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How To Use An Effective Reward System For Aspergers Children

“I have a ten-year-old boy with who is high functioning. We are consistent with making him aware of what is socially unacceptable and why. It seems to go in one ear and out the other though. For instance, at meal time we always tell him to eat with his mouth closed. He will do as we say for 20 seconds and then he’s right back to chewing with his mouth open. We have sent him to eat in the other room, or we take away dessert if he continues after the fourth prompt. We have had no success for the past 2 years! Do you have any ideas or do you think that it’s something he can’t help?”

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Best Treatment for High-Functioning Autism

"What would be the best treatment for my child with high functioning autism?"

The main goals of treatment are to lessen associated deficits and family distress, and to increase quality of life and functional independence. No single treatment is best, and treatment is typically tailored to the child's needs.

Intensive, sustained special education programs and behavior therapy early in life can help these kids acquire self-care, social, and job skills, and often improve functioning and decrease symptom severity and maladaptive behaviors. Claims that intervention "must" occur before the age of three for it to be effective are not substantiated.

Available approaches include: 
  • applied behavior analysis
  • developmental models
  • structured teaching
  • speech and language therapy
  • social skills therapy
  • occupational therapy 

Educational interventions have some effectiveness. Intensive ABA treatment has demonstrated effectiveness in enhancing global functioning in preschool kids and is well-established for improving intellectual performance. 

Many medications are used to treat problems associated with Autism Spectrum Disorders (ASD). More than half of U.S. kids diagnosed with ASD are prescribed psychoactive drugs or anticonvulsants, with the most common drug classes being antidepressants, stimulants, and anti-psychotics.

There is scant reliable research about the effectiveness or safety of drug treatments for individuals with ASD. A child or teen with ASD may respond atypically to medications, the medications can have adverse effects, and no known medication relieves ASD's core symptoms of social and communication difficulties.

Although many alternative therapies and interventions are available, few are supported by scientific studies. Treatment approaches have little empirical support in quality-of-life contexts, and many programs focus on success measures that lack predictive validity and real-world relevance. Scientific evidence appears to matter less to service providers than program marketing, training availability, and parent requests.

Though most alternative treatments (e.g., melatonin) have only mild adverse effects, some may place the child at risk. One study found that, compared to their peers, boys with ASD have significantly thinner bones if on casein-free diets. And in 2005, botched chelation therapy killed a five-year-old child with Autism.


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

==> Videos for Parents of Children and Teens with ASD
 
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What parents have to say:
  • Anonymous said...Why does Aspergers need to be treated? It's not a disease like juvenile diabetes where without insulin the child will die!!!! Aspergers is an exceptionality!! The child needs to be loved,taught and supported not cured. The public needs to be educated. The parents who need to treat or cure their autistic child need to accept their child and help then develop to their full potential just like any other child. I wouldn't change a single thing about my Aspie! She wouldn't be the great person she is without it. We need to celebrate Autism not make it something shameful. How can we expect others to accept our child if we don't accept them ourselves? Parents need to be ok with who their child is so the child can accept who they are. When that happens, society will accept them too. Acceptance begins at home with the parents.
  • Anonymous said... If your deciding factor for treating a medical conditions is only to prevent the patient from dying, of course not, it should not be treated. However, if a significant improvement can be made in the quality of life of the child (as well as any individual with a disorder) you will find that most people would favor safe effective treatments for any non-life treathening diorder.
  • Anonymous said...Why does Aspergers need to be treated? Because my 17-year-old daughter spends her life in her room instead of doing any of the things girls her age should be doing.
  • Tasha said...I am not looking for something to cure Aspergers but something to help my son focus so that he can do his school work. Any ideas would be helpful. Thanks
  • Unknown said...I need medication:((( I'm only 11 and am really depressed:(( can anyone help meee!? Please.my parents don't support me they just think I'm stupid.. any advice??
  • Unknown said... You're a very bright young lady. I'm sorry your parents don't understand. My daughter is 12 & we are learning more about high functioning autism and aspergures. Don't give up. You're important & things will get better.
 

Aspergers Kids & Temper Tantrums in Public

"What do you suggest we do when we are out shopping and our Aspie son has a massive temper tantrum right there in the store for all to see?"

All moms and dads have experienced the tempter tantrum in the grocery store or restaurant. While kids with Aspergers and High-Functioning Autism may have tantrums that seem larger than life at times, they are still tantrums. 

Here are some tips:
  1. Prior to going on out somewhere, it is important that your Aspie is prepared for what is going to take place. Explain where you are going, what you will be doing, and how long you will be doing it. Use a picture story board that describes the basic steps of a shopping trip (one that you have already created for such an event).
  2. You may want to have your child engage in some physical activity and play so that he's calm for the outing.
  3. You will want to establish what the expectations are for your child's behavior during the outing. State these expectations immediately before exiting your front door. You will need to keep in mind his age when giving expectations. Don't overload him with rules, but be consistent.
  4. As you shop, ask your child to help you pick out some of the items; enlist his help. 
  5. Monitor his behavior very closely on the outing. If you sense that he is becoming overwhelmed, intervene at that point. Tantrums are not only embarrassing for you, but for your youngster as well. He doesn't want to behave this way, so if you can help him avoid it, you should.
  6. If you are going to be out-and-about for an extended period of time, prepare for it. Bring with you activities or things that your youngster enjoys to keep him occupied.
  7. If he doesn't function well while out on trips, then start with brief periods of time at first. Go on an outing for 10-15 minutes, and if all goes well, reinforce that behavior. Then gradually increase that time period.
  8. If the outing is not for your child's benefit, then don't ask him to engage in an activity for extended periods of time. Don't expect him to sit quietly for hours while you shop -- that's unfair to any child.
  9. If a tantrum occurs at any point -- leave! Stop what you are doing, and get out of that store. DO NOT stand there and try to reason with your child at this point!! Also, don't create more tension by making a big deal of it. Just remove him from the area. This may mean just leaving for a few minutes until his behavior becomes calm, or it may mean putting the trip off until a later date and simply returning home. When your child has calmed down, tell him what was inappropriate, and why you left early. Try not to continue the discussion about his behavior once you are home. It is over!
  10. Create a social story about "how to remain calm during trips," and have your child read that story often.
  11. Reward your child with a special treat or activity if he completes the trip without incident.
  12. When you must make long trips (3 hours or longer), consider leaving the child at home with a family member or babysitter. 


COMMENTS:

•    Anonymous said... Don't take him in the first place. You are not dealing with a normal kid having a fit. He can't help it! We learned a long time ago, if our aspie didn't want to do something or go a certain place, it is just easier not to. There are way bigger battles than going to wal mart that you will have to fight, so let some of the little ones go. His life is probably hard enough as is.
•    Anonymous said... go home
•    Anonymous said... I use to start a week before shopping day explaining that shopping was this certain day, which was a Friday night due to quietness...if he had a meltdown (which was often) I would hold him tight (but not restrained) slow my breathing down until he was in tune with me which sometimes took a couple of minutes, meanwhile he would be hitting, kicking and telling me he hated me which I would respond 'I love you too'...we did this ritual for about 12 months, now he knows we go shopping on the weekend and we can go any day at any time on the weekend, or during the week after school if necessary, he still doesn't like it too much but is a lot better at handling himself, he now has skills to cope...he is now 12
•    Anonymous said... If you change the plan in anyway, or go to a stop along the way, get prepared for a melt down. The best advice is tell him ahead of time where you are going what you are doing and stick to it. If you have to make an unexpected stop, only one of you get out the other stays in the car with the kid. Otherwise you will have a melt down. period
•    Anonymous said... Ignore everyone but you and your child
•    Anonymous said... Mine MUST sit in the cart, so that means it's a two parent trip every time. HE'S getting to big for the carts now, so it will be a game plan change. He also must wear ear protection (head set) since he has above superior hearing.
•    Anonymous said... My son once had a tantrums in public and twice people threatened to call cps on me! People who do not have autistic children simply do not understand that a child will meltdown over the smallest things.
•    Anonymous said... Nice suggestions guys, but single parents don't have the luxury of leaving the child at home or having a second adult present. Likewise, doing your shopping later sounds good, but there are times when that isn't possible (like when you're there to pick up the medication for the child that controls the violent, impulsive behavior). Sometimes, the kid just needs to be able to suck it up and get through it (mine is 12 and still has difficulties). I was once counseled by a first responder to carry a letter in your purse or wallet from the child's doctor explaining his diagnosis and assuring the reader that the parent knows what they are doing and how they might help. The parent, if heavily engaged in restraining or "managing" the out of control child, can then direct the first responder to the letter so they do not misunderstand the situation and take actions that might make matters even worse. Melt downs are ugly and often misunderstood by observers. Not exposing the child to activities that require self control, even when it is difficult, sets the child up to be confused as an adult when the challenges of life are not "fixed" for him or her.
•    Anonymous said... This article is a perfect answer!
•    Anonymous said... Look the first thing is you can't be embarrassed. You child is wired different, embrace that! Many time when my son starts to act out I will try to get him under Control which in it's self a challange. It if people are being really nosy I will explain that he has aspergers. If they don't like it I just look in their eye and simply say "walk a mile in his shoes then you can judge"
•    Anonymous said... My child is special I love him for all he is. Even though the are days I want to pop his little head off smile emoticon
•    Anonymous said... Stores are noisy, bright, boring, overwhelming, smelly, and generally not a sensory friendly atmosphere at all. If you absolutely must take him with you, make it short, occupy him with something useful like checking items off a list, and try to recognize when too much is getting close.
•    Anonymous said... When my son was younger it was difficult and he did have a lot meltdowns because of sensory issues. Some people say don't bring your child at all but I have to disagree with that, you need to teach them about the real world because at some point in their life they will have to face the real world. And if you keep them away from all that and confined they are not going learn how to cope. My son is now almost 13 and does wonderfully no more meltdowns. He has learned how to handle it.
 

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Does my Aspergers child know what’s right and what’s wrong?

"Does my Aspergers child know what’s right and what’s wrong? It seems that he does not really know the difference."

On the surface, the issue of right and wrong appears to be a complicated one for Asperger’s children, but it is not. Children with Asperger’s have very firm ideas of right and wrong, and they can become argumentative with adults and peers over issues of proper or improper behavior. They are typically unable to consider shades of grey and will perceive issues in black or white terms; however, they can discuss those issues with an adult and come to an agreement when solutions are proposed to them.

The good news is that Asperger’s children are known for being able to follow clearly explained and set rules that are consistent, and this trait can be used to help them learn right from wrong. As these children mature, they will learn right from wrong in a rote manner at first; but later they will develop a greater understanding of why something is right or wrong.

An important factor is that the rules, and the explanation for the rules, should be explained in a manner that they understand, and the rules should be consistently enforced. In fact, their inclination to learn right from wrong can be so profound, it might seem that Asperger’s children are pre-programmed to detect right and wrong, and they might even bluntly announce that a request or activity is right or wrong. Also, they will take notice of others’ incorrect behavior, but not their own; this can be perceived as a double standard. In addition, they may not be able to show empathy for others, and this can lead to problems as they may do or say things that seem wrong because they may not be able to understand or empathize with another person’s feelings.

Children and adults who do not have a diagnosis of Asperger’s can relate to other people and engage effectively in social interactions with others because they are able to perceive things from another individual’s point of view. The ability to comprehend someone else’s point of view is the result of correctly perceiving speech patterns, body language, tone of voice, facial movements, and the situation in which communication is taking place.

Children with Asperger's and other autistic disorders can lack the capacity to relate to and understand others’ feelings or behavioral nuances, particularly on an emotional level. Also, the child’s inability to interpret someone else’s actions, whether deliberate or unintentional, can result in the child’s experiencing paranoia. This can result in inappropriate behavior.

Children with Asperger’s may not exhibit traditionally moral feelings or behaviors because Asperger’s denies them the ability to experience the capacity for some emotions and introspection on which society’s perceptions of morality are based. These children do not experience the feelings associated with traditional right and wrong; yet, they may possess a sense of ethics as well as a cognitive understanding of right and wrong.

Asperger’s does not completely remove a child’s awareness of correct and incorrect behavior; it does allow them to behave with a sense of socially acceptable morality if they are helped to do so.

The Parenting Aspergers Resource Guide


COMMENTS:

•    Anonymous said... don't think it's about right vs wrong but more about interpretation. As an NT, we think about situations a certain way. Aspies usually see things a little differently. Once you understand their vision you can adjust the consequence accordingly.
•    Anonymous said... I can say that my son gets right vs wrong. but mostly be cause we have role played situations so much that it is in his rote memory now. He at least gets the general idea and if his impulsivity doesn't take over he will do right vs. wrong
•    Anonymous said... Mine certainly knows when someone else is "doing wrong." He will tell them the rules 80times over. His interpretation of the rules is not typical though. If someone asks him to please stop chewing his shirt he will say "oh, sorry" and immediately start chewing anything that is not his shirt.
•    Anonymous said... my daughter is 16 and she tells me everyday that its hard for her to behave
•    Anonymous said... My middle child seems to always be chewing on his shirts lately and I really don't think he even notices when he does it.
•    Anonymous said... My son sometimes doesn't get it and even if he gets it, he ignores the consequences, but can't help it. Its really hard for them. Their brains just cannot measure like ours.
•    Anonymous said... My son's perception is so non-typical. But, at least, SOMETIMES, he will admit, "I don't get it." I have to remind myself often,.... he's right, he REALLY doesn't get it!

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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.

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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.

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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.

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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."

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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.

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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.

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