by IABA Team | Jul 20, 2021
Because “high-functioning autism” isn’t an official diagnosis, the term can be hard to fully define. According to the team at VeryWell Health, however, the term can mean any of the following:
- A person with mild autism symptoms who still meets the criteria for diagnosis
- A person on the autism spectrum whose IQ score is above 70
- A person with autism who can successfully navigate typical school or work environments
- A person who passes as neurotypical by masking their symptoms
- A person who previously qualified for an Asperger syndrome diagnosis
As professionals continue to recognize these milder or “high-functioning” people on the autism spectrum, more children receive an autism diagnosis. However, it can be hard to know if your child meets the criteria if you don’t know what to look for.
A poll conducted with several ABA therapists says these 10 signs are most commonly associated with autism, especially a case that is considered high functioning:
- Emotional Sensitivity
- Fixation on Particular Subjects or Ideas
- Linguistic Oddities
- Social Difficulties
- Problems Processing Physical Sensations
- Devotion to Routines
- Development of Repetitive or Restrictive Habits
- Dislike of Change
- Focus on Self
- Unusual Movement Patterns
Because autism spectrum disorder is such a broad diagnosis, it’s important to remember that not all of the signs need to be present for diagnosis, and many of these signs can look very different from person to person. This is why the diagnosis process is so important.
What to Do if You Think Your Child has High-Functioning Autism
If you suspect your child falls on the autism spectrum, you may feel scared, overwhelmed, or unsure of what to do next. This is all very normal for any parent whose child is receiving a disability diagnosis, so don’t worry.
It’s important to recognize any feelings you may be experiencing and also learn to compartmentalize them as you work towards receiving a diagnosis for your child.
According to the American Academy of Pediatrics, you’ll first need to share your concerns about your child’s behaviors with their pediatrician. From there, your pediatrician will put in the orders for a full assessment to be completed. These assessments are usually done by an entire team of professionals in multiple parts. The testing will include both observations of your child and questions for you to complete.
What to do if Your Child Qualifies for an ASD Diagnosis
If your child qualifies for an autism spectrum disorder diagnosis, the next steps may include scheduled appointments with therapists and other specialists and the development of a treatment plan.
In many cases, this team includes a speech therapist, occupational therapist, and a psychologist or psychiatrist. You can also opt to try applied behavior analysis (ABA) therapy, but many people in the autism community have mixed feelings about this therapy.
If your child is under the age of three, they may qualify for early intervention programs from your state or local government. If your child is over the age of three, they will likely qualify for special education services from your local school district and may even have the option to enroll in an early start or pre-kindergarten program specifically designed for children with IEPs.
Even children with high-functioning autism require some interventions and special needs. There’s nothing wrong with a child on the autism spectrum, and you can absolutely give your child the tools they need to succeed.
It’s important to recognize early signs of autism, even if your child appears to communicate and meet developmental milestones since early intervention can really help.
ABA Therapy from IABA Consultants
If you have questions regarding autism treatment with ABA therapy, we are here for you! Our goal is to make sure no family is turned away due to financial constraints. Our therapy team would love to talk to you. Find the location closest to you and give us a call. We’re here for you.
Sources: Moms.com
by Jessie Cooper | Jul 15, 2021
What do you do with anger that’s real? Anger that will burn cities and clear anything and everything in its path? Where did it come from and why is it here?
The very short answer is anger feels good in the moment–it’s the aftershocks that are damaging if they are unleashed without guidance. Anger is a release of pent-up emotions that have no direction to go. The ensuing explosion unleashes this anger and gives us a false pretense of power. Luckily, most of us feel horrible when we get this spot but there are people who abuse others during periods of anger.
Anger & Abuse
For those of you who abuse other people with your anger, know this: there is fear, hurt, shame, guilt, sadness, grief, and other emotions that lie just beneath your anger. While your explosions and “wins” over others may feel like triumphs they are in fact a loss.
When you give in to your anger you abandon yourself and your other emotions. You are also hurting others to make yourself feel better. This is never OK. Not ever. You can heal at any time by choosing to stop hurting others and tend to your wounds.
Onto the rest of us.
Coping with Anger
If you wield your anger like a weapon then feel guilt, shame, or other emotions after an outburst, you are experiencing what most of us experience. We all experience this at some point–no human is perfect (I promise).
Anger is a messenger that you have a lot going on and are either not taking the best care of yourself or are faced with a very challenging situation in life. Anger lets us know that we need love and care. Anger tells us to look at our brave hearts, kind souls, and human feelings and provide care.
Finding the Cause of Anger
Last week I wrote to you about rage. Rage, like anger, is a powerful emotion. When rage is the messenger and not the driver it can be destructive beyond measure. Without direction anger and rage are destructive to you, me, and everyone in our path.
After my first son, Henry, was born I suffered from postpartum depression which was exacerbated by domestic abuse. I don’t have words for the darkness I walked through during that time. I also don’t have words for the shining light of love I found in my son.
I fought my way through postpartum depression with therapy, medication, and a loving community. At the time, I still was not able to identify I was living in domestic abuse. When my son Declan was born less than two years later I was determined to avoid suffering from postpartum depression again.
Looking back at my pregnancy and the birth of my second son is bittersweet because the work and self-care I put in were incredible. None of it involved his father, other than my request to “not attack me while I have the baby.” It didn’t work. What worked was asking my friends and family to wrap me in support, encapsulating my placenta, and taking real maternity leave. I thought I had it down!
This is the point when I started to feel anger, shortly followed by rage.
Avoiding Manifestations of Anger
I remember being stumped when I thought about why I was so angry after my six-week check-up. I am not a quick-to-anger person unless I witness serious injustice. I asked my wonderful OBGYN, who supported me through both births, why I felt anger? She laughed, “you have two children under 2, this is normal!”
While I did not like this answer she was totally right. Henry and I had gotten into our groove over the past 20 months. I knew how to take care of the two of us, but caring for two babies changed our routine. I was also always walking on pins and needles during my previous marriage. My nerves were thin and my children were loud. I was sleep-deprived, nursing, and doing almost all of it on my own. Something felt like it had to give.
Anger told me I needed to find a way to take care of myself so I could cool down as a mama. I felt extreme guilt (as we all do) when I would lose it with my boys. I read this awesome book, How to Stop Losing Your Shit With Your Kids, and started a mom-tribe book club where we all applied the practices of the book while supporting each other as mamas.
I would be remiss to not mention the asshole things kids do sometimes. God I love them and, yes, they are all limbic systems, but this is so maddening when they have no survival instincts.
Not Losing Yourself to Anger
I want to let everyone know that anger is completely normal if you are going through early motherhood while living with domestic abuse. If you let the anger take over, however, you will spend most of early motherhood lost in its grasp. If I had totally given into anger I would have missed so many moments with my sons simply because I was depleted.
Now, two years later, while I still have my moments (don’t we all? Mamas?) I also know when I feel anger around the boys, what I really need is a quiet minute and to be present with them. I don’t always parent perfectly (OK, almost never) but ‘reset time’ only takes a few minutes and prevents anger from dominating my parenting, period. All because I listened to what the topography of my anger map was telling me.
Anger still comes for me, as does rage. When I see injustice against others, my children, or myself I can’t begin to explain the flames that rise within my heart. I do know that I unequivocally do not want to hurt another being. The quick release of lashing out in anger can cause long-lasting damage.
Channel Your Rage to be Productive
Anger can feel powerful. All-encompassing anger feels like it can get you anything you desire. I can promise you that this is a lie. What anger is really telling you is to pay attention to your own heart and world so that you can right a wrong. That wrong can either be how you’re caring for yourself (postpartum depression care or lack thereof) or how others are treating you (leaving domestic abuse).
If we choose to listen to anger and rage, rather than act on them immediately, we can learn they can be some of the wisest guides in our lives. Anger and rage tell us what needs to be corrected. Love tells us how to correct it.
You and I can use this wise messenger to become a warrior of love, create the lives we want to live, and build the better world we all envision. Don’t burn it down. Build it up.
Xoxo,
Jessie
by IABA Team | Jul 6, 2021
Children with autism who work with Board Certified Behavior Analysts in a therapeutic ABA setting learn skills that help them function independently. These kids never work in a vacuum, since the long-term goal is the effective transfer of these skills from the ABA therapy center to their wider world.
In fact, ABA therapy can be more satisfying and effective when the whole family gets involved.
What Does Family Support for Autism Look Like?
Family support can include a wide range of elements, and each family needs something unique.
Potty training is a great example. Often, children find success in clinical settings but not as much in their home environment. Clinicians can work with parents to develop a plan that extends into a child’s home and school life.
With a goal to promote independence across all environments, therapists work with families to increase effective communication between parents, siblings, and the child with autism.
Oftentimes children won’t have developed language skills and ABA therapists come up with a communication system that parents can use. Whether it’s verbal, limited sign language, or picture exchanges, these methods can be used at home.
Parent-Therapist Communication
Maintaining therapeutic practices at home and not just in clinical settings is crucial for ABA therapy to have a life-changing impact.
Family involvement can start with the simple process of sharing with parents what the child is working on in the ABA therapy setting. As new families get familiar with the basics of ABA therapy, it really helps them understand what they can do at home, like how to respond to tantrums.
In some cases, just having help in creating a morning or nighttime routine can make all the difference to everyone in the family. Ideally, parents and families make time to meet or talk with therapists on a weekly basis, though many parents have busy schedules.
ABA Therapy from IABA Consultants
If you have questions regarding autism treatment with ABA therapy, we are here for you! Our goal is to make sure no family is turned away due to financial constraints. Our therapy team would love to talk to you. Find the location closest to you and give us a call. We’re here for you.
Sources: Chicago Parent Magazine
by IABA Team | Jun 29, 2021
Applied behavior analysis (ABA) therapy is administered by professionals. As a parent, you play an important role in choosing the right person to help your child. But your work won’t stop when the professional begins.
Effective ABA therapy for people with autism spectrum disorders (ASD) relies on active parent participation. You help your child to learn around the clock, even when the technician isn’t present.
You’ll have plenty of training to help you get started. You won’t be in this alone. But following a few basic do’s and don’ts can ensure your child gets the most out of therapy.
Finding the Right ABA Professional
Before you can play a role in your child’s ABA therapy, you’ll need someone to guide the process. That person is a therapist, and as a parent, you have the power to choose the right person.
Therapists certified by the Behavior Analyst Certification Board will have the letters BCBA after their names. Someone like this is qualified to create and oversee the treatment plan for your child.
Registered behavior technicians (RBTs) carry out the treatment plan that is created by a BCBA therapist. RBTs should be supervised by a BCBA through regular meetings, written reports, or both.
Parent Participation in ABA Therapy Is Critical
Researchers say that treatment works best when parents stay engaged. You know your child better than anyone else does, and you spend the most time with them. You’re in the perfect position to help tailor treatment and encourage skill-building.
You’re not expected to know everything about ABA therapy when treatment begins. Your child’s therapist is your guide. This is why it’s important to find a therapist you can trust. You will learn all about therapy goals and how you can help.
Ask your therapist for help with anything that seems unclear. They are there to guide you through the process.
ABA Therapy Best Practices
Follow best practices to ensure that your child has the best ABA therapy experience possible.
Throughout your child’s ABA therapy journey, you should:
- Help yourself. Juggling work, childcare, education, and ABA therapy isn’t easy. Reach out to ASD support groups, experts suggest. In these groups, you can connect with others who are also dealing with these responsibilities. You may pick up tools and tricks that help you cope.
- Practice everywhere. The more frequently your child can practice in novel situations, the better, experts say. Use shopping trips, car rides, doctors’ appointments, and church services as opportunities to solidify ABA therapy lessons.
- Ask for progress reports. A child in ABA therapy should learn new skills and behaviors. You should see these in action as you move through each day with your child. You’ll see improvements in virtually every area of life, including academics, socialization, and day-to-day functioning. But your child’s therapist should also craft reports you can read and understand. Tracking data helps professionals to determine the next steps in the treatment plan.
- Listen to your child. ABA therapy can be fun, enticing, and even a bit exciting. If your child seems nervous, scared, or angry, pay attention. You may need a different technician or a modification to the approach. It doesn’t necessarily mean that ABA therapy isn’t a good fit for your child. The approach might just need to be altered somewhat. Talk to your child’s technician about any issues that arise.
- Ask for feedback. You’re part of the treatment team, and you are working hard. Ask your technician for advice about your role. Are you handling the work properly? Where can you improve?
Many parents enjoy ABA therapy. They look forward to the appointments, and they feel pride as their children learn and grow.
While parents are often involved in therapy sessions, they also have the opportunity to relax a bit as technicians take the wheel in these sessions. Parenting a child with autism is a full-time job. Getting hands-on guidance from a professional on a consistent basis can be invaluable.
You will have ups and downs in progress. That’s expected. But follow these steps, and you might like the therapy as much as your child does.
What to Avoid During ABA Therapy
Parents of children with ASD have plenty of tasks to tackle, and everyone makes mistakes now and again. You won’t be the perfect parent or caretaker. No one is. But avoiding some common mistakes as much as you can help your child.
As ABA therapy progresses, avoid:
- Skipping appointments. Your calendar is packed tight, and it’s tempting to let one or two visits slide. Avoid that temptation. Your child needs many meetings with professionals to get better and make progress. When appointments are skipped, your child may lose the progress they have made thus far. This means a longer treatment timeline and slower results. Don’t let therapy take a backseat to other obligations.
- Certain punishments. It’s easy to think that negative reinforcement is the best way to stop undesirable behavior, but it’s been shown to have the opposite effect. ABA therapy uses rewards for positive steps, and certain responses are used to discourage negative behavior. Behavioral technicians do not use physical punishment when kids don’t comply. This is a common misunderstanding among therapists and parents, experts say. If you’re not sure how to handle negative behavior, ask your therapist. Therapy should be fun, so kids will participate without coercion.
- Backsliding. Consistency makes for effective ABA therapy. Kids should know what will happen and when. It’s tempting to let your child bend the rules now and then just to avoid a discussion. But doing so makes the lesson harder to grasp. Stick with the plan your therapist outlined.
- Accelerating. ABA therapy is built on a series of very small steps that a child masters one by one. You can see the goal in sight, but your child might not see it yet. Don’t push your child to do anything they don’t understand quite yet. Be patient and let the therapy work. It takes time, but the gains are well worth it.
- As with most things, there is a learning curve with ABA therapy. With more sessions, you’ll feel more confident in the approach, and you’ll be better able to reinforce the lessons learned in sessions.
Everyone makes mistakes. If you slip, don’t berate yourself. But look for ways to start fresh tomorrow, so you can help your child as much as possible.
ABA Therapy from IABA Consultants
If you have questions regarding autism treatment with ABA therapy, we are here for you! Our goal is to make sure no family is turned away due to financial constraints. Our therapy team would love to talk to you. Find the location closest to you and give us a call. We’re here for you.
Sources
Sprout Therapy ABA Information
by IABA Team | Jun 10, 2021
Deciding to objectively look at your child for signs of autism is hard. Thinking about your child possibly needing alternate care or schooling when that child is still a baby was not what you signed up for. But detecting early signs of Autism Spectrum Disorder (ASD) and seeking a professional diagnosis is the best way to make sure your child lives a productive and happy life.
Early signs of ASD are not easy to detect and you should always seek a professional opinion with your observations and concerns. It is not possible to diagnose your own child with ASD from reading online tests, blogs, or watching videos. The purpose of this blog is what to look for that could potentially be a valid concern for your child.
Many early signs of ASD can be confused with normal developmental behavior. All children develop at different rates. There are some behaviors that may be valid reasons for raising concern. Let’s take a look at what to look for (and what not to look for) when it comes to your infant or young child and ASD.
What are the Warning Signs of ASD in Young Children and Infants?
There are several marker behaviors that parents should take into account when observing their infant or young child developing. Again, note that none of these behaviors means your child has ASD. These are simply behaviors that are commonly associated with ASD if they persist.
The behaviors listed are from the CDC and Autism Awareness Center.
Infant Behavior Markers (up to 12 months)
- Does not make or maintain eye contact
- Lack of facial expressions (never smiles or frowns)
- Does not respond to their name by 9 months
- Uses few or no gestures
- Does not respond to verbal cues or ‘games’
- Lack of attempts at verbal communication
Young Child Behavior Markers (up to 24 months)
- Does not share interests, such as found objects or toys by 15 months
- No pointing to indicate things by 18 months
- Lack of empathy (recognizing others are happy or sad) by 24 months
- Delayed language, motor, or cognitive skills
- Interested primarily in objects and not people
- Gets upset by minor changes
- Has unusual or extreme reactions to sensory experiences (touch, taste, smell)
Other Potential Early ASD Markers
The CDC lists the following as other marker behaviors commonly exhibited by those with ASD:
- Preterm births or low birth weight
- Environmental exposure to hazards like lead paint
- Hyperactive, impulsive, and/or inattentive behavior
- Epilepsy or seizure disorder
- Unusual eating and sleeping habits
- Gastrointestinal issues (e.g., constipation)
- Unusual mood or emotional reactions
- Anxiety, stress, or excessive worry
- Lack of fear or more fear than expected
Remember, all of the above behaviors and characteristics are just general markers. Some children who get diagnosed with ASD won’t exhibit any of the signs listed above. Always speak to a medical professional when you are unsure of what to be concerned about.
When do the Signs of ASD Start to Show?
Autism Spectrum Disorder is hard to diagnose, as there are no medical tests that reveal it. Diagnoses are made from testing conducted by medical professionals based on behaviors, developmental milestones, and other specific criteria.
With that said, warning signs of ASD can begin to manifest as early as 9 months of age. These are warning signs, not a diagnosis, however, and need to be monitored. Keeping an eye on specific behaviors and conferring with a professional is the first step if you notice one or more marker behaviors that don’t go away as the child gets older.
The CDC notes that “ASD can sometimes be detected by 18 months or younger,” but that 24 months is the age where “a diagnosis by an experienced professional can be considered very reliable.”
When Should I Seek a Professional Opinion?
The best way to seek a professional opinion is by getting one directly from your child’s pediatrician. Pediatricians can help with screening and recommendations. Sometimes developmental disorders and signs of ASD are part of a regular wellness visit for your child. Talk to your pediatrician about specifics if you have questions or concerns.
ASD screening is recommended by many pediatricians at specific developmental intervals. If your child’s pediatrician doesn’t mention an ASD screening at a wellness visit and you have concerns, ask them about it.
The American Academy of Pediatrics (AAP) recommends developmental screening for all children at doctor wellness visits at 9 months, 18 months, and 36 months of age. The AAP also strongly recommends screening specifically for signs of ASD at 18 months and 24 months.
If your child’s pediatrician believes that your child is at risk for ASD, there are two paths you can take for a formal diagnosis and care plan: private evaluations & interventions and state-sponsored early intervention programs.
What is a Private Evaluation?
Private simply refers to private pay i.e. paid for out-of-pocket or covered by an insurance company. These evaluations allow parents to select a care program of their choice to help evaluate their child.
Private evaluations are in-depth looks at a child’s development. These evaluations are handled by a licensed medical professional like a child psychologist, speech-language pathologist, occupational therapist, developmental pediatrician, or another specialized professional
These evaluations screen your child, analyze the data, determine whether or not the child needs specialized care, and then help develop a course of action. Keep in mind that private-pay evaluations may not be covered by your insurance and can cost lots of money out-of-pocket.
If you don’t have insurance or can’t afford out-of-pocket expenses for a private ASD screening/evaluation, you should look at your state’s Early Intervention program.
What is an ASD Early Intervention?
For those who cannot take on the financial burden or private ASD testing and screening, Early Intervention (EI) programs are available from individual states. These programs help families with children under 3 years of age get screened and will create a care plan if necessary. States are required by the federal government to provide several services free of charge.
If a screening or concern from your child’s pediatrician notes several at-risk behaviors, you may be encouraged to start an EI. Early intervention screenings do not require a formal diagnosis and are conducted by federal EI specialists.
The EI specialists will determine whether or not your child requires more comprehensive care. EI specialists will recommend the type of care they believe will be the most beneficial for your child.
What Should I Do If My Young Child is Diagnosed with ASD?
Both of the paths to getting a legitimate ADS screening or evaluation listed above will provide you with a care plan. Following this care plan will get you started on helping your child get the services they need to flourish.
After an ASD diagnosis, children are commonly referred to work with one of the following types of professionals:
- Psychologists
- Behavioral Analysts
- Developmental Therapists
- Social Workers
- Speech Therapists
- Occupational Therapists
- Physical Therapists
This is not a comprehensive list, it is simply to give you an idea of where your child may start in their developmental journey.
On top of your child receiving special care you, as a parent, will need to learn how to best help your child grow and develop. Talk to your child’s healthcare professional to learn what you can do to best provide the things they need most to grow.
Being active and supportive in your child’s development will help greatly in their development. Therapy for ASD shouldn’t stop when a clinic or class ends–parents should be aware of their child’s interests, behaviors, and moods to help them develop all the time.
Asking your child’s healthcare provider for information on how to learn more is the best next step you, as a parent, can take. Learn, teach, and do what you can to make sure your child grows up in a loving environment.
ABA Therapy from IABA Consultants
If you have questions regarding autism treatment with ABA therapy, we are here for you! Our goal is to make sure no family is turned away due to financial constraints. Our therapy team would love to talk to you. Find the location closest to you and give us a call. We’re here for you.
Sources
CDC Signs & Symptoms of Autism Spectrum Disorders
