until she's in bed, and we only spend 1 day on the weekend together typically (and it's often a stressful, cranky day). She will pointly ask dad to leave, she wants to see mom. She will talk louder, jump around us, and try to divert all of my attention. My husband thinks that part of this is driven simply by the fact that she wants some one on one time with me (understandable), but also that my time with her is more fun and child-focused (we play crafts, do baking, etc) since I don't see her that much. Also, he thinks that I am more lenient with her, so she prefers that. Just a note, I work full time Mon to Friday, and my husband is a stay-at-home dad (has been since I returned to work full-time when Keira was 7 months old).

We are currently coping with this issue with weekly babysitting sessions, so that my husband and I can have time together. As well, we give her mommy time most evenings and at least one day per weekend. But, we want to be a family! We've also just purchased an RV to hopefully create some quality camping time together.

Answer:

Without seeing you and your daughter interacting in person, I will have to guess that your are unintentionally rewarding her for this attention-seeking behavior. In other words, is it possible that, when she is getting in your face and trying to dominate the conversation, you provide the very attention she is seeking?

This is a behavior problem by the way. And as such, there needs to be some ground rules established - in writing - along with consequences for violating the rules.

You need to address this from both sides of the equation: nurture and discipline.

Sounds like you got the nurturing piece in place (i.e., sufficient amount of 'mommy time'), but what is the consequence for interrupting? I'm guessing there is none.

Unfortunately, this is teaching your daughter how to be a 'master manipulator'. And the longer this goes on, the harder it will be to get it stopped.

This should be a fairly simple fix...

1. Co-create (with her) some rules (e.g., no speaking when mom and dad are talking to one another; no climbing between mom and dad). Keep this short and simple with just a few specific behaviors to target.

2. Stipulate both the consequences for violating the rules (e.g., will have to go to your room for a 5 minute timeout) and the rewards for compliance (e.g., will get and extra 5 minutes with mommy).

3. Put all this in writing WITH PICTURES (get creative here - and make it fun - it will take a little extra work, but we want this to be effective - so do it!). This is the formal contract.

4. Revise the contract as needed. Also, be sure to follow through with the consequences as needed, otherwise this teachers your daughter another bad lesson: Rules are meaningless.

Be prepared for a lot of resistance here. You are getting ready to turn her world upside down. 

By the way, IF (and I say "if") you are the kind of mother who errs on the side of over-indulgence and over-protectiveness, then this is going to be very difficult for you to do. And IF you find that you simply cannot do this, then ...well, heaven help your marriage.

____________________________


COMMENTS:

•    Anonymous said... Hmmm - someone should tell Caeden's (former) school this!!
•    Anonymous said... Ok my kid has been acting out bad since coming to live with me and I'm not sure how to approach it. He has had big changes in his life....new school new home etc...would that trigger such stand off behavior? Any advice would be appreciated!!
•    Anonymous said... This article couldn't have come a better time.....my 7yr olds behaviour has been atrocious this week and am at my wits end..,..but then it's back to school this week from 2 wks off....so I'm assuming it correlates with that 😐
•    Anonymous said... This week has been horrific for my son. I can't figure out why but something set him off at school this week.

Please post your comment below…

Parents’ Management of Temper Tantrums in Children on the Autism Spectrum

Kids with ASD (high functioning autism) have been known to have a tantrum or two. Think about why a youngster may have a tantrum. That's right, they work! Tantrums can get kids what they want, or they would not have them. What do kids want? Candy, attention, favorite toys, not to go to bed, to continue self-stimulating, not to take medicine, more cookies, no more broccoli, and on and on.

Kids want what they want, when they want it. There are some things you can do to prevent tantrum behavior (e.g., teach kids to wait) but that cannot help you when you are at the shops with a screaming youngster! The best solution for a tantrum is a commitment from all people who have regular contact with your youngster to ignore the tantrum and never give the youngster what he is fussing for as long as he is still having a tantrum. Here's how to do it and stay sane.

What Is A Tantrum?

A tantrum is a form of communication. It's a way for the youngster to say: "Look, moms and dads and the whole world, you'd better give me what I want!" A tantrum is a normal reaction to frustration (not getting what you want) that has grown into a behavior problem. It is normal for a youngster to express anger when disappointed. Anger is a healthy response as long as it is expressed in a socially acceptable way. 
 

When a youngster expresses anger, our first reaction may be amusement. It's cute when a toddler gets mad. Their face frowns up, they say cute things, and they seem so pitiful. Our second reaction, unfortunately, may be to give in to them. This is when a normal anger reaction may turn into a tantrum. The youngster learns quickly that this tool they have just discovered is like magic. It gets the youngster what he wants.

As time goes on, moms and dads get angry too and begin to punish, ignore, yell, and, eventually, to give in again. This is why many moms and dads say, "I tried ignoring, but it did not work." You cannot ignore for a while. You must always ignore, in all situations, or it will not work. The youngster must learn that you will never give in to him when he is fussing. 
 
What happens when we ignore, yell, or punish for a while and then give in? The youngster has learned that for a tantrum to work, it must be loud and must last for a long time! To stop a tantrum, you and all who have regular contact with your youngster will have to agree to never give in to a tantrum. This is very hard to do! If you cannot commit to this, then stop reading now and find a way to enjoy the tantrums.

Counting Procedure—

One strategy is to let the youngster know that reinforcement is currently not available. It can be used when a youngster wants something that he can have, but not by throwing a tantrum.

Mother/father: “No crying.” (Start counting as soon as the youngster takes a breath but stops as soon as the crying begins again.)

Mother/father: Repeat “No crying” (Resume counting each time the youngster stops crying.)

Eventually stops crying for a full count of 10.

Mother/father: "What do you want?"

Where a youngster has echolalia, he may begin using the number sequence as a request for the desired object. The numbers should then be counted non-verbally using your fingers instead. In some cases the counting procedure may actually escalate the tantrum because the presence of the mother/father still suggests that he can get what he wants. This can be especially true if the tantrums have worked in the past to get the youngster what he wants. Planned ignoring should then be used.

Planned Ignoring—

Planned ignoring, or tactical ignoring, is a strategy to deal with behaviors that thrive on attention. It is not to be used when the tantrum causes harm to the youngster, others, or property. To ignore the youngster harming self, others, or property would be teaching a behavior that is much worse than a tantrum. If your youngster is harming self, others, or property, ask the professionals working with you for another strategy. Here's how to implement planned ignoring for tantrums:

Consistent response from everyone—

Everyone who has regular contact with your youngster must agree to use this approach for each and every tantrum. If your youngster can understand you, when he is calm, tell your youngster that you will not pay attention to any tantrums (use words he understands) and that you will not give him what he wants as long as he is having a tantrum.
 

Complete ignoring of the tantrum—

Whenever and wherever a tantrum occurs, it must be completely ignored. This means no positive or negative attention. The tantrum should be treated as if it did not exist and that it will change nothing for the good or bad in your youngster's life. Do not look at your youngster (except out of the corner of your eye to assure your youngster's safety). Do not talk to your youngster, correct your youngster, yell at your youngster, reason with your youngster, comment on the tantrum, or explain your actions to your youngster. Do not touch your youngster (except to protect him from harming himself, others, or property). Step over your youngster if you have to. No hugs, spankings, pats, squeezes, etc. Do not give your youngster anything to distract him, especially the item he is fussing for.

Lavish praise to other kids for their appropriate behavior—

Do not talk to others in the room about the youngster's tantrum. Talk to other adults about the news, sports, or weather. Focus on the other kids or people in the room and what they are doing right. Also, do not ignore good behavior when it occurs at other times. When you see your youngster behaving well, sitting quietly, tell him so: "I like how you are sitting so quietly!" This will let the youngster know that you pay attention to good behavior, not bad.

If you are alone, occupy your attention with other activities—

Read a book, call a friend (this may be a good idea as long as the friend will support you in your new, tough-love stance with your youngster - but do not call anyone who will convince you to give in), listen to music, watch television, sweep the floor, anything to distract you from paying attention to your youngster's tantrum.

Positive reinforcement for appropriate behavior—

When the tantrum stops (in the beginning, this may take a long time), wait a few moments, and then praise your youngster for the next appropriate behavior. Do not discuss the tantrum and do not give your youngster the item or privilege he was fussing for until 30 minutes have passed. 
 
At that time it is appropriate to say: "Now ask me again for a cookie (or the item that set the tantrum off - if it is appropriate to have at that time)." Praise the youngster for appropriate asking and give the item, if appropriate. This positive reinforcement will encourage appropriate behavior.

When to Intervene in a tantrum—

If your youngster begins to hurt himself, others, or property during a tantrum, you must intervene. If your youngster is trying to hurt others, remove the others from his reach and give the others your full attention. Do not talk to your youngster while intervening. Continue to ignore the tantrum. If your youngster is hurting himself, remove any items that may harm your youngster or move your youngster to a safer place. Do not talk to your youngster and use only the amount of physical contact necessary to assure your youngster's safety. 
 
Make all your actions appear to be matter-of-fact. Treat the tantrum with as little attention as possible. Not unlike the way you deal with an unpleasant noise from outside over which you have no control.
 

If your youngster was in the middle of completing a task for you when the tantrum began, ignore the tantrum but make sure the youngster completes the task, even if it means hand-over-hand help. For example, if you asked your youngster to pick up the toys and then the tantrum began, do not allow the tantrum to get the youngster out of the chore. 
 
Without talking to the youngster, help him pick up the toys and put them away. When the task is finished, walk away without praising your youngster, unless the tantrum stopped. You may also wait for the tantrum to stop and then have your youngster complete the task.

Getting help in dealing with tantrums—

Talk with supportive people who understand what you are doing with your youngster. Hopefully, you have a spouse, minister, friend, family member, and/or professional to share your progress with. This will help keep you on track and will help you deal with the strange looks you will get from people in the community who do not understand what you are doing to your youngster.

Have someone else observe your ignoring to make sure you are not providing any inadvertent attention to your youngster. Stick to the planned ignoring for at least one month before thinking about changing tactics. Behaviors that have been around for a long time will take longer to extinguish. If the tantrum behavior occurs again after it has stopped, apply the planned ignoring all over again. Your youngster must get the idea that tantrums do not help them or hurt them, they just get ignored!

Tantrums as a request for attention—

Kids with ASD often communicate through their behavior. That may well be what is going on in a tantrum. You may acknowledge that you understand that the youngster is trying to tell you something but "you must use your words" or communicate in some other way.

As long as the youngster is not fussing, give praise when the youngster uses his words. Also, make sure you listen, don't ignore good communication (get up and meet the need or request if it is appropriate - or explain why it is not appropriate). Often we moms and dads get busy and put the youngster off for too long once he has asked appropriately for something. Show your youngster that appropriate communication is rewarded and honored.

A tantrum can be a request for attention. Moms and dads have a natural tendency to run to their kids when they are in distress. Unfortunately, kids can learn to get attention just by screaming. It is important that you stop reinforcing the behavior by giving attention to your youngster. Instead, give lots of positive attention during appropriate behaviors. For example, approach him when he is playing quietly and offer lots of hugs and kind words (or whatever works as positive reinforcement for the youngster).
 

Never give attention to the problem behavior again. Time out or ignoring will work if the problem behavior is an attempt to gain attention. If the youngster is using self-injurious or destructive behavior to gain attention, don't leave the youngster alone. Block the behavior and protect the youngster but do not say anything and do not provide any “soothing” touches.

Be aware of sensory issues that can cause tantrums—

Some tantrums are related to sensory issues. A tantrum may occur due to your youngster's hearing a noise, seeing something that they dislike or are afraid of, smelling something, etc. If you suspect this, look into the sensory issues and consult your youngster's occupational therapist for sensory integration ideas. Some kids enjoy tantrums because they lead to the mother/father holding the youngster. I know some therapists recommend holding a youngster to relieve the tantrum. Just my opinion: I think this gives too much attention and may actually reinforce the tantrum.

Some kids do things in a tantrum that cause them self-harm (e.g., banging head, hitting self, etc.) and can lead to self-injurious behavior - sometimes this is a sensory issue also. Researchers believe some kids hurt themselves to release endorphins in the body that then provides them with a sensation they enjoy. If your youngster is hurting himself, please contact a psychologist or psychiatrist or other medical professional for evaluation.

 
 
More articles for parents of children and teens on the autism spectrum:
 
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…

---------------------------------------------------------------

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...

--------------------------------------------------------------

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…

------------------------------------------------------------

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…

------------------------------------------------------------

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...

------------------------------------------------------------

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...

Oppositional Defiant Behavior in Children on the Autism Spectrum

"My 8 y.o. has been diagnosed with autism (high functioning) recently, and before that was diagnosed with ODD. When we have behavior problems with him, it's hard to know if the particular 'misbehavior' is driven by autism or by ODD. How do we tell the difference, and how do we approach the multitude of behavior issues we are having with him?"

It may be tough at times to recognize the difference between a strong-willed or emotional autistic youngster and one with oppositional defiant behavior. Clearly, there's a range between the usual independence-seeking behavior of kids and defiant behavior. It's normal to exhibit oppositional behaviors at certain stages of development. However, your youngster's issue may be more serious if his behaviors:
  • Are clearly disruptive to the family and home or school environment
  • Are persistent
  • Have lasted at least six months

The following are behaviors associated with oppositional defiance:
  • Academic problems
  • Acting touchy and easily annoyed
  • Aggressiveness toward peers
  • Anger and resentment
  • Argumentativeness with grown-ups
  • Blaming others for mistakes or misbehavior
  • Deliberate annoyance of other people
  • Difficulty maintaining friendships
  • Refusal to comply with adult requests or rules
  • Spiteful or vindictive behavior
  • Temper tantrums

Oppositional defiant behavior often occurs along with other behavioral or mental health problems such as:
  • Anxiety
  • Aspergers or High-Functioning Autism (HFA)
  • Attention-deficit/hyperactivity disorder
  • Depression

 
The symptoms of defiant behavior may be difficult to distinguish from those of other behavioral or mental health problems. It's important to diagnose and treat any co-occurring disorders, because they can create or worsen irritability and defiance if left untreated.

Stressful changes that disrupt an ASD youngster's sense of consistency increase the risk of disruptive behavior. However, though these changes may help explain disrespectful or oppositional behavior, they don't excuse it.

Many kids with oppositional defiant behavior have other treatable conditions, such as:
  • Learning and communication disorders
  • Developmental disorders
  • Depression
  • Attention-deficit/hyperactivity disorder
  • Anxiety

If these conditions are left untreated, managing defiant behavior can be very difficult for moms and dads – and frustrating for the affected youngster. Young people on the autism spectrum with oppositional defiant behavior may have trouble in school with teachers and other authority figures and may struggle to make and keep friends.

If your autistic youngster has signs and symptoms common to oppositional defiant behavior, make an appointment with your youngster's physician. After an initial evaluation, your physician may refer you to a mental health professional, who can help make a diagnosis and create the right treatment plan for your youngster.
 Here's some information to help you prepare for your appointment, and what to expect from your physician:

• Make a list of your youngster's key medical information, including other physical or mental health conditions with which your youngster has been diagnosed. Also write down the names of any medications, including over-the-counter medications, your youngster is taking.

• Take a trusted family member or friend along, if possible. Sometimes it can be difficult to soak up all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot.

• Write down questions to ask your physician in advance so that you can make the most of your appointment.

• Write down the signs and symptoms your youngster has been experiencing, and for how long.

• Write down your family's key personal information, including factors that you suspect may have contributed to changes in your youngster's behavior. Make a list of stressors that your youngster or close family members have recently experienced and share it with the physician.

Questions to ask the physician at your youngster's initial appointment include:
  • Are there any other possible causes?
  • How will you determine the diagnosis?
  • Should my son/daughter see a mental health provider?
  • What do you believe is causing my son/daughter's symptoms?

Questions to ask if your youngster is referred to a mental health provider include:
  • Do you recommend any changes at home or school to encourage my son/daughter's recovery?
  • Do you recommend family therapy?
  • Does my son/daughter have oppositional defiant behavior?
  • Is my son/daughter at increased risk of any long-term complications from this condition?
  • Is this condition likely temporary or chronic?
  • Should I tell my son/daughter's teachers about this diagnosis?
  • Should my son/daughter be screened for any other mental health problems?
  • What else can I and my family do to help my son/daughter?
  • What factors do you think might be contributing to my son/daughter's problem?
  • What treatment approach do you recommend?

 
What to expect from your physician:

Being ready to answer your physician's questions may reserve time to go over any points you want to talk about in-depth. You should be prepared to answer the following questions from your physician:
  • Do any particular situations seem to trigger negative or defiant behavior in your youngster?
  • Has your youngster been diagnosed with any other medical conditions, including mental health conditions?
  • Have your youngster's teachers or other caregivers reported similar symptoms in your youngster?
  • How do you typically discipline your youngster?
  • How have you been handling your youngster's disruptive behavior?
  • How often over the last six months has your youngster argued with grown-ups or defied or refused grown-ups' requests?
  • How often over the last six months has your youngster been angry or lost his or her temper?
  • How often over the last six months has your youngster been spiteful or vindictive, or blamed others for his or her own mistakes?
  • How often over the last six months has your youngster been touchy, easily annoyed or deliberately annoying to others?
  • How would you describe your youngster's home and family life?
  • What are your youngster's symptoms?
  • When did you first notice these symptoms?

Treating oppositional defiant behavior generally involves several types of psychotherapy and training for your youngster — as well as for you and your co-parent. If your youngster has co-existing conditions, medications may help significantly improve symptoms.

The cornerstones of treatment for oppositional defiance usually include:

• Cognitive problem solving training. This type of therapy is aimed at helping your youngster identify and change through patterns that are leading to behavior problems. Research shows that an approach called collaborative problem solving — in which you and your youngster work together to come up with solutions that work for both of you — is highly effective at improving oppositional-related problems.

• Individual and family therapy. Individual counseling for your youngster may help him or her learn to manage anger and express his or her feelings more healthfully. Family counseling may help improve your communication and relationships, and help members of your family learn how to work together.

• Parent training. A mental health provider with experience treating oppositional behavior may help you develop skills that will allow you to parent in a way that's more positive and less frustrating for you and your youngster. In some cases, your youngster may participate in this type of training with you, so that everyone in your family develops shared goals for how to handle problems.

• Parent-child interaction therapy (PCIT). During PCIT, therapists coach moms and dads while they interact with their kids. In one approach, the therapist sits behind a one-way mirror and, using an "ear bug" audio device, guides moms and dads through strategies that reinforce their kid's positive behavior. Research has shown that as a result of PCIT, moms and dads learn more-effective parenting techniques, the behavior problems of kids decrease, and the quality of the parent-youngster relationship improves.

• Social skills training. Your youngster also might benefit from therapy that will help him or her learn how to interact more positively and effectively with peers.
 

As part of parent training, you may learn how to:
  • Avoid power struggles.
  • Establish a schedule for the family that includes specific meals that will be eaten at home together, and specific activities one or both moms and dads will do with the youngster.
  • Give effective timeouts.
  • Limit consequences to those that can be consistently reinforced and if possible, last for a limited amount of time.
  • Offer acceptable choices to your youngster, giving him or her a certain amount of control.
  • Recognize and praise your youngster's good behaviors and positive characteristics.
  • Remain calm and unemotional in the face of opposition.

Although some parent management techniques may seem like common sense, learning to use them in the face of opposition isn't easy, especially if there are other stressors at home. Learning these skills will require consistent practice and patience. Most important in treatment is for you to show consistent, unconditional love and acceptance of your youngster — even during difficult and disruptive situations. Don't be too hard on yourself. This process can be tough for even the most patient moms and dads.

At home, you can begin chipping away at problem behaviors by practicing the following:

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

• Build in time together. Develop a consistent weekly schedule that involves moms and dads and youngster being together.

• Model the behavior you want your youngster to have.

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

• Recognize and praise your youngster's positive behaviors. Be as specific as possible, such as, "I really liked the way you helped pick up your toys tonight."

• Set limits and enforce consistent reasonable consequences.

• Set up a routine. Develop a consistent daily schedule for your youngster. Asking your youngster to help develop that routine may be beneficial.

• Work with your partner or others in your household to ensure consistent and appropriate discipline procedures.

At first, your youngster is not likely to be cooperative or to appreciate your changed response to his or her behavior. Expect that you'll have setbacks and relapses, and be prepared with a plan to manage those times. In fact, behavior often temporarily worsens when new limits and expectations are set. However, with perseverance and consistency, the initial hard work often pays off with improved behavior and relationships.

For yourself, counseling can provide an outlet for your own mental health concerns that could interfere with the successful treatment of your youngster's symptoms. If you're depressed or anxious, that could lead to disengagement from your youngster — and that can trigger or worsen oppositional behaviors. Here are some tips:
  • Be forgiving. Let go of things that you or your youngster did in the past. Start each day with a fresh outlook and a clean slate.
  • Learn ways to calm yourself. Keeping your own cool models the behavior you want from your youngster.
  • Take time for yourself. Develop outside interests, get some exercise and spend some time away from your youngster to restore your energy.

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

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

Strategies for Transforming ASD Meltdowns into Moments of Connection

Autism Spectrum Disorder (ASD) is a multifaceted neurological condition influencing how individuals interpret the world around them and how ...