Showing posts with label brain disorder. Show all posts
Showing posts with label brain disorder. Show all posts

Wednesday, August 20, 2008

ABOUT SENSORY PROCESSING DISORDER

Sensory Processing Disorder

I had no idea what sensory processing disorder was until I started reading up on it.
I never heard of the term before. It took awhile for me to wrap my head around the whole concept. And if I did not get first hand knowledge of it, I probably would deny that it even existed, as I'm sure many people do. I still have so much to learn on this subject.

Our senses: vision, hearing, taste, smell and touch . To ASD people, senses are perceived differently. Their senses can be magnified to the extreme, or be basically be non existent. In some people, their senses cause great discomfort , or they are even enjoyable. To me they are
like super powers.

touch - The seam that runs down the top of the sock is very irritating to Jacob. He would put on a sock, and take it off, put on another sock, take it off...it would be time to go to school and he would be so frustrated and we would be late for school just taking on and off socks for the right feel. He could not tolerate the bumpy texture. To most of us, we put on our socks, then we go on to put on our shoes. But for Jake, the feel has to be just right, not too thick or too thin. Forget if his sock gets crumpled underneath his toes while he is walking. Jake will become unglued until that sock gets fixed. Underwear is never worn-no matter what type I buy, he will not wear it. Jeans are out of the question, they are too stiff and hard. Shirts and pants must be of very soft fabric. Other than clothes people touching him, for example, kids brushing up next to him in the school hallway , or a teacher putting a hand on his shoulder really upsets him. He takes personal offense to it rather than just brushing it off.
smell - Jacob likes to smell things, but dislikes A LOT of smells. Upon cooking dinner, he often gets an upset stomach. Cigarette smoke, or even the smell of other peoples houses he dislikes. To you and me, we notice an odor and often dismiss it, like a smell of a hotel room. But to Jacob he will constantly bring it up and complain about the smell. Sometimes it will make him physically ill. He seems to have a super power in his nose.
hearing - At school, he cannot attend to the teacher as he should. Mostly he cannot block out background noise to concentrate. He hears what we usually block out, such as the buzzing of the lights, squeaking of chairs, pencils tapping. All he hears according to him, is "blah, blah, blah..." coming from his teacher. Loud noises, gives Jacob a confused, nervous feeling, and sometimes he winds up with a migraine headache. Being in a classroom with 20 other busy students is nearly impossible. And riding the bus is a nightmare with 40 plus other children, screaming
vision - Bright lights seem to tire Jacob out quickly. He prefers low light, and a room without a lot of windows. Dim light seems to be calming.
taste - Jacob is not a real picky eater, but some things he used to do, up until recently was he would eat anything - a n y t h i n g, but now he will put odd things in his mouth like coins. His pencils are always chewed on. Even his shirt collars are stretched out and have holes in them. Jake says he likes the texture of paper in his mouth so we have lots of spit balls around the house.

Taking in too much of this stimulation leads to"sensory overload". In the beginning he could feel; confused, anxious, agitated, or overwhelmed. Overload could be shown as a temper tantrum, hyperactivity, having a "silent" meltdown and shut down completely, or aggression. Once into the overload mode, its very difficult and time consuming getting Jacob back to calmed down and down to earth. We have learned to find out what these triggers are, recognize Jake's signs in the beginning, and avoid the triggers them if possible, which has helped considerably to manage his SPD. Its nearly impossible for the person to control the triggers, however we can try to teach them to relieve their stress and what to do when it happens. For Jacob, we have not found what works yet, so he can control himself better in these situations, although I am always hopeful he can one day. Grocery stores and waiting rooms are some triggers. Other triggers: fire alarm, school bells, fluorescent lighting, older computer screens that flicker. As he is getting older, I am observing that Jake is getting better dealing with these sensory issues. Maybe I am just in tune with what his triggers are.

At home there is usually not a lot of stimulation and commotion. I try to keep peace, and my house is usually in order, which really helps. Summer usually goes pretty smoothly, but when school is in session there are many, many days he has been over stimulated and has a melt down at the end of the day. This school year we are trying to prepare and hope to avoid all these stimulation's -to avoid the breakdowns, bad behavior and shutdowns. We have much work to do as he goes into 5th grade soon. It has taken me to this year to figure out these patterns, connect the dots, and learn about the words "sensory problems", although I am still learning. In the past I would ask myself why does he have crying fits every time he came home from school? He couldn't tell me due to his speech and language problems just until the the last year or so,(more on language problems later), and the school would say they didn't notice and thought he had a good day. Come to figure out, Jake would be so exhausted from all the stimulation, he was having silent meltdowns in school, shutting down, then when he got home it would become a full blown meltdown. He no longer rides the bus because that just puts the icing on the cake. The tears and tantrums have cut down significantly the past year. I could not figure why he was having a tantrum, but now Jake can tell me what exactly bothers him, and I can help advocate for him at school, figure out a solution, or help him work through it. I have heard people with SPD can get therapy to help with this, and I am hoping we can try this with Jacob very soon. Coming from the "experts" studying Autism, (& not just my opinion), individuals with SPD are not trying to be difficult, their brains circuits operate differently than ours, and are just wired differently.
A good book about Sensory Processing Disorder is Learning in Pictures by Dr. Temple Grandin. I have had the pleasure to hear her speak on Autism. Interestingly Temple made her own "squeeze machine" as a therapy to sooth and calm her.

SPEECH AND LANGUAGE ISSUES



Language not only means the use of words, but also it includes interpreting what you READ OR HEAR, and the ability to COMMUNICATE your thoughts and feelings.


Last school years the Speech and Language teacher worked with Jacob on finding the main idea when reading or looking at a cartoon. He would focus on a small detail, and not look at the whole picture, picking up on irrelevant items.
Also I notice that he misses the main idea during lots of our conversations together. He picks up on the last word said, and thinks the whole topic centers around that word. This affects him in the classroom, and also in social situations negatively, leading to badly graded papers in school, or misunderstandings between friends.
Listening to people talk is very difficult because people don't usually say the same thing twice, and no two people speak the same way. Fast talking people in particular, are one big question mark for Jacob, and so are complex ideas and directions. He is just learning now to ask them to repeat their sentences again so he can grasp what they are saying.
Understanding certain words, for instance: What, Where and When. If you ask Jacob "When did you brush your teeth ?" he would answer "in the bathroom". Simple little words that make all the difference in the world, that would turn around the meaning of a sentence, he just does not "get". Other words I find he doesn't get are: under and over. Misinterpretation and impaired comprehension is common with AS kids.
Its a huge problem with school and parent communication. He doesn't seem to remember what he needs to and can't communicate it fully to me even when he does remember. I prefer any school communication to be made directly to me, it relieves a lot of small problems.
Other language problems involve confusion with figures of speech; he thinks in concrete and very literal.
Most in the time in school he stares into space with a blank look on his face, or does not follow directions. That's when his brain isn't " receiving", and "transmitting" the way it should. Sometimes it takes a few extra seconds for his brain to process what was being said, and then figure out the right words to answer with.
Other Speech & Language problems:
Changes topics in the middle of conversations without relevance

Difficulty putting thoughts into words (he would not know how to answer ) "What did you do for the weekend?"

Does not understand innuendo, sarcasm, or irony

Doesn't know how to maintain conversations

Needs concrete time-unlike the words "perhaps", or "sometimes" to understand

Does not know when its okay to tell a white lie, is brutally honest

Cannot tell the difference between relevant facts and irrelevant facts

It was great help that whenever there was an incident at school, and there were lots, of Jacob having to report to the principal to tell his side of the story, his teacher would be there with him to help fill in the blanks. That way, all that Jacob was trying to communicate would get across to the principle.

Tuesday, August 19, 2008

Executive Function Issues

The executive function includes:

  • organization and planning abilities
  • memory
  • inhibition and impulse control
  • self reflection and self-monitoring
  • time management and prioritizing
  • understanding complex or abstract concepts
  • using new strategies

As children, these issues need to be considered and addressed particularly in school, and accommodations may be needed. There are some suggestions in my other blog http://myaspergerschild2.blogspot.com. These issues are not the fault of parenting, or the child's misbehavior or laziness, it is the brain's hard wiring, PERIOD. Its just the way they are.

It is not so easy to teach these skills, most of the time, they can't be taught. For school aged kids. their parents need to take on this responsibility to help with the executive skills, and maybe be replaced later in life by a wife(i.e., a friend of ours needs help with straightening and organizing his briefcase every night). A parent who provides support may be labeled as doing too much for the child,(as I have by certain ignorant teachers), but I have learned that without that help, my ASD child would not achieve the grades that reflect his abilities. Experts such as Tony Attwood, whom has studied ASD kids, suggest this is what we need to do as parents. These kids have enough on their plate already-so help them achieve their best and you will see what can happen! Just because it is over their heads, they shouldn't have to suffer. They need to go forward academically and you can help them to become successful and independent adult.

Throughout the years, I have heard many complaints from teachers. Jacob does not come prepared for class (no pencil, no book, no paper). One minute Jacob could have a a pencil in his hand, and the next minute it is gone. Send him across the hallway to turn in a paper, and the paper in his hand has vanished. An assignment is finished and put in his desk to return to after lunch and its missing. Lost library books are constant. Unfortunately he has spent many days indoor for recess or another form of punishment for this absent skill. Its frustration for not only Jacob but his classroom teacher.

At home I have to keep my home tidy. Everything has a place, and if an item is not in it's home, I get slightly unglued. Its all I can think about, I have to have my home in order before I can accomplish anything else ie, errands, lunch date, shop. However, I am able to organize. In fact its basically my hobby. When Jakes room becomes littered with his toys and things about, he gets distracted and annoyed. Unfortunately he also gets overwhelmed looking at the disorganization, and does not know where to begin in his room, he cannot associate what needs to go where, so I have to help him get started. Items often gets misplaced, and we spend quite a bit of time looking for things. He just cannot get the concept of putting things "in it's home" so he will be able to find it next time. Sure everyone misplaces their keys or cell phone occasionally, but this is on a much larger scale.

Executive skills are easy for most, but not for my Jacob. This is one area he needs serious assistance especially while in school.

Monday, August 18, 2008

Social Skills

One of the largest challenges in having Aspergers Syndrome disorder is Social / Friendship Skills. My child wants desperately to have friends and craves peer interaction, although some Aspies do not care to interact with anyone. Unfortunately for Jake, it always turns into a disaster soon after he meets a friend because he has no clue on how to keep them.
For one, the Asperger child has very few interests, and talks about the same interests constantly. The peers body language is ignored so the AS kid keeps talking about it the same subject repeatedly, which annoys the other child.

Additionally, AS kids are clumsy and has poor motor skills, and non-athletic, so he does not fit in with the "sports kids". The AS kids don't get the social cues on the playground, they tend not to understand the rules of a game very easily, misinterprets other kids actions, and rarely has things in common with the average kid. This means he is last picked on teams, and also often left out of social situations because he is considered nerdy or odd.
I find Jacob at least 2 - 3 years behind maturity wise, and other kids get turned off by his silliness behavior. Also he has a huge imagination; dreams about dragons, knights and secret places. Most kids his age are out of that stage already so they don't connect well with his pretend world. As a parent, it is very sad to see your child not having any friends.You want them so badly to have friends to enjoy.
He is very quick to anger and gets agitated very easily which does not help keep a friendship going. I notice he fly's off the handle then says things to others to retaliate.
Jake has made a friend and kept him for over a year now. He is a boy of Jacobs age with Aspergers and the friendship continues because a lot of parent intervention. Without it, this friendship would have been over just like the rest.
Trying to teach Jacob what is socially acceptable is difficult for me, Jake seems to be very hard-headed and does not like to follow my advice for some strange reason on this subject. It seems more believable to him and better coming from another source such as a teacher, other adult or even peer. It is very sad for me to observe my son in these incidences. He often is upset because he has no one to play with, and cannot see the causes of his actions. This causes many meltdowns and sleepless nights for him.