Showing posts with label Behavior Challenges. Show all posts
Showing posts with label Behavior Challenges. Show all posts

Riddle Me This- When is it Okay to be Happy Your Son is So Sad he's Crying Hysterically?

When is a mom happy that her son is crying? When her son has autism and he's crying because he knows she's mad at him! It's the best. J 

Who would have ever imagined that I would be watching my son crying deeply sad, almost hysterical sobs and inside I would be saying "Yahoo!!".  

I am so happy. This was a big moment because so many things happened that are an everyday event for neuro typical kids, but not for kids like Nick with autism who lack basic social emotional connections. This is a critical moment because we have been working on helping Nick recognize, understand and hopefully care about the emotions of others for 14 years! It's compassion and empathy that connect human beings and it's where the line is drawn between most of us and dangerous sociopaths. So this event combines critical break through's that keep us from hurting one another. First break through; he knew he had broken the rules and that was a bad thing.  Second, he knew I was angry and he knew he caused it.  Third, and the biggest one of all, he cared that I was upset! He cared how I felt, so much so he broke down in tears. 

I'm sitting here thinking back to the hundreds of times I've faked situations to get a compassionate response and he was totally unresponsive.  I remember throwing myself on the ground in our driveway pretending to be hurt, just to have him walk over me and go in the house. I've pretended to be drowning, having a heart attack or saddened by his actions to get little more than a glance, or he would say "Sad" and walk away. His were observations, not connections and not compassion. Don't get me wrong. If Nick knew he did something wrong based on your response, he could adjust his behavior, but there is a difference between a behavior response, and empathy. 

Until this moment, he's never responded in a way that showed this depth of both empathy and understanding.  Until now, we had no idea that it hurt him to have us angry with him -  not because he would not earn something but - because he cares what we think of him and how we feel.  

Half of All Autistic Kids Will Run Away

This post is not for parents of kids with autism, it's for everyone else! This article paints a clear picture about "eloping" or "wandering" and our kids. Please consider forwarding or re-posting in our effort to create a community safety net for our kids through education.   

Our kids don't have to be a statistic. 
Half of All Autistic Kids Will Run Away, Tragedy Often Follows

way from home before their 17th birthday. Many of them die, often by drowning.
Within hours one day in April, two children went missing hundreds of miles apart from each other.
On the surface they appear to have little in common.
Angelo Messineo is a 16-year-old from Georgia. He was found alive on a horse farm four days after he disappeared from school on April 16. Alyvia Navarro, 3, of Wareham, Mass., was pronounced dead hours after she was reported missing, drowned in a pond near her grandmother's home, on the same day.
They are just two of the thousands of children who went missing last month.
But Angelo and Alyvia have one thing in common, and it's a trait shared with at least one child who goes missing every day in America. They are autistic.
Nearly half of all children with autism will run away and potentially go missing at least once before their 17th birthday, according to a study by the American Academy of Pediatrics. Of those who run away, what clinicians call "eloping," many will be found dead.

The numbers alone present a challenge for law enforcement authorities, who regularly rank searches for missing children among the most difficult work they do.
But finding children with autism -- who shirk when their names are called out, who run away at the sound of police sirens, who are afraid of the dogs sent to find them, and who naturally are comforted by burrowing and hiding -- makes a hard job even harder, investigators say.
One in 50 children is diagnosed annually with autism, a spectrum of neurodevelopment disorders marked by problems with social interaction and communication, according to data from the Centers for Disease Control and Prevention in Atlanta. As the number of children who are diagnosed increases, so too does the number of kids who run off, leaving rescuers to learn quickly how best to handle a unique set of challenges.
The stories of Angelo and Alyvia, and dozens of children like them, present two sides of a phenomenon still not entirely understood.
On the one hand, autistic children are more likely to run away than unaffected children. When they do runaway, they are more likely to die than unaffected children. And more often than not, 91 percent of the time, those deaths are a result of drowning. But what is so perplexing to researchers and rescuers are the stories like Angelo's. Stories of almost super-human rates of survival for young children with developmental disabilities, who manage to stay alive for days often in the wilderness and against staggering odds.
"It's a mystery," said Robert G. Lowery Jr. of the National Center for Missing & Exploited Children. "Time and again, we see cases where autistic children live longer and survive in harsher settings than unaffected children. We don't really know why. It might be that these children with autism have a diminished sense of fear, but it's astonishing."
Stories like Alyvia's are also all too common.
The 3-year-old girl was there, at her grandmother's side at their home at the Lakeside Trailer Park in Wareham, Mass., and a moment later she was gone. Twenty-five minutes later, her grandmother Valerie Navarro called the police. Police, fire, EMS, K-9 units and the nearby harbormaster began a search for the girl, who was discovered an hour later, according to Wareham police.
A patrol found the girl in a pond near her grandmother's home, and she was evacuated via helicopter to a hospital in Boston where she was later pronounced dead.
Girls More Likely to Die
Calls to Alyvia's grandmother Valerie Navarro were not returned.
Boys are four times more likely to be diagnosed with autism, but girls, like Alyvia, are twice more likely than boys to die after an elopement, according to Lori McIlwain, executive director of the National Autism Association, which tracks eloping incidents and deaths.
In 2012, 195 autistic children went missing, according to the autism association, which only tracks those incidents reported by the media.
Between 2009 and 2011, 91 percent of autistic children younger than 14 died in drowning incidents after elopements. More than two-thirds of those deaths occurred in small natural bodies of water like creeks, lakes, rivers and ponds.
"Oftentimes, children who go missing are low or nonverbal," McIlwain said. "But they know where a pond is. They see it from the car going to and from school every day, but they can't tell mom or dad that they want go to the pond and play. They think about it and when they have the chance, they bolt."
It's a story all too familiar to Beth Martin, a single mother with three kids, whose 7-year-old daughter Savannah drowned in a pond near her Lawton, Okla., home in 2011.
"My daughter loved Ramen noodles," Martin said, remembering the Sunday morning that her daughter died. "I knew I had exactly four minutes. Typically, she would stare for four minutes, watching the noodles cook. I popped my head outside to tell my oldest, who's 11, to watch my youngest, who's 2, because I was going to run to the bathroom. I thought it was safe to go to bathroom."
'I Couldn't Get Them Both Out of the Water'
Before the noodles finished cooking, Savannah and her younger brother were gone.
"They both were missing," Martin said. "I asked the oldest where they went, but he didn't know. I panicked and looked all over the house and yard. I kept calling their names. I ran to the highway and then to our neighbors to ask if they had seen them. I asked my son to wait by the house and he came running to say he could hear them screaming."
By the time Martin made it to the half-filled pond on the edge of her property, Savannah was under the water. Her younger brother, who had been wearing a padded bicycle helmet, was kept barely afloat by its buoyancy.
"I couldn't get them both out of the water. … I started to panic and the neighbor jumped in to pull them out," Martin remembered. "I just collapsed after that."
Martin was a conscientious mother. When Savannah was born, doctors told her that her daughter would never talk or say, "I love you, mommy." Martin worked with her religiously, and the girl had begun talking. She even knew the lyrics to her favorite Taylor Swift songs.
She had enrolled Savannah in kindergarten, registered her for swim lessons, was looking to install alarms in case she ever ran off, and made a point to teach her daughter the boundaries on the property.
"I thought I had spoken with all kinds of experts about raising a child with Savannah's needs. But I was never told about wandering or about the likelihood of drowning. No expert ever told me that," Martin said.
In that way, Martin is like the majority of parents raising children with autism.
Sixty percent of parents are unaware of the likelihood that their child will elope or the subsequent risks of death, according to a survey by the National Autism Association.
The National Center for Missing & Exploited Children works with law enforcement agencies across the country to train cops on how best to search for children with autism.
Deaths Are Quick and Quiet
"We make recommendations to law enforcement about things they should be doing immediately," said Lee Manning, a former Massachusetts state trooper and now a consultant for the National Center for Missing & Exploited Children.
"[Police] have to respond very seriously and not waste any time. One of the things we strongly recommend is to get first responders, even neighbors, dispatched to local bodies of water right away," said Manning a member of Team Adam, a nationwide rapid response team of retired cops that helps law enforcement on the most difficult missing children cases.
Tragedies like the deaths of Savannah and Alyvia rarely make the front pages of newspapers or the morning television programs.
Their deaths are quick and quiet. But there is another class of autistic elopers who beat the odds with such astonishing results that law enforcement officials and rescuers are studying them to learn how best to search for runaways in the future.
On the same day Alyvia went missing, so did Angelo Messineo.
Angelo is a 16-year-old boy with a severe form of autism. A ward of the state, he is nonverbal and prone to violent outbursts. He "bolted from school after some sort of incident" in Lithonia, Ga., according to investigators.
Police scoured the woods of DeKalb County, Ga., for four days with few clues. Angelo was found April 20 on a horse farm 14 miles from where he was last seen. He was identified by police after an altercation with other teenagers.
He was taken to a nearby hospital and treated for dehydration.
Calls for comment to the DeKalb County School District were referred to the National Center for Missing & Exploited Children.
'They Tend to Burrow Down and Hide'
Unaffected children tend to panic, they walk in loops, they take dangerous risks in an attempt to save themselves, but children with autism tend to "have a diminished sense of fear," Lowery of the National Center for Missing & Exploited Children said. "There's a different search criteria for children with autism. They tend to burrow down and hide. We don't know if it's because they fear searchers or if it's a kind of game. They seem to realize the peril they're in," he added
Two of the largest missing children searches in recent years involved kids with autism.
In 2010, 11-year-old Nadia Bloom was found by a volunteer after spending four days in an alligator-infested swamp in Florida. She was dehydrated and covered in insect bites.
In 2011, the largest manhunt in Virginia history took place more than six days as volunteers and rescuers scoured a dense forest looking for 8-year-old Robert Wood Jr., who ran off while visiting a state Civil War park with his father.
Robert was found alive by a volunteer, who has remained anonymous even to the boy's family, in a quarry about a mile from where he went missing. When he was found, he was in a fetal ball and burrowed in the dirt.
The search for Robert has become an important model for rescuers who conduct searches for children with autism.
"We knew never to take him where there was a pond," his grandmother Norma Williams said. "Like many autistic children, Robert is fearless. He doesn't feel pain. He doesn't fear heights. He doesn't fear water, but he can't swim. He'll jump off just about anything."
Many of the things that attract autistic children, often to their demise, were in the park trails that connected to rivers, roads and railroad tracks.
For five nights, Williams camped outside the park in her truck praying and waiting for news of Robert.
"I dropped to my knees when they told me he was alive and an investigator helped to get me back up. I couldn't stop crying," she said. "Robert's feet were so swollen, his shoes were stuck in mud, he had curled up in a ravine when the temperature dropped and it began to rain."
Since his rescue, Robert's family has allowed the local sheriff to outfit him with a radio anklet similar to those given to prisoners on house arrest, so he can be tracked if he runs away in the future.
"People have to understand autistic children aren't like other children," Williams said. "They're special. They run when they want and do what they want. And just because they can't speak doesn't mean they're not thinking things.
"If you went to those woods, you'd see they're so dense the light doesn't come through. There's coyotes and snakes and spiders.
"How did he survive? How do they survive? If you don't believe in God, come see Robert."



Keeping Our Kids Safe on the Streets




We Can't Master Street Safety!  

Teaching Nick street safety has been one of the hardest skills to teach yet!  His lack of understanding danger, his short attention span and how easily he is distracted or just in his head all combine to make teaching safety a nightmare for us. We've done all kinds of things to teach street safety; from playing Red Light Green Light and having his sister smash into him when he moved on a red light, to walking intersections over and over.  Now we are back to trying to reach via Video (since video's are Nicks favorite thing(. 

We made our own videos so he could hear and see things he is familiar with. I posted them online. Maybe they will work for you, or serve as a  guide to follow.   

Now we have expanded to other online resources...



If you have any tips on what has worked for your family, please post them in comments!

Education: Solution for Kids with C's, D's and F's

Business Insider Video
Arianna Huffington is a strong advocate of 
a good night's sleep.
Sleep has always been a challenge for Nick. So much 
so that we have a routine, which includes this 15 year 
old going to bed by 8:30. This is to insure he gets 
enough sleep, putting him in a category where he wins

over most teens. Wish I could have gotten my daughter
to sleep as much.  Oh, well don't expect sleep will 
improve his grades but it sure improves his behavior!  
And there's an added benefit, when he sleeps I sleep 
and I'm positive it improves my behavior! I remember
reading studies that determined the school schedules we
currently have for teens are unhealthy and set them up 
to fail, and this story seems to support that theory. 



Healthy sleeping habits are linked to better grades.


Turns out that all-nighter probably isn't worth your time. The cost of sleep deprivation is greater than the knowledge you might gain from studying.
Research shows that the less high school students sleep, the worse they tend to perform in class and on assessments. According to one study, students who receive C's, D's, and F's in school get on average 25 fewer minutes of sleep than A- and B-students.

Puberty Part III - Managing Masturbation "Go Squish In Your Room" Is Working!!!

"Go Squish In Your Room" Is Working!!!  

Continuing on the topic of puberty, specifically as it relates to my son and his private parts; I'm happy to report that our strategy to contain a certain behavior to a designated place is working!  If you've not faced the upset of inappropriate behavior in public with your kids, this may not seem like a big deal, and I get it. However this has not been the case for me. This aspect of puberty has been very upsetting for me and my family and finding a solution feels like a giant victory. We not just solved the problem of this moment, we've created a self management skill that will help to keep him safe for a lifetime. 

This is the plan we put into place after deciding the school bathroom was not where Nick could respond to his hormone driven urges :).

Operation SQUISH

Step one: Give the behavior a name.
We named it "Squishing" because pillows tend to be involved.

Step two: Create a safe and acceptable place for "Squishing", all the while treating Nick with respect.
We choose his bedroom, with the door closed.

Step three:  Introduce the term.
In our case Nick was open for touching his privates anytime and anyplace. So teaching him the name for it was easy. Every time he began the behavior we named it, by saying "No Squishing" if we were out of the house or "If you want to Squish, go to your room" if we were at home.

Step four:  Implement the Rule.
The rule is "Squishing in your room only with the door closed". As soon as we knew Nick understood the rule, we began by prompting him whenever we saw him begin the behavior "If you need to Squish please go to your room".

Step four: Drop the Prompt.
Three weeks after introducing it Nick began asking to go to his room. We didn't instantly know it was because he wanted to go Squish, but we figured it out pretty quick. He was implementing the rule on his own, and we were able to drop the prompt.

Now with an occasional reminder and he's totally self managing!!! Yippee.

Good luck moms and dads!

FYI...Mom's don't look up Managing Masturbation in Google as a way to get more info! You'll find out really fast the shocking power of the internet. Stick with terms like Special Needs and Sexual Education. :)


Expanding Food Choices Can Work: Nick from Nuggets to Octopus!

Nick's Food Life

0 to 12 months - Nick could not properly digest any food. Everything he ate from breast-milk to formula to soy upset his stomach and had him in severe pain. He cried day and night, so much so he got a herniated belly button!

13 months to 3 years old - Everything Nick ate made him sick and he suffered from chronic diarrhea for 2 years.



4 to 8 years old - I was so happy he was eating and not sick, it was easy to live with the limitation of a diet consisting mostly of potatoes and chicken in every form imaginable. He loved chicken, he became obsessed with it.  I knew we had a problem on our hands after I nearly crashed the car when we drove by a McDonald's. Nick unbuckled his seat belt, leaped onto me from the back seat screaming "McDonalds" and demanding I get him McNuggets!



8 to 12 years old - We began working to vary his diet, against his will. He wanted chicken tenders or nuggets and fries so much he threw a massive tantrum and began banging his head against a restaurant wall when his food choices were not on the menu.  We knew things had to change. Slowly and  consistently we began adding more foods, implementing the "first this, than that" rule. Adding one food at a time, was a process that made it easy for us to learn what he liked, while keeping an eye out for allergic reactions.



Today - This slow and steady process has paid off. Nick eats bags of veggies, salads and just about anything. Last month he nibbled frog legs and wanted more! He requested roasted duck for Christmas, and last week he asked if he could eat octopus! I agreed, took him to a sushi restaurant, ordered it and he loved it, suction cups and all!!!

Thanks to ABA and alot of patience we've gone from nothing to everything...amazing!

PS: He loves animals and read animal books all the time I think he plan might be to eat everything in the book. This could bring new challenges, LOL. I'll let you know.

Bullying Causes Significant Short-Term Emotional And Physical Consequences For Children With Autism

Combating Bullying

A New Study from the IAN Finds Bullying Causes Significant Short-Term Emotional And Physical Consequences For Children With Autism
This is no surprise, its just confirmation. The study confirmed what everyone knows, that children with autism spectrum disorders (ASDs) are especially vulnerable to bullying. I remember how kids bullied special needs kids when I was in school and it was ugly then, just as it is now. I hated seeing it and never imagined that my child would be a target of such ugliness. That being said, there are many reasons why I have worked to keep my son included in a public school vs electing for a non-public school, not the very least of which is my commitment to teaching my son how to exist in the general population, and giving the general population an opportunity to be freed from their fear of the unknown by getting personally acquainted with one of the 1 in 55 boys who have autism.
 In our case Nick, to the best of my knowledge has only been directly bullied twice. One resulted in a bloody nose, but it was worth it because he wasn't badly hurt and we got to watch the kids in his general education class powerfully stand-up for him! His participation in general education make him a part of the community where some kids grew to like him and appreciate him for him. But I know all of our kids are not having such a good outcome, and for that matter it's not going so great for Nick in high school.  I have few solutions, however I just learned that the The Interactive Autism Network (IAN) released initial results of a national survey on the bullying experiences of children on the autism spectrum. The study found that a total of 63% of 1,167 children with ASD, ages 6 to 15, had been bullied at some point in their lives. In other words, children with ASD are bullied at a very high rate. If that’s not upsetting enough, the report stated that they are also often intentionally “triggered” into meltdowns or aggressive outbursts by ill-intentioned peers. To me this is torture of another human being and our schools need to take a strong stand, every time, and so do we!! We all need to know our kids rights so we can make a difference. Here’s a link to the Special Needs Anti-Bullying Toolkit which includes the Top Ten Facts Parents, Educators and Students Need to Know.  specialneeds.thebullyproject.com It’s well worth the click, it's like a step by step guide on what to do, and how to do it. Thanks IAN.
Bullying Causes Significant Short-Term Emotional And Physical Consequences For Children With Autism
I found additional  information on the Autism Speaks Website and you can Click here to read the IAN report. 

Puberty: Boundaries & Impulse Control; From Boy to Man...Seems the Greatest Challenges Lie Ahead

Baby things are
irresistible to Nick!
"After years of therapy and programs it comes down to this for Nick; boundaries and impulse control. These are the two most important things for him to master now, or everything else community goes off the table."


I was in Costco pushing my cart through check out when Nick walked away. I looked up to see where he was, and my eyes went right to a mom clutching her baby protectively to her chest. Her frightened eyes were fixed  on Nick saying "Who are you?! Don't touch my baby!" My first instinct was to protect my baby, and give that mom a piece of my mind and perform an on the spot sensitivity training. Topped off by letting her know what a small person she was for not understanding that Nick was my baby, a vulnerable harmless kid with a disability and not the threat she was envisioning!!

Then it hit me, I know that look. It's the protective mom look we all have that isn't' conscious, it is pure instinct. Every mom's had that look. In that instant my heart and mind shifted, and it only took seconds for me to look around and piece together what was "really" happening.  Her baby was dressed as one of Nicks favorite things, Winnie the Pooh. Nick no doubt had rushed up on her cart, excited to see Pooh, and the mom didn't see a special needs kid, she saw a grown man rushing up to her baby and she was truly frightened.  I related to the frightened look on mom's face. I'd seen it before on my own face so many times. I remember how protective of my babies I was (and still am) and there's nothing rational about it. We feel a threat and we react.

Seems I've mellowed or grown up a bit, because the feeling inside me to puff up my chest and go toe to toe with the mom subsided as quickly as it flared up. Gone was my desire to make her see my point of view, have her apologize for thinking my kid was a threat, and my need to make her out to be an ignorant person who was mean to a special boy evil eye wasn't totally gone, but it was brief.  I took a deep breath and saw her side. I understood. Her reaction was perfect. The challenge, the responsibility was mine, not hers.

The transformation of my son from being a boy, to being a man is so fast I can't keep up. I don't' know about anyone else, but no matter how prepared I try to be, I'm still being caught off guard. Nick may be my baby, but in the eyes of the world, standing at 5'7" 175 lbs he is a man. And today he was a man who just ran up on a baby, and that's frightening. As much as he's my child this is not the time to be naïve and being right is not going to be very useful. No matter my personal views I have to protect him by facing the facts; no matter how special, adorable, good, kindhearted he is, he is also a man who has not yet learned boundaries and impulse control and that can get him in terrible trouble.

After years of therapy and programs it comes down to this for Nick; boundaries and impulse control. I've been talking about it for a while as I've watched Nick's progress and growth. These are the two most important things for him to master now, or everything else community goes off the table. If I knew 10 years ago how long these skills took to teach, to generalize, I would have made it a priority sooner. But, then again we've always been focusing on what seemed to be the priority at the time.

So last night I prayed.....
God help us and protect him.
Keep Nick safe in a world where he doesn't understand the rules.
Help me to be the best mom I can be.
Help me to teach him all he needs to know.
Help others to have kind hearts.
Keep him safe, please.



Puberty: Time Out for Touching??!!!

Alert to moms raising teen boys, here’s a candid tidbit about puberty.  I just learned something, and just in case I’m the only one who didn't know, please don’t laugh too loud!  In my own defense I’m a single mom, who was raised by a single mom. I have no brothers and we didn't have family gatherings complete with lots of boys and girls so I confess I've got information gaps. 


My son is 15 and he has become very aware, if not enamored with his private parts. He rubs up against people, pushes pillows or stuffed toys into his groin, and has no problem putting his hands there anytime anywhere. Last week we were in a restaurant, he went at it, and I mixed one part humor with one part frustration and said “If you don’t stop it, I’m going with the "You’ll go blind line”. YES, I did go there. Not to worry, he was too preoccupied to hear me, but his sister laughed, defended him and then tapped him in the arm to make him stop. 

Yesterday we had a team meeting with Nick's behavior support team and puberty was a key topic. When some of the team determined that Nick should be able to take breaks and go to the bathroom upon request, I freaked out! I’m thinking OH NO YOU DON"T!  All I could think - as a mom - was, I do not want him being encouraged to participate in what they were so politely calling “release” behavior at school, or anywhere besides his own room or bathroom. This is private, and should not be encouraged in any public setting, even a bathroom stall. I was freaking out, my mind raced with stories of our kids and obsessions with pornography  and scenarios where he would be "releasing" and someone would walk in, call him a pervert and he would get hauled off to lord knows where. And what are we encouraging - I want him to learn control not permission!!!

But when I voiced my opinion and my concern that we were encouraging behavior that I thought could get him in trouble, and send the wrong message; the men in the meeting looked at me like I was crazy. They were not happy!  They said I was dead wrong.  I thought I was making perfect sense, and I fought back. This began a detailed dialog full of tings I never knew, most enlightening was it seems boys at this age get aroused all the time and no sexual stimuli is required. I thought girls and other exciting things caused the erections, but I've been corrected it’s not just about girls, women or sex stuff. Rather their bodies go on a kind of auto pilot, and erections happen anytime and anywhere. Seems this is the age with it really has a mind of its own.  So the guys consider it a non-sexual body function at this age. They said they have to release it, and if they don’t bad things happen. They said in my guys case if we don’t let him, or create an opportunity for him to, he will just get frustrated and agitated and in time instead of getting  the result we are looking for which is control, or his ability to control himself  we will get a kid who’s frustrated which could result in all kinds of increased negative behaviors.  So we let's the men lead on this one. However, I will be shifting the focus of his program to impulse control!   Here’s the plan we implemented after this heated debate:

Puberty:
The team has discussed appropriate times of the day and appropriate places for  NJ to have his own time or private time.  The team agreed to be consistent with using appropriate language with NJ by stating private time or I need my own time.  The team agreed to redirect NJ to his bedroom and to use the top bed of his bunk bed for his own time.  The team agreed to give NJ 10-15 minutes before he is given a transition signal to get ready to begin his homework and chores.  The team agreed to give NJ his space and to NOT enter his bedroom.  The team agreed to give verbal prompts or transition signals outside of NJ’s bedroom by standing in the hallway. 


At school, NJ will be given time to use the restroom and will be given extra time if he has a bowel movement.  The team will redirect NJ to use his own time at home and not at school.  The team is also working with NJ on keeping his hands to himself and to keep an appropriate distance with others, especially women.  The team agreed to have a zero tolerance for this at school and in the home setting.  NJ will be redirected to step away and will be given time to himself to think about his choices.  The BII will redirect NJ to explain what happened and if it was an appropriate choice or not.  He will then be asked to explain why.  NJ will not earn free choice at the end of the day for grabbing or pulling himself into others while he is at school or in the community. 

Autism, Epilepsy & Mood Stabilization Medications - Connections We Need To Know



If behavioral medications for autism were listed as a category in the dictionary the definition would be "The good, the bad and the ugly!!!!". Why, you ask? Well for starters there is the upside, the good...individuals like the superstar of insight into living with autism, Dr. Temple Grandin. Temple attributes her use of anti anxiety drugs to her ability to function, and insists they provided the bridge from extreme anxiety making everyday life impossible to her being calm able to function and do the things she wanted to do. Quite a testimony!  

Then there's the bad. Will my child have a good outcome, or was Temple just a great respondent?  The ugly; what would make it worth the risk for me to try such serious drugs on my child? And for every parent or professional who suggested we try anti anxiety drugs - also known as mood stabilization medication - five others have told me how horrible it will be.  These medications can do the precise opposite of what they were prescribed to do and if that's not enough it seems Nick could become a zombie, gain weight, drool uncontrollably and develop ticks, and this is the short list of the most common side effects!  How do you voluntarily sign up for that!!!!! 


Maybe now it's a little easier to understand why for the past 10 years, I've felt so "right" for my conviction "No behavior and mood disorder drugs for Nick". I choose ABA and other therapy's over drugs, determined to stick with my goal, no behavioral modification med's for Nicky. Imagine my surprise when I learned, I had not been doing any such thing! I had been giving Nicky behavior modification drugs since he was 3, and the effects had been in play for years without me even knowing it!!

When Nick was 3 he began taking Depakote for his abnormal EEG.  Over time as his epilepsy worsened  his dose was increased. The doctors told me that getting the dose right was important and his behaviors could be affected by the drug - his mood could change if he had too much or not enough of the medication in his system - but I still only thought of the drug in terms of his epilepsy.  

Then we began to ween Nicky of the Depakote and I learned the hard way that Depakote (aka Valporic Acid  and Depakene) was A TOTAL MOOD STABILIZER!!!! Once the Depakene was out of his body Nick spiraled to a new land filled will manic and aggressive behaviors, the degree to which I had never seen before.  Not only was it clear to me that he was miserable, the aggression scared me he could hurt himself or someone else. And people are afraid of a 5'6" young man who tantrums, hums, jumps, hits himself, takes aggressive stances, makes noises and reaches into a baby stroller to grab an appealing toy - or pull a pacifier out of the baby's mouth. 

So here I am, faced with the reality that Nicky does in fact greatly benefit from a mood stabilizing medication.  Funny how often I think I'm going down one road, just to find myself on another.


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