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Aspergers/HFA Students and School Anxiety

"Help! My 9 y.o. Aspergers son is suffering real bad anxiety trying to get back into the routine of school after the Christmas holidays. He is crying on and off all day at school and bedtimes, finding it hard to sleep and again crying. I feel so helpless that I can't do anything for him. Any advice would be greatly appreciated."

Aspergers (high functioning autism) children of all ages commonly experience school anxiety (i.e., school-related stress). This is often most apparent at the end of summer when school is about to start again, but it can occur year-round. This post explains school anxiety – and what can be done to help the Aspergers child become more relaxed and confident.

Social Stressors—

Many Aspergers children experience some level anxiety in social situations they encounter in school. While some of these issues provide important opportunities for growth, they must be handled with care:

• Bullies— Many schools now have anti-bullying programs and policies. Though bullying does still happen at many schools, even those with these policies, help is generally more easily accessible than it was years ago. The bad news is that bullying has gone high-tech. Many children use the Internet, cell phones and other media devices to bully other children, and this type of bullying often gets very aggressive. One reason is that bullies can be anonymous and enlist other bullies to make their target miserable. Another reason is that they don't have to face their targets, so it's easier to shed any empathy that they may otherwise feel.

• Peers— While most children would say that friends are one of their favorite aspects of school, they can also be a source of stress. Concerns about not having enough friends, not being in the same class as friends, not being able to keep up with friends in one particular area or another, interpersonal conflicts, and peer pressure are a few of the very common ways children can be stressed by their social lives at school. Dealing with these issues alone can cause anxiety in even the most secure children.

• Educators— A good experience with a caring teacher can cause a lasting impression on a youngster's life -- so can a bad experience. While most educators do their best to provide children with a positive educational experience, some children are better suited for certain teaching styles and classroom types than others. If there's a mismatch between student and teacher, a youngster can form lasting negative feelings about school or his own abilities.

Scheduling Stressors—

Many grown-ups find themselves overwhelmingly busy these days—work hours are getting longer, vacations are shortened or skipped, and people find themselves with little down time. Sadly, our children are facing similar issues. Here are some of the main scheduling stressors they face:

• Lack of Family Time— Due in part to the busyness of children’ lives and the hectic schedules of most moms and dads, the sit-down family dinner has become the exception rather than the rule in many households. While there are other ways to connect as a family, many families find that they’re too busy to spend time together and have both the important discussions and the casual day recaps that can be so helpful for children in dealing with the issues they face. Due to a lack of available family time, many moms and dads aren't as connected to their children, or knowledgeable about the issues they face, as they would like.

• Not Enough Sleep— According to a poll on this site, a large proportion of readers aren't getting enough sleep to function well each day. Unfortunately, this isn't just a problem that grown-ups face. As schedules get busier, even young children are finding themselves habitually sleep-deprived. This can affect health and cognitive functioning, both of which impact school performance.

• Over-scheduling— Much has been said in the media lately about the over-scheduling of our children, but the problem still continues. In an effort to give their children an edge, or to provide the best possible developmental experiences, many moms and dads are enrolling their children in too many extra-curricular activities. As children become teens, school extracurricular activities become much more demanding. College admissions standards are also becoming increasingly competitive, making it difficult for college-bound high school children to avoid over-scheduling themselves.

Academic Stressors—

Not surprisingly, much of the stress of school is related to what children learn and how they learn it. The following are some of the main sources of academic stress for Aspergers children:

• Homework Problems— Children are being assigned a heavier homework load than in past years, and that extra work can add to a busy schedule and take a toll.

• Learning Styles Mismatch— You may already know that there are different styles of learning -- some learn better by listening, others retain information more efficiently if they see the information written out, and still others prefer learning by doing. If there's a mismatch in learning style and classroom, or if your youngster has a learning disability (especially an undiscovered one), this can obviously lead to a stressful academic experience.

• Test Anxiety— Many of us experience test anxiety, regardless of whether or not we're prepared for exams. Unfortunately, some studies show that greater levels of test anxiety can actually hinder performance on exams. Reducing test anxiety can actually improve scores.

• Work That's Too Easy— Just as it can be stressful to handle a heavy and challenging workload, some kids can experience stress from work that isn't difficult enough. They can respond by acting out or tuning out in class, which leads to poor performance, masks the root of the problem, and perpetuates the difficulties.

• Work That's Too Hard— There's a lot of pressure for children to learn more and more and at younger ages than in past generations. For example, while a few decades ago kindergarten was a time for learning letters, numbers, and basics, most kindergarteners today are expected to read. With test scores being heavily weighted and publicly known, schools and educators are under great pressure to produce high test scores; that pressure can be passed on to children.

Environmental Stressors—

Certain aspects of an Aspergers youngster's environment can also cause stress that can spill over and affect school performance. The following are some stressors that moms and dads may not realize are impacting their kids:

• Lack of Preparation— Not having necessary supplies can be a very stressful experience for a youngster, especially one who's very young. If a youngster doesn't have an adequate lunch, didn't bring her signed permission slip, or doesn't have a red shirt to wear on "Red Shirt Day," for example, she may experience significant stress. Younger children may need help with these things.

• Lack of Sleep— As schedules pack up with homework, extracurricular activities, family time and some “down time” each day, children often get less sleep than they need. Operating under a sleep deficit doesn’t just mean sleepiness, it can also lead to poor cognitive functioning, lack of coordination, moodiness, and other negative effects.

• Noise Pollution— Believe it or not, noise pollution from airports, heavy traffic, and other sources have been shown to cause stress that impacts children' performance in school.

• Poor Diet— With the overabundance of convenience food available these days and the time constraints many experience, the average youngster's diet has more sugar and less nutritious content than is recommended. This can lead to mood swings, lack of energy, and other negative effects that impact stress levels.

Signs of school anxiety in Aspergers kids include:
  • Clinging behavior
  • Difficulty going to sleep
  • Exaggerated, unrealistic fears of animals, monster, burglars
  • Excessive worry and fear about parents or about harm to themselves
  • Fear of being alone in the dark
  • Feeling unsafe staying in a room by themselves
  • Headaches
  • Lying
  • Meltdowns
  • Negative attitude
  • Nightmares
  • Refusing to go to school
  • Severe tantrums when forced to go to school
  • Shadow the mother or father around the house
  • Stomachaches
  • Withdrawal, regressive behavior, or excessive shyness

What Can Be Done To Reduce School Anxiety In Aspergers Students? 

Here are 12 important tips:

1. Understand the value of tears. Crying can be a great stress reliever. It flushes out bad feelings and eases tension. It's hard to see your Aspergers youngster crying, and your first instinct may be to help him stop as soon as possible. But after the tears have all come out, your youngster may be in a particularly open and receptive mood for talking and sharing. Provide a soothing and sympathetic presence, but let the crying run its course.

2. Set a regular time and place for talking with your Aspergers youngster, whether in the car, on a walk, during mealtimes, or just before bed. Some Aspies will feel most comfortable in a cozy private space with your undivided attention, but others might welcome some sort of distraction to cut the intensity of sharing their feelings.

3. Routines are good. They help alleviate stress. Establishing a regular bedtime, get-up time, and bath time is important at any age. It also helps children with Aspergers learn to develop routines themselves. Family meetings are important. At the beginning of school, set a weekly time to regroup and to talk about what's going on and how it will work: who gets the shower first, what time to set the alarm clocks for. Give everybody a chance to talk.

4. Resist the urge to fix everything. There are some instances in which moms and dads do have to take action. If your youngster is in a class that's too challenging, or is having trouble because an IEP isn't being followed, there are steps you can take. If a teacher or a classmate is truly harassing your youngster, you will want to follow up with that. But you'll also want to teach her that some things in life just have to be dealt with, even though they stink. Fix only what's really badly broken.

5. Know when to get help. Most kids experience school anxiety to some extent, and some feel it more deeply and disruptively. When does it become a big enough problem to require professional help? Some signs to look for are major changes in friendships, style of clothing, music preferences, sleeping and eating habits, attitude and behavior. If you've established a good rapport with your youngster and he suddenly doesn't want to talk, that's a sign of trouble as well.

6. Keep the lines of communication open. Let your Aspergers youngster know that he can always talk to you, no matter what. It's not always necessary even to have solutions to his problems. Sometimes just talking about things out loud with a trusted adult makes them seem less threatening. And if the situation does become overwhelming for your youngster, you want to be the first to know about it.

7. Do some role-playing. Once you have some concrete examples of anxiety-provoking events, help your youngster figure out an alternate way to deal with them. Discuss possible scenarios and play the part of your youngster in some role-playing exercises, letting him play the part of the demanding teacher or bullying classmate. Model appropriate and realistic responses and coping techniques for your youngster.

8. Be aware that all students feel anxiety about school, even the ones who seem successful and carefree. Knowing this won't lessen your youngster's anxiety, but it may lessen yours.

9. Ask, "What three things are you most worried about?" Making your request specific can help your youngster start to sort through a bewildering array of fears and feelings. If he's unable to name the things that are most worrisome, have him tell you any three things, or the most recent three things.

10. Ask, "What three things are you most excited about?" Most students can think of something good, even if it's just going home at the end of the day. But chances are your youngster does have things she really enjoys about school that just get drowned out by all the scary stuff. Bring those good things out into the light.

11. Acknowledge the problem. Does hearing, "Don't worry!" help when you're anxious about something? It probably doesn't comfort your youngster much, either. The most important thing you can do for a youngster experiencing school anxiety is to acknowledge that her fears are real to her. If nothing else, you'll ensure that she won't be afraid to talk to you about them.

12. When school anxiety persists, parents should consult with a qualified mental health professional who will work with them to develop a plan to immediately return the child to school and other activities. Refusal to go to school in the older Aspergers child or teen is generally a more serious illness, and often requires more intensive treatment.


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

How can I help my daughter understand her Aspergers brother?

Question

How can I help my daughter understand her brother with Aspergers?

Answer

Kids without Aspergers can have a difficult time understanding their Aspergers siblings. The Aspie seems smart, uses big words that are hard to comprehend, avoids hanging out with the family, and focuses all of his being on his special interest. In many ways, he is a stranger. He does not appear to be disabled; he just seems quirky and embarrassing. Children may need family pep talks and counseling to help them understand and cope with their Aspergers sibling’s condition.

Here some ideas to help your children understand their Aspie sibling:

• Allow your non-Aspergers kids to help your Aspie with his therapy. Nearly all therapies can be worked on at home for greater progress. Enlist the entire family and multiply your Aspie’s social interaction and progress on therapy goals.

• Aspergers support groups offer non-Aspergers siblings a chance to build friendships with other children living with a sibling with Aspergers.

• Celebrate your Aspie’s strengths. He is an intelligent individual with many strengths. Recognize these strengths as a family.

• Explain the condition to your kids without Aspergers. Give each youngster an opportunity to ask questions and make suggestions suitable for your family dynamics. Describe Aspergers as an obstacle to be tackled by the entire family. This will increase understanding and unity.

• Family counseling and individual counseling can help your “normal” kids learn to cope with the differences caused by Aspergers.

• Talk about your Aspie’s embarrassing characteristics and how your family can make things better. No youngster wants to be embarrassed by a sibling in front of his friends. Give your non-Aspergers kids the information they need so they know that your Aspie’s behavior is not personal and is not just bad behavior. Encourage them to dismiss this embarrassing behavior in the presence of friends while explaining his condition.

The Parenting Aspergers Resource Guide

Aspergers and Poor Personal Hygiene

A common behavior characteristic in Aspergers (high functioning autism) kids is the dislike of grooming and personal hygiene habits. "Aspies" of all ages seem to have difficulty establishing sound hygiene routines in the areas of bathing/showering, brushing hair, changing clothes, haircuts, cleaning teeth and washing hair.

Some Aspies tend to feel that showering or bathing isn't necessary. I remember asking my grandson with Aspergers if he was going to shower. He said “no” …he didn't have time for that. He then asked for an orange. I told him he could after he showered. That worked the ONE time. Then I started to find the peels and seeds in the shower. When I asked him about it, he said it was faster to do both at the same time.

The source of the problem stems mostly from the sensory sensitivities associated with Aspergers (particularly with tactile sensitivities) rather than from “laziness.” The nervous system of Aspies is always on high alert, and their brains interpret touch in unexpected ways (e.g., instead of being calmed by a gentle hug, they may become agitated or tense). Sometimes even anticipating being touched can trigger a meltdown in a child with Aspergers.

Here are some of the main reasons children with Aspergers seem to avoid practicing good personal hygiene:
  • Using deodorant is potential area of discomfort for kids with Aspergers. The shock of the cold spray on their warm armpit coupled with the quite high-powered aerosol delivery causes genuine alarm and discomfort. Most deodorants are strongly scented, which also bombards a sensory sensitive Aspie.
  • Some Aspies fear falling over if they shut their eyes, thus you can imagine the potential anxiety experienced by simply washing their face in the shower.
  • Poor vestibular system functioning means Aspies often feel wobbly on their feet and suffer from gravitational insecurity (e.g., dislike of being upside-down, being suspended in mid-air or having their feet off the ground). Thus, the simple act of bending forward or backward over a sink or in the shower can create dizziness, anxiety or mild panic.
  • Getting dressed and feeling comfortable in clothing is another area of distress for kids with Aspergers. Irritations can occur from loose fitting clothing touching the skin, tags or labels scratching, and clothes that are too stiff or too tight.
  • Brushing teeth can be a challenge (e.g., not liking the taste of toothpaste, experiencing burning or stinging from it, having sensitive teeth and gums).
  • Brushing hair or getting a haircut can be a challenge, because Aspies usually have very sensitive scalps.

Below are 20 tips to minimize the Aspergers child’s distress over grooming procedures:

1. Allow your Aspie to try several brands of toothpaste until he finds one he is comfortable with.

2. Be sure to put down a secure bath mat to prevent any slips on the wet floor when he’s done.

3. Being empathetic and talking with your Aspie about his discomfort in the grooming process will help him develop better personal hygiene habits.

4. Cut out tags and buy seamless socks and garments if your Aspergers child is sensitive to seams.

5. Experiment with unscented roll-on deodorants or natural crystal antiperspirant.

6. Get him into the habit of flossing, and if he has bad breath, have him gently scrape the back of his tongue with his toothbrush. Get a fun timer to help him brush longer, like a cool little hourglass filled with blue sand.

7. Goggles protect eyes from shampoo and water.

8. If your youngster finds a shirt that he is comfortable in, buy a couple in bigger sizes and put them away.

9. If your youngster has balance problems, consider a shower chair for use while washing hair.

10. Minimize temperature variations when bathing.

11. Provide a soft bristled electric toothbrush and bland tasting toothpaste.

12. Remind him not to touch his eyes or mouth or to pick his nose. Germs can easily enter the body through the mucous membranes of the eyes and through the nose and mouth.

13. Remind him to wash his hair if it looks oily, and teach him how to clean his face and under his nails.

14. Set up regular bath times. Many moms and dads find that evening baths are a nice way to relax their Aspergers youngster before bed. And bathing the night before can help ease the morning rush. Some Aspies prefer showers, which can also save a lot of time on a busy school night or morning. Showers can also save water.

15. Teach your child to wash his hands, especially after coming home from school or playing outside and before eating. Hand washing is, without a doubt, one of the best ways to prevent the spread of germs and illnesses.

16. Teach your child to cover sneezes and coughs. Germs can travel far and wide on a sneeze or a cough. Get him into the habit of covering his mouth and nose with a tissue (or his arm if he can’t reach a tissue fast enough) when he sneezes or coughs.

17. Try to keep your child’s hair and clothing fashionable (even if he doesn’t care, his peers do).

18. Use a 2-in-1 shampoo and conditioner to reduce time spent in the shower.

19. Use simple clothing. Look for things like elastic waists, pullover shirts, Velcro fastenings and slip-on shoes.

20. Using visual reminders/timetables to encourage the completion of daily grooming tasks can be helpful in establishing good routines.

Whether your Asperger child is 4 or 24, personal hygiene and grooming may continue to cause distress through his sensory sensitivities. Being mindful of these sensitivities, and be prepared to compromise.


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COMMENTS:

•    Anonymous said… My son just turned 14 and still fights having to bathe himself.
•    Anonymous said… My son would not be no trouble at all. He is turning 11 and I have to drag him to bathroom with my husband assist. Get him in the tub. He acts like we have a knife to cut his leg off or something. Then his mad because he has to use soap and wash every where. He says we are trying to make him blind as water gets in his eyes when trying to get water on his head to rinse. Teeth. I wish you could see his face. Such punishment! "Why do people brush their teeth !" " I do not have sugar bugs on my teeth. I find it difficult to get him to wash his hands after going to bathroom.  I'm sorry. I guess I'm not answering your question but it's nice to hear we aren't the only ones. DRAMA that is my house. The dentist keeps telling us he wants to pull a couple of teeth and place braces. Yeah that's I laugh. There aren't enough people there to hold him down. No laughing gas going to work there. It would be tramatic to everyone. He would not tolerate braces at this time.
•    Anonymous said… Totally agree with the above. It may take months, like in my 14 yr old sons case, but once its part of the routine there's no trouble at all.
•    Anonymous said… We had to make sure our son had showering, and brushing his teeth as part of his routine. Brushing his hair isn't much of an issue because he likes it fairly short. A light brushing in the morning before school is all that is needed. He's very good about making sure he brushes his teeth and puts on deodorant every morning because he knows it's in his routine.
•    Anonymous said…  My 18 yr old son showers about every 3rd day, but he doesn't leave his room to get dirty anyway. Luckily, he is obsessed with brushing his teeth smile emoticon and smelling nice! I just convinced him to get a haircut after 6 months & he is loving himself sick Lol My son responds well to scientific facts, so maybe you could tell him why maintaining good hygiene is important (using technical terms) smile emoticon
•    Anonymous said… Always been a problem. When my daughter encounters tangles in her hair it frustrates her into meltdowns.
•    Anonymous said… I was thinking my daughter was the only one that had this problem so I am so relieved to know it's not just me that has this problem with my Aspie's child.
•    Anonymous said… I went through the same stuff. My son is now almost 21 (next month) and he's showering, brushing, flossing and requesting to see the dentist and dermatologist all by himself. He still leans on me for a lot of things, but knows when his BO is getting whiffy and he showers. He started taking pride in his appearance etc about 2yrs ago. Better late than never! Just need to get him the right job...social anxiety is a pain!
•    Anonymous said… My son 15 had same issues, but with many talk, now he started to shower everyday , wash his hair ( he didn't like to wet his head) , and uses deodorant ( this i have to remind him everyday).
•    Anonymous said… My son is 11 and all hygiene is awful but getting better. We found trying to keep the same routine of showering/teeth brushing every day but I still have to constantly bug him about it.
•    Anonymous said… My Son is 14. When I ask him to have a shower, he asks "why do I need too". His tooth brushing is more like 2 seconds, than 2 minutes, so I'm glad I'm not alone xx
•    Anonymous said… My son was highly resistant to using deodorant for an extraordinarily long time. Eventually, through conversation, it turned out he had read the label (of course) where it indicated the product was 'highly flammable.' He understood this to mean he was at risk of combustion when he had the product on his skin. Switching to roll-ons made a difference, but it is still challenging.
•    Anonymous said… My sons the worst!! Seriously worried about it he is 9 at the moment and i have to talk him through every shower after the huge fight to even just get him in there.. i actually have to brush his teeth 4 him as he just cant do it right or refuses to..
•    Anonymous said… This makes me feel better!!! But, he has started brushing his hair in the morning!
•    Anonymous said… Ugh...my son's hair looks like a mop literally. Teeth..let's just say his gums are red and swollen. And nails, I am allowed to cut them once every 2 weeks when they are 1/2 inch long. His talons, aka toenails he rarely let's me .
•    Anonymous said… When I can get my son in the shower, he washes his hair, etc. fine, but getting him in there is a challenge. He doesn't see the need for personal hygiene like clean clothes, brushing his teeth, etc.
•    Anonymous said… When my daughter was younger she wouldn't want to get shower but within the past 2 years, age 15-16, she loves showering and putting on make up and doing her hair even though she doesn't like leaving the house.
•    Anonymous said… All of this def applies to my daughter and has done for many years, especially more so now as a teenager - she won't have a bath and has to have set times/days for a shower; hates brushing her teeth and hair brushing is just as bad as it was when she was little - you'd think I was killing her when brushing it! The hygiene 'monthly' is defiantly proving to be challenging at the moment
•    Anonymous said… been fighting for over a year. i know he has it. his father does and nobody diagnosed him. they just did ect treatments. and finally at 24 year old they diagnosed him. i know my son has it. so im still fighting for what he needs...its hard as im doing it alone with no support or guidance from anybody
•    Anonymous said… Don't give in to what the doctors tell you. It took 8 years to get the diagnosis for ASD for my son at the age of 12. Lots of Aspies don't like the sensation of water on their skin. Keep going.....
•    Anonymous said… I use to be obsessed will hygiene but then depression kicked my ass.
The reason most Aspies don't care though is because it's a waste of time. So is sleep. Sometimes so is eating. It just depends on what were obsessing over at the time.
•    Anonymous said… my son almost 4. he is obsessed with being clean and washed and constant fresh clothes and deordorant. only issue is rinsing hair after shampoo from shower. he has never been able to take a bath...flips out. i know he has aspergers....drs and specialists tell me im nuts.
•    Anonymous said… No mention of girls and their periods. That's our biggest challenge when it comes to hygiene.
•    Anonymous said… Period panties may be a good solution.
•    Anonymous said… Teeth brushing is the worst
•    Anonymous said… what if your child just simply refuses? My son is 16 now and taller than me. His personal hygiene is awful but if I bring it up it can produce a meltdown. I find it exasperating and quite frankly, depressing.
•    Anonymous said… Yep all 3 of my children have an aversion to teeth brushing and being clean in general.

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