Autism Mom Wonders – Is he Hungry or is it OCD?

Is it Hunger or OCD?

Raise your hand if you have ever had a day when you simply couldn’t stop eating.  I know I have them and it’s nearly impossible to control the urge to eat all of the chips and snacks in the pantry.  So, if everyone has them, how do I know if Rob is hungry today or if he’s just obsessing about food because of his autism?

And as I wrote that paragraph, Casey walked in to the room carrying a pack of candy that was on my desk.  Maybe it’s the weather?

We have had an odd week of weather with well below zero wind chills.  Rob hates the wind, but luckily, it was just so cold the wind didn’t have to blow much to drop the temps.  The super moon was earlier in the week, too.  And they were home Monday for New Year’s Day.  So, it’s been an odd week.  But would that drive them to eat so much?

Sure – stress does that to some people.  I tend to avoid eating when I’m stressed, but I know lots of people eat when they are stressed.  Casey will always try to sneak food or drinks, so I’m sure today is just a typical day for her, but what about Rob?

I’m trying so hard to watch what they eat and limit overeating as much as possible.  Exercising isn’t as easy in the winter (though he is going to an indoor track with staff during the day!) so I’m really watching what they eat.  He ate breakfast as usual, but at lunch, he wanted more after he finished.  Later in the afternoon, he asked for his pills early (they have snacks with their pills) and then wanted more after he ate when he usually does.

At supper, it was like he couldn’t get full.  He ate supper, then wanted waffles.  Then fruit, then crackers, then candy.  I gave him a banana and some crackers, then told him no more.   As I was washing dishes, I thought about the days when my appetite seems endless.

So now I’m feeling bad.   What if the storm that’s heading our way is stressing him out (he is a little loud) and his appetite is increased.   Am I making it worse because I’m not letting him eat everything?  Right about now would be a great time for a verbal breakthrough!

I know physically, he can’t possibly be hungry, but still, I feel so guilty telling him no.  Every time he hears someone in the kitchen, he comes running to see what they are doing.  I don’t remember the last time he acted like this – maybe he really is hungry.  I’ve noticed he is losing a little weight – maybe he isn’t eating enough.  How in the world am I supposed to know what is autism and what is being a young man?

So I just offered him carrots and he took them.  He isn’t fixated on a certain food.  Ok – he is hungry.  I think.  He refused the celery, but I’ve never seen him eat that.  I’m going to wait and see what he does, for now.

But this does bring up the hardest part of autism and limited communication.  It is so difficult to know what is really going on with the kids.  When Casey has a meltdown, is she tired?  mad?  hungry?  When Rob is relentlessly looking for paperclips, is he anxious, bored or hungry?

He’s getting louder now. I think the approaching storm is the problem.  So now the question is – do I let him eat everything he wants or keep trying to redirect him?  I think a pile of cardboard would be a great idea right now!  Hopefully, that will help until it’s time for his shower.  He’s been asking about Hopewell tomorrow – I’m a little worried this storm is going to be worse than predicted.

I really hate now knowing what they need or want.  I know how lucky I am that they have any communication at all, but still, it would be so nice if he could just say he’s starving!  Or that he’s anxious or that a huge storm is coming.

How do you handle the communication problems?  Do you ever feel guilty when you don’t give the kids everything they ask for?  Any tips for telling the difference between stress-related eating and obsessive eating?

Stay warm and stay safe everyone!

Is a Healthy Diet Possible with Autism?

autism picky eating

I had to take the kids to their yearly neurological appointment a few days ago.  As usual, their weight was a concern to the doctor.  It’s a concern for me every day.  For those of you living with picky or compulsive eaters, you know the daily struggle I face.

Both of the kids are on medication that will stimulate their appetite.  While they tolerated this well when they were teens, it seemed that as soon as they graduated, the weight started piling on and now I feel guilty because they have gained so much.

I’m worried about diabetes and their heart health.  I have taken strong measures to make sure food is limited for them, but it’s so hard.  I know Casey is full a long time before she stops eating.  She will stop and take a deep breath and then continue eating.  She will eat until the food is gone.  I don’t know how she doesn’t get sick.

I fix a plate for her with small portions and when she wants seconds, I make that plate, too, with small portions.  Once I put food in the refrigerator, she considers it a leftover and refuses it eat it, so I just put everything away quickly.

Rob knows when he is full and he will stop eating – usually.  If he thinks he can get away with it, he’ll sneak more of his favorites.  He is 5’10” so sneaking is not something he is really good at!  Most of the time, I can tell him he’s finished and he’ll put his plate in the sink and go find something to do.

At this appointment, Rob had lost a few pounds, but Casey gained some.  I am trying to figure out how that is possible.  She won’t eat chips or snacks like that.  Cookies and sweets are limited – if we have them at all.   I don’t let them drink Coke or other soft drinks.  Casey walks miles almost every day at the workshop and we walk as a family several times a week.

I’m sure most of you understand what I’m talking about.  I pack Rob a lunch every day.  He is so picky about what can be in it, that the contents rarely change.  He takes several fresh fruits (but so many fruits are high in sugar!), rice cakes, carrots and a small pack of fruit snacks.  If we have leftovers that he likes (Only meat or potatoes) I pack those, just to be sure he has something to eat during the day.

Sometimes, I’ll pack noodle soup or cereal.  I am constantly trying to think of things he will eat that I can pack easily.  Casey takes a lunch occasionally, but her lunch is easier to pack.  She loves ravioli and other convenience pasta.  I hate packing that, though, because I know how many calories are in those foods.

Unfortunately, as picky as Rob is, the foods he loves are all high in calories.   French fries, chicken nuggets, pizza rolls – all things he would happily eat every single day.   Of course, just because he wants that stuff, doesn’t mean he gets it, but still, it’s hard not to buy when I know he will eat.   I’m curious about what other parents do?  Do you give your child the “junk” food to make sure they eat?

I’m so lucky that Rob is willing to try new foods now, but that doesn’t mean meals aren’t still a struggle at times.  I try to plan so that at least part of the meal is something he likes, but when spaghetti is for supper, I have to think of something else for him.  I refuse to make two meals, so sometimes, he has waffles for supper.  And I feel guilty knowing that isn’t especially healthy for him.

Casey loves vegetables and would happily eat nothing but those for meals.   Rob loves peas and green beans and will eat corn, if it’s just a small helping.  Potatoes are a huge hit, but they have so many carbs in them.  He will eat many types of fresh fruit, so I have always those on hand.  (But – why is the healthy food so much more expensive than the chips and cookies??)

So, my kids have a meaner mom now.  I’m going to get even more strict about what they eat.  We rarely eat fast food, so that’s not a big problem.  Casey is taking a water exercise class twice a week and Rob is doing aquatic therapy.  We’ll try to walk more, but I have no idea what to do when winter hits.  I doubt either will walk on a treadmill.

It’s easier with Rob.  If Casey wants something, she smiles her sweet smile and says “please” and people give in to her when I’m not around to tell her no.  Rob doesn’t do that.  She will sneak food.  He will look to see what he wants, put it away and then ask for it.  If I say he has to wait a while, he’s ok with that.  She is not pleased when she is told to wait.

Eating healthy is hard enough when the family is typical and people are always in a rush.  At least, we aren’t rushed every day, but the kids both eat fast and I know that causes weight gain.  I also learned that not sleeping well can cause weight gain.  Since Rob is sleeping better, maybe that will help him lose a little, too.

I thought about using a fitness app to keep track of their calorie intake, but that seems nearly impossible when they can’t tell me what they ate during the day.  So, I’m determined to prove that eating healthy can happen with people with autism.  They won’t be happy, but the limits are being set.

Protein won’t be an issue for either one, nor will eating fruits and vegetables.  Grains will be tough, as they only eat buns with sandwiches.  Cutting out the convenience foods will be the hardest.  I’d love to hear how you did it with your child with autism.

Their doctor said that being more active is what they need.  (really – you think?)  They both love to walk, but we need stuff for rainy days.  Any ideas?  and it has to be fun or something I can do one on one.  Neither is coordinated enough for jump rope or anything like that.  I have a small trampoline they might try.

So – do you worry about healthy eating with your child or are you just too tired to worry about it?  (And believe me, I get that!)   What do you do to stay active?  I know for many of our kids, being overly active is a problem.  Do you try to do something with your child to burn off that energy or just let them run as needed?

Thank you!  Healthy eating!