Autism and the Non-Compliant Child

Autism and the Non-Compliant Child

I was asked a few days ago what I would do if teachers or staff tried to force Casey and Rob to always be compliant. Okay, first of all – who is going to force me to always do what others think I should? 🙂 But, seriously, it is an issue that is running rampant in schools and care facilities. What to do about the person who won’t do what staff wants them to do? And then, what to do with the staff that try to force compliance on a person? (apparently, my first thought of smacking them in the head is NOT a good option! 🙂 ).

I do understand the need for a certain amount of compliance, especially for safety reasons. Children need to learn the dangers of running off from their group (and this is a tough thing to teach children and adults with no sense of danger!) or how to play on playground equipment correctly (again, a tough thing to teach sensory seekers!). But, I do not believe that any program should be a “one size fits all” program. Every child, special needs or typical, is different and those differences need to be considered when working with the child.

When Casey was in preschool, she refused to keep her hand on the rail as the group walked down the hall. I think she simply saw no need for it, so she didn’t do it. As long as she stayed with the group, her teachers and the aide didn’t care. Other teachers, though, force children to keep that hand on the rail. Why? As long as the child is walking with the group – who cares? Will it matter tomorrow?

And besides, you have no idea why that child/person may be avoiding something. How do you know that the rail isn’t painful to them? That it may hurt their arm to walk like that? Unless that child is verbal and can tell you, you don’t know. Forcing that child to walk like everyone else is just a power trip for that teacher. Again, I mean when the child is willingly walking and staying with the group – who cares where their hand is?

Maybe the child is avoiding doing an art project because the scissors hurt their hand? Or maybe they are embarrassed because they can’t use the scissors as easily as their classmates? Maybe the glue makes them gag. Maybe they simply do not understand what is being asked of them. And when the child refuses to do the art project, they may be labelled non-compliant and the teacher becomes frustrated.

I get it – you have laid out this wonderful, fun project (to you, anyway) about Valentine’s Day and that child refuses to cut out a heart. What is wrong with the child? Don’t they know that mom will love their project? Don’t they care about mom? Seriously, folks, I’ve heard teachers make these comments. I do understand the teacher’s excitement, but what about the child?

Every time you have a child that refuses to do something, stop and ask yourself “Why?” and really think outside the box. Maybe the person is hungry, tired or sad. Maybe they are thinking about the dance they get to go to later that day or maybe they are thinking about Legos or pizza or coloring books. Maybe they are wondering where the teacher got those cool socks. Teachers and staff tend to take non-compliance personally and usually, it has nothing at all to do with them.

I once taught a little guy who has autism and ODD (oppositional defiant disorder). He would sign that he wanted to go outside, but if you said, “Ok, let’s go” he would refuse every time and I ended up standing in the hall while he sat. He went against everything that was said to him – even if it was something he wanted to do. It was his disorder. I soon learned if he wanted to go outside, not to say a word, but to go get my coat and he would happily follow, because it was his idea. I spent a lot of time sitting in the hallway while he hung upside down as he tried to decide whether he wanted to do what I suggested or not. (I have to say – even with all of that, he is one of those little ones that gets into your heart and never leaves. He always has a smile for me when I see him now and it’s been years since I taught him).

Consider that the person may have sensory issues you are not aware of. Sensory issues ARE real, not just a way to get out of doing things. They are painful and distracting and stressful. If you don’t believe me, think about being put in a small room, music is playing, a candle with a strong odor is burning, the lights are flickering, the heat is turned up, the clock is ticking loudly and you are being forced to wear clothes that are itchy. And – you are told that for lunch, you are being fed something that absolutely turns your stomach. And, someone comes in and says, “Read this story. Answer the questions. And sit still, no wiggling.” Let’s see how long you last. Don’t fool yourself – you will be a grouchy mess.

And that’s what some of our kids live with every – single – day. Teachers and staff need to understand that. They also need to know that people with autism can “read” others. They know who respects and cares for them and who is only there for the money. And they will respond to those that respect them in a completely different way. If the kids know someone doesn’t like them, why in the world would they want to anything for that person? I have learned that if Casey or Rob avoids someone, there is a good reason and I should avoid that person, too.

As I said, some compliance is necessary. I believe Casey and Rob should help clean up messes they make. They need to take their medications. (although, if someone refuses to take theirs, think about their reasons. Maybe they feel worse after taking it? Maybe they don’t trust the person giving it to them? Always, always, think outside the box!) It can be very hard to discover the reasons behind many behaviors, but it has to be done.

Often, a new set of eyes can help. When you are too close to a problem, it can seem insurmountable, but someone new might see something you haven’t noticed. I’m always open to people giving me their ideas. I know sometimes I get stuck and can’t get past my irritation at the behavior or the fact that I’m just too tired. Ask for help before you do something you will regret. If your frustration is too great, walk away from the situation! One wrong action could have devastating affects on the person you are working with.

There are some people who are simply not cut out to work with people with autism. They don’t have the right temperment or passion. They may think it will be easy and when it isn’t, they get angry and do things without thinking. I get that – I’ve done that. But – our kids need to be surrounded by people who love them – not bullies who will force them to do what they are told. Yes, I do think some teachers/staff can be bullies. It becomes “You WILL do what I say, no matter what.” It becomes a battle of wills and trust me when I say this – no one is better at winning a battle of wills than a person with autism. You will not win. And if you do, it’s only because the child became bored and gave up. But, if it is truly something that child doesn’t want to do – they won’t give up.

And then you need to ask yourself “Is this the hill I want to die on?” That question was used in military strategy sessions in regards to whether holding a certain position is truly worth it. Think about it. If winning this battle meant losing your self-respect, is it worth it? Nope. It isn’t. So when things become intense and you are thinking about forcing someone with autism to do what you want, stop and think…

Is this the hill I want to die on?

Will this matter tomorrow?

If either answer is no, then walk away. The person with autism didn’t “win.” You both did.

Autism and the Need for Discipline

Autism and the Need for Discipline

It’s hard to imagine but I have talked to many families who have a child with autism who have told me they won’t discipline their child. They feel the child will not understand and will make the behaviors worse. I’ve also been told that having autism makes the child’s life hard enough, so why make them follow rules? Hmmm – what the heck are they thinking??

We all have to follow rules! I personally find speed limits rather confining and wish I didn’t have to follow them. I’m sure each of you has a rule or two that you would rather not follow. But – that is life! Everyone has rules to follow and allowing your child with autism to get away with anything they want is only setting them up for failure. They need to know boundaries and you need to enforce them.

Yes, it is much harder to discipline a child with autism, but you can do it! As a parent, that’s one of your jobs. If you wouldn’t let your “typical” child do something, then the ones with special needs don’t get to do it either. It’s really that simple. The question is – how to discipline?

First, you need to understand that every behavior is communication. Every single one. We all do it! We smile. We say thank you and please. We avoid people or things we don’t like. We look for what we enjoy. Just like our kids do. For every behavior, look for the trigger. Yes, this is hard and may take weeks. Keep a journal of what happened right before the behavior.

What did your child eat? Are they sleepy? Are they wearing new clothes? Did your routine change unexpectedly? Is there someone new around your child? What time of day did it happen? It is tedious work, but keeping a journal is the easiest way I know to discover a pattern of the behavior and might give you a clue about what is happening. Write down every detail you can think of. You might be surprised at what you find out.

Casey had a terrible time in Kindergarten between 9:30 and 10 every morning. She refused to eat breakfast and never said she was hungry, but as soon as I started sending a small snack for her to have about that time, her behaviors diminished. Had I not insisted on knowing what time she got upset every day, I never would have discovered the simple truth that she was hungry. You will need the help of everyone who is around your child. Don’t be afraid to insist on details!

Second, you need to learn what behaviors are caused by the autism and which ones are simply the child being a turkey. (And for any one who thinks a person with autism can’t be a turkey, come spend time at our house – you will soon change your mind.) Casey is especially good at doing things she knows she isn’t supposed to and smiling a sweet, angelic smile when she gets caught. Nope – doesn’t work on this mama. I tell her she’s cute, but she’s still in trouble. 🙂

You need to discover whether your child is having a meltdown or a tantrum. A tantrum is where they are screaming to get what they want and they will calm down as soon as you give it to them. A meltdown is often a sensory issue and they simply cannot calm down. Many times, they may not even realize you are with them. You cannot talk them down and you can’t touch them. You can only wait for it to be over.

When Casey is in meltdown mode, she has no clue I am with her. She is out of control screaming, hitting her head, flopping around and she isn’t saying any words – just screams. It took me years to realize the best thing I could do for her at those times was to be sure she was safe and stay out of her way. And to be ready with a head rub and a kiss (and a hug, if she wanted, but those were few and far between). When she was younger, I did make her go to her room when she was upset, as she was able to destroy things without realizing it. The back door window, the garage window, the bedroom window, the door, the banister for the basement steps…. and she never left a bruise or a cut on her. It was safer for everyone if she was in her room. I stayed in there with her and let her scream.

The end of those meltdowns is one of the things I’m most grateful for. Once in a while, she lets out a scream to wake the dead, but I can usually (fingers crossed!) talk her down before she loses control completely. It is not a pretty picture.

Now, I can see that her meltdowns were almost always (She could be a turkey! 🙂 ) related to her autism. Changes in her routine were terrifying to her and she screamed about it. Certain sounds were extremely painful to her, but while I knew they bothered her, I didn’t realize how badly. Any kind of change was likely to bring on the screams. (remember the story of the band aid on her toe? or the gloves in the summer?) She just didn’t have the words to tell me – she screamed her pain instead.

She used to chew the feet on Mandy’s Barbies and make Mandy so mad because the shoes wouldn’t fit anymore. I made pictures for her over and over that chewing feet was NOT okay, but she needed the deep pressure. It was so hard to help Mandy understand that Casey (and Rob, at times) weren’t being brats – they needed the pressure that chewing brought. I hated that I couldn’t make any of them understand.

As for how I disciplined them, it was different for each of them. For Rob and Mandy, just knowing I was mad was enough to curb the behavior (though Mandy does like to tell the story of me smacking a wooden spoon on the counter to get their attention, how it broke and they all scattered to their rooms! 🙂 ). I had to be more creative with Casey. Sometimes, it was threatening to take away a trip she wanted to go on. Sometimes, it was to send her to her room. Sometimes, it was to sit on the couch with me.

How you choose to discipline your child is up to you. Only you know what will work for your family. And yes, it will get ugly, but you are not doing your child any favors by not teaching them proper behavior. It may take years, but that’s okay – your child will learn! You may choose to take away a favored item or use a time out chair. Remember – discipline is only to be used for bratty behavior! It is never to be used for behaviors caused by their autism. For those, you will have to help them work through those issues. Again, it is hard and it is exhausting and you will feel like crying and quitting, but you can’t!

Honestly, it may be someone besides you that realizes what is causing a meltdown. Sometimes, we are just too close to the situation to see all of the possibilities. Don’t be afraid to ask someone to tell you what they notice! It does take a village to raise a child! I’ve had other people tell me what’s wrong often and I’m not upset that they noticed it before me – I’m just grateful that I know what is causing the problem so I can work on fixing it!

I know discipline is just another “thing” you have to deal with, but it’s so important. Your child needs to know their boundaries (streets and water come to mind!) so they are safe. Of course, most of our children have no sense of danger, but they can be taught (and always, always watched, as the temptation of water is always a strong one, it seems!).

How do you discipline your child? What techniques work for you?