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Early autism intervention in toddlers is effective

Hi guys, I read this on cnn.com this morning. It was one of the top story's... Researchers have shown for the first time that if a child is diagnosed with autism as early as 18 months of age, offering the toddler age-appropriate, effective therapy can lead to raised IQ levels and improved language skills and behavior. http://www.cnn.com/2009/HEALTH/conditions/11/30/autism.study/index.html


Smooth Transitions

http://ashisgift.blogspot.com/2011/02/smooth-transitions.html"><FONT color=#aa0033>Smooth Transitions





http://3.bp.blogspot.com/-QZ4H4hNAzw8/TV8oQz88U9I/AAAAAAAAAFQ/LBBVOnMFz9g/s1600/author+picture+100.jpg" imageanchor="1">http://3.bp.blogspot.com/-QZ4H4hNAzw8/TV8oQz88U9I/AAAAAAAAAFQ/LBBVOnMFz9g/s320/author+picture+100.jpg" width=251 height=320 j6="true">Autistic and Asperger's children often soar notches above strong-willed, can be highly argumentative, and just plain oppositional at times. There's also the mother of all undesired behavior, the meltdown.  In my experience, the meltdown is the ultimate communicator of "No!" or better yet, "I'm afraid!" or  "It hurts!"  Therapy and age will help mellow these reactions, but autistic toddlers have no other way to communicate with us.

Meltdowns are powerful, leaving grieved, distraught parents in their wake and when they rear their ugly heads, nothing can be done but to ride out the storm. Making sure toddlers don't hurt themselves is about the best thing that can be done. Well, except for being a very observant parent.  This can help predict when those storms are brewing and, unlike the weather, give you hints to prevent them in the first place.

Toddler autists can 'go, go, go' until they drop and be completely unaware of hunger or need of sleep. And, sometimes, out of the blue, his favorite video or beloved toy can all of a sudden cause meltdown. At our house, though, nothing seemed to cause meltdowns as often as 'transitions.'  Transitioning is moving from one activity to another, one location to another, intoducing a new plaything, or new level of play or another person. Anytime an autist is expected to stop an engaging activity or leave his comfort zone, you have the elements for meltdown.

One way to reduce those transitional meltdowns is by using a timer to warn the child of an upcoming transition.  Announcing a trip to the park, grocery store, doctor, or a visit from Grandma in 'x' amount of time while physically setting a timer will work well for some.  Tell him of your plans matter-of-factly and kindly, but not high with emotion. Your excitement to go to the park will not be shared by a toddler who is engrossed with the lineup of his dinosaurs.

Now, don't think that you're going to give this toddler a 10 minute warning and everything will be okay.  No, you have to work up to that. You can determine the warning time by the severity of the meltdown.  For example, if going to the grocery store irreversably obliterates your child's world, tell your child 2 hours in advance and set a timer.  Remind your child at 1 hour,  then every 20 minutes until those last 10 minutes. Count those down by each minute.

If there are multiple issues, take that into consideration.  For example, if your child hates to leave home, cannot tolerate clothing, has a fear of being without her favorite food, and cannot function without her stack of books, you'll need to address each trigger in your warning. Try laying out her clothes where she can see them, but don't dress her yet. Instead, explain to her that "in 2 hours, she is getting dressed  to go to the store."   Fill a baggie with her favorite snack and explain that you are taking that to the store also. Grab a backpack and tell her, "Before we go to the store, we will put your books in this bag and take it with us."  Never argue with your autist. Just state the facts sweetly but firmly and don't waver. If she gets upset, just ignore her ( as long as she is safe.)  Let her know you love her, but this is what the schedule is. This is the hard part of establishing a routine, but it will get easier. When the timer goes off, you and your child must absolutely walk out the door. Do the very same routine for every trip or transition that you need to make. It won't take long and she will show signs that the routine is very beneficial. She will gain a great sense of predictability and control in her life, even as a young toddler, and you will see those meltdowns decrease.

Don't forget, you use the timer to get to your destination and to get back home again. So, once you're at the park (for example), go ahead and announce that in 2 hours you will be leaving. Remind your child at the 1 hour mark and then every 10 to 20 minutes. At the designated time, you must absolutely leave.  Do not talk about it or argue about it, simply stick to the timer.  Be sure to do this at the grocery store too.  Announce that in one hour you'll be heading to the check out stand and count those minutes down as it gets closer.  You'll be amazed at how well this works when you stick to the routine.

If your toddler is 2, you will need to actually use the sound of a timer going off, if you have a 4 year old, you may be able to just voice the time. One thing that remains the same though, is that this takes planning, organization and will power.  If your parenting style is a whole lot more lax and your rules seem to get blown around in the wind, the timer method may not work so well for you.  But, it's not the only trick in the bag.

Another strategy is reading social stories to your child. Books about going places you go and what children do in those places help him know what to expect and how to act.  Reading social stories about holidays, doctor visits, going to the store and visits from family memebers can all be helpful.  Don't ever assume that because your child is non-verbal, that he cannot read or understand what is taking place.  Many autists and Asperger's children are bright way beyond their peers and can comprehend and understand things you didn't think possible.  It is not uncommon for them to be unusually early readers.  In fact, pictures, words, sentences and reading hours each day to your very young autist can have an immense impact and be most therapeutical. 

One last idea about transitions. If your child is really struggling, why not have a whole lot less transitioning?  One year, my husband had to do all our shopping because I could not get our autist to leave the house. Going anywhere was sheer misery for her. Clothes were unbearable, and being in the store was just too much for her little mind and body to take in.  So, she and I just stayed home that year. When our little girl emerged from her Winter, she was able to dress and go places once again.  We realized how much we had achieved by staying home that year when we had a wonderful, storm-free Summer.  It's not about forcing toddler or preschool autists to function in our world, many times we just need to hunker down in their world until they are ready to come out. 

Annie Eskeldson writes for families of young autists.  She started using a timer with a 4 hour warning because of many levels to hurricane force meltdowns. She is now able to breeze in and breeze out with 10 minute warnings.

Annie Eskeldson has 2 published childrens's books for families coping with autism.  Visit http://www.authorannie.com/"><FONT color=#aa0033>http://www.authorannie.com/</FONT></A>&nbsp; where Ashi tells our story of autism.


Potty Training

Potty Training



https://lh3.googleusercontent.com/-HVnL8_-1WSE/TXxYgnlAPYI/AAAAAAAAAFk/-Qe9Zud5XWM/s1600/ashli%253Dmeghan+040.jpg" imageanchor="1">https://lh3.googleusercontent.com/-HVnL8_-1WSE/TXxYgnlAPYI/AAAAAAAAAFk/-Qe9Zud5XWM/s320/ashli%253Dmeghan+040.jpg" width=320 height=240 q6="true">https://lh3.googleusercontent.com/-HVnL8_-1WSE/TXxYgnlAPYI/AAAAAAAAAFk/-Qe9Zud5XWM/s1600/ashli%253Dmeghan+040.jpg" imageanchor="1"> Potty training can make any parent want to melt down, but there are added frustrations for families with young autists. These kids refuse to potty-train for one reason or another.  Picking out their own underwear has no charm. Reward stickers are useless and they are not impressed by charts or earning special priveledges. Even Thomas the Tank Engine underwear can't win this battle! An autist will fight to the death for that diaper!

Some autists cannot tolerate certain material. Their skin feels irritated, itchy, crawly, painful and panties are only available in so many materials. Autists might like their pull-ups, but kids grow out of them. No matter what curve ball your autist is throwing, you need a plan to get your child potty-trained!  Here's some ideas that really helped our family.  Feel free to take, tweak, or toss, according to the needs of your autist!

Have logical expectations.  If your autist has medical issues that will prevent her from potty training, then you already know that you will be assisting in this area for a very long time. But you may be able to teach her how to change her own diaper or pull-up when she's a little older. Potty training will depend largely on the severity of autism and the child's function level.  But, take heart, sometimes this skill can be learned. It is a great confidence booster and gives everyone some freedom.

If you have an autist who can be potty-trained, that magical age of 2 will most likely be too young. Sometime between 3 and 4 might be better, even for high functioning autists. And, it is common for 5 and 6 year olds to still need help.  Just knowing this can eliminate alot of frustration.

If your potty-training issues are meltdowns,  then start potty-training armed with the idea that you are changing the routine.  The current routine is that your child uses a diaper. She is secure this way; so, she will not love the fabulous, new potty you bought her no matter how many bells and whistles it has. She will not think the princess underwear is to die for.  She wants her diaper. She wants you to change it. And, no she is not going to cooperate!

This is the time to announce that she is going to use the potty in 20 minutes. Tell her matter of factly and very kindly, but do not argue; and set your timer.  When the buzzer sounds, set her on the potty.

Be sure to have whatever it is that she loves on hand: dinosaurs, books, animals, even drawing paper or magna doodle. Allow her to play while sitting on the potty. You don't even have to put the potty in the bathroom.  We actually put ours in the living room!  Autists often hate bathrooms because of echo and are frightened by flushing.  If it's important to you that her potty be in the bathroom, then try making it her very own special place.  Have a basket with some books and toys, especially electronic toys. Put up pictures or posters of things she enjoys, or even a gold fish bowl that will capture her attention. Be in tune with her and think of things that you know she will enjoy. 

If  your child cries while on the potty, be sure to sit and comfort him. You can even hold and hug him, but make sure he remains on the potty. After several minutes, remove him, praise him for the wonderful job he's done, even if he just sat there. Even if he cried the whole time, praise him anyway. Let him know how proud you are. Dress him, and tell him he will sit on the potty again in 20 minutes and set your timer without discussing it further. Keep repeating this routine every 20 minutes until you finally 'catch' some potty. Then, you can change the time to every 45 minutes or how ever often your child goes.  I would stick with the 20 minutes at first so you don't miss out on that first big catch!

After several days, hopefully the meltdowns have decreased. She is still learning a new routine, so whatever you do, don't break the cycle. All you are doing is reassuring her that her sensory issues are being addressed. The key is consistancy.  If you work outside the home you may want to take a couple of weeks off so you can establish this routine. Any caregivers will have to be instructed to keep it up. This hard work will pay off immensely as your child ages, but you've got to put in the hard work first.

After several weeks or months, begin using underwear with the timer. Remember, he will still have accidents. When he does, just clean up as if nothing happened. Do not get angry or upset, he will only be confused.  Even months may pass and you will still be cleaning up accidents now and again. Try not to get frustrated.  You don't get told this alot, but this IS perfectly normal for all children. It is vital that you keep a positive attitude and move forward.

When you're having regular success at home, you may want to venture out. Try to limit yourself to going places where you can have a bathroom break every 45 minutes or so. Wal-mart has bathrooms and many parks have public restrooms. You won't have the timer in these places, so you will have to verbally tell your child that in 45 minutes it will be time for a 'potty break.'  Keep reminding him every 15 minutes so he knows to expect it.  Remember, though, public bathrooms can have a lot of echo, so know ahead of time how you will handle that.

Be prepared. Always bring at least one extra set of clothes. Don't forget wipees and an extra pair of socks and shoes.  It's not worth risking a string of success only to have it ruined while shopping or at a play date and washing out the car seat is time consuming.  If you are unable to guarantee the bathroom breaks, opt for the pull-up instead.  You can put the underwear back on when you get back home.

My suggestions for families with an autist who is extremely sensitive to underwear material are very limited. Obviously an internet search may help and no doubt, you've already tried this. You might consider making your own underwear out of material your child does like, or perhaps a family member or friend who is good at sewing could do this. For boys, you could  try boxer shorts.

Don't forget about social stories. These can go along way for autists. Reading stories about potty-training and about children using the potty is helpful. Start reading them long before you plan to potty train - even a year before.  You may save yourself a lot of grief later on by using this one tip.

You might want to wait until your child is toileting fairly independently before tackling the night. Or, you can always set an alarm and wake your child up half-way through the night. I would let his sleeping patterns help you decide. Our daughter didn't sleep much anyway during those early years, so I could just keep up the routine. But, now that she can sleep 8 or 9 hours at night, I have to wake her up to go to the bathroom or use a pullup.  Restricing liquids and hitting the bathroom before bedtime definitely goes hand in hand with dry mornings.


https://lh3.googleusercontent.com/-NviiP3NmsgM/TXxZi2qHJgI/AAAAAAAAAFo/bacFfTwUUFA/s1600/ashi%2527s+special+place.JPG" imageanchor="1">https://lh3.googleusercontent.com/-NviiP3NmsgM/TXxZi2qHJgI/AAAAAAAAAFo/bacFfTwUUFA/s320/ashi%2527s+special+place.JPG" width=320 height=240 q6="true">Lastly,  I do know how painful this issue can be.Our friends have children who are using the bathroom independently while our own struggle.  It can feel like our parenting skills aren't very good.  Friends or family who try to help are actually hurtful because they don't understand autism. Protect yourself and most importantly your autist. Follow your gut intuition. If your child doesn't start potty training until the age of 4 or later, so be it.  No one will care when he's 10. It is hard with special needs children because we spend at least 3 times longer potty training our children than parents of typical children. But, keep up the routine, keep up the fight and the good attitude.  Partner with your child, and one day, he will walk up to you and let you know, without any timers, that, "Mommy, I have to go to the bathroom!" 

Annie Eskeldson writes for families of very young autists. Her autist forced her to put every package of panties back on the shelf at the store and also refused to pick out her own.  She was the grandest lover of the diaper and the biggest hater of the potty chair. Finally, at age 7, Ashi is able to do all things 'potty' by herself.  Annie credits the timer on the stove for their success.

Annie Eskeldson has 2 published children's books for families coping with autism.

In Ashi's Gift, young autist, Ashi, talks about her odd behaviors and the often frustrated feelings of her Mother.  Together they discover autism is a gift and they are a gift to each other.  In Ashi: In a Class all by Myself, Ashi is old enough for school and oh! how she hates it! Find out how Ashi goes from hating school to loving it with Mommy's determination and the help of some furry friends.  Great for homeschoolers too!
Visit Ashi's Gift Website at http://www.authorannie.com/"><FONT color=#aa0033>http://www.authorannie.com/</FONT></A>