Tag Archives: advice

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Preventing Meltdowns

Although we have addressed the topic of meltdowns previously, it is a topic that needs to be revisited often, given the intense nature of the meltdown. “People with autism, new research suggests, may have an unusually large and overactive amygdala. This may be one reason why people with autism are easily overstimulated and have a hard time understanding and managing emotions.” – University of Washington

meltdown

This is one of many neurological findings that helps to explain how meltdowns are very different from tantrums. They originate from a neurological place of sensory differences: an over-abundance of neuronal pathways. The brain, whether through too much sensory input, cascading thoughts, chemical overload or some cumulative effect of all of these, gets overwhelmed!

I know individuals with autism can help understand the horror of the meltdown better than any observer. So I would like to refer to Carly Fleischmann for her unique perspective. The following is an excerpt from her website:

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How to Use Visual Supports for Social Skills Training

Many school students carrying the diagnosis of Asperger’s Syndrome exhibit challenges in the area of social interactions and social skills. These social difficulties are worrisome for parents and family members who look for supports to address these challenges. Struggles in the school setting often center on their child’s inability to “fit in” with other students or an inability to grasp social expectations from their teachers and peers. Additionally, their child’s feelings of high anxiety and stress can make the learning environment challenging for them and the people around.

Depositphotos_44865227_s-2015

Over time, I’ve listened to concerns from parents and teachers regarding a student’s lack of understanding when it comes to social situations in the classroom environment. This often leads to isolation and the need for behavior support.

There is information in the literature that suggests both adult and peer mediated techniques to teach and build social skills in children with autism.

Strategies that are directed by an adult include reinforcement of shaped social skills. This is a technique where the child is reinforced when they demonstrate closer and closer approximations of a desired behavior. Peer mediated strategies incorporate the use of proximity, prompts with reinforcement, and teaching peer initiation. The literature also supports using social scripts to capitalize on visual learning methods (Krantz and McClannahan 1993).

In my experience, I’ve observed how visual supports can be very beneficial in producing non-transient messages for the student to follow and use during social situations. When paired with direct instruction using ABA techniques like shaping and reinforcement, social skills training can be accomplished.

When you set out to develop visual supports, first perform an internet search to get some ideas.

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During a Meltdown

A meltdown is scary and lonely. A change in routine can be enough to tip the scales in sensory input and cause what is titled a “meltdown” where a person with autism or asperger syndrome temporarily loses control due to emotional responses to environmental factors. They aren’t usually caused by one specific thing.

Triggers build up until the person becomes so overwhelmed that they can’t take in any more information. In previous blogs, we have addressed the complex topic of meltdowns. While the main message is to have a plan to PREVENT a meltdown, we must also be prepared if a meltdown does occur.

Portrait of unhappy screaming teen girl

I will start by outlining what NOT to do. I think this is best said coming from someone that has lived through a meltdown with neurological implications.  The following is an excerpt from a message from Mr. John Scott.

Meltdowns: What Not to Do

My meltdowns can be very frightening and confusing for those around me. I work very hard to appear as capable and composed as possible throughout each day, so when I finally lose it, people are shocked to see me act so “autistic.” I cry, scream, break things, flap my hands, and pound my fists against my head. I haven’t found the perfect remedy for my meltdowns, but I do know what makes them far worse… 

If I am having a meltdown… 
– DO NOT become angry with me or raise your voice. 

Autistic meltdowns may be frightening to observers, but at their most intense, they are nothing less than pure psychological torture for the person experiencing them. I feel as if I am caught in a war zone, terrified for my very life. My senses are on fire and I have very little control over myself. I may feel threatened by intense emotional displays. This is very dangerous. 

– DO NOT attempt to restrain me. 
I understand that my tantrums are scary, as I’m well over six feet tall, but you must remember that I am far more frightened than you are. I would never intentionally hurt anyone, but if you approach me in a hostile manner, or attempt to use any force without my permission, I may lose the last bit of self-control I have. 

– DO NOT ask me what is wrong. 
Trust me, when I’m banging my head into the wall I do not want to discuss my emotional triggers. 

– Most importantly, DO NOT tell me to “snap out of it.” 
Trust me, I would if I could. Don’t patronize or belittle me by acting as if I could control myself if I only tried harder. This is a good way to make the situation ten times worse.
You may know me from my column here on WrongPlanet. I’m also writing a book for AAPC. Visit my Facebook page for links to articles I’ve written for Autism Speaks and other websites.

CLICK HERE  for the entire posting.

I would like to add one more . . . this is not the time to say “Use your words.”  As the brain escalates in a meltdown, the ability to be rational and articulate diminishes.

So now for what TO DO?

  • During a meltdown a child most needs the opportunity to relax. Therefore, you should respond patiently and compassionately as you support this process. Offer choices of relaxing activities, perhaps through the use of a choice board. If the person is not able to make a choice, then simply present a pre-determined calming activity. Often, this might be an activity that incorporates a strong interest [e.g. video of SpongeBob or favorite song/music].
  • In some cases, it might be best to offer a way out of the situation through escaping the current stimulation of the environment. Again, a pre-determined location might be another room or other safe place [e.g. chill zone, motor lab, etc.].  However, it might be difficult for the individual to transition to another location if the meltdown is at its peak.
  • If there are others in close proximity, then it should be part of the plan to move them to a safe place.
  • Most importantly, do everything possible to keep the individual safe from him or herself. If they engage in head banging, protect their head by placing a pillow or bean bag between them and the floor or wall.

As you can see, there is little to really do during a meltdown. Again, all efforts should be made to PREVENT a meltdown.

by Lisa Rogers

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Template to Support College Writing Assignments for Students with Aspergers

Many college students with Asperger’s need assistance with writing assignments. Whether it is for a writing intensive course or for an essay in a basic undergraduate class, the following often occurs:

Student doing the notes

  1. Students write too little. Students often presume professors will infer from their most basic of communications what the student intends and, as a result, leave out details.
    • These details, of course, are what professors want to read.
  1. Students write too much. Students are sometimes uncertain what professors want to read and end up throwing everything – including the kitchen sink – into the document. This especially happens when students are writing about a topic that has personal interest to them.
  1. Students with Asperger’s Disorder sometimes cannot predict what professors want to read in a writing assignment. This creates difficulties with emotional regulation, during which students may avoid the assignment or have an emotional meltdown.

Students can more easily complete writing assignments when provided clear instructions about the structure of an assignment and relevant examples. A template is often helpful. The following is such a template, used to help a student assigned with writing a paper for a History class.

Please note: The examples provided were not related to the assignment. They were merely examples.

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College Students with Aspergers Speak Out: Take Our Advice

Important advice from students who have 'been there and done that'

Colleague and friend Andrew Nelson, a coordinator in the West Virginia Autism Training Center’s Family Focus Positive Behavior Support program, supports individuals with ASD in their transition to college as part of his day-to-day duties. In his work, Andrew began to notice similar questions and issues were being raised by various students.

Many of the questions were about basic procedures of higher education, such as how one applies to and gets into a university. Other questions – like “Do I have to do my own laundry?” – were about campus living.

To help answer these questions, Andrew went straight to the experts: college students on the spectrum!

In his video interview with three Marshall University students, Andrew explores in brief the topics of: college admission, financial aid, effective support strategies, independent living, and the importance of building on-campus relationships. 

All in under 6 minutes!

Important advice from students who have “been there and done that” include:

  • Prepare for college by taking seriously your highs school studies. Work to get “the best grades you can,” and prepare for college entrance exams. Those exams are necessary for four-year colleges and universities.
  • Understand that admission to higher education is a process, and that process involves application, meeting admissions standards, submitting transcripts, financial aid, and other paperwork. Become familiar with the process at the school you want to attend.
  • Students often have to adapt to the differences that exist between high school and college, especially differences related to educational autonomy and self-direction.
  • Simple technology, such as smart phone alarms, visual schedules, and calendars, can help keep students organized.
  • If you have a questions, most professors will be accessible and willing to help you.
  • Develop social networks, find a way to enjoy hobbies, and enjoy the experience of college rather than focus your energies solely on academics. A balanced life is key.

by Dr. Marc Ellison

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Using “Cold Calling” to Get Information on Possible Employment

Cold calling is: calling up a person or business and informing them that you are interested in employment. This can sound intimidating, but it can be very effective for opening the doors to the hidden job market.

red handset

Cold calling allows you to possibly learn about a job that is not yet posted. For individuals with Aspergers/HFA it could seem very daunting to call a stranger on the phone and ask for a job. Some individuals never will be comfortable with this part of the job search, and that is okay. Other individuals love the initial autonomy of it.

For individuals with Aspergers/HFA here are some tips we utilize to help reduce fears when cold calling:

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Behind the Wheel with Autism: A Personal Perspective

Having lived in several different cities, I can attest that it most certainly is not a regional thing: you’ll run into idiot drivers no matter where you live. It isn’t profound at all; many casual conversations begin with a gripe about traffic on the way to someplace or another, or end up there eventually. Driving is a serious source of stress for many, even under the best circumstances. And for people diagnosed with Autism, they are already functioning under decidedly less than the best of circumstances, and the idea of getting behind the wheel can cause anxiety.

I found that I did not have a great deal of difficulty behind the wheel. Having a nice, large, rarely-traveled stretch of land to practice on, and taking as many opportunities to practice, is the first thing I recommend for those who are diagnosed and want to drive. It certainly helped me. After enough practice, it became second-nature.

Contrary to the assumption that driving is the natural enemy of the Autistic because it demands multi-tasking, it really isn’t so difficult as all that. It has a nice and structured set of regulations, and your task is simple: start at one location, and control the vehicle in order to safely reach the next.

Anyone who has ever played a game, whether analog or digital, can tell you that while rules and setup are intimidating at first, once you see how it’s done and try it for yourself, it isn’t as hard as all that.

To the Autistic person who wants to learn to drive but feels rather intimidated, just think of it as a video game.

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23 Truths I learned From Social Skills Training

When I was diagnosed with Aspergers, my parents enrolled me in 48 hours a week of social skills and coping mechanism training. That was 10 years ago. These are 23 friendly suggestions I still find to be true and carry with me today.

Alix Generous

Alix Generous

My 23 Truths

  1. Never follow advice that you intend to carry out by hurting another living being.
  2. Find what you love and pursue it even if it means working twice as hard in other areas of your life in order to do so. It can be one thing or it can be many. Obsessions and interests can lead to successful careers. Additionally, if you’re interested in a task you’ll do better at it.
  3. Following blind happiness is a better decision than choosing certain unhappiness, as long as you apply appropriate practical skills and common sense (which can be learned in a Google search). No matter where you are and what situation you may be in, this isn’t your parent’s, boss, or teacher’s life, it’s your own. With the accumulation of knowledge and self discovery you can make choices that will shape the life you want. If you want to be a scientist, do what you need to in order to make that happen. That path is not exactly linear, you might have to do things differently than others, but that doesn’t make it bad or wrong to pursue. I had an incredible amount of difficulty socially when I started college in Charleston, SC. It was the weirdest feeling because I had wonderful friends there as well as great education and academic support. It never made sense why I was unhappy there but the moment I moved up to Boston 2 years ago, the unhappiness slipped away. Against the advice of my family, I drove to Boston, found an apartment, and an internship in one weekend, and met the love of my life. This move was all based on the feeling that Boston was the place I needed to be. I fit in well because I could talk to people about quantum physics and current issues, and have people eagerly teach me more than I could possibly understand, rather than think I’m weird.
  4. If one way doesn’t work, don’t linger on the frustration of a broken road. Find a better way.
  5. Study with people who are smarter than you and sit next to the nicest person in class.
  6. A great idea implemented in an effective way will always trump prestige and superficial qualities that seem out of reach for those on the spectrum. Your mind is an asset, and if you use it properly without shame or pride, you can change the world.
  7. The best way to figure out whether someone is manipulating you or helping you is to ask yourself: Do they want something from me? People can only manipulate you if you have something they want. Special educators sometimes neglect the needs of high-functioning autism in order to retain disability funds.
  8. Finding who you are is a continuous journey, not a specific event that happens. It frustrates me how adolescence is deemed a time of searching for identity, because it implies that becoming an adult means you know every aspect of who you are. That’s a bunch of Bologna. I’ve met people of all ages who vary in behavioral patterns and world views. Accept, understand, and utilize your strengths as they are at this moment, and use a growth mindset to improve yourself.
  9. The easiest way to interact with someone who thinks and feel differently then you do is to ask them questions.
  10. In a debate, argument, or conflict, always validate the opposing persons view before stating your own view.
  11. When in doubt, Google. When googling, question the reliability and truth of everything. Look at the people who make claims, and ask yourself if they have a sufficient amount of knowledge to make such a claim. The more proactive you are in your education, the less you have to rely on others for answers. You can find all laws, licenses, addresses, and criminal records within a simple click. This is something you should do in regards to everyone involved in providing accommodations for you such as counselors, doctors, and tutors.
  12. Social media is not a substitute for in person interaction. Social skills like table manners or looking someone in the eye when you shake their hand are invaluable.
  13. Don’t take advice from hypocrites. For example, don’t take relationship and marriage advice from someone whose had 3 marriages end in divorce.
  14. Vaccines do not cause autism. This study was published by a scientist who was jaded by his funding sources, and falsified his data in order to get published. The journal that published his research revoked the paper, and denounced its validity after learning the truth of his research methods.
  15. Firm and non-flexible opinions stunt intellectual growth and stifle your own truth. Research all sides of one issue before deciding for yourself.
  16. Make choices that bring you closer to your goals, not based simply on what you feel. Mastering this habit will help you overcome lethargy, anhedonia, and other symptoms of depression and social anxiety associated with Aspergers.
  17. People are just people. No matter what it may seem, the most seemingly superficial or flawless of individuals have imperfections and insecurities. The success of a person is determined by how they deal with their imperfections and insecurities, not the existence of them. Everyone has their weaknesses, some people are just better at hiding it than others.
  18. The energy you put in will be returned to you. Say positive things to yourself and surround yourself with positive people even if you don’t feel it, because it will make your surroundings positive and supportive to who you are. You might have to boot out some psycho family members or close friends if they are creating more negative emotions than positive, but trust me it’s worth it. Be brave, set those boundaries so you and others can be inspired to improve.
  19. The easiest way to affect an individual’s first impression of you is with make up, hair, clothes,and body posture. Changing facial expression, tone, and word choice take a lot more work. Hair and makeup never came naturally to me and I didn’t start learning how to use them until I went to college. Pinterest has lots of simple tutorials. Because of sensory issues, I only wear makeup for special events.
  20. People are not divided into two categories of “weird” and “normal”. Everyone exists on a spectrum.
  21. Go out of your way to figure out what aspects of yourself you can improve on, and which ones you can’t. Love every part of yourself either way.
  22. There is never any need to be mean. Being nice does not equate to being a pushover and you can always present constructive criticism in a respectful manner.
  23. Keep firm boundaries in the work place. Your personal and private life are better left separate. If you don’t believe me, try bringing up your aunt’s kidney stone as a casual conversation and tell me how it goes.

I send all my love and support to all of you reading this post.
-Alix

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College Students with Aspergers Give Their Experienced Advice: Part 3

Continuing our occasional theme of listening to the advice of college students who have “been there and done that,” please join me in listening to recommendations provided by four graduates of Marshall University. Bradley, Nathan, Stephen, and Brian, each 2013 graduates of the university, responded to questions about personal goals, their experience with support programs, what they liked about campus, etc. But it is the final question I’d like to focus on for this essay.

College Students

What advice would you give the freshman “you,” if you could talk with your younger self prior to entering college?

Bradley reports he would advise himself to become familiar with, and stay current with, academic material in classes. Bradley suggests that academic success hinges on staying current with classroom assignments and learning.

Nathan says he recognized early the need to take time necessary to adjust to living on-campus. He says if given the opportunity, he would tell his younger self to “keep doing what you are doing,” and take a slow and steady pace that will lead to an effective adjustment.

Stephen would advise his freshman self to procrastinate less, and “start working on a capstone sooner,” rather than wait until the end of his senior year.

Brian states he would encourage his younger self to self-reflect on his educational path, and ensure it connects well with future professional goals. Brian recommends this self-reflection especially because financial and other resources may be limited while in college.

You can watch the rest of this series here:

Part 1

Part 2

by Marc Ellison

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Advice From College Students with Aspergers: Part 2

The best advice one can receive about effective support for college students diagnosed with ASD comes from, of course, students themselves. Kristopher Kirk graduated from Marshall University with a Bachelor of Science degree in Engineering (with an emphasis in Civil Engineering) in early December, 2014. At a university-sponsored Parent Weekend event, Kristopher – who has received supports from MU’s college support program during his four years at the school – provided these insights about his college experience.

Kristopher advises college students living on the spectrum: