Altered Disciplinary Methods for High-Functioning Autistic Children

"My 5 y.o. son was recently diagnosed with high functioning autism. In light of this revelation, should I discipline him the same way I do my other kids, or should I make some adjustments based on his condition?"

Kids with ASD Level 1 or High-Functioning Autism (HFA) have no greater permission to misbehave than your other kids. But, the way you gain control over your “typical” kids’ behavior will differ with an HFA youngster, mostly because of differences in how he thinks and how he perceives rewards and discipline.

HFA kids do not respond well to negative reinforcement (e.g., threatening, scolding, etc.). Also, they don’t respond negatively to isolation, so the statement, “Go to your room!” may be seen as a reward instead of a consequence. Furthermore, spanking should never be used – not even as a last resort. 


Due to the way he thinks, your son probably won’t be able to tie the “misbehavior” to the “punishment,” leaving you back at square one. Therefore, you need to be more creative in defining which things will be viewed as rewards - and which things will be viewed as discipline.





Focus on rewarding (reinforcing) positive behavior rather than simply punishing “bad” behavior. Positive rewards can include being able to play a preferred computer game, listening to preferred music, or watching a preferred television program. Rewarding your son in this way may be enough to alter his behavior accordingly.

These specific privileges are often offered because HFA kids respond less to human contact - or even human praise – and more to the presence or absence of “things.” Rewards can be offered along with praise, but praise alone has little positive benefit and doesn’t improve self-esteem the same way it does for “typical” kids.

Discipline should involve removing anything your son prefers (e.g., television, toys, computer games, movies, etc.). All discipline and rewards must come with very concrete explanations as to why they are given. Only then can he match the reward or consequence with the behavior he has engaged in - and only then can change occur.

"Make-ups" can also be used as a form of discipline. This mother of an HFA child describes it well:

"I find it is critical that my son (9 yrs) have the chance to earn back his lost computer time. He usually is given the chance to do 'make ups' - to help me with a chore I would usually do or give me comfort in or whomever he has wronged. We negotiate these things depending. This week - he freaked out that the shirt he likes to wear to church each week was dirty, and he yelled at his dad for 20 minutes - so he picked up 50 sticks in the yard. He had a meltdown in public with me - so he had to play an anger management game with me or empty the dishwasher. 'Make ups' have to be approved by the offended. If we're fighting over homework and he's had a punishment given - it might simply be that he finishes the rest of the work without any more arguing and foregoes a break or agrees to work ahead on something."
 
==> Videos for Parents of Children and Teens with ASD
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Promoting Independence in Adolescence: Help for Teenagers on the Autism Spectrum

"Now that my son with high functioning autism has become a teenager, are there things that I should be doing now to prepare him for adulthood?"

The teen years can be difficult whether or not your child has High-Functioning Autism (HFA) or Asperger's (AS). In situations where he does, however, there are special challenges that differ depending on the child.

Some parents find themselves dealing with a teenager who is a loner, who has few friends, and focuses on one or more hobbies or preoccupations. This type of child is independent in some ways, but lacks the maturity to truly be independent in life. A teen like this needs to be pushed in the direction of finding friends and developing relationships.


He or she may also need to learn some of the specific things necessary for “life independence,” like how to deal with money, cleaning up after oneself, doing the laundry and other life skills that will be needed once the teen is ready to leave home. Interpersonal skills, including how to talk to service people, shop assistants, and other people he may meet along the way, should be taught and practiced as concretely as possible.

Other parents are dealing with the ongoing presence of rituals and obsessions that might interfere with the teen’s eventual independence. Psychotherapy might work in this kind of situation, but there are also medications designed to control ritual behavior. Getting this under control as a teenager will go a long way in enhancing the teen’s adult experience as she grows older.


Other things that you can teach your son to prepare him for adulthood include the following:
  • Accepting responsibility and consequences for actions (e.g., missing a deadline) and learning how to plan for emergencies
  • Balancing educational and recreational computer use
  • Completing homework, essays, and projects without reminders or involvement from mom or dad, professors, or tutors
  • Developing realistic expectations and plans about academic workload at college or technical school
  • Doing chores (e.g., laundry, cooking, and cleaning)
  • Good sleep habits
  • Handling increased social freedom and pressures (e.g., drugs and alcohol, dating and sex)
  • Healthy nutrition and exercise
  • Knowing schedules for classes
  • Money management (e.g., using ATM’s, credit and debit cards, checkbook, online banking)
  • Navigating public transportation and knowing how to get around new areas
  • Organizational skills needed to balance work and social life
  • Organizing study materials
  • Time-management skills
  • Running errands (e.g., grocery, gasoline)
  • Scheduling, canceling, and keeping doctor’s appointments

Adolescence is a time when depression can develop in teens, especially in those who know they don’t fit in and suffer from resultant poor self-esteem. Be aware of the signs of depression, and be proactive through the use of psychotherapy or medications to control some of these symptoms. This means, as a parent, you need to be aware of excessive isolation, “dark” language, outbursts of anger, or self-mutilation.

Help is available and can assist the teen resolve some of the conflicts unique to adolescence and having HFA or AS.

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

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The Challenges of Puberty in Teenagers on the Autism Spectrum

"We seem to be having ever increasing difficulty with our 13-year-old daughter (high functioning autistic). We began to notice a change for the worse around the time she reached puberty. Her anger and anxiety have reached a new level. She also seems very very depressed much of the time. Is this normal for a teen with this disorder? What can we do to slow down what I see as a train wreck in the making?"

Puberty brings with it challenges for all children, however, children with ASD level 1 [High-Functioning Autism] face increased challenges through puberty. The behavior issues of impulsivity can increase in both frequency and intensity.

Kids with ASD who experienced bullying in elementary school - and now continue to experience bullying during their middle school years - may become increasingly aggressive. 

Adolescence can become a very difficult time for a child with ASD as peers may no longer be willing to tolerate someone who seems different. Moodiness, depression and anxiety can also develop in adolescence due to hormonal imbalances, resulting in increased separation of the "special needs" teen from his/her peers.
 

Adolescence is a time when social demands become more complex, and it becomes increasingly important to be able to understand social cues. Children with ASD can be more vulnerable to (a) manipulation by others and (b) peer pressure. They are likely to experience more rejection among their peers. With young people on the autism spectrum, interaction with peers usually creates more anxiety than interaction with younger or older people.


In order to create a few parenting changes that may help your daughter through this difficult time, answer the following:
  • Do any particular situations seem to trigger defiant behavior in your daughter?
  • Has your daughter been diagnosed with any other medical conditions?
  • Have your daughter's teachers reported similar symptoms?
  • How do you typically discipline your daughter?
  • How have you been handling your daughter's disruptive behavior?
  • How often has she refused to follow through with your rules or requests?
  • How often over the last six months has your daughter argued with you or her teachers?
  • How often over the last six months has your daughter been angry or lost her temper?
  • How often over the last six months has your daughter been vindictive, or blamed others for her own mistakes?
  • How often over the last six months has your daughter been touchy or easily annoyed?
  • How would you describe your daughter's home and family life?
  • What are your daughter's symptoms?
  • When did you first notice these symptoms?

Here are a few parenting strategies that can help:

1. If you're depressed or anxious, that could lead to disengagement from your daughter, which can trigger or worsen her behavior. Let go of things that you or your daughter did in the past. Start each day with a fresh outlook and a clean slate. Learn ways to calm yourself, and take time for yourself.

2. Set up a routine. Develop a consistent daily schedule for your daughter. Asking your daughter to help develop that routine can be helpful.

3. Remind yourself that your daughter’s behavior is most likely a temporary inconvenience rather than a permanent catastrophe.
 
==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism

4. Recognize and praise your daughter's positive behaviors. Be as specific as possible (e.g., "I really liked the way you helped pick up your room tonight").

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

6. Model the behavior you want your daughter to exhibit.

7. Develop a united front. Work with your spouse to ensure consistent and appropriate discipline procedures.

8. Build in time together. Develop a consistent weekly schedule that involves you and daughter being together.

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

10. At first, your daughter is not likely to be cooperative or appreciate your changed response to her behavior. Setbacks and relapses are normal, so be prepared with a plan to manage those occasions. Behavior often temporarily worsens when new limits and expectations are set. But, with persistence and consistency, the initial hard work will pay off with improved behavior. Also, as she passes though the storms of adolescence, things are likely to improve by default.

 

COMMENTS:

•    Anonymous said... Alpha-Stim AID for anxiety. And, it gets better once adult.
•    Anonymous said... Encouraging articles.
•    Anonymous said... I'm having the same problem with my son. He is on a low dose antidepressant and it made such a difference. My happy boy is back.
•    Anonymous said... I've been going through that with my 13 y/o Aspie, too. Wicked anxiety and depression. It really started at about 10 or 11 and peaked for us this year. Luckily, between therapy and regular talks, we're in a better place now. I try not to rush her or stress her out. Her daily routines help calm her so we do our best not to interfere with them.
•    Anonymous said... Jed Baker gave the best explanation of one of the reasons why this happens, they become aware of all the drs, meds, therapies, spec schools etc, that they feel they are broken and unfixable. This happened to my son too. Meds and therapy helped, but Jed Baker also adds that we must increase our praise to help them during these years. I can honestly say doing this has helped our son. Good Luck!
•    Anonymous said... Medication. Risperdal and depakote work great but cause weight gain.
•    Anonymous said... My daughter too is in a major depression, she is on depokote and it is not working, neither did Prozac and another anxiety medicine. Feeling hopeless/helpless over here
•    Anonymous said... my son is 16 and is a nightmare with moods, temper, despite what we do as parents its not enough. he wont chat.!
•    Anonymous said... Totally! Normal! My guys meltdowns increased & aggression. I stuck to my guns with him and haven't used Meds. I've used humour, timeouts & rewards. It's hard but he's trying very hard!
•    Anonymous said... We are in the SAME boat over here!!!
•    Anonymous said... Yes yes yes!!! Totally normal...unfortunately! We got my daughter back into counseling and had a medication change also. Good luck .
•    Anonymous said… She's probably having trouble making/keeping friends and is likely being bullied. This is the age where they become acutely aware that they are different from others. Does she have any hobbies? I would strongly suggest getting her involved with a group of kids with similar interests, social skills groups, etc.
•    Anonymous said… my son has autism and i know is similar to aspergers. He is 17 now and I wish all the parents out there with teenage children with aspergers all the luck in the world through this difficult stage in both yours and their lives xxxx
•    Anonymous said… My daughter is only 10, going through puberty and anxiety is at an all time high!
•    Anonymous said… My daughter is 6 (almost 7) and is showing physical signs of puberty (breast development and armpit hair - along with the odor). She has become increasingly non-compliant in school and becoming more aggressive towards her teachers... At home she's almost a perfect little angel. Of course we have a very strict schedule/routine at home and any change in it has to be explained thoroughly before we get compliance.
•    Anonymous said… I'm 26 and autistic and still can't deal with puberty. It's extremely hard to explain. I just can't accept the physical change in myself or friends I knew before/during it. It's just too different seeing them with facial hair etc. I find it very crippling that my mind makes these natural things so hard to deal with even when they've happened a long time ago.

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