Category: communication autism

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“Do Your Kids with Autism Talk?”

Do Your Kids with Autism Talk?

Most of the time, when someone learns Casey and Rob have autism, this is one of the first questions I am asked and when I say, yes, they can talk, I am told how lucky I am. I’m not denying that I am extremely lucky, but…. talking and communicating are too vastly different things.

Right now, Rob is talking in his room. Long black train, Grandpa Bill, Christmas trees, and tomorrow’s Hopewell. Casey is laying on the couch giggling about Elmo learning his ABC’s. Yes, Casey and Rob can talk – for hours, loudly, but, they have a difficult time communicating with me.

They can answer simple questions, most of the time. “What did you eat?” “What do you want to eat?” “What store do you want to go to?” “Do you want….?” Easy, short questions that have literal answers.

But, communicating, that’s another story. I have several examples of what I mean.

Next week is Rob’s birthday. I have asked him several times what he would like for his birthday. “Presents.” I asked what kind of presents. “Presents.” He doesn’t understand that I’m asking what he wants inside the wrapping paper, even when I change the way I word my question.

Friday, when I dropped them off at Hopewell, Casey couldn’t get her door open. She was in the backseat and the child lock option was on. Rob flipped the switch and got out. She couldn’t tell me she needed help and since I was watching to be sure he walked straight around the car to the sidewalk, I had started pulling away before I noticed she was still in the car. (Mother of the Year minute, right there! 🙂 ) She simply didn’t know she could say “stop!” or “help!” Other times, she can ask for help – but it’s not a consistent habit.

Their iPads updated one night. Casey asked for help the next day. Since the iPads rarely update at the same time, I didn’t think to check his. Instead of coming to me, he just laid it on his bed and found other ways to occupy himself. (He doesn’t usually spend as much time on the iPad as she does – he has several other things he likes to do.) But, still – he didn’t know how to ask for help, even though, most of the time, he can. His headphones stopped working and again, instead of telling me, he found an older, small pair and used them.

A few years ago, we drove to a place about an hour from home to look at Christmas lights. On the way home, he started saying his anxiety phrase – loudly. Mandy and Cory were with us and even they couldn’t calm him down. When we got home, he ran to the bathroom. Since we were in the car, he didn’t know he could still say he needed to use the bathroom and we would find a place to stop.

It’s little things like these that show how much their communication skills are affected by their autism. Yes, they talk – most days until it’s just a long, loud blur in my ears. But, they don’t really communicate with me. I can’t ask them what they did during the day. I can’t ask what their favorite color is or what movie is their favorite. I can’t know for sure what gifts Rob would like. I can’t know for sure when they are feeling sad or sick or tired. My life is a series of best guesses. Most of the time, yes, I get it right. (After all, I’ve lived with them for 33 and almost 29 years! 🙂 ) But, I would so love to have a real conversation.

What do they think about having a nephew in December? Where would they like to visit? Does anyone scare them? Or bother them when they aren’t with me? (that’s a huge fear – it can take weeks for Casey to say anything and it’s like pulling teeth to get info from her. Rob won’t say anything at all.)

So, yes, I am very grateful that Casey and Rob can talk. I love that I can get some answers from them. I am one of the lucky parents and I thank God for that every day. But, please remember that the ability to talk does not mean someone can communicate their needs, wants and fears. That takes patience and years of being around someone to understand. Learn to read your child’s eyes. The eyes truly are the windows to the soul – you will see how much they love you in their eyes, when you learn to look instead of listen.

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Autism and Abstract Thinking

Autism and Abstract Thinking

Look at the picture with this post.  What is it?  A dog?  A puppy?  An animal?  A pet? Blue? (That’s her name. 😊)  Any of those guesses are right.

Have you ever noticed how many abstract thoughts you have every day?  How many generalized ideas that you don’t really think about?  Now consider your person with autism who struggles constantly with very literal thinking.  Their thoughts are often black and white – concrete ideas. 

Can you imagine being told that the four legged thing in your home is a dog, a pet, an animal and a Labrador retriever?  For us “typical” people, that’s all true, but if you think that everything has one label, it’s confusing and makes no sense.

Casey really struggled with labels when she was in elementary school.  She simply couldn’t understand that the word “animal” meant so many things.  Or that the word “dog” could be our black lab and Grandma’s furry pet.  Cows could be black or white or brown.  Trees could be maple or oak or pine.  They all looked so different, but had the same name.  She would get angry about the different labels for the same things. 

She was in junior high before she started realizing it was okay for objects or people to have different names.  Imagine her shock to discover her Mommy Jen was also Uncle Jeff’s sister (Jenny), and Grandma and Grandpa’s daughter!  I was a mommy, a daughter, a sister, an aunt, a cousin, a niece, a granddaughter, a friend.  It was too much for Casey to understand.  When she was young, she knew Mandy was her sister and Rob was her brother, but she wouldn’t call herself a sister, because that was Mandy!

Imagine you are told you are going to McDonald’s, only to discover you didn’t go where you thought!  There are thousands of McDonald’s, and they are similar, but so different.  How confused would you be?  And remember, while you are trying to understand this, people are constantly trying to get you to label items and tell them what you want!

But – how can you label something with so many names?  You are struggling to get words to come out, already, and now you don’t know what word to use.  You are thirsty.  Do you say cup? Drink? Water? Juice? Thirsty? The color of your favorite cup? Because every one of those words will get you a drink.  As an adult, if you were in this position, how frustrated would you be?

Rob seemed to grasp generalizing a little more than Casey did.  He knew dogs and cats were both animals, but he didn’t care.  He understood people had different names.  (Casey still struggles when people have the same name.  She gives them an extra name, such as “Our Tracie” and “Other Tracy.”  She doesn’t mean anything by it – it’s just her way of separating two people. 😊)

When you are trying to help your child learn words, consistently use one word for each item. Say “cup” every time, not mug or glass.  Say “shoes” not sneakers or boots or flip flops.  All of that can come after your child understands when you say shoe, he needs to put something on his foot.

We used PEC cards with Casey for a while and she learned quickly, but then I realized she thought of a drawing when she said cup and not an actual cup.  We switched to using actual pictures of items versus the print out designs and this helped so much.

I made books for Casey and Rob with pictures of people, places and common items.  They could carry their books (I had one for home and school) and could point to what they needed.

Abstract and general pictures worked a little, but the actual photos were better.  They didn’t have to wonder if the pencil drawing of a book meant the same as an actual book.  Don’t assume your person with autism can generalize like you can.  Remember how literal they think. There are no shades of grey.

Once your child can communicate her needs, you can decide to work on more generalization, if you see the need.  Honestly, I don’t push that for Casey or Rob. It’s not a life skill they need.  If they get confused, I explain and we go on.

Always remember when you are talking to a person with autism to use short, clear words and give them plenty of time to process what you said before you repeat it. Keep it simple and short and say exactly what you mean. Life will be so much easier for you and your child when you learn to do this!

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How to Talk to an Adult with Autism

How to Talk to an Adult with Autism

I have to take a three hour class every year to continue to be Casey and Rob’s guardian. (Don’t panic if you don’t do this – I have discovered that even different counties in Ohio do things differently!) Yesterday, I sat through one about dementia. Honestly, I was interested in the topic as I have had some family members who had varying types. Sadly, I was bored out of my mind – they could have been talking about a person with autism.

Many different types – varying degrees of severity – medications might or might not help – how to advocate for the person…. isn’t that our lives? But – one thing that did stick out was one of the speakers was describing how not to talk to a person with dementia – as if they were a child, in a high-pitched, sing-song voice. (Even though that’s exactly how she seemed to be talking… but maybe I was just over the boredom and wanted to be done! 🙂 )

I can think of so many people that have no idea how to talk to Casey and Rob. Some, in particular, like to yell in their faces, because, you know – Casey and Rob are deaf. 🙁 I have repeatedly asked these people NOT to yell in their faces, but it goes in one ear and out the other. And those people wonder why my kids ignore them? Thankfully, they are rarely around those people. But still – how many people talk louder to someone who appears to not be paying any attention?

We have all done it. Maybe to get the person’s attention – maybe from our own frustration. Who knows? What I do know is if I talk loudly to either of my kids, they will shut down. Rob will get anxious because he thinks I’m mad. Casey will just make ignoring me a higher priority. So – always remember to use a calm, quiet voice. Trust me – they hear you whether they are acknowledging you or not. Yelling will cause a shutdown or worse.

Always speak slowly and clearly. Rob, especially, hears way too much. If there is a lot of background noise, it may take him a few seconds to understand what you said. Don’t talk with food in your mouth – don’t rush through what you want to say.

But don’t use too many words, either. Short and sweet. If you are giving directions, don’t list too many at once. I’ve spent many hours saying “Fold the blue shirt.” “Fold the black pants.” “Wash your face.” “Wash your arms.” and so on and on. Casey and Rob can follow 4 – 5 directions now, if they are familiar. If it is something new, be ready to break it down into one steps directions and be clear and concise about what you expect. It takes a while to build up to several directions at once. If we are having a rough day, we stick to one at a time. Every day is different so don’t be discouraged if you lose ground some days.

Never, ever talk to an adult with autism as if they were a child. I don’t care if you are talking about Elmo, The Wizard of Oz or Thomas the Tank Engine. Talk to the person just as you would any other adult. Casey and Rob hate to be “talked down to.” Casey will say they are “dults” not babies. Rob will just look at you as if you have lost your mind. I know it’s hard to do when you might be having a conversation about Bert and Ernie or Barney, but to the adult with autism, those characters are friends, not babyish. (By the way – I have perfected talking in “Elmo” and “Cookie Monster” voices. 🙂 🙂 My life is now complete!)

Explain what you are doing, even if you don’t think the adult with autism will understand. My kids know more than they will ever let on. I see bits and pieces come out and I’m always amazed. Rob loves to look up things on his iPad. He studies how things work on YouTube. He googles “squeaky brakes” or “broken fan” to see how to fix them. When we are baking cookies or cupcakes, I talk to them about each step we are doing. “The sugar makes the cookies sweet.” “The oven has to get hot first.” Many times, I don’t think they are really focused on what I’m saying, but then the next time we make cookies, one or the other will repeat something I said before.

Don’t use a high-pitched, fake happy voice. For one thing, the high pitch may be painful to the adult with autism who has sensitive ears. For another, even if the person functions at a child’s level, they know they are adults. You are insulting them by talking in a baby voice. Just stop it. Imagine how you would feel if someone talked to you like that. I would want to slap them, wouldn’t you?

Always, always give the adult with autism time to process what you said. This is really hard to do, as we are so used to the give and take of a “normal” conversation. I heard this tip when Rob was small and it really helped him. When I ask him a question, I count to 30 slowly before I repeat the question. Casey tends to answer quickly most of the time (if it is something she wants to answer… if not… she will ignore you forever!) Rob does much better when he is given the time to process your request and decide how to answer. Thirty seconds can seem like forever while you are waiting, but it does help. Don’t keep repeating the question – he will shut down.

On that note, try not to ask questions. Use statements instead. “Tell me what you want” is easier to answer than “What do you want?” Casey has an easier time with questions, but “why” and “how” questions are extremely difficult for both of them.

Many of these ideas will work if you have children with autism, too. Sometimes, with a child, you need to use a silly voice to get them to want to interact with you. Don’t be afraid to be silly with kids or adults! Any kind of interaction is so awesome! You may not be comfortable being silly, but try anyway. Life is too short to be serious all of the time. If I can say “Me want cookies” and “Elmo loves you” or “he he he that tickles” in character, then you can use a silly voice, too. 🙂

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Autism and Difficulty Reading Facial Expressions

Autism and Difficulty Reading Facial Expressions

So many times, I’ve heard people express their amazement that Casey and Rob each have a sense of humor – that they are deeply aware of people and react to what happens around them.  I know it’s because for years, people with autism were believed to not feel emotion or any sense of connection with others.  It’s one if the biggest myths of autism.

What Casey and Rob really have trouble with is reading facial expressions.  Actually, I’m not sure that’s right.  Maybe they can read faces, but they read people better and, often, people may be smiling while they are mad (to hide true feelings) or crying when they are happy.  (And in my case, when I’m furious, I cry.  Ugh!)

Imagine how hard it would be to understand facial expressions if people didn’t look sad every time they felt sad.  Or when people force smiles.  If you can’t ask questions about why people do such things, how would you ever be able to understand?

When Rob gets confused about how people feel versus what he sees, he gets very anxious and will try to leave the situation.  He will rub at his cheeks and begin to rock and hum.  When Casey doesn’t understand, she giggles. 

We were in Wal-Mart several years ago and a mom in the check out beside us wasn’t being very nice to her kids.  She had a toddler who was crying.  Crying babies and children are sure to make Casey giggle. She’s not laughing at the child, but rather, she’s nervous about why the child is crying.  I tried to explain that the mom was trying to help the child and told Casey to stop staring.

Meanwhile, that… Umm… Woman…  Yelled at her kids and noticed Casey giggling.  She yelled at her and when I tried to explain she had autism, she got really nasty.  At one point, she threatened to throw a two liter bottle at Casey to shut her up.   I, in my usual grace and kindness, replied with a not so nice threat of my own.  Casey giggled louder, Rob was trying to run, and I was seeing red.

A manager actually came over and dealt with that witch and I got us out of the store.  Once we were home and calmed down, Casey asked about mad baby.  I told her the woman was just not happy and that she didn’t need to worry about seeing her again. The thing is, had Casey been able to recognize the situation easier, she wouldn’t have been giggling or caught that woman’s attention.

I have discovered that if I show Casey and Rob pictures of people showing emotions, they can both tell me happy, sad, mad, tired, scared.  But if they see that same person making the same face in person, they have a much harder time.  I can only assume that they are picking up other signals from the person that may not match their facial expressions.  It’s also confusing to them that they can make a “mad” face while they aren’t actually mad, but playing or taking selfies of themselves.  (I have several sets of each of them making faces at the phone and taking pics!  🙂 )  If you can make a mad face while you are having fun, then how do you know that the person making the mad face in the store isn’t having fun, too?

It may also be harder for them to focus on a person’s whole face and not just one part at a time.  While they will both look in your eyes, neither will look long.  Casey has told me that eye’s move and she doesn’t like it.  Rob has never said why he doesn’t like to look in anyone’s eyes for a long time.  Maybe if they are focused on whether the mouth is smiling, they can’t notice the feelings in the person’s eyes.  For many people, the mouth is the first part they focus on – is it smiling?  frowning?   But, again, if your mouth doesn’t match your emotions, how can a person know?

Imagine seeing a friend who is smiling, but tears are falling and you can’t communicate your concerns.  Would you assume the person is happy because of their smile or sad because of their tears?   Add to that the social anxiety that so many people with autism feel anyway and you may just walk away without ever figuring out how they felt.  I’m sure I would – just in case they were sad, I wouldn’t wan to upset them anymore.

The sad part is, this isn’t something you can teach your child.  Because this time, tears may be happy, but next time, they may be sad.  This time, the person may be angry, but next time, they may be teasing.  Facial expression recognition may be something your child with autism will never comprehend.  It’s not concrete – it’s constantly changing from one person to the next.  What about the person who always looks angry?  Or the one that fakes at being happy all the time?  Your child will know and it will just add to the confusion.

If your child gets anxious easily, trying to decipher facial expressions may just be too much for them and that’s okay.  Even some “typical” people are oblivious to the expressions of others.  If your child is able, you may be able to help them learn to ask if someone is happy or mad or sad.  Or you can just help them understand that it’s hard for a lot of people and they just need to be kind.

Who knows?  Seeing everyone wearing masks might make things easier for our kids.  They can focus on the emotion they see in another person’s eyes and not the conflict between the eyes and mouth.  Or they can learn to treat people as they are being treated and move on.  Some things may never be understood and that’s okay for all of us.   🙂

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Autism and Black and White Thinking – No Gray Areas

Autism and Black and White Thinking – No Gray Areas

Anyone who has spent time with a person with autism knows that their minds tend to work one way – very literal. They believe what you say – exactly as you say it. I still manage to say things that everyone around me would understand but that Casey and Rob take exactly as I say it.

Last week, when I washed the kids’ sheets, Rob put his on the bed and carefully put his pillows in his pillowcases. I asked Casey if she needed help or if hers were on her bed. “On bed.” So I asked if she was ready for bed. “Yes.” Two days later, I discover that her sheets are indeed on the bed – but mixed up in a pile of blankets, not actually on her bed. I pointed to them and asked why she didn’t put them on her bed. She looks at me like I’m crazy and says, “On bed.” Okay, true, they are on the bed. And I realized again that while I did say what I meant, I didn’t actually mean what I said.

Yesterday, Mandy and I were finally able to find time to take Casey and Rob to a state park swimming – with 5 dogs. Obviously, all of us would be a tight fit in one car so we split up. She was driving behind us. We had only been driving a few miles when I noticed that Rob was getting worked up. He was in the backseat and beginning to rock a little faster than is usual for him. I watched him a few minutes to see if he would calm down, but he only got more upset. When I finally asked him what he needed – Mandy! I had told them Mandy was going “with” us – and we left her at our house! She wasn’t in the car, too, so she wasn’t with us. He calmed down when I told him we couldn’t all fit and that Mandy was driving behind us. But he did have to keep turning around to check on her! 🙂

Or how about the time I told a much younger Casey to “hold her pants on” (meaning – wait a minute) only to turn around and see her holding onto the belt loops of her jeans, probably wondering the whole time why holding her pants would get her juice poured faster.

Or when I said Rob had a frog in his throat? Or that he was a little hoarse? It’s raining cats and dogs (that one really freaked Casey out!) Or asked Casey to get her clothes off of her chair (meaning – put them away!) – so she put them on the floor. And the list could go on for miles. And all I can do is laugh, because they do exactly as I tell them. There is no room for anything other than literal terms.

They don’t lie. If they don’t like something, they tell me. I made a chicken dip once and asked Casey if she liked it. “yes.” I asked if it was as good as Mandy’s. “No.” She saw no reason not to tell me – or any reason as to why Mandy’s is better. Never ask a person with autism anything that you don’t want the truth from. I actually like taking Casey with me to try on new outfits – she will always voice her opinion. She may not understand general questions, but I can say, “Does this shirt look pretty on Mommy?” and she will tell me. 🙂

On a side note – never ask if you are looking fat, tired, dirty or anything else negative, if you are hoping for a bump in your self-confidence. If you look it, they will tell you. And that’s on no one but you. 🙂

I would say that learning to be careful what you say is one of the hardest lessons for an autism parent. We all grow up with family sayings and we use them all the time. But people with autism have a hard time understanding that you don’t always mean exactly what you say – especially when you are constantly telling them they need to communicate so you can help them. It’s a difficult position to be in.

It’s hard to be always thinking about what you are saying and how to say it clearly for people with autism. Some days, Casey and Rob “get it” on the first try and other days, I might as well be talking to a wall. Either I’m not being clear enough or they just don’t care and see no reason to continue listening. (And, really, isn’t that an awesome gift? To just be able to not care and not worry that you are hurting someone’s feelings by not listening? 🙂 ) While I have worked with them since they were little to never be mean or rude, some things are just a part of their autism and I will never be able to change that. Honestly, I don’t want to – I want them to keep their independent thinking and their ability to shut out things they don’t want to hear.

Communication is often one of the hardest parts of living with autism. You have to learn to speak like an adult to one person with autism and be more childlike with another, but not so childlike that they feel you are talking “down” to them. I have a hard time with Casey and Rob at times. I find myself talking to them as kids instead of the adults they are. So I’ve learned to talk like an adult with a child’s enthusiasm and short, clear sentences. Neither of them like long rambling directions or stories. Short and to the point – details aren’t needed unless they ask.

Trust me – no matter how careful you are with what you say, you will get it wrong at some point. You will say “head over heels” or “pull someone’s leg” or “cost an arm and a leg” and you will completely freak out your child with autism. “It’s a piece of cake” will get a glare when there is obviously no cake. (Yep – I’ve said that a time or two. Casey is never pleased.)

So not only will you have to learn an entire new language of medical, educational and government terms (IEP, ISP, OT, PT, MFE, and on and on and on) you will have to unlearn a lifetime of things that you have said often without even thinking. (I’ve also noticed that every part of the country has it’s own sayings!) Or maybe not unlearn it – just learn to be careful when you say it. Sometimes, the results are funny, like Casey trying to pry Rob’s mouth open to see the frog. Other times, it just makes a bad situation worse.

I know I’ve had my share of laughs over my choices of words. I know I still (after 32 years of living with autism!) say things without thinking and then wonder why in the world the kids didn’t do as I asked. (Because I didn’t actually say what I meant, of course!) It makes life interesting some days and very frustrating others, but as long as we can eventually laugh about it, who cares?

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How to Talk about Scary Subjects with a Person with Autism

How to Talk about Scary Subjects with People with Autism

Let me say first that I am not one of the people who bought 100 rolls of toilet paper and 50 bottles of hand sanitizer. But, I am one of the people concerned about the virus that seems to be sweeping across the world. (not in a totally paranoid way, but it is affecting us.)

I’ll admit – I was one who kind of laughed at the whole thing when it first started. It was a virus, for Pete’s sake, and it seemed influenza was harder on people. As more information has been shared, my biggest concern has been what to tell Casey and Rob. I am a firm believer that, even if a person with autism doesn’t speak, they DO hear you and what they hear may be scary – especially when they can’t ask questions about what they have heard.

The first hurdle was earlier last week (and really – we should have been more prepared as a week that has a time change, a full moon and Friday the 13th just isn’t going to end well, right? 🙂 ) Anyway, Casey and Rob participate in a track and field event put on by the Kiwanis in our area. Casey loves it – Rob seems to enjoy parts of it, but they both look forward to ribbons and getting a treat on the way home with me. Tuesday, it was cancelled, due to the virus threat. Rob didn’t seem too concerned.

Casey, however, was confused. She was okay with writing “cancel” on her calendar, but she didn’t understand why. I told her that people were getting sick and that Toby didn’t want her to get sick again like she was last month. She seemed to accept that – until she frowned and said “Toby sick.” So she didn’t quite get it, but she understood it was cancelled.

As the week wore on, more details came out and people went crazy in the stores here. I still have no idea why toilet paper was such a hot item – I would think food would be a concern, too? Anyway – the kids heard people talking about getting sick. Rob couldn’t vocalize his concerns and Casey struggled. She wanted to know if people needed a bucket to throw up in. She wanted them to go to Dr. Myers and get pink medicine. She wanted them to drink Sprite. I tried to explain that Dr. Myers couldn’t make everyone well (How dare I suggest such a thing? My kids think he is a miracle worker! 🙂 ).

My preschool closed for three weeks. So far, their day hab is staying open, but I’m not sure whether they should go or not. I need to protect not only them, but the people around them. It’s a tough decision and one I still can’t wrap my thoughts around. For now, they will be going tomorrow. I don’t want to scare them by keeping them home, but I also don’t want anyone to get sick. Especially this group – and my kids can’t tell me if they aren’t feeling well.

I feel for those of you with picky eaters who can’t find the few foods your child will eat. While Rob is picky, there is a wide variety of things he will eat, so that shouldn’t be a problem for us. Please remember other people’s needs as you shop for your family! And the change in routine is very difficult for our people with autism. Prepare for meltdowns. This is not the time to try new things or make huge demands. Everyone will be happier if you just relax and try to look at the bright side.

When it’s time to talk to your children about the virus, think about these tips:

  1. Always tell the truth! You aren’t protecting your child by lying – especially when they are hearing things from other people. You don’t need to share a lot of details – just say that you are staying home for a while to keep from getting sick. Use social stories if you need to.
  2. Be ready for questions and answer them simply. Tell them it’s like a bad cold and that you will be right there with them if they happen to get sick.
  3. Make the change in routine seem exciting! More time for favorite movies! Time to make crafts and read books. Time to play outside. More time for iPads, Legos and model trains. More time for Sesame Street and color by numbers. I know the change in routine will be tough if you need to quarantine – just take a deep breath and know everyone else is in the same boat.
  4. Explain why they have to wash their hands so often – and make a game out of washing them. Let them make bubbles and squish them. Sing goofy songs to make sure they are washing their hands long enough. (I made Casey and Rob use hand sanitizer after we left stores yesterday and to wash their hands as soon as they got home. They thought I was nuts. 🙂 )
  5. Assure them that you have taken precautions and have enough food. (I’ve heard some crazy stories – I’m sure my kids have, too.) Lay those fears to rest. Share everything you have done to keep them safe. Again, even if your child can’t talk, they are hearing and they may be scared. Talk to them!
  6. Don’t let your kids see your stress. Easier said than done, I know, but if they see you are scared, it will scare them more.

I pray this is over quickly and that you all stay healthy. It won’t be easy, but it will be what you make of it. Plan to relax and enjoy the extra time with your child. Put on headphones if they want to watch the same movie for the 1,000th time. 🙂 Right now, my biggest concern is Casey’s birthday coming. I really don’t want to have to tell her we can’t go get McDonald’s for supper or that we can’t get her favorite doughnuts for breakfast that day. 🙁 But – if we have to, we’ll make it through. Stay safe everyone! 🙂

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Autism and Illness – The Sound of Silence

Autism and Illness - The Sound of Silence

Let me say… I’m always ready for a few minutes of quiet – no long black train, no stomping up the stairs, no music blaring, no long repetitive sequences of words. In the last week, I’ve gotten lots of quiet moments and have been worried to death.

Last Sunday, my mom gut told me Rob wasn’t feeling right. I couldn’t pinpoint what was wrong, as he was eating and drinking like usual. No rubbing his ears. But, I knew something was going on. By late afternoon, he had a fever. By mid evening, his fever was over 103 and he still couldn’t tell me what hurt.

So I went into panic mode. I gave him ibuprofen, popsicles and cool rags for his head (which he hated and threw off as soon as I turned my back!). I talked to mom and Mandy and cancelled our plans for Monday. And I tried to decide whether to take him to the emergency room. (he had a seizure when he was little from a high fever – I’ve always been terrified it would happen again.) I paced from his room to the living room where Casey was on repeat “Robbie’s sick. Robbie’s sick. Robbie’s sick.” I took a chance and asked her if she knew what hurt Rob. Then she started coughing, but not too much.

His fever wasn’t coming down, so I put him in the shower. I was surprised he got in as I knew how bad he was feeling. I said again “Tell me what hurts.” No response. “Show me what hurts.” Nothing. Just a completely miserable looking young man.

His fever came down to 101 after the shower. He ate his snack, took his pills and went to bed. Casey kept telling me she was going with Regan to Odd Lots and to get a frosty Monday. And she coughed.

By Monday morning, you guessed it – they were both sick. I called the doctor and said I thought he had an ear infection and she had a sinus infection. We had an appointment quickly.

The nurse practitioner took one look and said she wanted to swab them for influenza. I laughed as there was no way either of them would let anyone put anything up their nose. As proof how bad he felt, Rob never moved when the nurse swabbed his nose. Casey jerked away, but the nurse did manage to get a swab.

In ten minutes, we knew. Influenza A for him. Hers was negative, but the nurse said she was sure she had it, too, but in the earlier stage than him. My busy planned week came to a stand still. They were both contagious. I wondered when I would get it.

They slept all day Monday, through the night and into Tuesday. Rob would eat and drink, but she refused. By Tuesday evening, his fever was 103 again and she was in danger of getting dehydrated. I wondered if the hospital would put them in the same room as I paced from one room to the other. (yeah – I know, but I was tired and stressed and thinking worse case scenario).

I’ll admit it. I really didn’t like autism for a few days. I needed to know what hurt, what I could do to help them feel better and thanks to autism, they couldn’t tell me. I knew I needed to watch him for an ear infection and both of them for pneumonia. She was still coughing. He rubbed at his ears. And I paced and worried and mumbled not nice things about autism under my breath.

Before anyone gets a burr under their saddle, I’m not saying I was upset at kids at all. I just got irritated at autism – it was preventing me from helping my kids and I was feeling so helpless. I hate that feeling. I sat and wished he would long black train. I wished she would stomp up the stairs. I wished the quiet would go away. (That proves how stressed I was – to wish for hours of long black train! 🙂 ).

Thank God, both their fevers finally came down late Tuesday and Casey even took a few sips of juice. They slept off and on all day Wednesday and Thursday. We even had a snow day Friday so I didn’t have to miss any more school.

Casey is talking about going with Regan Monday and riding the shuttle to Hopewell. Rob hasn’t said a word. I just keep hoping they are on the mend. They are both sleeping more than usual and aren’t talking much. Eating is still hit or miss and their coughs sound nasty. It isn’t a constant cough, but it hurts me to hear it.

He finally mentioned Hopewell this morning. I asked if he wanted to go or stay home with Mommy again. He said Hopewell, but then coughed again. The doctor said it would be probably a week before they started feeling like themselves and that secondary infections were a concern, especially since autism prevents both of them from telling me that anything hurts. Today is a week.

I wish I knew how they really felt. They are moving around so I guess tomorrow we’ll try to get back to our normal and let them go. They were both upset last week that they didn’t get to go with Bob and Regan after Hopewell and Rob missed his aquatic therapy. Thankfully, the hospital rescheduled him for tomorrow. I just have a feeling that they will both be exhausted by tomorrow evening. Unless their fevers come back, they will go. And I’ll keep my phone close by in case they need to come home early.

Last week just proves again to be careful what you wish for. I often wish for a few minutes of quiet, but when I got it, I couldn’t enjoy it. I hate it when any of my kids are sick, but at least Mandy can tell me what hurts and if she needs to see the doctor. With autism, it’s just a guessing game and while I’ll admit I’ve gotten pretty good at guessing, I don’t like it. I want to help them feel better, not wonder if I’m doing the right thing.

We’ll see tomorrow afternoon if I guessed right about sending them back to Hopewell. I hope I am. I wish they would just say they are too tired to go. Or that they ache. Or that their head or chest hurts. Maybe some day they will – Rob will tell me at times when his ear hurts and he needs to see the doctor. Small steps. And I’m proud of every little step they have taken.

Stay well! Disinfect. Wash your hands. Avoid people and stay home! 🙂 🙂

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Autism and Mood-Swing Moments

Autism and Mood Swing Moments

Autism is nothing if not a way to keep me on my toes. While most days are full of happy surprises (Rob reading out loud – helping with dishes, Casey naming constellations) every day, some days, I get a shock and not so pleasant moments pop up. One of those happened Friday evening.

It had been a long week and I was tired. Casey seemed happy when I got home and we ate supper. Not too long after, she screamed. I jumped up and ran to her to find her sobbing. When I asked what was wrong, the screams started again only this time, she was pulling at her hair, too. Then she was crying again. She wasn’t able to tell me what was wrong – only switched between crying and screaming.

I was finally able to distract her with a Sesame Street paint with water book. She painted for a while, then came outside on the swing with me. And started crying again. I finally learned what the problem was – she wanted to go somewhere and that person wasn’t willing to get her. And she cried. And I tried desperately not to show my anger but only to concentrate on helping her calm down and feel better.

So we slowly pushed the swing back and forth and I rubbed her hand. I knew that too much talking wasn’t going to help. When she had been calm for a few minutes, I started talking about her Halloween costume (she wants to be Cookie Monster and for me to be Elmo 🙂 ) and how we could go to Hobby Lobby and get a blue t-shirt, tulle material and googly eyes for her costume. We talked about all the details – she needed a blue shirt and “funny” material. And big eyes, but no nose.

We needed to make cookies for her basket and a headband to put more tulle on. She was going to say “Me love cookies” all day while she was dressed up like Cookie Monster. Finally, finally – she was laughing again. She giggled at me being Elmo and she wants Cory to be Big Bird, Robbie to be Bert, and Mandy to be Ernie. Even today, she is laughing at her plan. (I have explained that Rob, Cory and Mandy may not like her idea, but so far, she doesn’t seem to care!) I’ll be Elmo – that’s easy enough and I can wear it to school, too. 🙂

But, Friday night, she cried a lot, even after we talked about good things. She doesn’t understand some things and I can’t explain it in a way that would help her. Rob doesn’t seem to care anymore, but Casey asks. Usually, I can distract her with a walk or a trip to the Dollar Tree or to Mandy’s. That night, it didn’t work. And it made me even more resentful of people who only pretend to care about their feelings.

Yesterday, she seemed better. We went for a long walk and she got to have spaghettios (yuck!) for lunch, with a cookie after. She was excited to go to Mandy’s and watch the dogs play while she sat on the swing. But I worry about later this week – when will she finally understand and stop asking for things that aren’t going to happen? Why do some people think only of themselves and not others?

This was one of the times that I resented autism. I don’t resent the kids – I resent that autism caused the communication problem and Casey wasn’t able to tell me why she was mad and sad. I resent having to watch my beautiful daughter scream and pull her hair out because she can’t tell me what’s wrong. It’s a hard thing to watch – I feel so helpless and I just want to scream and cry, too.

But, unlike when she was a child, she was able to pull herself together and calm down in only a few minutes. It took longer to help me understand the problem, but we did it – together. Just the way it will always be for us. We will live the roller-coaster of emotions and we will keep right on loving and laughing (sometimes, after the tears, but it still counts, right? 🙂 ) Tomorrow, it may be Rob who is frustrated and crying (he rarely screams – he just loudly long black trains with a strange, deep yell at the end that lasts for almost a minute).

I may be used to the mood swings, but I can’t say that I like them at all. Especially when they are finally laughing, but I know that chances are, the screams are not over. I can see it in their eyes. Just like you can see in anyone’s eyes when they are stressed and upset. I just wish it was easier for them to tell me when something is bothering them. We’ve come so far – maybe one day they will have that ability!

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What is the Best Way to Teach Communication for People with Autism?

Best Way to Communicate for People with Autism

I’ve been asked so many times “How did you get Casey and Rob to talk?  What’s the best way to teach communication skills?”  And I have an answer – I have no idea.  I don’t know.  We got lucky.  The stars were aligned.  I don’t mean to be flippant about my answer, but I just don’t know.  I wish I did.  I would be rich!

But seriously, every single communication device has good points and bad.  And, every person with autism is different.  What worked with Casey, Rob had no interest in.  I’m still trying to figure it out.

Casey could sing entire songs as a toddler, but she had no interest in using her words to ask for what she wanted.  Even into preschool, after a year of speech therapy, she had few words that she used consistently.  Her teachers used PECS (picture exchange communication system) with her and she began to understand that she could ask for what she wanted.

They printed the PECS cards of everything that could think of that she might want and put velcro on the back of each card.  Using a long strip of cardboard with opposite velcro, they constructed sentences for her to repeat.  She could point to each picture as she said the words, such as “May I have cookie, please?”  I also started using American Sign Language with her.  I found out that she could say the word easier if she could sign it, too.

When she was 5, we had Auditory Integration Therapy done with her.  We knew her ears weren’t hearing normally and had heard good results with this therapy.  My mom and I (and Casey, 2 year old Mandy and baby Robbie!) spent two weeks in a hotel about three hours from home.  To add to the “fun” we all had pink eye.  My dad and their dad joined us over the weekend.  My best  memory of that trip is that 4 days after Casey started the therapy, she said “doughnut” at breakfast!  I hadn’t asked her what she wanted – she volunteered she wanted a doughnut.  And I cried.  We all cried.  (she did get a doughnut!)

The therapy was done in June and we continued to hear a new words throughout the summer.  She still didn’t use whole sentences, except the ones we had scripted for her.  And if she was having a meltdown, communication was non-existent.  She simply couldn’t get the words out when she was upset.  Meltdowns were common when she started school.  She had them at school often, but at first, we didn’t see them at home (probably because she didn’t have demands on her here)

Now, Casey is more likely to have a “conversation” with you – about what she wants to talk about, of course.  She won’t sit and visit with people, as she sees no reason to do that.  If she wants something, she is able to tell me what she wants.  She can share memories and answer most questions.  I try to always remember to say “Tell me what you want” instead of “what do you want?”  (I highly suggest you try that with your child – statements are much easier to process than questions).

Rob had more words than Casey as a toddler, but he was also less likely to use them.  Mandy spoke for him all of the time.  When he wanted something, he pointed to it and Mandy told me.  I asked her so many times to let Rob talk, but she was so earnest in wanting to help him, she couldn’t understand why she shouldn’t.  When she started preschool (she went to the preschool our school district offered – typical and special needs children.  It was where Casey had gone and she loved the teachers), I was amazed at how many words Rob could say.

He didn’t see any reason to talk beyond what he needed, but he had a huge vocabulary compared to Casey at that age.  (She understood everything – she just didn’t acknowledge the words)  He loved being read to and pointing out objects in books.  He was still so far behind other children his age, but at least I knew the words were there.  With Casey, I was never sure.

I used ASL with him more than I did with Casey.  It’s funny, because once in a while, she still signs please and thank you as she says them.  Rob liked to rip up the PECS cards, so ASL was the better choice for him.  I still use it with him, especially when he is getting anxious.  We use later, stop, listen, now, wait and look a lot.   He understands a long list of signs and used to use them often.  Now, he tends to just say what he needs, but once in a while, he does sign as he says his words.  If your child has any sensory issues with their ears, trying ASL may be a good choice for you.

I also suggest that when you talk to your child, make sure you give them time to process what you said and form an answer.  Rob was in elementary school when we discovered that if he was asked a question and given 30 seconds to answer, he usually would.  I was thrilled with this and still give him plenty of time when I ask him something.  (By the way – 30 seconds is an eternity when you are trying NOT to say anything and waiting for a response!  Keep waiting, anyway!)

Some people are completely against using ASL because they think it means they are giving up on their child speaking.  This can’t be farther from the truth!  You are simply giving your child another way to communicate as they learn to use their words.  And, the reality is, some people with autism will never have verbal skills, but they use other ways to communicate and the results are amazing.  Be happy with whatever way your child chooses to communicate!

Casey and Rob both have iPads with a communication app on them.  They love Proloquo2Go.   They both understand how to use the app (it’s easy – you can even add actual photos of items your child might want) but they tend to say what they want after playing with the app.  They both like to use the app to make sentences that are funny to them.  Rob especially likes to type sentences such as “The dog is purple” and just laugh and laugh.

There are so many techniques for helping your child communicate.  You know your child best and what might interest them.  They may like the picture exchange actions or a communication device might catch their attention.  You will have to try many techniques and constantly work with your child to improve their communications skills.  Notice – I didn’t say “verbal skills.”  I said communication – in whatever form that takes!

Think of the people with autism who never speak, but can type their thoughts.  Or the ones who sing.  Or who can sign.  Never give up, but adjust your dreams.  You may never “hear” your child say “I love you” but you may see in it signs, in words or, most definitely, in their eyes.

I wish I had the perfect answer for each of you.  I wish I could promise you that your child will be communicating with you soon.  What I can tell you is that you will learn how to communicate with your child.  It may not be long talks around the supper table, but you will each learn the best way to communicate.  It may be an odd assortment of techniques that work for your family.  It won’t matter how you communicate – it just matters that you do and that you accept however your child chooses.