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Children on the Autism Spectrum and Bed-wetting

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Nocturnal enuresis (bed-wetting) is one of many issues Aspergers (AS) and High-Functioning Autistic (HFA) kids face. In comparison, it is likely a less important problem, but a problem nonetheless. Many of these young people have trouble with nocturnal enuresis, because they have difficulty in toilet training. Why the difficulty in toilet training? A number of factors are involved: Kids on the autism spectrum are not good at imitation, which makes the process of potty training more difficult. Some do not even feel the wetness of the bed, which can complicate the training methods to help them overcome nighttime bed-wetting. Many of these children are also hypotonic, which is a condition that includes a lax form of muscle control as well as a failure to respond or recognize stimuli (e.g., the need to urinate). By age 5, nocturnal enuresis remains a problem for about 15 percent of AS and HFA kids. Causes— No one knows for sure what causes nocturnal enuresis, but v

Children on the Autism Spectrum and Social Phobia

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The diagnosis of social phobia in Aspergers and high-functioning autistic (HFA) kids emphasizes the following: A youngster with social phobia must show the capacity for age-appropriate social relationships with familiar people, and his/her anxiety must occur in peer contexts, not just with grown-ups. Due to limitations of cognitive and perceptual skills, Aspergers and HFA kids with social phobia need not recognize that their fear in social situations is excessive or unreasonable. The anxiety brought on by social situations may be evidenced by crying, tantrums, meltdowns, freezing, shutdowns, or shrinking from social situations with unfamiliar people. There must be evidence of the social fears existing for a minimum of six months. Developmental Pathways to Social Phobia— 1. Genetic factors: Taken as a whole, studies using twins to determine whether genetics play a significant part in the development of social phobia are inconclusive. Some twin studies have examined the h