![]() A focused program of research on intervention Largely in the area of phenomenology and mechanisms. Although research on repetitive behaviors in autism appears to be growing, this is (e.g., needing to have things “just so”) ( Turnerġ999). Order” cognitive behaviors (i.e., compulsions, rituals and routines, insistence on sameness,Īnd circumscribed interests) are characterized by a rigid adherence to some rule or mental set Stereotyped movements, repetitive manipulation of objects, and repetitive forms of self-injuriousīehaviors) are characterized by repetition of movement, and more complex or “higher “higher order” behaviors ( Szatmari et al.Ģ006 Turner 1999). This symptom domain has been conceptuallyĪnd empirically grouped into at least two categories-”lower order” and Such restricted and repetitiveīehaviors (RRBs) are a core diagnostic feature of autism spectrum disorder (ASD) (ICD-10, World Health Organization 1990 DSM-IV, American Psychiatric Association 2000). When you use that kind of language, in order for us to see that you are truly sorry you are going to help me fold the laundry or go to the grocery store or do something else to demonstrate that he acknowledges the harm done.A clinician, who has little knowledge of a child’s social functioning orĬommunication abilities, when told a child repetitively flaps his arms, spends hours lining up toyĬars, will not tolerate changes in routine, and has a peculiar fascination with electricįans-is highly likely to suspect the child has autism. Instead, what I would do is move towards apologies of action. Even if you tell him his words and behavior are hurtful to others, it doesn’t seem to be sinking in. He doesn’t actually see the effect of his words or behavior on other people. ”Ī: “His abusive language is essentially like a valve that lets steam out of a tea kettle. Then, two minutes later, he acts as if nothing has happened. ![]() He says a lot of mean, hurtful things - wishing death or severe harm on me, his grandmother, and his sister. ![]() Q: “What would you suggest for moving away from abusive language when my son is angry. In the moment, you need a plan for success with clauses for non-cooperation and push back.” This is true for a high-achieving high school girl with ADHD, but it’s also true for an 8 year old. You aren’t going to be able to predict all of the various things that make her angry all you work on is the process of dealing with that anger. “It takes 10 to 15 minutes for that stress reaction to calm itself down. ![]() You can’t have a conversation or use tools when you are activated that way… How can we intervene sooner? When we intervene at 100 mph, she refuses to use any of the techniques her therapist gave her.”Ī: “One she’s at 100 mph, there is no way you can intervene successfully. We work hard at identifying things before there’s an explosion, but we can’t seem to address things fast enough - it’s 0 to 60 mph in the blink of any eye. She is a very high achiever, but as parents we see extreme outbursts of anger and self-loathing. Q: “One of the things we struggle with most is our child’s anger. Nonetheless, you want to set limits around foul language and violence, and set up a plan for making amends. What would help you dial it down right now?’ We want to convey empathy first. “What would be more helpful would be to say, ‘I can see that you’re really angry. The worst thing you can say is, ‘You need to calm down.’ What happens lots of times in families is the opposite parents want their kids to calm down and calm down quickly. 9 times out of 10, kids want validation that they have a right to be angry or upset. “Your kids need to know that you see their struggle, that you’re not going to shame them for it, and that things really are hard. They are also exporting those feeling because they can’t contain them. They are going to export their angry, uncomfortable feelings to you, and often times parents import those feelings and get set off themselves, and then we’re in a firestorm. They are struggling to contain their big feelings that’s another reason they lash. And you’re not able to make this better for them. Do you have any advice for how to deal with serious anger trigged by anything and everything?”Ī: “Kids are angry and they are going to take it out on someone with whom they feel safe - someone who has protected them in the past. He was diagnosed with ADHD last summer, but he wasn’t very angry or violent before the lockdown. Q: “My 7 year old has recently become very angry and violent, so we started him on medication during Week 8 of the lockdown. ![]() Every Friday at 4pm ET: Join our Facebook Live advice sessions with ADHD expert Dr. ![]()
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