5 Ways to Express Love to Your Child with Autism

expressing love to child with autism

This post originally appeared in the February 2020 issue of the Autism Alliance of Michigan MiNavigator Newsletter . Written by former Healing Haven BCBA Carita Niemann, M.Ed., BCBA, LBA. 

expressing love to child with autism

Valentine’s Day is a special time of the year. We often pause and express love to those who are close to us. However, communicating this love to each person in our lives takes a unique form. According to Dr. Gary Chapman, author of The 5 Love Languages®, everyone expresses and receives love in a unique way. Children with autism are no different! 

In my 10 years of working with children with an autism diagnosis, I have loved the challenge of finding ways to “reinforcer pair” with them. This is applied behavior analytic talk for “loving them in their own unique way.” For some children it can be as simple as providing them with their favorite toy. While for others, this can entail months of chasing them with hand puppets, blasting them up like a rocket, and working up a sweat to evoke one heartful giggle.

As parents and caregivers of children with autism, when we do the work of finding ways to show love to our kids — they return the love tenfold. Just like any relationship, it is always helpful to reflect on new ways to express our affection.   

5 Ways to Express Love to Your Child with Autism

Using the wisdom of The 5 Love Languages®, here are a few ideas of how you can express love to your child with autism this Valentine’s Day:

Words of affirmation

Many children with autism are visual learners. As a result, they respond well to pictures, videos, and written words over spoken words of affirmation. Consider creating a photo book with pictures of significant memories with your child and a few words to describe each memory.

Physical touch

Children with autism seek sensory input in a myriad of ways. Some enjoy the physical touch of loved ones through hugs, tickles, cuddles, and kisses. While on the other hand, others find more enjoyment in the sensory input from the physical environment in which we live. This Valentine’s Day, if Michigan winter allows, try spending time outdoors with your child exploring the cold snow. For extra sensory input, take food coloring with you and watch a winter wonderland turn into modern art!

Quality time

Our children receive demands all day long— “get dressed,” “clean up,” “do this,” “do that,” etc. As adults, it is challenging for us to spend time with a child without placing any demands. However, with some effort, perhaps this is a true gift we can offer your child this Valentine’s Day. Intentionally plan for one hour of praise, imitation, attention, and freedom to be exactly who they are in that moment.

Receiving gifts

Although chocolate and a teddy bear may be the perfect gift for some kids, there are other options too. A beautiful gift for any child could be the gift of a new experience. Depending on your child’s interests and preferences, here are some ideas to consider. You could take them to a sensory friendly movie, bake cookies from scratch, complete a science experiment, visit an indoor trampoline park, or explore the various children’s museums in Michigan. Additionally, find a winter activity in this blog post that would feed their need for sensory or motor input. Then purchase the items and package them together for a gift this Valentine’s Day.

Acts of service

As a twist, the recommendation for this category does not directly involve expressing love to your child with autism. As parents and caregivers of children with special needs, we spend much of our time caring for others. In order to give from a fuller cup, try scheduling time for self-care this Valentine’s Day. As little as 10 minutes of meditation can lead to decreased anxiety, physical pain, and even cardiovascular disease.

Remember, “The number of ways to express love within a love language is limited only by your imagination” (Chapman). Let your creativity soar this Valentine’s Day as you express love to your child with autism – and anyone else in your life!

For additional reading on this subject, our Founder & President Jamie McGillivary, MS, LLP, BCBA, LBA, spoke about it with Metro Parent in 2022 – What Love on the Spectrum Looks Like.

Developing Relationships on the Autism Spectrum 

developing loving relationships when you have autism
mom hugging son

In the United States, our culture has predetermined ideas of what love “should” look like. As most of us have experienced, relationships can be complicated, autism or not. And developing relationships when you have autism is just as important as it is for those who don’t. Autism can cause differences in communication, understanding of context and sensory perceptions. As a result, people often believe that individuals with autism don’t understand or even require love and loving relationships. However, that is simply not the case.  

The expression of love starts at a very early age as parents and others are teaching skill sets that children will need for the rest of their lives. Here in our clinics our team witnesses the many ways kids with autism connect with their therapists and show love. And, as professionals deeply invested in the wellness of our clients and their families, many of our team members read and learn about some of the less commonly discussed aspects of life on the spectrum — and that includes love. 

In this post we share some wisdom from our President & Founder, Jamie McGillivary. She shares what love for someone with autism may look like and how to help foster the ability to develop loving relationships. 

Start with understanding and acceptance 

Because love is universal and not limited by age, we will start with a couple of concepts about love on the spectrum for parents and loved ones to consider. 

First, it’s important to recognize there is a notable difference between feeling love and behaving in a loving way. And this difference applies to everyone, not only those with autism. Jamie says that when we consider autism as a way of being, rather than a disorder, an individual’s response to love makes a lot more sense. Essentially, loving behavior can look very different from one person to the next. Just because a person isn’t comfortable with hugging or kissing, doesn’t mean they don’t feel love. 

Second, individuals don’t have to excel at recognizing the emotions of others to have emotions of their own. Jamie points out a great irony regarding this idea. “As therapists, we teach the skills of putting yourself into another’s shoes, but, as so-called neurotypical people, do we do this when interacting with people with autism?”  

This concept is called “theory of mind”. It is the ability to understand the experiences of others, even if they don’t coincide with our own. For those of us who don’t have autism, we can show the greatest amount of love simply by extending understanding and acceptance. 

Expressing and receiving love 

Parents can gain a lot of understanding about how their child with autism, as well as anyone else in their lives, shows and accepts love by reading The Five Love Languages, a book series by Gary Chapman. There is a version specifically for understanding kids, too. 

The 5 Love Languages

Everyone has a preference as to what feeling loved means for them. The 5 Love Languages are: words of affirmation, quality time, gifts, acts of service and physical touch. You can learn more about each of the five love languages through Chapman’s book, as well as in our post 5 Ways to Express Love to Your Child with Autism. 

Learning how your child expresses and receives love is an important skill. Jamie provides this example, “You can learn about your child’s love languages by observing their behavior. Are they in your space, do they say ‘mom, mom, mom, mom, mom’? This gives you a clue that they need you to fill their bucket with quality time.” 

If you sense that your child is feeling less connected, it might be that you or others aren’t communicating in their preferred love language. Receiving a gift can mean very little to someone who craves praise and acknowledgment. Some kids with autism want hugs but will never give them from the front. They may need a hug from the back or the side for it to be acceptable to them on a sensory level. 

Additionally, a common misconception is that kids with autism don’t want to be social. In reality, they may feel disconnected because you are not communicating in a way that’s meaningful to them. 

A common scenario most parents can relate to is when a preschooler wants to play with a peer but doesn’t know how to express they want to play.  So instead, they kick over the peer’s just-completed block tower. And the reverse of this is when a child asks another to come play but is ignored by the nonverbal child. The children in both scenarios have a need and a desire to be with each other. But unfortunately aren’t able to communicate it in a way that the other understands. 

This is called “negative reciprocal actions,” and when they add up, the person trying to connect eventually gives up. Socially, this is where we see a difference. Kids with autism express their needs on their own terms.  It’s important to learn how to speak their language of love.  

Setting a relational foundation 

As parents, you are the first role models for loving relationships. If you are accepting and open to your child’s differences, it opens the door to enter your child’s world. Follow your child’s lead and be a detective in how they communicate with you. When you figure that out, you will get more back in return. 

By recognizing your child’s way of connecting with others, it goes beyond your own parent/child relationship. You are helping them express their need for love to others. This sets the stage for teaching pivotal social interactions that can help them make deep friendships and develop loving relationships. Developing a connection with your child – or grandchild, friend, relative or love interest — with autism, is possible. The key is figuring out how they express and receive love.

Addressing Sleep Issues in Children With Autism

Trouble sleeping often plagues many of us due to factors such as stress, physical health, or irregular schedules. But for those on the autism spectrum, falling asleep and staying asleep is a very common and serious challenge. Additionally, sleep issues in children with autism can affect the whole family. It is crucial to address problems sleeping in children with autism not only for the child’s health but yours as well. Sleep is one of our basic needs and if it is not met properly, health issues and poor functioning may occur. 

Interestingly, sleep is one of the least studied aspects of autism. However, based on the evidence we do have, we know that poor sleep is  twice as common among children with autism than neurotypical children.  According to a 2019 study, toddlers with autism are highly likely to have sleep issues by age 7. Consequently, sleep issues in children with autism are linked to negative behavior and lack of social skills. Needless to say, good sleep is critical for those with ASD, as poor sleep can lead to a lower quality of life and health. 

Why sleep issues in individuals with autism?

Have you ever tried to fall asleep with a lawn mower outside your window, or with the lights on? Unless you’re a super heavy sleeper, it is difficult. For individuals with autism, even a crack of light or creak on a floor can feel like that lawn mower or a fully lit room, therefore disrupting restful sleep. Moreover, sensory processing issues often contribute to sleep issues in children with ASD. Sensitivity to light, sound or touch prohibit full sleep cycles from occurring. 

Children with autism often battle other health conditions that can affect sleep, such as: 

  • ADHD 
  • Anxiety 
  • Gastrointestinal issues 
  • Medications (stimulants can cause insomnia) 
  • Genetics that affect melatonin production 

How to improve sleep for a child with autism

So how do you improve sleep issues in children with autism? Consider trying out these five tips:

1. Sensory Input

Minimize sensory input as much as possible. Keep your child’s room dark, cool, and quiet. Take note of any potential distractors that may keep them awake, such as night lights, toys, room temperature (cool is ideal for sleep) and clutter. A white noise machine may also be helpful to block out any noises. Additionally, you should be aware of fabrics and linens used on your child’s pajamas and bed to ensure there isn’t a sensory aversion to textures present. If your child enjoys pressure to help them calm down and regulate, consider trying a weighted blanket. 

2. Limit Screens

Turn off screens an hour before bedtime, as the blue light in screens tricks the brain into thinking it is daytime and thus time to stay awake rather than sleep. 

3. Schedules

Stick to a regular schedule for falling asleep and waking up to keep the body in sync. Create a routine that starts an hour before the child needs to be in bed. Set timers as reminders for transitioning to bedtime. Practice relaxing activities such as reading together, a bath, or having a light snack. 

4. Try Supplements

According to research, taking low-dose supplements such as melatonin an hour to a half hour before bed can lower insomnia in children with ASD. Controlled-release melatonin can improve falling asleep and staying asleep throughout the night. Please be sure to consult with your child’s Doctor to get their expert input before trying out any supplements. 

5. Take Care of Yourself

As a parent, you are the one who is most likely running bedtime routines and dealing with nightly wake-ups, which is exhausting. Make sure to care for your well-being so you have energy to give during the day. However, we realize the challenge in helping your child stay in bed while you and your family are trying to rest. Try incentivizing techniques for your child staying in bed all night, such as a reward chart or using visuals of them sleeping. If they need someone in the room in order to fall asleep, try gradually moving out of the room a little more each night. Additionally, ensure they are getting enough activity and exercise to burn off energy during the day, resulting in better sleep at night for both them and you. 

These tips are by no means a miracle cure, but with practice and patience, they have potential to decrease sleep problems and improve quality of life for your child and family alike. Remember to consult your child’s pediatrician with any sleep issues your child is experiencing. They may recommend seeing a pediatric sleep specialist or participating in a sleep study to rule out other potential causes. 

Holiday Stress Management Tips for Autism Families

managing holiday stress
Holiday stress management tips

The holiday season can be full of wonderful activities, parties and family gatherings. But there is also an added level of stress during the holidays because of the extra “hustle and bustle”. Shopping, baking, decorating, wrapping and hosting – how much can we add to our plates? And when you are also parenting a child with autism or other special needs, the demands of the holidays can become overwhelming. The change in routines, unfamiliar people and places can cause stress in our kids – and us!

With input from our amazing Counseling Team, we’ve compiled ten holiday stress management tips to help you prepare for, and enjoy, this season. 

10 Holiday Stress Management Tips

1. Acceptance

Something that may seem obvious is the ability to accept your child as they are and be understanding of their needs. An acceptance mindset can be a significant driver to reducing your overall stress. Mentally prepare yourself that during this busy season your child may engage in more self-soothing behaviors to cope with the changes in their routine and added stress. They also may not want to interact with all the extra family and friends that you see this time of year. Giving your child some control and choices may help. You can offer controlled choices about the time they go and leave from gatherings, if they want to go somewhere, or where some decorations should go. 

Another aspect of acceptance is to realize that the holidays can bring a mix of joy and grief, especially for parents navigating changes in traditions, expectations, and family dynamics. It’s important to give yourself grace to feel how you feel, whether it’s sadness, frustration, or nostalgia.

2. Flexibility

It’s important to look at your own expectations around the holidays and try to be more flexible.  Realize that it’s OK that your child may not feel the same way about the holidays as other kids. Your child may not like the traditional holiday activities, so stop and ask yourself the motivation behind doing something (like taking a picture with Santa). If the motivation is that it’s a “childhood tradition”, it’s not worth having your child stress out, panic or go into a full meltdown getting near Santa. Try to develop a flexible mindset. If you have to make a last-minute change because your child becomes over stimulated, that’s not only supporting your child and their needs, but also a self-care practice for you! 

It’s important to acknowledge that adjusting holiday traditions to accommodate evolving circumstances, such as the unique needs of children, shifting family roles, or personal limits, can be emotionally taxing. Recognize that grief over what was—or what you hoped for—is valid and a natural part of the process. Allow yourself to embrace flexibility and find meaning in new traditions while honoring the emotional space needed to process these changes.

3. Set Boundaries

You know your child and how and where they are at their best. If your entire family is gathering at Grandma’s house, there are ways you can still participate. Plan to stay for an hour so that you leave before your child reaches their sensory maximum. You could also plan to arrive at gatherings early in order to allow your child to slowly acclimate to the number of people showing up in real-time, which could help make them feel less overwhelmed

It may be helpful to communicate ahead of time the boundaries you are setting with your family members to avoid any misunderstanding. Here is a great resource to share with family or friends who are hosting holiday gatherings. And thanking them for understanding the choices you need to make will help them to feel appreciated for being flexible. 

4. Say No

With so many invitations, activities and options presented to us during the holidays, we can end up finding ourselves in situations that may take away from the enjoyment. Furthermore, saying yes to an event when you actually want to say no can lead to feeling overwhelmed and also experiencing resentment. If you know your child will not do well at someone’s house, you can kindly decline an invitation. Remember, all you need to say is “I am sorry, we cannot make it – thank you for the invitation.” You do not need to give a reason or explain why you cannot make it to the event. It can be hard to say no, but if it will reduce the stress in your life, you need to do it for your own sanity. 

5. Pace It Out

Decorating your home for Christmas can be fun for some, but sensory overload for others. If you gradually get your decorations out, your child can acclimate to the new lights, smells and sounds slowly. Progressively introducing new decor into the living areas of the house allows your child to gradually adapt to the environment. Otherwise, you risk overloading them with the changes all at one time. 

It may also be useful to take time to familiarize your child with the destination or venue of any gathering as well as the guests that will be attending. This can be done through photos or preparing a photo album they can hold and refer to during the event, as well as reviewing it beforehand. This can help reduce the chance of surprises and help them feel comfortable in knowing the environment and people they will see.   

6. Find Balance

An important holiday stress management tip is to work in some quiet, soothing activities with your kids to help them balance all the additional sensory input that comes during this time of year. And those quiet moments can benefit you, too. Furthermore, find balance in the ability to indulge in the yummy treats of the season without feeling guilty. It is common for healthy eating habits to take a backseat this time of year. But if you can balance out the sweets indulgence by increasing your water intake each day, you may feel more positive about enjoying the holiday treats. 

It’s also important to make sure to prioritize and set some time aside for self-care activities that help you relax, have fun, or feel energized. These activities could include talking with a friend, going for a walk, reading, listening to music, watching a holiday movie, or whatever else you enjoy. The important part of self-care is not so much what you do – it’s that you make time do it.   

7. Keep Structure

You and your child have schedules – daily, nightly, weekly routines. Keep as many things consistent as possible. For example, if you have self-care activities such as attending a workout class or getting your nails done, keep that commitment even during the busyness of the holidays. If your child has a nightly routine of taking a bath before bed, leave the holiday event with enough time to allow your kiddo to complete their routine. Keeping your typical agendas will set you and your family up for success during this hectic time. And if a change in your child’s routine is unavoidable, creating a holiday visual schedule can help them prepare and process what is coming. Here’s another great resource for holiday social stories and visual schedules. 

8. Avoid Perfectionism

So many caregivers are perfectionists by nature and the holidays can intensify the desire for things to be “just right.” Though this may be difficult, try and focus on the big picture of the holiday season by avoiding getting caught up in the little details. Give yourself permission to be less than perfect, write it down or say it out loud – “things do not need to be perfect this holiday season!” Letting go of perfection and focusing on connection, even in small ways, can help create moments of peace and joy during a challenging time.

9. Consider Dietary Restrictions

As you likely already know, autistic individuals are more likely than others to have dietary restrictions. This is something to be aware and mindful of, as well as make known to others so that your child isn’t excluded from participating in holiday meals and treats. Even if there are no dietary restrictions, having preferred food items around for your child can be an effective tool in helping them remain calm and comfortable in stressful situations. With this said, also be mindful of extreme amounts of sugar available and accessible, as this could also heighten stress and anxiety during the holidays.  

10. Sleep!

This is a small one and may seem somewhat cliché, but getting enough sleep is so important for stress management – especially around the holidays. With all the things we have to get done during this time of year, sleep often gets neglected. But we also know that lack of sleep makes most people more vulnerable to irritability, mood changes, forgetfulness, and much more. Protect your time to sleep by prioritizing what needs to get done today verses what can wait until tomorrow so that you aren’t sacrificing sleep for your “to-do list”. Do your best to ensure that your child gets enough sleep, as well, as this can make a huge difference in their energy and behavior.  

Some of these holiday stress management tips may seem easier said than done. But we hope that you find at least a few of them helpful and easy to incorporate into your holiday season. Even if it’s just hearing that you CAN say no and set boundaries… doing so just may lead to a less stressful and more enjoyable season! 

And if you find your stress level increasing into the new year, our Counseling program helps parents of kids with autism, as well as children and teens on the spectrum. Contact us for more info. 

If you found these holiday stress management tips helpful, please share this post with others! 

The Benefits of Organized Space For Individuals With Autism

Have you ever tried working in a cluttered area? Or been distracted by noises or lighting while trying to focus? Most of us would not feel very successful if we were attempting to be productive in such an environment. For individuals with autism, distracting, messy work and play spaces can only magnify the struggle of focus when gaining new skills. Whether it’s your home or your child’s play area, keeping an organized space for individuals with autism reaps many benefits.

Why Organized Spaces for Individuals with Autism

A clean environment is an important element to the success of individuals with autism. In fact, it influenced the design of our clinics.  Our President & Founder Jamie McGillivary, MS, LLP, BCBA, LBA, intentionally chose the colors of the walls, the use of natural light and artificial natural light, simple layout and organized spaces. And these principles can carry over into the home environment too.

Less Distraction

Many individuals on the autism spectrum experience excessive sensory input. Consequently, distraction is common. Too much unnecessary clutter and detail can derail a child’s focus. Even minor messes that may be easy for a neurotypical child to ignore could cause attention issues for those on the spectrum. Minimizing unhelpful sensory experiences aids in a child with autism’s ability to focus.

Specifically, consider visual and auditory senses when designing a distraction-free space:

Visual

Keep walls simple in decoration to prevent overwhelm. Many kids with ASD notice minute details in the area around them. Tucking away supplies and toys in bins or cabinets out of sight reduces temptation to interact with them while also reducing distractions. For colors, utilize solid, soft tones such as green, blue and pink and avoid yellow as it can be overstimulating.

Auditory

Sensitivity to noise is a common symptom for kids with ASD. While neurotypical children may function easily with sounds considered background noise, those sounds may be incredibly distracting for children on the spectrum. Keep your child’s space as free as possible from traffic noises, humming machines, loud ticking clocks, and other potential “noise clutter.”

Enhances Organizational Skills

Organizational tasks that we deem simple may require more effort and practice for individuals with autism. A clean work environment promotes organization and productivity, which in turn helps a child acquire new skills. Designating organized areas helps individuals with autism predict what will take place in their workspace. Labeling areas such as drawers and cupboards can help kids practice putting their supplies and toys away when finished. This also helps reduce long-term clutter and ensures smoother transitions to new activities. Color coding is another fantastic way to make organizing easier for kids on the spectrum, as different colors represent different purposes for an area.

Reinforces Routine and Expectations

Organization helps an individual’s success and independence in following instructions. If a space is cluttered and messy, they will likely get more confused when trying to learn skills and complete routine tasks. According to research, organized and structured learning spaces aid kids in staying on-task and performing well academically. Structure helps you as a parent as well, as it can reduce the need for your assistance.

Tips for Your Home

If you believe your child could benefit from some decluttering and organization at home, here are a few ideas to get started. And remember, you don’t have to try all of these things at once!

  • Organize toys, art supplies, school materials, etc. into labeled areas and bins
  • Paint your child’s room a new, calming color
  • Tackle one room at a time and identify items you can remove or put away for a simplified and, hopefully, less stressful setting.

These ideas may not only benefit you, but your whole family may begin to feel some stress lift as a result of creating organized spaces for your child with autism.

And if you found this post helpful, please feel free to share it with others!

Preparing For Your Child’s IEP

There are a ton of resources out there if you do a Google search for “IEP tools” or “preparing for an IEP”. It can be overwhelming. We want to provide some information to help you sift through all the content so that you can walk into your child’s next IEP more confident than you did the last one.

One thing is for sure: when you have a child with autism, ADHD, Down syndrome, dyslexia, or any other condition that impacts their learning, becoming an expert in the IEP (Individualized Education Plan) process is necessary for parents. Read on for some tips and resources to help you in preparing for your child’s IEP.

Remember the law is on your side

First, there is the Individuals with Disabilities Education Act establishing the framework for what students with disabilities are entitled to in school – a Free and Appropriate Public Education (FAPE), in the Least Restrictive Environment (LRE).

And more recently there is the Endrew F. Decision in which the Supreme Court ruled in March 2017 that Individual Education Programs must give kids with disabilities more than a de minimis, or minimal, educational benefit. The Supreme Court ruled on the meaning of a free appropriate public education (FAPE). The case involved a boy with autism and ADHD, who made almost no progress on his IEP goals because his behavioral and academic needs weren’t addressed. Understood.org created this helpful resource as a result of this decision.

You are your child’s best advocate

Even with the law being on your side, the reality is, not all school districts are created equal. Whether it’s in the arts programming they provide or the special education services they offer, philosophies and services can vary widely from district to district and state to state. Know your rights as an equal member of the IEP team and be ready to step out of your comfort zone to advocate for what your child needs.

Walk in with the mindset that this is your child’s meeting, not a district meeting or a special education department meeting. Remember, you are the expert on your child. Come to the meeting with your own data – video of your child doing things, copies of their “’work”. They may not demonstrate their full potential during a standardized assessment, so compiling your own data can reinforce what you are advocating for!

Don’t forget the Parent Concerns Letter

Most IEP forms have a very small box for “Parent Concerns”. Know that you are not limited to how many words can fit in that box. You can draft an entire letter outlining your child’s needs and the concerns you have for their progress and learning. Here’s a great resource from A Day In Our Shoes specifically about the Parent Concerns Letter. Communicate your vision for your child and don’t allow anyone to change YOUR vision.

Framing the conversation

It’s important to tailor the conversation when it comes to preparing your child’s IEP. It is difficult to hear how your child stacks up to their typical peers. That’s the reality of the standardized assessments and evaluations presented by the IEP team. You know your child struggles with communication, fine motor, reading, math, or whatever it is. But to have that data in black and white can be quite sobering. Help set the tone by flipping weakness statements into strengths and needs statements. As this Brooke’s Publishing blog post states, by changing “can’t do” statements into “the student needs…” you will end up with an effective IEP that not only establishes high expectations, but meets your child’s needs.

What if you don’t agree with the IEP and/or others on IEP team

It’s okay to not finish within the first meeting. You can reconvene for a second (or third, or fourth) IEP meeting if necessary. And consulting with a special education advocate can be very helpful if your emotions are running high and you’re not feeling heard by the district. An advocate can help you with talking points, legality issues, and even attend the IEP with you to assist with communication between you and the school district representatives. Additionally, a free local resource for parents is Michigan Alliance for Families.

Additional Resources

There really is a TON of information out there to help you with your child’s IEP. Instead of making this post any longer, here are a few additional resources for you to check out:

We hope these tips and resources for preparing for your child’s IEP prove to be helpful for you. Godspeed!

Autism and Co-occurring Health Conditions 

autism co-occurring health conditions
autism co-occurring health conditions

When a child receives a diagnosis of autism it can be overwhelming for parents. They must learn how autism spectrum disorder is manifesting in their child and then how to best support them. Do they have communication challenges, or are they completely non-verbal? Do they experience sensory overload? Are they struggling with learning? Is it impacting their motor skills? On top of these questions, parents may also have to navigate some common health conditions that can co-occur with autism.

Just like there are many known health conditions that co-occur with Down syndrome (congenital heart defects, thyroid issues, hearing loss, celiac disease, etc.), many additional health issues can also arise in individuals with autism. And a study once indicated that children with autism are four times as likely to have their additional health needs go untreated, especially if they have a co-occurring intellectual disability, compared to the general population.

Conditions that Co-occur with Autism

We are going to break down some of autism’s common co-occurring health conditions. Please note, this information is to only provide helpful insight for parents and caregivers and is by no means an attempt to diagnose any of these conditions in someone who has autism.

Epilepsy

The overlap between autism and epilepsy has a wide range – estimated somewhere between 5-46%. But a 2019 study indicated 44% of patients with ASD also have epilepsy, while only 1-2% of the general population have epilepsy. One reason for the variability in identifying epilepsy in individuals with autism is if they have mild seizures. Mild seizure symptoms include blank stares, inattention and tics, which individuals with autism not having a seizure may also demonstrate. Additionally, those who have both autism and epilepsy are more likely to also have intellectual disability. The seizures could be interrupting brain development and as a result causing cognitive impairment. There is research indicating that a genetic component – the deletion of chromosome 15q13.3 is the most common risk factor for epilepsy. Additionally, the deletion of this same chromosome is also linked to autism.

GI Issues

A variety of gastrointestinal conditions can co-occur in individuals with autism – from abdominal pain, reflux, constipation or diarrhea. Diet is often thought to be the underlying cause of these issues. However, one study indicated that stress is more likely the cause of gastrointestinal trouble in people with autism, rather than their diet. But in contrast, another study revealed “increasing evidence suggested that gut microbiota plays a critical role in gastrointestinal symptoms and behavioral impairment in ASD patients.” Whatever the underlying cause, it’s helpful to be aware of the commonality of GI issues in individuals with autism so that possible treatments can be found.

Depression

Depression is more common in children and adults with autism than in the general population. The rates of depression increase with age and intellectual ability. A study from 2021 indicated that those with autism are “4-times more likely to experience depression in their lifetime” compared to the general population. Those individuals without an intellectual disability are more prone to depression, most likely because they are more aware of their struggles that come with their autism diagnosis. Signs to look for include: loss of interest in favorite activities, chronic feelings of sadness, hopelessness, irritability, and noticeable change in hygiene habits.

Anxiety

Up to 42% of individuals with autism also experience anxiety, while only 3% of children and 15% of adults in the general population have anxiety issues. Social anxiety is especially common in people with autism. Social anxiety includes extreme fear of new people, crowds and social situations. Anxiety can also have physical symptoms like a increased heart rate, stomach aches, muscle tightness and the inability to move. Some individuals with autism struggle to communicate and may not be able to express how they feel. As a result, observing their behavior may be the best way to determine if they are experiencing anxiety. Treatment for anxiety can include behavioral interventions, cognitive behavior therapy, and in some cases anti-anxiety medication may also help.

OCD

Obsessive compulsive disorder (OCD) is related to anxiety and has a strong connection with autism. People with autism are twice as likely to have OCD compared to the general population. And those diagnosed with OCD are 4-times more likely to also have autism. Repetitive behaviors and restricted interest are a common factors with both OCD and autism. However, those with OCD are often bothered by their repetitive behaviors, while those with autism are usually not. Treatments for OCD in individuals with autism typically are medication and behavior therapy.

ADHD

An estimated 6-7% of the general population have an ADHD (attention deficit hyperactivity disorder) diagnosis, while a staggering 50-70% of individuals with autism also have ADHD. Symptoms of ADHD include struggling to remember things, a noticeable pattern of inattention, difficulty managing time, hyperactivity and/or impulsivity. Autism and ADHD often have symptoms that overlap. A 2023 study revealed children with both conditions who were diagnosed with ADHD first weren’t diagnosed with autism until later in life. This delay in diagnosis is missing critical treatment time for these children. Because of this, it’s important to find a specialist experienced in working with both conditions to ensure nothing is missed.

Sleep Issues

Ask any parent of a child with autism and you’ll likely hear about sleep issues. Statistics have proven the large percentage of children with autism who also struggle with sleep. Some research indicates 4 out of 5 children with autism have at least one sleep disorder. Whether it’s trouble falling asleep, not being able to stay asleep, or waking up way too early, not getting enough sleep can exacerbate behavior and functioning during the day. As a result, it’s important to come up with solutions to help improve the quality of sleep. This post about addressing sleep issues in children with autism provides a breakdown of how sleep impacts those with autism and some possible ways to help alleviate sleep issues.

Thyroid Issues

Research several years ago identified the connection between a hypothyroid in pregnant women and their child being 4-times more likely to be diagnosed with autism. So what about a child with autism and their thyroid function? The thyroid gland secretes hormones that are critical for the body. Problems with the thyroid can impact cognitive development, behavior and the functioning of the nervous system.  Dr. Raphael Kellman, MD identified 75% of children with autism have undiagnosed thyroid issues. However, because the thyroid impacts so many areas of development, getting it working properly can have a positive impact on language, cognition, motor development, GI issues and more.

Knowledge is power

We hope this information-packed post has helped you understand some of the more common co-occurring conditions associated with autism. So whether you want to ask questions of your child’s health care provider, or you can be a resource for other parents also navigating this journey, knowledge is power.

And, if your child faces some of these health conditions, they may have to make more frequent visits to the doctor. If those visits prove challenging for your child, check out our new post: Navigating Routine Health Appointments for Children with Autism: A Parent’s Guide.

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6 Ways to Calm a Child With Autism

child with autism calming strategies
calming strategies for child with autism

Raising a child with autism brings surprises and challenges. One possible difficulty parents might face is managing overstimulation and meltdowns.

While every child has rough moments, for a child on the spectrum meltdowns are different. They often happen when the child is overstimulated and cannot communicate why they are upset. A valuable way to cope when meltdowns occur is to learn ways to calm a child with autism.

In this post we provide ways to look out for possible overstimulation, strategies to help calm your child in the moment and ways to head them off before they happen. Through detailed preparation, you and your child will feel more equipped to handle big emotions the next time they experience distress.

Warning Signs

Meltdowns may occur out of the blue or perhaps they come after a specific trigger. This can be very stressful for not only the child but parents and other family members as well. However, certain displays of behavior can cue parents to when their child might be on the verge of a meltdown. Some of these behaviors may include:

  • Increased stimming- agitated hand flapping, body rocking, pacing, hands over ears
  • Loud vocalizing
  • Crying
  • Eloping – running away from a situation
  • Self-injurious behavior (SIB)- banging head, picking at skin, hitting or biting self

Perhaps it is a certain location, a noise, or denied access to something that set off your child. Keeping a log of triggers can help prepare you for future incidents and allows you to be proactive in recognizing and coping with meltdowns. And in the meantime, try some of the following six ways to calm a child with autism when they are in distress.

Addressing Sensory Needs

Children with autism often have many more sensory needs than an average neurotypical person. Deep pressure stimulation such as gentle head or shoulder squeezes can help kids feel secure and move their nervous system into the parasympathetic nervous system, also called “rest and digest.” When we are in the parasympathetic nervous system, our bodies feel safe and secure which in turn calms our minds.

Additionally, learn what objects or toys are soothing to your child and have them on hand. Keep a bag of sensory objects with your child that they can utilize when they are feeling overwhelmed. Fidget spinners, blankets, squishy toys, or chew toys can bring comfort to an overstimulated nervous system.

A sensory friendly “calm down corner” can also help quell meltdowns. At home, designate a safe area for your child that includes soft lighting, calming music or white noise, and comfortable items such as bean bags or pillows. If your child attends school, coordinate with teachers to create a calm down corner in the classroom. If you’re in public during an episode, remove your child from the triggering environment as soon as you can and take them to a neutral location.

The Power of Music

Music can be very therapeutic to individuals with autism. Music increases brain activity which in turn helps regulate emotions. Additionally, singing a favorite song of your child’s may help them relax, as familiarity can be grounding. Try softly singing or playing soothing quiet tunes on headphones to help your child self-regulate.

Deep Breathing

Breathing is very powerful in calming the mind and body and can assist in regulating emotions for a child with autism. Sit face-to-face with your child and have them breathe deeply with you. Counting inhales and exhales as they breathe is a helpful technique. The exhale places the body back into the parasympathetic nervous system so make sure your child is releasing all the air. Breathing together will also help you feel more calm during a meltdown.

Exercise

Moving and fresh air help all of us feel better and is another great strategy to calm a child with autism. Walk with your child around the block, visit a nearby park, or put on a kids yoga video to help them center.

Stick to Schedules

Sometimes unpredictability triggers a meltdown. Pre-planned agendas can provide comfort to children with autism so they know what’s coming next, reducing anxiety. You can even create visual schedules for your child to reference throughout the day, which can help them stay on task. There will obviously be times when the schedule needs to change last minute, but try to give your child as much notice as possible.

Avoid Reinforcing Behavior

It’s natural to become worked up and overwhelmed watching your child experience such high levels of distress. But it’s important to avoid displaying strong emotions in front of your child in the heat of the moment in order to avoid reinforcing their behaviors. Remain as calm as you can and focus on deescalating your child through whichever method they respond best to. But be sure to make space to process your own emotions after the episode so you can regulate as well.

We hope these six ways to calm a child with autism will help you and your child the next time a meltdown arises. Know that you are not alone and that it is ok to feel overwhelmed. Our parent training resources include strategies in addressing specific meltdown situations. For more info, visit our ABA Parent Training page.

Befriending an Autistic Person

*This post was written by a guest contributor, Grace McGillivary.

Befriending an autistic person is just like making friends with any average Joe. However, there are some things you want to keep in mind when hanging out with them. Check out these three helpful tips if you are unsure how to befriend a person with autism. 

Actively Listen 

It can be exciting and different to have an autistic friend with whom you share a similar interest, and maybe it is the reason why the two of you are friends. If your friend is fixated on said interest, you could talk with them for hours on end without them getting tired. Sometimes, they might be particularly passionate about a completely different subject, too. Regardless, take time to listen to your friend and to hear them out. Even if it does not mean much to you, actively listening could really make an impact and allow them to feel heard.

Be Flexible 

When befriending someone with autism, it is important to remember that just like anyone else, sometimes they need space. If they say they need some time alone, let them have some. Keep in mind that, depending on the person, they might not be able to do some of the activities you can, so plan accordingly. Make sure it is something that your friend wants to do or will enjoy before going through with your plans. 

Sometimes you will find that it is easier to follow your friends’ lead. If they want to go about doing things a certain way, let them. It will make it more interesting for both of you. Perhaps you’ll learn something new from them.    

A personal example of this would be when one of my friends played Pokemon Shield with me for the first time. None of my other friends own that game, so it was a fun experience to let her show me the ropes.  

Treat Them the Same 

This is by far the most important of the three tips. A person with autism is no different from you, or anyone else you might know. They have their own interests and personality, too. The diagnosis does not define them, and you should not let it define how you act toward them. Treating them as you would other friends is the best way to make them feel included. But remember to keep the two earlier points in mind.  By simply showing kindness you can be a great friend. 

A Note to Parents

Additionally, if you’re a parent, it’s great to teach your kids how to befriend autistic kids. Perhaps your child has a classmate with autism. Helping your child learn about differences in others and teaching the value of friendliness is so important.

Now that you have some tips, you are better equipped to befriend an autistic person.  Please remember to keep these ideas in mind when hanging out with them. You just might develop a wonderful new friendship!  

Meet the Author 

Grace McGillivary is a freshly graduated high school student who has been regularly writing as a hobby. She is relatively new to writing blogs, and occasionally partakes in other activities such as drawing, taking long walks, and playing piano. Art, music, and writing are her pastimes. She also has several friends with autism, as she has served as a peer model at Healing Haven since its inception. 

Water Safety Tips for Children with Autism

It’s summertime, which usually equates to a lot of time outside. And with pools open and all the lakes here in Michigan, that often means time in and around water. While swimming and playing in water are fun and great exercise, it can also be very dangerous. In fact, just last year the Michigan Department of Natural Resources issued a new flag warning level for the Great Lakes. Because of the increased danger lakes and pools have, water safety for children with autism, or any child, is extremely critical. 

Why water safety is so important for children with autism

Children with autism, as well as Down syndrome, often wander, which can obviously be very unsafe if they get close to water unsupervised. Additionally, drowning can occur without making any sound. Children may also be unaware of things such as water depth, water temperature, water currents, or slippery surfaces. Not every child likes to be in the water, especially children that struggle with sensory issues. However, all children should still be aware of water safety in case of accidental slips or falls into a pool or lake. 

This statistic is scary and sobering, but every parent of an autistic child needs to know – drowning is a leading cause of death for children with autism. We’ve compiled some tips and ideas to teach water safety to your child with autism to help you prepare for this season. 

Get your child in swimming lessons 

Every child should learn to swim, and for children with special needs, it’s important the skill is taught in a way that resonates with them. Make sure the teaching environment is not too distracting or overwhelming for your child. 

There are many programs that provide adaptive swimming lessons for children with special needs. You can start by contacting your local YMCA. And the National Autism Association’s Big Red Safety Toolkit for caregivers provides an excellent guide and resources for managing wandering, as well as how to find swim lessons in your area. 

Provide reinforcers

Have reinforcers and preferred items available when your child performs important or difficult tasks related to water safety. This could include tolerating getting into the water, using appropriate safety gear, getting out when a whistle is blown for “adult swim time,” or leaving the pool when instructed. 

Visual learning of water safety

Use video narratives, social stories, or visual routines to teach water safety. The Swim Angelfish channel on YouTube, for example, is a great resource which provides a variety of videos that can be utilized to teach water safety to kids with disabilities. 

Many children with autism spectrum disorder are rules-driven, so use that to your advantage. Set specific rules for how they are to behave around water. Then practice those rules in real world situations. And if you have a pool at home, or live on/near a lake, consider placing “STOP” or “DO NOT ENTER” signs on doors that open to the outside, or gates to the pool. 

Use appropriate swim gear

Even if your child knows how to swim, it’s still a great precaution to use a life jacket or flotation device around water, whether they are planning on swimming or not. It can also offer reassurance when attempting a new skill and teaching independence. The especialneeds website is a great place to purchase special needs and sensory-friendly water gear, if needed.  

Teach key information

Because of the high percentage of wandering in kids with autism – nearly 50% – make sure your child knows his or her name, address, and phone number in the event he or she is separated from you. If your child does not speak, make sure they wear a bracelet, tag, tattoo, etc. with their name and your name and phone number. 

Set up your environment vigilantly 

Even if you feel confident that your child thoroughly understands the rules of water safety, accidents can still happen. It’s important to prepare for the worst so that nothing slips through the cracks. When preparing your environment near water, consider installing fences or gates with alarms around the body of water, if applicable. Additionally, you should also think about placing alarms or chimes on doors that open to bodies of water and keep toys of interest away from the water when not in use. Taking these measures will ensure that life-threatening wandering doesn’t take place.  

Communicate with others

Talk with your neighbors, whether at home or on vacation. Ask them to contact you immediately if they see your child wandering alone outside your home or property. Even if you don’t own a pool, but your neighbors do, ask them to be particularly aware of your child wandering near their property. 

We hope these ideas help you implement water safety for your child with autism. And for more general recommendations for pools, beaches, lakes, etc., check out this swimming safety guide. We want everyone to have a less stressful and more enjoyable summer! 

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