meltdown

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:Continue Reading

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

If you are a High Functioning Autistic (HFA), the odds are troublingly high that you also suffer from some form of depression. As someone who suffers from depression myself, I’ve spent a great deal of time thinking about how to find happiness when you struggle with the burdens of having an autistic brain. One possibility for the prevalence of depression in autistic brains is that HFAs, for reasons distinct to their neurological condition, are innately more likely to feel depressed.

My sense, though, is that we tend to be depressed because life is difficult for us in ways that are somewhat different from the experiences of the Neurologically Typical (a satirical term for non-HFAs). As such, any discussion of why HFAs tend to be depressed must be approached as a social justice issue, with a clear statement of ethical axioms that, if followed, would help HFAs and non-HFAs alike.Continue Reading

narrative

Although sensory differences are very real and must be recognized as such, narratives can help to deal with these differences. For instance, there was a high school student that was having significant difficulty with the hallway transition from class to class. Not only was there the loud bell that signals the transition, but then it was followed by a crowded hallway and noisy teenagers talking in groups.

narrative

 

One way to address this might be to allow an early release from class to avoid much of this hallway chaos. Another option is to provide a narrative that helps deal with this difficult transition.

The following is an example of such a narrative:

Passing Period at High School

My name is ___________. I am a student at _________ High School.

In High School, there are different periods. A bell rings at the end of each period.

When the bell rings, the students walk in the hall to go to their next class.

Sometimes, the students make a lot of noise as they walk down the hallway. This might hurt my ears.

That is O.K. The passing period lasts only for a few minutes. Soon, the halls will be quiet again.

I remember that I can just wear my headphones & listen to music during the passing period.

Then, I will get to walk to my next class where it is nice and quiet.

I can do this!

Staff noticed that the student would repeat the story to himself while walking down the hall. A narrative can validate feelings, provide a solution and even offer comfort during a stressful time.

The following is another example of a narrative addressing sensory issues. This time, the narrative was written for a student that wanted to hug her classmates frequently and deeply to get that deep pressure feeling.

Continue Reading

social skills, aspergers, personal space

Q: Could you go into detail on other types of relationships (friends, co-workers, acquaintances, etc.) that you have had? Do you have a specific example of a misstep? Or situation that you were able to handle because of something you had been taught?

social skills, aspergers, personal space

A: Years ago, I was asked to help lead songs for a college-age Bible study (I was 30). Eventually, some of the women in the group went to the leader and told him they were uncomfortable with the way I looked at them. I was asked not to come back. I was in complete shock, and kept trying to figure out where I went wrong.

A little over a year later, I overheard a co-worker make a similar complaint about me (she was on her phone and didn’t realize how loud she was).

It was then that I realized I did indeed have a problem with staring, and didn’t even know when I was doing it.

I worked with a counselor who taught me techniques on giving people space, and how to give people a break from my eye contact. He taught me things about body language that I had never thought of before. I put these learned techniques into practice in subsequent social situations.

I learned to closely monitor how long I looked at someone, and how much personal space I was giving them. These things were extremely beneficial to my interaction with others, and I’m sure made others more comfortable around me.

There’s no comparison. I used to compare myself to everyone around me, and they always came out better. Is the grass really greener?

by Ken Kellam

For much of my life, I have had a hard time understanding not only the non-verbal communication of others, but how my own non-verbal communication affected others. Sometimes, if I was irritated at someone, I would simply keep my mouth shut, the rationale being “They can’t hold me accountable for something I didn’t say.”

What I failed to realize was that sometimes silence speaks louder than anything you could say, or that you could say one thing, but your facial expressions, actions, and certainly body language tell the real story.Continue Reading

College Students

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

My son absolutely loves letters, shapes, numbers, and colors. He can do different activities, but spends majority of his day focusing on the things that he loves most. He loves them because he understands them and they are always constant. A q is always a q, and b always comes after a. One plus one always equals two, and a triangle will always have three sides. Or in his case, his favorite shape, a dodecahedron, will always have twenty sides. A dodecawhat? Just trust me and stay with me here.

My son spends most of his day studying these things and lining them up. In fact, he lines everything up. I often even know he was in a room because of the telltale evidence he leaves behind. For example, the other day I knew he went into my bathroom because when I went in there, there was a line of tampons on the floor organized by color. He doesn’t have all the order that he needs in life so he creates it, and I’m pretty sure he would do this all day long if I would let him. Of course the one exception is that he likes the couch throw pillows on the floor and I like them lined up on the couch. Can’t figure that one out!

Happy family on meadow at summer sunset

The point is that every day I feel like we often do the same things, over and over. I often even hear the same phrases and words over and over again. For me, this is the norm, and I am happy to live it, but sometimes I can’t help but feel like his life and mine are stuck on skip.

Like a record that just can’t get over that scratch, or for any youngsters out there, a DVD that is skipping back to the same part. Or for even younger folks, buying a movie on apple tv that won’t play through. Isn’t it amazing that no matter how far we advance as a society, our issues are still the same?

Anyway, every day is similar and it is a good thing in our house when we find something new to line up or perhaps even change the pattern, because that is change! In fact, my son is so creative in creating new patterns that when family was recently over we all felt like we were doing mind puzzles trying to find his reason and new pattern choice. I see it like he is leaving mini works of art all throughout the home. If you could see some of his more intricate letter designs I doubt you would describe it any other way. I often call him a letterologist  or letter ninja if there were such a thing.  Continue Reading

Remember in our previous blog on taste differences that smell makes up a large part of our sense of taste. Therefore, an individual with an Autism Spectrum Disorder might have an extremely fine sense of smell, which can be enough to make them avoid certain foods or even lose their appetite. So, there might be overlap in this very complicated topic of sensory differences as they co-exist in each person.

“Our sense of smell is so deeply ingrained in our psychology that many times we don’t even realize how scents are affecting what we do and how we think. Smell, more so than any other sense, is also intimately linked to the parts of the brain that process emotion and associative learning. Meaning that our sense of smell influences our feelings and perceptions neurologically. Our brains are hardwired to perceive certain smells and have an emotional reaction to those smells.”

Excerpt from: http://science.howstuffworks.com/life/human-biology/smell.htm

Smell might be a hidden source of discomfort and even anxiety for some persons with ASD. “Hidden” in that a neuro-typical individual might not perceive a particular smell that registers heavily for the person with ASD.

I am reminded of a few instances where smell was a critical factor in the daily happenings of certain individuals with an ASD.

One young man with limited verbal capabilities would protest behaviorally when it was time to go to the restroom. Mind you, this was a boy’s restroom at a high school. After some careful analysis and problem solving, the staff decided to try changing the restroom from the boy’s restroom to the teacher’s restroom.Continue Reading

I say diverse abilities because one thing that I have learned from working and playing with children and adults with developmental disabilities is that they understand more than neuro-typical children and adults do.

Five young friends jumping outdoors smiling

You may understand if you’ve ever heard the phrase “Dance like no one is watching.” and if you crave the freedom and joy that behaving that way can bring. They live their lives like no one is watching. They may not even have the ability to sensor their thoughts. This really brings a sense of freedom and joy that no one else (I know) can truly understand.

It is the rest of the world who has a problem with what a child like this does and says.  If society could be “okay” with this, than they could be “okay” with truly BEING authentic with who they are. These “children” taught me so much about being authentic and not worrying about what other people see or think. It was years later, when I became a mother again, that I realized just how much they taught me.

**This blog is a continuation from a previous post by Katherine Goodsell, you can find it here.

Continue Reading

Many diseases during our lifetime have been, if not eradicated completely, at least greatly minimized. These include smallpox and polio, among others. But will there ever be a cure for Asperger Syndrome? For that matter, does there need to be?

school icons on the blackboard

Remember that A.S. isn’t a defect so much as a difference: That is, the Aspy brain is wired somewhat differently than that of the so-called “neurotypical.”

While those differences do cause problems in a neuro-typical world at times, they can also be very beneficial if channeled and directed properly. For example, Einstein probably had A.S., but in spite of, or perhaps because of that, he went on to fill his resume with accomplishments that would give anyone cause for envy. Would you say he needs to be “cured”?
Continue Reading

Lessons Learned From the Kids with Diverse Abilities:

I say diverse abilities because one thing that I have learned from working and playing with children and adults with developmental disabilities is that they understand more than neuro-typical children and adults do. You may understand if you’ve ever heard the phrase “Dance like no one is watching,” and if you crave the freedom and joy that behaving that way can bring.

Silhouette, group of happy children playing on meadow, sunset, summertime

They live their lives like no one is watching. They may not even have the ability to sensor their thoughts. This really brings a sense of freedom and joy that no one else (I know) can truly understand. It is the rest of the world who has a problem with what a child like this does and says. If society could be “okay” with this, than they could be “okay” with truly BEING authentic with who they are. These children taught me so much about being authentic and not worrying about what other people see or think. It was years later, when I became a mother again, that I realized just how much they taught me.Continue Reading