Archive for the ‘Autism’ Category

Top 10 mistakes, lessons learned from therapy programs for children with autism spectrum disorders

May 13, 2010

Parents of children with autism, along with the children and adults who have autism themselves, are the real heroes when it comes to improving the lives of people on the autism spectrum. Home therapists, teachers and other professionals also contribute greatly to the quality of life of people with autism.

It is a monumental undertaking to raise children with autism and to make decisions regarding their care and education. Recognizing that fact, below are ten common mistakes made, or lessons learned, in the management of home therapeutic programs for children with autism.

For the rest of my article on examiner.com, click here.

Jennifer VanDerHorst-Larson on vaccines, hyperbaric oxygen therapy, treatments for son with autism

May 6, 2010

Second in a three-part series.

Jennifer VanDerHorst-Larson is a mother of a child with autism. Like many parents of children with autism, once VanDerHorst-Larson found out her child was diagnosed, she took matters into her own hands and became directly involved in the therapies and treatments for her son.

In 2002, at the age of 19 months, VanDerHorst-Larson’s son Cade was diagnosed with autism. Cade also has Celiac disease and a seizure disorder that occurred following his 15-month vaccinations. VanDerHorst-Larson believes that those vaccinations led to Cade’s autism. He was a healthy baby boy who had reached all of his developmental milestones, but there were dramatic changes in Cade directly after he had his shots for MMR, the flu, and chicken pox, VanDerHorst-Larson says.

Click here to see the whole interview I did with VanDerHorst-Larson at examiner.com.

Dr. Stanley Greenspan dies at 68, founded Floortime and developmental approaches to autism therapy

May 2, 2010

At last November’s annual Interdisciplinary Council on Developmental and Learning Disorders conference in Bethesda, Maryland, Dr. Stanley Greenspan was walking and talking a little bit slower than he had in previous years. The reverence and respect that the audience had for Greenspan was palpable, and at the end of his speech, the crowd gave him a standing ovation. The people in the audience knew they were witnessing something special.

Greenspan, the founder of Floortime and the Developmental, Individual Differences, Relationship-based model (DIR) for autism, died yesterday at the age of 68.

To see the rest of my article at examiner.com, please click here.

Autism advocate Lyn Redwood discusses mercury vaccine controversy, chelation, treatment and recovery

May 2, 2010

First in a three-part series.

Autism is a treatable biochemical medical condition rather than an incurable psychological disorder, says Lyn Redwood, whose son recovered from autism after having mercury removed from his body. Redwood’s son Will is one of a growing number of children who have recovered from autism or made excellent progress from behavioral therapies and/or biomedical treatments.

I interviewed Redwood during the Autism Research Institute, Defeat Autism Now! semi-annual conference in Baltimore April 10, which she was coordinating. ARI conducts and fosters biomedical scientific research designed to improve the methods of diagnosing, treating, and preventing autism.

For the rest of my article on examiner.com, please click here.

Play dates for kids with autism can enhance social skills, emotional awareness, and learning

April 20, 2010

Play dates are invaluable in helping children with autism learn the social skills that are so necessary to be happy and successful in life. Social skills, which come naturally to most typical children, are often severely delayed in kids on the autism spectrum.

Integrating communication skills (both verbal and non-verbal), emotional awareness, and sensory processing into play dates can make the cognitive work that autistic children do more efficient. Sports, exercise, and work on motor skills can also make learning more effective. Children can learn important life skills during play dates such as taking turns, sharing, and problem solving.

To see my full article at examiner.com, click here.

Sports and exercise for children with autism can improve social and cognitive skills

April 13, 2010

Four years ago, autistic teenager Jason McElwain became an overnight sensation by scoring 20 points in four minutes of action in a high school basketball game.

While many children with autism may never reach similar athletic heights, McElwain and others like him give children and parents hope. Perhaps the most significant part of the story was the acceptance that “J-Mac” received from his peers.

Whether children who have autism are high functioning like McElwain or are less advanced, playing sports can improve several aspects of their lives.

See the rest of my article on examiner.com.

What can we learn from “House” about autism?

April 4, 2010

The character “House” on the TV show of the same name is unbelievably arrogant, rude, and ultimately, usually right.  But he doesn’t get to be right immediately. He and his team often find correct answers after brainstorming.

“Listen, I don’t care if it makes sense.  Just give me something,” he tells his team of doctors.

Many people don’t understand the purpose of brainstorming.  You mention “a,” it leads to “b,” and then “c,” and the right answer, “d” appears.  The answer wouldn’t have presented itself without “a,” “b,” and “c” first, even if those first three ideas wouldn’t work.

Some people — most people? — shoot down ideas even before the sentence is finished.

This concept isn’t really specific to autism.  It could be about almost any subject.  But in the case of autism, many teachers, therapists, and parents are stuck in their ways, unwilling to try anything new.

Apparently the results have been so good that it’s necessary to do the same things over and over without trying anything new.

One time I came home after working with a child, took a nap and then woke up with an idea, hastily emailing the parent, who was horrified at the idea that I would propose making a deal with a school in exchange for care for the student.  The thing is, it probably would have worked.  Or at least it might have led to a discussion that could have opened some doors.

Thirty-five years ago, people still thought autism was due to the “coldness of the mother.”  If you automatically go with the current conventional thinking, you might just be wrong and behind the times.

“People get the wrong impression about scientists in that they think in an orderly, rigid way from step one to step two to step three,” said Paul Steinhardt in the Science Channels’ “Parallel Universe.”

“What really happens, is often you make some imaginative leap which, at the time, may seem nonsensical.   When you capture the field at those stages, it looks like poetry in which you are imagining without yet proving.”

Whatever that means, I’m for that type of thinking.  People used to think it was crazy that the world wasn’t flat.

We’ve been told forever that there’s no life in our solar system besides that which is on Earth.  But there’s a good chance that there’s life on Europa, one of Jupiter’s moons, under the ice.  There’s a lot more life than previously thought underneath the ice in Antarctica.

If “thinking out of the box” wasn’t such a cliche, I’d use it.

So Easy…Even Coach Mike Can Do It???

February 1, 2010

I recently overheard someone say, “It’s so easy, even Coach Mike can do it…”  Obviously that implies that I can only do easy things. I resent that a little bit.  About a year ago I was walking through the airport, and I saw a sign with a stick figure on it – I guess that was supposed to be me or something.  (http://www.youtube.com/watch?v=DVK0ZR_ufcU).

Not cool.  Not too cool at all.

Fathers’ Daze

January 22, 2010

Looking back again at my blog from last year, “Lessons Learned from Autism Therapy,” I found a paragraph that I want to reprint.

Dads:  some of you have graduate degrees from Ivy League universities.  That’s nice.  Now could you possibly consider making some suggestions about your children’s programs?  You can’t even make any suggestions or any input about your child’s program?  Let me get this straight – you’re intimidated by someone half your age who has a couple years experience with kids?  You’d rather just hand over the money and not even know what is going on?

The fathers of kids who I currently work with are great.  In fact, one of them is very involved with the child’s home program despite the fact that he has a very important job.

But to be honest, most – definitely more than half – of all the children who I’ve worked with, have fathers who were virtually invisible when it came to helping out with their home program (the afterschool and weekend program in which kids get additional support in doing schoolwork, learning social skills, and preferably also sports and coordination).

We’re talking about guys who, for the most part, went to Ivy League universities or very good ones, usually have graduate degrees, and make huge salaries because of their competency on the job.  At these jobs, they surely have to work hard and pay attention to detail, and maybe even use creative thinking to solve problems.  They must have to work with people.  So why can’t these guys pay any attention whatsoever to their children’s educations?

It’s as if we’re living back in the 1950s.  The mother does 100% of the work for the child.  The father goes out to his job.

The mothers make the schedule, do the hiring, make suggestions, and are basically involved.  Sometimes they have regular jobs too.

I know that you guys pore through lots of detail at work, and you are also part of many meetings there.  Couldn’t you attend a meeting about your child and maybe contribute something – anything?  Try to put just one tenth of the effort into your child’s education – not just giving money but giving time and ideas – that you give to your job.

Separation of Duties may be a good concept for computer security, but in raising kids there will be overlap between functions.  Maybe you do some behind the scenes stuff with your kids and that’s great.  And I’m not trying to minimize the importance of performing well at a job to earn a good salary.  That’s extremely important and it results in a major contribution to the child’s success because without that, many services wouldn’t be available.

But make an appearance, show that you care — start by pretending to care — and put in some kind of minimal effort at helping your child be successful.  Review what is going on.  Say, “I want more of this and less of this.”  Ask questions.  Give your opinion.

I don’t know if you’re afraid, or if you lack confidence, or if you don’t care, but you need to make a contribution other than just working and writing checks.  Maybe you don’t have the social skills and the autism is partly genetic, but at least you could try.  Think about the number of hours you put into your job.  Now think of the number of hours you put into reviewing the content and curriculum of your child’s home program as well as the progress that he has made.  I’m guessing the ratio is about 40 to 1, and that’s only for the exceptional fathers who put in an effort.  Think of how much you could accomplish if you contributed.  Not a sermon, just a thought.

So as they say on ESPN’s NFL Countdown, C’MON, MAN!

***

A day after I wrote this, I now have reread it just to make sure I still stand by everything.  It does need one change.  I’m adding an apostrophe in the title.

Monsters, Inc.

January 22, 2010

Last August 22, I wrote a blog describing some lessons learned from autism therapy (2009/08/22/lessons-learned-from-autism-therapy/).  I listed ten common mistakes people make and I include one of them below:

Making the child the “King of the Household.”

A child has a disability, so parents feel sorry for him, letting him get away with bad behavior, and excusing him from acting appropriately.  Congratulations.  You are on your way to creating a monster who becomes the King of the Household.  You might as well start fitting the crown and the throne now.  On the bright side, everyone knows who rules the place.

The point is that people with disabilities, whether they are children or adults, whether their disabilities are physical, cognitive, psychiatric or developmental, should not be pitied.  Unfortunately, many people instinctively pity people with disabilities, treating them differently and letting them get away with anything, to the point that those people with disabilities consciously or unconsciously take advantage of the situation.  Of course people should have reasonable accommodations, or modifications to help them be successful.

What I’m about to say may seem extreme, but I strongly believe it.  If you have the choice of making fun of a person with a disability or pitying him, you should definitely make fun of him.  That’s right – given the choice of ridiculing people with disabilities and pitying them, you should definitely ridicule them.

Of course you’d never be faced with the situation of having to make a choice between pitying someone and making fun of him or her.  But I’m trying to illustrate a point.  I’m not advocating making fun of anyone with a disability.  Of course it’s a bad idea to make fun of anyone.  I’m just making the point that pitying someone with a disability is even worse, because then you’re not holding the person to high standards, for accomplishments or behavior or anything else.  You’re giving them too much slack, and they realize it, and if you give people an inch, they’ll take a mile.

Here’s another way to explain it.  Let’s use a person with a physical disability as an example.  Most people would look at a guy in a wheelchair and pity him.  However, studies have shown that people with disabilities are about as happy as those without disabilities.  They can also be jerks, and if you don’t believe it, then you’re not treating everyone fairly.  There are people who would say, “How can someone in a wheelchair be a jerk?  They’ve gone through so much – it must be so hard for them – it’s understandable for them to be a little rude.  Cut them some slack.”

But that’s exactly the wrong attitude.  That’s patronizing.  So when children grow up with disabilities and you excuse them for all sorts of behavior, as I said in my blog, you’re creating monsters.  And at some point, there’s no turning back.

A perfect example of this is Eric the Midget from the Howard Stern show.  Eric, 34, has Dwarfism, Nevus flammeus nuchae, and Ehlers-Danlos syndrome.  He’s 3 foot 5 and in a wheelchair.  And he’s a completely arrogant jerk.  He never does anything for other people.

It’s a little more complicated for kids with autism, especially if it’s severe, because certain behaviors are often accommodations for the way they experience the world, they can have a hard time handling emotions, and they can be very slow in learning social skills.  I understand that.  From 2007 – http://www.coachmike.net/autism-faq.php#14_rtn:

How do you teach empathy to a child with autism?

It is well known that many children with autism have problems with regulating their emotions. What isn’t as well known is that many children with autism do feel emotions strongly. However, they just don’t have the ability to understand, regulate or express emotions as well as typically developing children. This is all the more reason to work on it. For example, if a tennis player has a backhand that is the least effective part of his or her game, you work on that skill because it’s the one that is needed most – you don’t ignore it because it’s the worst shot.

In other words, if someone is weak at something, you don’t say, “Johnny doesn’t understand how to play, so he can’t do playdates.”  That’s the exact reason that such a child should do playdates – to work on a weakness and make it better.

So you work on those skills.  You don’t use their weaknesses as excuses and then allow the children to scream and then get whatever they want as a result.  That’s rewarding bad behavior.  You wouldn’t let your typical child get away with saying he doesn’t want to learn math, so you shouldn’t let your autistic child do the same thing.

Speaking of parents of kids with disabilities, I’ve noticed that a lot of people sometimes cut parents a little too much slack as well.  It’s ok to say, “It must be so hard to be a parent of a child with autism,” and understand where they’re coming from.  That’s true, but it’s a fine line – I believe some parents will use that inch you give them and turn it into a mile, and frankly, behave badly and inappropriately, as if any of their actions can be justified just because they have a child with autism.

For example, I once witnessed a situation in which a therapist worked for a family for almost a year, doing excellent work.  The therapist recommended an additional person to come in to help teach the child and before long, the new person was there and the person who did the recommending was out.  That kind of reckless, short-term thinking on the part of the parents can’t be good for the child, not to mention the unethical implications.

This might be a good time for me to mention another one from the infamous top ten at (2009/08/22/lessons-learned-from-autism-therapy/).

Therapists are shuffled in and out and there is a lack of continuity.

In some cases, by the time a child is 10, he has been to several different schools, had several different home programs, and had turnover within each program so he has worked with more than 50 teachers and therapists.  It is not good for children to get attached to therapists and then have them taken away from them, because it teaches children that people are dispensable and interchangeable.  It’s also not good for the children psychologically to have people constantly shuffled in and out and taken away from them because they may develop problems in the future related to that.

If you want to hire a handyman to fix your windows, and then a different handyman to do some other jobs around your house, fine.  Every once in a while I hire someone from craigslist to clean my apartment, and it’s rarely the same person.  But it’s different for people who work with kids.  The relationship is important.  By making constant changes you’re teaching your child that people will leave them and you’re implying that your child is just a robot, not a thinking, feeling human being.

The relationship is crucial to learning, though it is intangible and not easily quantifiable.  I know a child with moderately severe autism who remembers people from when he was two years old.  Because I hear the details of those memories every time I see that child.

I’m not being globally critical of parents, I’m just telling it like it is, which is my philosophy.  In fact, three years ago on http://www.coachmike.net/autism-faq.php#7 I wrote that parents know more about autism than anyone else:

Who are the foremost experts on autism?

Parents are the greatest experts on autism. Everyone else is second. This includes, alphabetically: ABA Therapists, DIR Therapists, Occupational Therapists, Medical Doctors, Physical Therapists, Psychiatrists, Psychologists, Scientists, Social Workers, Speech Therapists and others. Parents know more about autism than anyone else and they should be respected by doctors and other professionals accordingly.

So to sum up, you should never pity people with disabilities.  You should hold them to a high standard and have high expectations of them so that they are held accountable.  Understand that they can be jerks.  Again, I use the example of an adult rather than a child, and someone with a physical disability rather than a developmental one to avoid confusion.  But if you don’t realize that people with disabilities can be jackasses then you’re not treating them fairly, or equal with other people.

The same idea applies for children with autism, it’s just that there is a fine line – you have to understand the reasons why they do the things they do, but you also have to understand that they are very capable of learning and shouldn’t get a free pass to do anything because of their disabilities.  The children should not rule the household.  They should be held to a high standard and learn appropriate social skills.

Finally, parents of children with autism or other disabilities shouldn’t be given a free pass to behave inappropriately or recklessly just because they have a tough situation.  They should be held to high standards as well.