Tag Archives: Aspergers Syndrome

What We Have Here … Is a Failure to Communicate

25 Jan

“Don’t be smart, Mister!” I scolded my then 8 year old Aspie son, after he back-talked me about something or other.  He looked at me, wide-eyed with confused uneasiness.  He knew from my tone of voice that I was angry with him, but he didn’t understand my words… (Don’t be smart?  Isn’t being smart a good thing?  What is wrong???)

As I watched his facial expression retreat from disrespect to confusion to worry, I realized that we were experiencing a breakdown in communication.  I stopped and considered my impulsive reprimand…  Ah ha!!!- Gregory was interpreting my words literally!  At face value, the idiomatic phrase “Don’t be smart” went contrary to my usual promptings, so naturally it didn’t make sense to him.

Like most Aspies, Gregory is naturally very literal and needs to be explicitly taught to recognize when an idiom or other figurative language is being used.  Once I explained that “Don’t be smart” is a figure of speech that means ‘Don’t be fresh’ (hmmm…ok, that’s another figure of speech….) or ‘Don’t be disrespectful’, then he understood.  My message got through  and he apologized for being rude.  My mission was accomplished with that particular communication ‘battle’, but I realized that we had yet to win the ‘war’…

The Hidden Curriculum – Part III – Figurative Language

As discussed in my blog series The Hidden Curriculum, Aspies and others with social-cognitive learning disabilities, can have great difficulty decoding hidden curriculum rules.  Figurative speech, and most especially idioms, fall into this category.

A life-long avid reader, I adore imaginative figurative language and admire writers who can incorporate it effectively into their writing to add color and interest.  Well written prose, with the help of ingenious figures of speech, can take a rather mundane concept and turn it into a memorable, thought-provoking ‘pearl of wisdom’.

As you may recall from your grade school English classes, figurative language contains images and comparisons.  The speaker describes something through the use of unusual comparisons, for effect, interest, and to make things clearer. Appealing to the imagination, figurative language provides new ways of looking at the world – adding richness and depth to our communication.

To refresh your memory, here are some common types of figurative language that we use on a daily basis:  (See how well you remember… I had to look a few of these up!)

As fun, creative and widely used as it is, figurative speech is not intended to be interpreted in a literal sense. And herein lays the problem….  It is common for young kids to take things too literally, but when this misunderstanding continues with age, it can create significant comprehension and therefore social issues.

Figures of Speech Game

To help Gregory develop his sense of figurative language, I created a “Figures of Speech” game that we played each night at dinner time.  I printed out hundreds of common idioms, such as “Quit horsing around”, “Roll with the punches”, and “Bite my head off”.  (An entire chapter is devoted to examples of Figurative Speech and Idioms in Brenda Myles’s wonderful book, The Hidden Curriculum, which formed the basis of my series on the subject.)  As we all sat around the table, one of the kids would read aloud a figure of speech from a little slip of paper and then everyone would try to guess what it meant.  Then I told them what it meant figuratively, including, whenever possible, how it originated.  We giggled about how silly it sounded when interpreted literally, so they could begin to recognize these types of phrases in daily life.

During the game, we would review sayings that we had already covered, to reinforce the learning process.  This time around, the kids usually guessed/expressed the figurative meaning correctly.  We also had lots of fun having everyone come up with other idioms, either from things they had heard or from their imagination.  We all enjoyed many laughs and the lessons got through, because nowadays, when Gregory hears an idiom on tv or reads one in a book, he’ll turn and inform me, “That’s a figure of speech!”

I am Tongue Tied

During a school book fair where I was volunteering, I came across a wonderfully silly kid’s book called  Even More Parts by Tedd Arnold (of Fly Guy fame.) Through the use of very cute cartoons, the author introduces all sorts of common idioms dealing with body parts – from head to toe!  Just imagine the literal illustrations of someone saying “I lost my head”, “I keep changing my mind” or “I am tongue tied” – hysterical!  I bought it immediately – what a fun way to ‘get’ figurative language!    I presented it to Gregory, who was instantly mesmerized by the cartoon pictures of a man who ‘sang his heart out’ (his red, beating heart falling onto the floor), and the boy who ‘went to pieces’ (his snap-together body parts strewn all along the sidewalk).  The book was a huge hit with all three of the kids, who giggled at the absurdity of the literal interpretations to these well known idioms, so I subsequently bought the complete set (Parts and More Parts!)  Kudos Mr. Arnold!

*  *  *  *  *  *  *

Today, as a result of our ‘Figures of Speech’ game, the Parts books and lots of general reading, Gregory has a well-developed sense of figurative language.  Even when he doesn’t understand exactly what an idiom means, he recognizes that the phase is not meant literally.  But even better yet, Gregory uses figures of speech himself – to add richness and creativity to his own speech and writing!

So, the next time your child becomes concerned for your safety because you are “just going to jump in the shower….”, you might want to consider a couple of these techniques too.  Comprehending idioms and figurative speech can pose real difficulties for those on the Spectrum who see the world through literal ‘glasses’, but with a little work and a lot of silliness, our kids don’t have to stay ‘out in left field’…

Catching ZZZs

24 Nov

I don’t know about you, but I am an absolute bear if I don’t get enough sleep, or even worse – if my sleep is interrupted – Beware!  My husband learned this the hard way early on in our relationship, when I lashed out at him like some evil, snaked-tressed Medusa after he woke me up one too many times during a long, late-night car ride to Washington, DC.  I shall never forget the look of astonishment, fear and horror on his face as he witnessed his beloved turn into a raging lunatic in the night.  (As we were still just dating at that point, I’m surprised our couple-hood lived to see the light of day!  It is truly a testament to his equanimity…)

It’s no surprise really…We are bombarded daily with articles and news reports about how vital sleep is for mood, as well as for health, learning and development.  So, we all agree that sleep is a great thing, but still many of us are unable to achieve that minimum daily requirement of zzz’s.  And children are no exception.

Right from birth, my son Gregory had difficulty settling himself.  Whereas his older brother Daniel had slept for four hour stretches his very first day home from the hospital, as a newborn Gregory woke up and needed to be cuddled, soothed and/or fed every hour.  It was exhausting (and helped produce some repeat performances of Medusa-on-the Rampage, BTW), but eventually we got him to sleep for as much as three hours at a time.

When Greg was 2 ½, we moved him out of the nursery, into his own room and into a ‘Big Boy Bed’.  (His sister Sarah was on the way and we needed the Baby’s Room for her….)  Gregory loved his new room, decorated with cars and trucks, but the transition was not an easy one for him.  (and in hindsight, we could have handled the change much better…live and learn….)  In any case, Greg continued to have great difficulty settling down for the night.  He would happily get ready for bed and eagerly pick out a book for Mom or Dad to read to him.  But after being tucked in and kissed good night, he would toss and turn for hours.

When Barry and I would head to bed several hours later, Gregory was often still awake, lying in his “Big Boy Bed” muttering to himself, unable to let go of the world and fall into peaceful slumber.  And when he did eventually sleep, it was anything but peaceful, fraught with restless dreams and late-night stirrings. He would awake crying frequently and I would repeatedly have to go in to settle him.

How do I know all this?  Well, Gregory’s room is right next to the Master Bedroom.  And that adorable red, bead-board “Big Boy Bed” that I had purchased to go with his charmingly decorated new bedroom, squeaked and creaked with – every – single – movement!    No, I am not exaggerating.  (Boy, did I have buyer’s remorse over that purchase!)  I am a very light sleeper, and I heard Greg’s bed ‘musical’ constantly through the night – night, after night, after night…

We tried many things to try to improve his comfort and thereby hopefully his sleep.  We put up side rails; we added a night-light; we surrounded him with pillows and stuffed animals; we put on sleepy ‘mood’ music; we tried a wave sound machine; we read ‘sleepy’ books to him; we even had his big brother sleep with him…All to no avail.  He continued to be a very restless, problem sleeper – and time went on…

Melatonin Supplementation

Shortly after figuring out that Gregory has Asperger’s Syndrome, I read that many people with AS suffer with these same sleep issues.  Apparently, children on the spectrum typically experience circadian rhythm dysfunction and abnormally low levels of melatonin.

I began to do research and came across a study in the Journal of Clinical Sleep Medicine on the use of the natural hormone melatonin to improve sleep of children with autism.  This study was a 4-week rigorously scientific trial, where either 3 mg of melatonin or a placebo was given to 18 children with ASD.  The study supported the efficacy of melatonin treatment for sleep problems, with minimal, if any, side effects.  Now this sounded promising!

I did additional research, OK’d it with our pediatrician and then set out on my own subjective clinical trial.  I decided to start with 1 mg of melatonin (as opposed to the 3 mg in the study), to try to find the minimal effective dosage.  I also decided to include my older son Daniel in the test, because due to his ADHD he too, has difficulty falling to sleep.  (Unlike Gregory however, Daniel sleeps like a log once he finally does fall asleep.  One time a carpenter was banging away, installing crown molding right outside his bedroom, and Daniel slept right through it all….)

At bedtime, I gave both boys 1 mg of melatonin and then observed the results.  On the very first night – success!  Greg and Dan both fell asleep within about 20 minutes, which was a dramatic improvement.  But even better, Gregory experienced a much more restful sleep.  He didn’t toss and turn, or wake up nearly as often throughout the night.  The next morning, both boys woke up normally, and did not show any signs of grogginess or other ill effects.  I was ecstatic!  Add one to the arsenal of sleep aids!

Massage Therapy

About this same time, I was speaking with a behavioral therapist who uses both music and massage therapies in working with autistic children.  She showed me some basic massage techniques to help reduce stress. (For example:  Press the palm of your one hand firmly against the person’s chest, while your other hand slowly and firmly slides down his back, from between the shoulders blades to the waist.)   We tested it out on Gregory…He loved it!  It seemed to calm and relax him, and I could actually see his shoulders dropping away from ear lobes as he de-stressed.  We began using therapeutic massage anytime Gregory started getting upset or overwhelmed and it significantly helped him to regroup and manage his behavior.

Seeing how well massage worked during stressful times, I decided to try it at Greg’s bedtime as well.  As part of his nightly routine, I would give him a back rub – using long strokes and firm pressure (not too hard or too light, which were both uncomfortable to him.)  As I massaged, we would talk a bit about his day and what the plans were for tomorrow.  Stroking his back, I would quietly ask him if he could feel all that TLC (which I had to define for him as ‘Tender Loving Care’) going from me to him.  He loved it – and so did I!  Best of all, it worked to improve his sleep.  As the tension melted away from his body through my loving touch, Gregory was able to go to sleep and stay asleep so much easier.  Add another trick to the arsenal!

Today, that bedtime massage is a well-loved ritual that we do each night – with all three of my kids!  Greg will actually come and ask me for his ‘special massage’ and it has become a very special bonding time.

Although I didn’t use a scientific approach or control variables in my ‘studies’, I believe that melatonin and massage both have had very favorable results in improving Gregory’s sleep patterns.  Together, they have helped him fall asleep more quickly and stay asleep longer, enabling him to enjoy a more restful, recuperative night.

After a few months, I stopped giving the melatonin at bedtime, to test the supplement’s true impact….and to my surprise, the benefits remained!  Somehow the improved sleep patterns of the previous few months had retrained Greg’s mind/body to improve his circadian rhythm function.  He had learned how to settle himself and was now relaxed enough to stay asleep.  I couldn’t be happier with the results and these days, we only rely on melatonin periodically, such as during travel or when sleep eludes him for some reason.  Even on an ad hoc basis, melatonin continues to work its wonders.

As a result of his improved sleep, Greg’s daytime moods and resiliency have improved dramatically too.  He is less stressed and is able to cope much better with the world around him.  And I’m happy to say – so am I!  I too, am sleeping better and Mrs. Medusa rarely makes an appearance these days – at least not due to lack of sleep!  🙂

 

Here’s a link to another recent study supporting the use of melatonin for children with autism:   http://www.autismspeaks.org/science/science-news/more-evidence-melatonin-eases-autism-associated-insomnia?utm_source=social-media&utm_medium=E-speaks&utm_campaign=121611

 

Yes Wii Can!

26 Oct

As a self-proclaimed Luddite, technology is generally NOT my favorite thing.  It certainly isn’t the first place I turn for a solution.  My husband on the other hand, is my polar opposite.  He lives for geeky things, being an early, if not bleeding edge, adopter of the latest and greatest techy gadgets to surface. I am embarrassed to say that during our early dating days, I sent him into nirvana, not as you might imagine, but by giving him the newest geeky toy – one of the very first GPS navigators!  (This was back in the day when only military people had GPS!)  Needless to say, I had no clue what I was buying – but he was ecstatic!  🙂

Suffice it to say, I am in the minority when it comes to technological interest, but our home is filled to the brim with geekiness.  We may have only five people in the family, but we have 6 computers, PDAs, iPods, GPSs, gaming systems, tvs….and the list goes on…and on…  “Screen time” (defined as free time to play on anything with a screen, such as tv, video game, computer, etc.) is the most highly sought reward for my kids….who could happily spend hours each day glued to a screen (barely pausing for a potty break), if allowed.  (In reality, we limit ‘screen time’ to a maximum of one hour per day…and only after all chores and homework are complete.)   I stand alone in my disdain for electronics, succumbing to their power only at the insistence of my tech-evangelizing hubby.

So, I am both surprised and humbled to stand before you today as a technology convert and declare that the Wii game system has proven to be a huge boon to my Aspie son.  Yes, let me repeat that – I love the Wii!!!

From a very young age Gregory has been reluctant to attempt new things due to his fear of failure and/or the unknown.  (I have come to learn that this trait is quite common among Aspies, but of course, I didn’t know that then….)  Frequently, I would have to work so hard to coax him to try something I thought he would enjoy, whether it was a new piece of playground equipment, a new food, or a new activity, sport or game.  Many times, I would just have to force him into the new experience, grabbing hold of him as we both zoomed down a slide or ran through a sprinkler.  Sometimes his first response was positive, but mostly, after being forced to try something new, he would retreat to ponder the experience by himself.

Greg’s resistance was particularly strong when it came to physical things, like playing sports, sledding or riding a bike.  It seemed a bit like a chicken and egg dilemma…was he resistant because of poor balance, stamina and coordination, or did he suffer from these things because he was resistant to participate actively?  I couldn’t say, but assuming practice would help improve his skills and thus his attitude, we persisted in coaxing/forcing Gregory to keep trying all the great American past times…soccer, t-ball, basketball, swimming, tennis, etc….  These attempts had rather dismal results, to say the least, and Gregory continued to resist.

And then, the Wii entered our lives.  The kids received the Wii game system a few years ago.  Surprisingly, we weren’t among the early adopters in this case, because I had resisted bringing another ‘screen’ into the house to dominate our children’s attention.  But Barry’s geeky proclivities eventually won out.  The Wii appeared on Christmas morning to joyous acclaim and was played by one or another screen-obsessed person for the next 14 hours!  (sic).

For the most part, Gregory would stand back, closely observing the others as they maneuvered through the new interactive games, such as tennis, bowling, baseball, etc.  He wouldn’t actually participate himself, but was avidly participating vicariously, as he watched and cheered on his siblings.  When we finally talked Greg into trying one or another of the games, he would get frustrated and quit at the very first sign of ‘failure’.  We tried to encourage him, saying it would take some practice to learn, but he was not willing to persevere.

So, I was more than a little surprised when, a few days after Christmas while no one else was around, I saw Gregory playing baseball on the Wii.  “Hey, Greg…I’m glad to see you’re trying the Wii!” I said.  He looked slightly abashed, mumbled something and promptly exited the game.  I apologized for interrupting him and tried to talk him into continuing, but he refused.  What a shame…I was sorry I had mentioned anything…

So the next time I ‘caught’ him playing, I held my tongue – I had learned my lesson!  I pretended not to notice him there and carried on with my business.  He was in deep concentration, trying to learn the rules and the technique of Wii Baseball – on his own terms.  This MO continued over the next few days, with Gregory exiting abruptly, anytime someone commented on his game or had the audacity to try to join him in play.  Eventually though, he gained enough confidence to allow others to watch and even join his game.  He was still happiest playing on his own, but he came to tolerate when he had to share the game with his siblings.

And then, the most amazing thing happened…One day out of the blue, Gregory asked his Dad to come outside and play catch with him!!!  We were stunned, because for years Greg had refused to learn to throw and catch a ball.  When Barry was teaching Greg’s older brother Daniel to throw, catch and hit a baseball (without must finesse unfortunately, being a Brit who confused cricket with baseball 🙂 ), he tried repeatedly, but unsuccessfully to involve Greg in the training sessions.  Gregory wanted no part of baseball.  He stubbornly refused to even try to learn, I believe once again, due to fear of failure.

But the Wii, that wonderful bit of technology, had enabled Gregory to gain an understanding of baseball in a fun, non-threatening way…a way that Greg could relate to using characters (Miis) that he created, but were not himThese characters could fail, so that Gregory wouldn’t have to!  He used these Miis to show him the ropes, develop his skills and demonstrate how fun the sport could be, until eventually Greg was ready to try it himself in real life.

So that long-awaited day arrived and Daddy was only too eager to play catch with his son.  In spite of his virtual skills developed over weeks of playing Wii Sports, Gregory still struggled to learn the actual skills.  But the important thing is that he was at last willing to try….and willing to fail.  Today he is quite proficient at playing catch, although his form is rather unorthodox.  He’ll probably never be a great ball player, but he has developed new-found physical skills and emotional resilience as a result of this experience.

Greg has followed a similar road to learning the basics of bowling and tennis too.  He started playing these games in the virtual world of Wii and subsequently was willing to try them in the real world.  Better yet, as a result of these learning experiences, Greg has dramatically improved his willingness to try new things – of all sorts, from foods to books to activities…  That debilitating fear of failure or the unknown doesn’t seem to hold him back quite so much anymore.  And while he may never be a ‘thrill-seeking, rush-headlong-into-new-experiences’ type of person, today he is, at least, open to the possibilities.  All thanks to the Wii and its virtual world where learning by trial and error can be fun.

Technology – it’s a wonderful thing…sometimes….  (Just don’t tell my husband I said so!  🙂 )

The number one benefit of information technology is that it empowers people to do what they want to do. It lets people be creative. It lets people be productive. It lets people learn things they didn’t think they could learn before, and so in a sense it is all about potential.

– Steve Ballmer

How Rude!

5 Oct

Have you ever been mortified by something rude or tactless that your child has said or done in public?  Or worse yet, been the one to insert ‘foot in mouth’?   I can answer a resounding YES! to both questions.  I’m sure we have all experienced something similar (and wish we could forget!)  One time, I was in a bar and there was this cage…..well anyway, I’d better keep that one to myself, I think!  😉

It happens to the best of us and for the most part, our fellow citizens (especially if they know us) forgive the occasional faux pas.  We apologize, laugh it off and try to smooth over the awkwardness.  If social mishaps occur frequently however, the response changes.  People start to get annoyed, avoid, and maybe even chastise the ‘offender’.  After giving offense too often or perhaps with insufficient remorse, we soon get labeled as odd, self-centered or rude.  Socializing and working within a team become increasingly difficult and we are left out in the cold.

It’s not nice, but that’s how society works.  Disapproval and shunning are the tools society uses to enforce the rules of social engagement.  These rules, which form the unwritten guidelines for social behavior, are critical to keeping society running smoothly.

The Hidden Curriculum – Part II – Manners

As discussed in my previous blog The Hidden Curriculum, Aspies and others with social-cognitive learning disabilities, can have great difficulty decoding these hidden rules.  This inability to correctly interpret social nuance means Aspies make social faux pas…repeatedly…often without remorse…perhaps without even understanding that a rule was broken.  The result?  Being made an ‘outsider’ in society.

Previously, I outlined a few methods that may be used effectively to help explicitly teach some of these social rules.  This week, the focus is on manners, those pesky little rules from our mothers – Those customs and traditions of society that govern how people treat one another and behave in social situations.  In today’s world where these common courtesies are becoming increasingly uncommon, learning about etiquette and manners is important for every child – not just Aspies.

Below are some of the methods to teach kids the ‘mannerly way of life’.  (But parents are welcome too!)

1.  Model Good Behavior

The first rule of teaching any behavior or skill is to model it yourself.  As Gandhi once said, “Be the change you want to see in the world.”  Demonstrate the correct behavior and with a bit of luck, your child follows suit.  Hopefully, we parents exhibit good manners naturally – modeling the desired behaviors unconsciously on a daily basis.  If however, you are a bit of a slacker at home (hmmm…my husband Barry comes to mind… 🙂 ) then you may need to step up your etiquette game.  Show respect and treat your family members like favored guests.  Be sure to use ‘please’ and ‘thank you’ regularly – to your spouse and your kids.

I’ve been compared at times, to a drill sergeant, issuing orders in the morning like a rapid-fire machine gun, trying to get everything organized and everyone out the door on time.  It might be efficient, but it is stressful, unpleasant for everyone and definitely not ‘mannerly’.  Although I tend to forget, my kids and hubby are not minions at my beck and call – and shouldn’t be treated as such.  It is much better to organize things the night before, and enjoy a calm, pleasant morning by making polite requests and kind acknowledgements.

But modeling good behavior doesn’t stop at home.  Keep in mind that your kids are always watching you and your example – in the car when you swear at that bad driver, in the grocery store when you are rude to the cashier, and at the playground when you talk behind someone’s back.  It is not easy to always stand tall and take the high courteous ground, but remember those eyes are always on you.  Do your best…

2.  State Expectations Ahead of Time

One very effective tactic to teaching good manners is to explicitly state the expectations of behavior immediately before the occasion.  For example, we have ‘Restaurant Rules’, which get reiterated right before we enter a restaurant.  We outline examples of good restaurant behavior (not bothering other diners, saying please and thank you to the waiter, etc.) and bad (complaining loudly about the food, listening to other conversations, etc.).  Our little lambs still need some reminding during the course of a meal, but at least the expectations are well understood.  And although our kids are far from perfect restaurant guests, they have been complimented on numerous occasions by restaurant staff and other diners for their good manners.

3.  Have a Code Word or Action

Even if kids know proper behavior, they sometimes forget.  (Children do have a tendency to behave childishly…)  It is helpful to have a secret code word/phrase (such as ‘quiet hands’) or action (such as a touch to your noise), that coupled with a meaningful look on your part, will discretely indicate a breach of etiquette to your child.  Hopefully that subtle reminder will be enough to correct the situation.  If need be though, the more direct approach has been used by moms for centuries:  The old faithful “Johnny, what do you saaaaayyyy????” is usually effective to prompt a courteous ‘Thank You” from your little cherub.

4.  Read Manners or Etiquette Books

A book won’t take the place of direct instruction, but is a great tool to reinforce your teachings.  One of my favorite books about manners for kids is How Rude! – The Teenager’s Guide to Good Manners, Proper Behavior and Not Grossing People Out by Alex J. Packer, PhD.  This book is not geared specifically toward kids on the spectrum, but its cartoons, teen-relevance and irreverent presentation make it a great and fun resource.  It is so humorous and entertaining (not at all preachy, boring or dull) that Gregory (and his siblings!) actually WANTS to read it, laughing along as he learns the basics of polite behavior in all kinds of situations.

Manners are a critical component of the Hidden Curriculum. Rules of good behavior must be explicitly taught to those with social-cognitive learning disabilities, but every child should receive these valuable etiquette lessons.  Because in society…We all benefit from polite social interactions:

  • Good manners put people at ease and make them feel good – about themselves and each other.
  • Good manners impress people and are attractive to friends, teachers, employers, etc.
  • Good manners allow people to live and work together more harmoniously and productively.
  • Good manners build self-esteem through respect and kindness.
  • Good manners are free!

This concludes our manner lesson for the day.  I have to go now…My kids are beating each other up – and they aren’t doing it very politely! 😉

Fix Autism?

28 Sep

If we could fix Autism, would we?  I recently attended a conference where a geneticist presented some very exciting advances in current autism research – leading to just that possibility. 

Dr. Alexander Kolevzon, from the Seaver Autism Center at Mount Sinai School of Medicine, stated that scientists have identified the gene responsible for Fragile X Syndrome (FXS) – a rare genetic variation which accounts for about 2% of autistic cases[1].  Fragile X is tied to a single gene mutation whereas, many other Autism Spectrum Disorder (ASD) types may be more complex and based upon a combination of genes acting together.  Dr. Kolevzon proceeded to say that researchers are currently able to identify the genetic causes for up to 40% of all autism cases.  (Autism, defined here, includes all ASD, including Autism Disorder, Aspergers, PDD-NOS, etc. ) 

Within the autism research community, autism is generally accepted to be a genetic condition with environmental risk factors.  This genetic predisposition to autism, coupled in some cases with one or more environmental factors (yet to be determined…perhaps maternal factors, infections or toxins) at key points in the growth of the fetus and young child, may lead to the development of autism.  So, there is a long way to go before all the causes are understood, but identifying the underlying genetic components is a huge step forward.

The Fragile X gene (FMR1) is a DNA mutation which in effect, turns off the gene.  “Normally protein products of FMR1 act to dampen the synthesis of proteins at synapses…  Without the brake provided by FMR protein, synaptic protein synthesis is excessive and connections [within the brain] do not develop normally.”  Researchers are now developing medication to restore “normal synaptic protein syntheses and improve function.”[2] 

Based on this ground-breaking research, Fragile X medication is currently undergoing trials in humans with promising results.  Medication and/or genetic therapies for other types of autism will presumably follow thereafter…

How very exciting – I was thrilled to hear about the progress!!!  I choked up, thinking about some of those parents who now have hope that within the foreseeable future, they might be able to ‘reach’ into their severely autistic child’s locked-in world and perhaps communicate with him or her for the first time.  And how amazing it would be for the child (by then probably an adult) to finally be able to break out of his/her shell and interact with the world at long last.  I can’t imagine anything more thrilling.

But then I started to think more deeply about the implications.  Upon initial hearing, one might think, “Fabulous!  Let’s ‘fix’ things!”  However, aside from the significant moral and ethical considerations of gene therapy (which I won’t go into here…), these autistic individuals would be dramatically changed at a very core level – they may lose or change the very essence of themselves – potentially resulting in a radically different personality, skill set and perspective on the world.  Would they want that?  It might be great for the parents to finally have a neurotypical child, but given the choice, would the autistic person choose this for him/herself?  Would that even be a good thing – for the individual?  For the family?  For society?   

Would I want Gregory to undergo a similar therapy to correct his Aspergers?  Sure, he might become more ‘normal’ in his behaviors.  And yes, life would most certainly be less confusing and difficult for him, but he wouldn’t be ‘Gregory’ any more.  Now, I’m sure the NT version of Gregory would still be a great kid, but I would miss my lovable, quirky, funny, amazing Aspie son.  No, I decided quickly, I would NOT want Gregory to undergo gene therapy, if and when it becomes available.  (Having said that, the choice would ultimately be his to make.  I would respect his decision, but I would mourn the loss of ‘my’ Gregory if he opted to try it.)

So, there is no ‘right’ or easy answer and each situation would need to be evaluated on its own merits.  For parents of severely autistic children – those who are non-verbal and not able to function within society to any significant degree, perhaps genetic therapy would provide significant benefits.  But for individuals on the high-functioning end of the autism spectrum, this genetic ‘fix’ may not be the best choice.  It is an intensely personal decision and the trade-offs, risks and rewards of gene therapy would need to be carefully weighed.

Many Aspies don’t feel that their Aspergers is a disability at all, but more of a difference – if not an outright strength!  (See Wrong Planet.com)  Entire forums are dedicated to accepting and appreciating the Aspie brain – for all its unique powers and perspectives – not trying to FIX it!!!

Dr. Temple Grandin, the renowned autistic author and animal scientist, believes that we, as a society actually NEED Aspies among us.  These are the people who are able to look at the world ‘differently’ and come up with new solutions to problems.  They are the individuals whose analytical, detail-oriented, precise talents and single-mindedness can hyper-focus on specific problems in order to research and solve complex technical or scientific issues.  In fact, it has been said that most of the technology (e.g. Bit Torrent) we enjoy (or hate, depending on your perspective!) today would not exist, were it not for AS.

“Some of our world’s finest minds, inventions, art and ideas belong to people with autistic traits.”[3] Among those fine minds that are thought to have had AS are:  Albert Einstein, Vincent Van Gogh, Gregor Mendel, Thomas Jefferson, Carl Sagan, Wolfgang Amadeus Mozart, H.G. Wells, Charles Darwin and Isaac Newton – very good company indeed!

In spite of having significant challenges with social skills, physical coordination, emotional regulation and sensory integration, Gregory is a remarkable, bright and talented person.  He is potentially one of those ‘great minds’ of the future.  He has many strengths and ‘uniquenesses’ that I would be loath to ‘normalize’ by fixing his Aspergers.  And Gregory too, is quite happy with his AS.  Yes, he acknowledges that it does make certain things more difficult, but it makes some things easier too.  He has accepted his condition with grace and dignity – focusing on the strengths it provides.  We love Gregory the way he is – in all his quirky glory….and so does he.

So, after weeks of focusing this blog on the challenges facing Gregory and our family, today I celebrate the many strengths and unique perspectives of my Aspie.  I wouldn’t change him for the world…


[1] Alexander Kolevzon, MD, “Advances in the Genetics of Autism:  Implications for Treatment”, 1st Annual JCC Rockland & Parent Support Network Conference:  Current Autism Research:  Practical Strategies for parents and Professionals – Meeting the Needs of Children and Youth on the Spectrum, (West Nyack, NY, 2009).

[2]Clinical Tests Begin on Medication to Correct Fragile X Defect,” US Department of Health and Human Services, National Institutes of Health, November 2, 2009.

[3] Fitzgerald & O’Brien, 2007 

Back-to-School Basics

31 Aug

OK, I’m a nerd….I’ll admit it.  I’m one of those kids who loved school, adored books and even enjoyed a challenging homework assignment!  (Can’t you just see that big “L” on my forehead???)  For me as a child, the end of summer brought a mix of feelings.  On one hand, I adored the long, lazy, unstructured days spent playing with my friends.  On the other hand, the siren song of the new school year enticed me…all those new supplies, new school clothes, new books, new teacher and treasures of knowledge – vast potential awaiting me.   Even today, although I won’t be heading off to school myself in September, I feel that nostalgic excitement building.  Instead, I live vicariously through my children – planning, dreaming, imagining all the promise ahead for them.

But for Gregory, now heading into 5th grade, September brings with it, not excitement and anticipation, but dread and anxiety. Typically, Gregory has had a very difficult time adjusting to each new school year.  The new teacher, new room, new schedule, new class work – all requiring simultaneous adaptation – has often proven too much for him to cope with.  He would have melt-downs during school, followed by full-blown tantrums at home.  At school, it would be shredded projects, head-banging and crying jags.  At home we experienced slamming doors, projectile toys and even running away.  Obviously Greg’s limited and over-taxed coping mechanisms were insufficient to meet the burdens being placed upon them.

Over the years, we’ve learned a few ‘tricks’ that have helped his school year transitions. And while Greg’s transition into 4th grade was not without episodes, it was by far the smoothest to date.  I’m hoping that by applying some of the strategies that we’ve developed, this fall will be even better!

With that in mind, I wanted to share some of the tactics that we’ve employed previously with good results:

1.  Select the ‘right’ teacher.

The personality and teaching style of the teacher can have dramatic impact on the student.  While no one type of teacher is ‘right’ for every student, there most probably is a ‘right’ teacher for each child.

In Gregory’s case, the type of teacher that has been most positive is one who is nurturing, but has good control and structure within the class.  He/she is knowledgeable about Asperger’s Syndrome (and Greg’s need in particular), but maintains high expectations for success and achievement – both academically and socially.  And perhaps most importantly, Greg’s ideal teacher must maintain a calm, accepting, tolerant classroom, where the students support one another.

To help make sure your child gets the appropriate teacher assignment, start a dialogue with the guidance councilor, principal and current teacher the spring prior.  Discuss the types of teaching qualities to which your child responds best.  Include teacher assignment in the annual IEP meeting.  While our school administration will not necessarily make commitments or talk ‘specifics’ about teachers, the open discussion at least puts everyone on the same page about the needs of your child.  And face it, if your child transitions well and has fewer disruptive episodes, everyone benefits.

2.  Maintain skills over summer months.

Gregory is a perfectionist and finds it very stressful when he can’t do something or when he gets answers wrong.  To help combat this anxiety, I have Gregory (all three of my kids, actually) read nightly and do two workbook pages every weekday during the summer break.  They are free to read anything they would like, but I’ve utilized the Summer Bridge Activities workbook series by Michele D. Van Leeuwen for a several years now.  The material varies each day, but includes math, reading, writing, language and science over the course of the summer.  Since the work is based on the previous year’s curriculum, all the material is review, which makes the tasks fairly simple and the enables the child to feel successful.  And most importantly, this practice keeps the material fresh in the child’s mind, ready for the new school year.

3.  Meet teacher before school starts.

Last year for the first time, I arranged for Gregory and me to visit the school the week before school started.  It enabled us to meet his new teacher, see his new classroom (including which seat was his), see a list of other kids in his class, look through his new books, etc.  We included the guidance councilor in the meeting and took this opportunity to discuss some of Greg’s challenges and strategies.  The school was calm and quiet and Greg could stroll around at his leisure, taking it all in at his own pace.  He loved the experience and became more excited for the first day of school.  And when the first day arrived, Greg was already an ‘expert’ about his new class, entering with confidence instead of anxiety.

4.  Build positive excitement – but not too much!

Knowing how stressed Gregory can get about the new school year, I am careful to not talk about it too much ahead of time.  I might mention it in a round-about way, saying something like, “Look how much you’ve grown.  I can see you are ready for 5th grade.” I’ll also mention in passing the particular kids who will be in his class and maybe even some of the things he’ll be learning and doing (for example, the 5th graders put on a musical at the end of the year.)  I want Gregory to know that the new year is approaching (so as not to catch him off-guard) and that he has a lot to look forward to, but I don’t want to build it up too much.

5.  Maintain close communication with the teacher.

Since so much with Gregory is helping him manage his moods and emotions, during the first few critical weeks of school, I have almost daily communication with the teacher.  I will email the teacher to let her know if something at school that day was difficult or stressful for Gregory, so that she can head-off an issue the following day.  If he has a rough night or morning at home, I will also alert the teacher, so that she knows to handle him with kid gloves…at least until she senses his mood.

6.  Hold off on extra-curricular activities.

Knowing that Gregory’s senses and coping mechanisms are worked over-capacity at the start of the school year, I’ve learned not to have him start any other new activities after school for at least 6 weeks or so….and that includes play dates!  He needs the after school time to decompress from the stress of the day without any added pressures or performance expectations.  In fact, I usually encourage him to have some down-time (such as riding his bike, swinging or jumping on the trampoline) before even attempting homework.  In that mode, I also try to minimize any weekend activities or commitments during September to provide maximum down-time.

7.  Define safe havens at school and at home.

Even with the best laid plans and sensitive accommodations, Gregory will sometimes ‘lose it’.  His emotions will get too big for him to manage and he’ll have a melt-down.  We’ve arranged with the school, teacher and guidance councilor for a specific place to go when he feels the need to escape.  In our case, Greg’s ‘safe haven’ is the guidance councilor’s office, where hopefully she will also be available to aid him in calming down.  At home, Greg’s bedroom is his safe haven to escape from the intrusions of family life with two noisy siblings.  We’ve also equipped his room with a beanbag chair which provides added sensory input to help him calm down.

So, as September fast approaches, I can feel my excitement brewing.  I’m avidly anticipating back-to-school shopping for shoes, clothes and supplies.  I’m drooling over all the brochures that arrive in the mail daily, announcing great sales and a myriad of after-school activities.   As I drive past our local elementary school (at least 5 times every day!), I look over fondly, imaging my kids in their new classrooms, absorbing all those ‘treasures of knowledge’ that I so enjoyed.  And hopefully, with some planning and foresight, Gregory’s transition into 5th grade will be smooth sailing, and someday he’ll be able to think back upon his back-to-school days with fond nostalgia too.

 

Do you have any strategies that have helped ease your child’s back-to-school transitions?  If so, I’d love to hear them!

 

A+ for the Teacher

24 Aug

From my years as a Project Manager, I’ve learned the importance of teamwork for a successful outcome.  When I first faced the unknown obstacle of Gregory’s Asperger Syndrome, I tackled it the best way I knew how – with my ‘business analysis’ hat on to determine the best way to help Gregory improve his behaviors and coping skills.  I researched as much as I could and then turned to recruiting key players within the school to become part of our ‘team’ to address these issues.

We were very fortunate that Gregory had a wonderfully experienced, nurturing woman as his 3rd grade teacher.  Mrs. A had been working hard to help him, relying on her instincts, since we didn’t yet understand the issues.  She was in fact, one of the people who drove my search for answers, after she made an insightful comment about Greg, “I think there is more going on here [than Tourettes].  I have never seen a child be so hard on himself.”  Mrs. A would be the first prospective ‘team member’ that I approached.

The Monday after my fateful “Date Night Diagnosis” [see previous post], I presented Mrs. A with my suspected discovery.  She wasn’t very familiar with AS, but she was thrilled that we had found a direction.  She immediately wanted to know what she could do to help, so I provided her with a small booklet entitledSimple Strategies That Work by Brenda Myles.  I had my first team member on board… We were off and running!

In the weeks that followed, we initiated the IEP [Individual Education Plan] process and shared the news with other key personnel in the school.  Our team was shaping up nicely, and as more and more information was shared with the various team members, strategies to support Greg within the school environment started to take shape.

Once Greg’s condition was officially diagnosed by the neurologist, I confirmed this with Mrs. A.  Then she asked, “How would you feel about sharing Greg’s condition with the rest of the class?” I was shocked!!!  Why should I further ‘label’ my son, who was already struggling with his peers?  “I think it might help them understand him” she continued.  I wasn’t comfortable with the idea, but I said that we would think about it.

I pondered the question…  On one hand, I am a proponent of ‘knowledge is power’, so surely it would be positive to share the information?  And my business experience further supported the idea of sharing information across the team…but were Greg’s classmates really part of his ‘team’?   Would this just give them ammunition with which to torment him?

I tried to put my mothering instincts aside to think more objectively:  If my child has already been unofficially labeled as ‘weird’ or ‘different’ by other kids, teachers and adults, then an official ‘label’ can only help matters.  Knowledge of his diagnosis might help deflate negative judgments and promote acceptance of his problematic behaviors.  I felt sure that Greg’s classmates had already unofficially ‘labeled’ him in their minds, so sharing the official diagnosis would be positive, right?

Gregory was already aware of his diagnosis and was a key player on his ‘team’, so following my belief in sharing information, I decided to discuss the question with him directly.  I told Greg what Mrs. A had suggested and why, and then asked how he would feel about that.  He thought about it for a minute and then slowly answered, “I think that would be OK.”  I asked him if he was sure that he wanted the other kids to know about his AS and he said, “Yes, they might understand me better.” Alright….if he was comfortable with sharing the news, then maybe I should be too….

I then asked him if he wanted to be in the classroom while Mrs. A talked to the kids.  As an alternative, Mrs. A had offered that he could help out the Kindergarten class with a project if he preferred.  Greg was excited by that prospect and opted to help the Kindergarteners.  So, we had a plan…and Gregory had surprised me once again by his open acceptance of his condition.

The day came when Mrs. A spoke to the class very sensitively about Gregory’s syndrome.  (I was a nervous wreck all day!)  She started by talking about how each of us is different and that some people have certain problems, like allergies or poor eyesight.  (She used herself as an example, because she has both!)  Mrs. A then described, at a very high level, some of the things that are difficult for Greg, and how the class might be able help him during those difficult periods.   The kids not only listened, but were amazingly positive.  Eager to show their new comprehension, they exclaimed, “Oh…THAT’S why he does” such and such behavior…  And then the class brainstormed ideas on how they might support Gregory during his tough times.

I have to admit that it was a bit of a stretch for me to extend the ‘sharing of information’ to kids, but I accepted Mrs. A’s suggestion and followed Greg’s lead.  After school Mrs. A assured me that it had gone even better than she expected.  “The kids were SO accepting!” she marveled proudly.  I’m sure the manner in which she presented had much to do with their response, and I give her full credit for its success.

And a complete success it has turned out to be!  Now, instead of looking at Greg oddly as he retreats under his desk during a period of stress, some of his classmates will quietly kneel down to his level and try to calm him down.  When they see him starting to get upset about something, they tell him, “Don’t worry Greg.  It’s OK.”  When he is in tears about some disappointment or frustration, the kids (both boys and girls!) check on him and try to cheer him up.

I witnessed it myself one day….and was awed by the kindness and sensitivity of his peers:  I happened to be at the school playground for pick-up a few minutes early that day.  Greg’s gym class was working on the Presidential Fitness module, and had just done the mile run.  Greg, not particularly physically strong or coordinated, felt that he had ‘failed’ the test by not achieving the desired speed.  He was sitting on the playground sobbing – feeling like a loser.  One by one, a boy or a girl from his class approached him to see if he was okay and/or to try to cheer him up. “Greg, are you ok?” asked one concerned boy. “Don’t worry Greg, I didn’t make it either.” soothed one girl.  And then the ‘pièce de résistance’, a girl who had previously teased and tormented Gregory repeatedly, approached him.  I held my breath, afraid of how she might ridicule him and plunge him deeper into his emotional abyss.  But no, she kindly said, “It’s OK Greg.  You’ll do better next time.”  I was dumbstruck….  Tears welled up in my eyes, grateful for the kindness of these children, who had been lead to understanding and acceptance through the guidance of their inspiring teacher.  Thank you Mrs. A – You’re the MVP of our team!

 

No one has yet fully realized the wealth of sympathy, kindness, and generosity hidden in the soul of a child.  The effort of every true education should be to unlock that treasure.               – Emma Golmam

 

 

To Tell the Truth

17 Aug

 “Greg, the doctor has discovered that your brain does not work the same as most people’s…”  That is how the discussion with my 8-year-old started…

There is much debate about the age at which your child is ready to learn of his diagnosis.  After all, you want your child to have good self-esteem and a carefree childhood; why worry him already?  Since every situation is unique, there is no ‘correct’ answer to this valid concern.  But I believe that everyone manages better when they understand what they are dealing with – and that goes for children as well as adults…

If your child is old enough to be aware that “he is not like other kids”, then you are not protecting him from pain by keeping him in the dark about his disability.  You are in fact, increasing his sense of isolation and poor self-esteem by negating his feelings and not acknowledging his difficulties.

For years, my son Gregory was dragged back and forth to various types of doctors, undergoing numerous tests and evaluations, in an effort to identify why he was struggling so much socially, emotionally and physically.  I tried to be vague and upbeat in response to his questions about why he had to go see another doctor, but I never specifically identified to him where the areas of concern lay.  I didn’t want him to label himself, or to feel like he was somehow ‘wrong’ ….surely ignorance is bliss, right?

But as time passed, Gregory began to tell me that some kids didn’t like him or thought that he was ‘weird’.  He would tell me that kids didn’t want to sit next to him at school because of his ‘noises’ [tics].  And one day, when he was 8 years old, he announced to me, with a sort of thoughtful self-revelation,  “You know Mom, I’m not like other kids.”  Pressed for more, he responded, “We just don’t think the same.”  But my heart nearly broke when Gregory, beside himself with self-condemnation and frustration, sobbed uncontrollably, “Nobody understands me!   I just can’t….can’t….can’t help it!”

In fact, the kids (and perhaps teachers and other adults) had already unofficially ‘labeled’ Greg in their minds, based on his strange behaviors….I don’t blame them for this – his behaviors were definitely odd.  But more importantly, Greg had also already labeled himself as strange and different – an outcast – and he blamed himself for it.

So, when we finally confirmed the diagnosis of Asperger’s Syndrome with a pediatric neurologist, I decided to share the news.  I first shared the diagnosis, along with some educational material, with our family and a few close friends.  I didn’t know yet what AS might fully entail, but I wanted to help them better understand and accept Gregory.  I also knew that Barry and I could definitely use the emotional support of our relatives and friends!

After thinking long and hard about it, I also shared the news with Gregory.  Although he was still so young, based on the feelings of inadequacy and isolation that he had already expressed, I believed he would find the information  comforting, rather than disturbing.  I hoped he would be able to redefine himself from being ‘weird’ to being someone with AS.  So, I took him aside and calmly discussed his diagnosis in terms that I hoped he would understand and find reassuring:

“Gregory, you know how we’ve been taking you to lots of different doctors lately?  Well, Dr. SyTe has discovered that your brain does not work the same as most people’s.”  Greg looked shocked, but since I was calmly smiling, he was open to hearing more.  “That is good news and bad news,” I said.  “The good news is that one part of your brain is really, really smart.  The bad news is that the other part of your brain has some trouble, which is why you have difficulty managing your emotions and making friends sometimes.”  Gregory nodded his head, acknowledging these troubles.  “So,” I continued, “we need to work really hard to get the ‘smart’ part of your brain to ‘teach’ the other part of your brain the things it needs to learn.”  Then I asked him if was willing to work hard to help his brain and he enthusiastically answered, “Yes!” with a great big smile!  Phew!!!  I then presented him with a cute little book for kids, entitledCan I tell you about Asperger Syndrome? so he could learn more about the disorder.

To be perfectly clear here, most people do NOT have this discussion with their young kids.  I later learned that we are in a small minority of parents who inform their elementary-school-age child of his disability.  But I am convinced that it was the right thing to do for us.  Gregory handled the news very well, and I believe, was greatly relieved to find a logical explanation for what he was going through.  It validated his feelings and provided him exclusive membership in a special group of people.  And then, as I provided him with more information about the disorder and talked to him about some famous people who also have AS, he began to take it on, as almost a badge of honor.  Greg began to understand his strengths and challenges, and why they existed, and was therefore willing to accept that he needed to work to change his behaviors.  We no longer heard the distraught, “I can’t….can’t….can’t help it!” 

Coupled with our family’s growing understanding and acceptance of his issues, Greg’s knowledge of his condition allowed him to take control over himself, and gave him some ownership of his progress.  We would talk about his challenges (and strengths!) as a family, so that his siblings understood the issues and what we were trying to accomplish together.  And when we worked on social skills, and other topics at home, ALL the kids got into the act, and I feel that each of us benefited.  Greg is no longer stigmatized, but accepted, understood and valued, so that at least under his own roof, he has a safe place to be ‘just himself’.

Over the last two years, we have continued in this pattern of openness with Greg, his siblings, his peers and teachers, and as a happy result, his support circle of acceptance has expanded exponentially.  That acceptance, along with numerous programs, has enabled Gregory to grow into himself.  He is now relaxed and happy – most of the time!   He is a beautiful, bright, talented, funny 10-year-old boy.  And oh yeah, he also happens to have Aspergers Syndrome.


Date Night Diagnosis

10 Aug

I’ll start by saying that I’m no expert on autism and that there are some really great resources out there – on the internet, in book stores, at seminars and colleges, etc. with insights and knowledge provided by experienced and credentialed professionals and documented studies.  With 20-20 hindsight, I wish that I had known to investigate these sources a whole lot earlier in my son’s life.  It would have saved us thousands of dollars, multitudes of questions, years of anguish…

In any case, I didn’t know any better, so when my previously loving 2-year-old son Gregory started ‘rejecting’ me and waking up screaming in terror/anger/frustration in the middle of the night, I was lost for an explanation.  I tried to reach him, to calm him, but he shut me out; he wouldn’t let me touch him.  I did what my mother-instinct told me to do…Night after night, I grabbed hold of him and held him firmly against me (fighting, screaming and kicking the whole time), talking quietly into his ear until eventually he ran out of steam and quieted.  Of course, Greg couldn’t tell me what was wrong, and even when he eventually lay his tear-stained face back down on his pillow, he wouldn’t acknowledge me.

I cried myself to sleep too…my poor baby.  We had never experienced anything like this with his older brother, Daniel.  What was so wrong?  What could I do for him?  Why was he in so much pain? 

Having just given birth to our third child, our lovely girl Sarah, I suspected that Gregory might be reacting to her arrival with jealousy.  Perhaps he felt replaced or betrayed by my attention to this new loud, smelly ‘thing’.  But if so, what could I do about it?  So I started reading books about sibling rivalry.

First, we tried to make sure that Greg received lots of one-on-one attention – from both his parents.  Then, I tried talking to him about the problem and trying to give him names for the feelings that he was experiencing – encouraging him to express himself.  But he still wouldn’t or couldn’t say.  Then, we tried to involve him in helping us care for his new baby sister, but he had absolutely no interest.  To him, she didn’t exist:  when he drew pictures of his family, it was always just Mom, Dad, Daniel and Gregory – no Sarah!  When someone talked to him about Baby Sarah, he just turned and walked away. 

And Greg became increasingly solitary, smiling rarely, interacting less.  His body-language changed, to where he appeared very tense, with his shoulders hiked up to his earlobes, poised on his tip-toes, with his hands clenched tightly.  If someone or thing surprised him (even with a slight touch on the shoulder), he reacted aggressively, as if trying to protect himself from attack.  And that is indeed, how he appeared – as if he was about to be accosted at any time – always on high alert.  It saddened me to see my little boy so tense and nervous, unable to relax – even in his sleep.

When those efforts proved ineffective, I spoke with the pediatrician.  Now, don’t get me wrong, we LOVE our pediatrician, and one of the reasons for this is that he doesn’t over-react to nervous mother worries.  So when I explained my concerns, the doctor reviewed Greg’s growth (which was off the charts in both height and weight ever since birth), performed the usual physical and developmental assessments and determined that it was ‘just a phase’ – “He’s doing fine.”  I tried to be reassured by this knowledgeable professional’s words, but my instincts told me it was more than ‘just a phase’.

So, life went on, but Gregory was not ‘just fine’.  We continued to struggle with our quirky boy, trying to mold his good behaviors and discipline his bad ones.  I attempted play dates, in the vain hopes of helping him develop friendships.  I signed him up for activities, hoping that Greg would ‘find himself’.  I took him to a pediatric neurologist and was told, “No, he doesn’t have autism – He makes good eye contact.  He has Tourette’s Syndrome.”  We even had him wear orthotic boots to bed at night for two years, on the recommendation of an orthopedic physician, to cure the presumed tight tendons that were causing him to toe-walk years past the toddler stage. While all well-intentioned, none of it worked.  Gregory continued to be an unhappy, tense, withdrawn boy.

Once Greg hit Kindergarten, all hell broke loose.  Our older son, Daniel, had transitioned well into elementary school.  And the PreK teachers had said that Gregory was ready for Kindergarten, so we were totally blind-sided when things went so wrong right from the start.  On the second day of Kindergarten, I received a phone call from the teacher that Greg had been sent to the principal….WHAT????  I had NEVER been sent to the principal in my entire life!  My little guy didn’t even know that being sent to the principal was a bad thing!  What was going on???  Unfortunately, it went downhill from there…

In hindsight, it was not just Gregory’s behaviors that were at fault.  The teacher didn’t handle things as well as she might have either, and being the professional, I believe the greater responsibility lay with her.  In any case, the two of them did not mesh well at all, and it became a very rocky relationship, to the point where Greg didn’t want to go to school anymore.  His verbal and motor tics increased dramatically in response to the stress.  He felt his teacher’s disapproval, our disappointment, and his own frustration at being unable to do things ‘right’.  It was a daily struggle, with weekly meetings, and ‘talks’ with Gregory.  Luckily for him, his teacher went out on maternity leave in January and he and the new teacher got along much better.  I don’t know what specifically changed, but the new, young teacher must have just ‘got’ Greg and accepted him in all his quirky behaviors.  He still had melt-downs at school from time to time, but overall, he did much better and we were relieved that he might be moving out of that ‘stage’.

First and Second grades progressed slightly better, primarily because the teachers were wonderfully accepting of Gregory’s odd behaviors and needs.  The first half of each school year was fraught with melt-downs and running-away episodes, but by January, Greg would settle in and be more comfortable for the rest of the school year.  And we would think, yeah! He might be moving out of that ‘stage’…  until the next school year began and the cycle repeated itself.

In Third Grade, the year started off with the usual poor transition, with melt-down episodes of hiding under desks, running away from school, tearing up school work, and disappearing into stairwells.  Gregory was a desperately unhappy child, saying that “No one understands me.” And “I’m not like other kids.”  His tics were rampant, he was barely sleeping at night and he was always by himself.  I knew that something had to be done, but still didn’t know in which direction to turn.  This time, I made an appointment with the Head of Pediatric Development at St. Joseph’s Children’s Hospital…I couldn’t get the appointment for another 6 months, but I needed to do something and didn’t know where else to go.

And then, the ‘Date Night Epiphany’ happened.  For a number of years, my husband and I would schedule Date Nights every few weeks, for just the two of us to go out together and talk.  (This has served us well throughout the years – I highly recommend it!)  In any case, that particular night, Barry had to take a lengthy phone call from his boss in the middle of our Date Night, just as we were finishing dinner.  Knowing how much I love book stores, he knew that I could happily browse for hours and therefore not get annoyed by the interrupted Date Night, freeing him to take the call without guilt. 

So, to Barnes and Noble we went, where I was drawn to the section on Mental Health, still trying to put my finger on Gregory’s strange set of issues.  Bi-Polar – no; ADHD – no; Oppositional-Defiant Disorder – no.    And then the epiphany:  I picked up the next book on the shelf – Tony Attwood’s The Complete Guide to Asperger’s Syndrome[1].  Although I had a vague notion of what autism was, I had only heard the term Asperger’s Syndrome a few times and had no clue what it was.  So I turned to the page listing AS symptoms – and there he was, in all his quirky glory!!!!  I couldn’t believe my eyes…out of the 20 symptoms listed, Gregory matched up with almost all of them.  I was overjoyed – not that he had AS, but that now I had a direction to go….understanding and hopefully treatment was finally on its way!    I grabbed every book I could find on the subject and virtually ran to find Barry (having just completed his phone call, luckily) to present him with the joyous news!  Our son has Aspergers!!!

All that Friday night and the rest of the weekend, I read…and read….and read.  Light bulbs were going off in my head constantly as Gregory’s behaviors started to fall into place and make sense.   I hugged him and told him how much I loved him – for the first time with an understanding of all that he had been struggling with.  My brave boy had tackled so much on his own, trying his best to cope in his own way, to circumstances and situations that were so difficult for him…Sometimes sadly, even when the well-meaning actions of his parents and teachers exacerbated the problems for him.

But now, things would be different.  I knew what we were dealing with and I was ready to educate myself about my ‘opponent’.   I still went ahead and eventually visited with a Pediatric Neurologist for an official, unbiased medical diagnosis, but I was already convinced that this was it.  Time to strap on the armor….  Look out world – I’m a Mama with a Mission!


[1] Tony Attwood, The Complete Guide to Asperger’s Syndrome (Jessica Kingsley Publishers, 2007).

A is for Aspergers, B is for Blog

8 Aug

Welcome to Aspergers:  A Mom’s Eye View!

So, what is this blog and why am I writing it?  Simply because, this is my life – struggles and triumphs – and if someone else might benefit from my experiences, good and bad, then I’m happy to share. That is my wish.

I am the mother of three great kids, aged 7-12, who are mostly the joys of my life and sometimes the bane of my existence!  My now 10-year-old son, Gregory, was finally diagnosed with Asperger’s Syndrome when he was 8.  He is bright, talented and funny, but he has significant challenges as well.  This blog deals with how this neurological disorder has impacted him, me, and our entire family.  It will discuss our trials and errors, and even mis-directions as we’ve attempted over the years to figure out and then ‘treat’ his problems.

I have no particular background in this field (with degrees in finance and marketing, of all things!), but over the past two years I have become an ‘accidental expert’ out of necessity.  I am ’that mother’  who is reading, taking classes, attending seminars and learning as much as possible about autism, in all its forms and symptoms, and various therapies.  My primary goal has been to help my son overcome (and/or cope with) his challenges and reach his full potential for a happy, enriching life.

However, my wonderful husband – that funny, insightful, geeky guy, who supports all my crazy obsessions with merely a raised eyebrow – convinced me of a secondary goal.  He is the impetus behind this blog.  Barry is ‘all things techy’ and has been dragging me (kicking and screaming) into current technologies and social networking trends ever since we met 15 years ago.  He has twisted my arm once again, insisting that all the knowledge that I’ve been collecting might be worthwhile sharing with others in our situation, and that a blog would be a great way to get the word out.  And so, Aspergers:  A Mom’s Eye View is born!

Although normally very reticent about myself, I’m a firm believer in the old adage that ‘knowledge is power’, so the more we can share with and support one another, the better for us all!  With that in mind, I welcome any comments, suggestions and anecdotes from all of you….bring ‘em on!  And in the meantime, happy reading!

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