Tag: communication autism

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How to Talk to an Adult with Autism

How to Talk to an Adult with Autism

I have to take a three hour class every year to continue to be Casey and Rob’s guardian. (Don’t panic if you don’t do this – I have discovered that even different counties in Ohio do things differently!) Yesterday, I sat through one about dementia. Honestly, I was interested in the topic as I have had some family members who had varying types. Sadly, I was bored out of my mind – they could have been talking about a person with autism.

Many different types – varying degrees of severity – medications might or might not help – how to advocate for the person…. isn’t that our lives? But – one thing that did stick out was one of the speakers was describing how not to talk to a person with dementia – as if they were a child, in a high-pitched, sing-song voice. (Even though that’s exactly how she seemed to be talking… but maybe I was just over the boredom and wanted to be done! 🙂 )

I can think of so many people that have no idea how to talk to Casey and Rob. Some, in particular, like to yell in their faces, because, you know – Casey and Rob are deaf. 🙁 I have repeatedly asked these people NOT to yell in their faces, but it goes in one ear and out the other. And those people wonder why my kids ignore them? Thankfully, they are rarely around those people. But still – how many people talk louder to someone who appears to not be paying any attention?

We have all done it. Maybe to get the person’s attention – maybe from our own frustration. Who knows? What I do know is if I talk loudly to either of my kids, they will shut down. Rob will get anxious because he thinks I’m mad. Casey will just make ignoring me a higher priority. So – always remember to use a calm, quiet voice. Trust me – they hear you whether they are acknowledging you or not. Yelling will cause a shutdown or worse.

Always speak slowly and clearly. Rob, especially, hears way too much. If there is a lot of background noise, it may take him a few seconds to understand what you said. Don’t talk with food in your mouth – don’t rush through what you want to say.

But don’t use too many words, either. Short and sweet. If you are giving directions, don’t list too many at once. I’ve spent many hours saying “Fold the blue shirt.” “Fold the black pants.” “Wash your face.” “Wash your arms.” and so on and on. Casey and Rob can follow 4 – 5 directions now, if they are familiar. If it is something new, be ready to break it down into one steps directions and be clear and concise about what you expect. It takes a while to build up to several directions at once. If we are having a rough day, we stick to one at a time. Every day is different so don’t be discouraged if you lose ground some days.

Never, ever talk to an adult with autism as if they were a child. I don’t care if you are talking about Elmo, The Wizard of Oz or Thomas the Tank Engine. Talk to the person just as you would any other adult. Casey and Rob hate to be “talked down to.” Casey will say they are “dults” not babies. Rob will just look at you as if you have lost your mind. I know it’s hard to do when you might be having a conversation about Bert and Ernie or Barney, but to the adult with autism, those characters are friends, not babyish. (By the way – I have perfected talking in “Elmo” and “Cookie Monster” voices. 🙂 🙂 My life is now complete!)

Explain what you are doing, even if you don’t think the adult with autism will understand. My kids know more than they will ever let on. I see bits and pieces come out and I’m always amazed. Rob loves to look up things on his iPad. He studies how things work on YouTube. He googles “squeaky brakes” or “broken fan” to see how to fix them. When we are baking cookies or cupcakes, I talk to them about each step we are doing. “The sugar makes the cookies sweet.” “The oven has to get hot first.” Many times, I don’t think they are really focused on what I’m saying, but then the next time we make cookies, one or the other will repeat something I said before.

Don’t use a high-pitched, fake happy voice. For one thing, the high pitch may be painful to the adult with autism who has sensitive ears. For another, even if the person functions at a child’s level, they know they are adults. You are insulting them by talking in a baby voice. Just stop it. Imagine how you would feel if someone talked to you like that. I would want to slap them, wouldn’t you?

Always, always give the adult with autism time to process what you said. This is really hard to do, as we are so used to the give and take of a “normal” conversation. I heard this tip when Rob was small and it really helped him. When I ask him a question, I count to 30 slowly before I repeat the question. Casey tends to answer quickly most of the time (if it is something she wants to answer… if not… she will ignore you forever!) Rob does much better when he is given the time to process your request and decide how to answer. Thirty seconds can seem like forever while you are waiting, but it does help. Don’t keep repeating the question – he will shut down.

On that note, try not to ask questions. Use statements instead. “Tell me what you want” is easier to answer than “What do you want?” Casey has an easier time with questions, but “why” and “how” questions are extremely difficult for both of them.

Many of these ideas will work if you have children with autism, too. Sometimes, with a child, you need to use a silly voice to get them to want to interact with you. Don’t be afraid to be silly with kids or adults! Any kind of interaction is so awesome! You may not be comfortable being silly, but try anyway. Life is too short to be serious all of the time. If I can say “Me want cookies” and “Elmo loves you” or “he he he that tickles” in character, then you can use a silly voice, too. 🙂

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Autism and the Really Bad Night

Autism and the Really Bad Night

I’m tired.  There’s no other way to say it.  I’m not sleepy tired –  just tired of stuff.  Rob had a terrible night Friday and we didn’t sleep much and I think that’s catching up to me.  (I’m always okay the day after no sleep, but man, that second day is a killer!)  Thank you, autism, anxiety and an almost full moon.

I’m still not sure what was going on with him.  There are many possibilities and he can’t tell me what was bothering him.  He didn’t say he was sick or needed Dr. Myers, so I don’t think it was his ear.  He was just off when he got home from the workshop and as the night went on, he got louder.

At 1:00 in the morning, he let out a yell to wake the dead.  I ran to the bathroom to find him leaning over the sink, but as soon as he saw me, he grabbed me in a bear hug and couldn’t let go.  We stood there for several minutes before he would let go and lean his head on my shoulder.  I finally got him back to bed and sat with him for a few minutes before he said “Goodbye, Mommy Jen.”  (He always says that when he is ready for me to leave him alone.)

I’m not sure what time he went to sleep, but I didn’t hear him again.  I kept waking up to check on him and when I was asleep, it wasn’t a restful one.  Things just kept running through my mind…

Was he upset about me telling him to leave the emergency windows alone on the shuttle?  He had been playing with it and the shuttle driver asked him to stop and slide away from it, but he didn’t listen.  I know how much he likes Warren, so for him to ignore him is odd.  Maybe he was worried that Warren was mad at him?  (Rob gets extremely anxious when he thinks someone is upset with him)  When I talked to him, I just told him he needed to listen to the driver and leave the window latches alone, but who knows?  Maybe he was dwelling on it.

Maybe the not quite full moon was already having an affect on him.  I know some months are worse than others and I never know which kind of month we’ll have.

Or maybe his ear was still bothering him and he just didn’t want any more ear drops in it.  But he hasn’t pulled at it for several days, so I don’t think that’s it.

Maybe his room was too hot…. but he had his AC on.

He was a little upset before he went to the workshop that morning about our still unresolved issue.  (It has nothing to do with the workshop, but a family issue.)  I keep explaining to the kids that the problem isn’t them at all and Casey believes this (she rarely thinks anything negative about herself.  🙂  ) but Rob takes it so personally.  Maybe he was fixated on that and wondering why things changed.

Was he hungry?  Too tired?  Who knows?  And so we both cried in the bathroom in the middle of the night.  I hate the helpless feeling – when your child hurts, you want to fix it and I didn’t even know where to begin.  I thought maybe if he got comfy in bed, a few words would come, but they didn’t.

I let him sleep as long as he wanted Saturday morning.  He was still off when he got up, but didn’t seem to be as upset.  He didn’t enjoy his trip to the Dollar Tree (a favorite place to go) and yelled his anxiety song the entire time we were in there.  Usually, I don’t care what other people think, but being tired, I just wanted him to settle down.  So I tried to calm him and it had the opposite effect.  He knew he was stressing me out and got even more anxious.

Luckily, we were going to a car show to see Cory’s car and he calmed a little there.  He enjoyed looking under the hoods of all of the cars and sitting beside Cory’s car.  He was still loud, though.  And it was still getting to me.  I know that’s the absolutely worst thing I can do, but I couldn’t help it.  I was just done.

Tracie suggested we take the kids for a walk after the car show and they both enjoyed that.  He seemed happier after that (seeing Tracie, Cory, Mandy, Grandma and Grandpa helped, I’m sure) and took a short nap before he had supper.  But then, I had to keep waking him up (I was afraid he wouldn’t sleep again, if he slept too much during the evening).  He took his shower early and slept all night.

I was so relieved!  My head knows there is little I can do but offer comfort when the kids are having a hard time, but my heart wants to do more.  I feel like I should be able to figure out the problem, even if they can’t tell me.  I just ache when they hurt and I can’t help them.  And I resent autism.

I get angry when I know what problems are and still can’t help them.  I want to scream at people to make them see the pain they are causing, but I know it won’t do any good.  I just keep praying the situation will resolve in the kids’ best interest.

I know every one of you knows exactly how I feel.  Autism definitely brings out the helpless feeling more than any of us want.  It brings out anger and resentment.  None of these are especially good feelings – they are ones I sure want to avoid!

I’ve got my fingers crossed that the full moon comes and goes without a repeat of Friday night.  It’s been years since we’ve had a night like that (we’ve had sleepless  nights, but not one with this degree of autism anxiety) and I hope it’s years before I see another.

I hope the full moon effects aren’t too bad in your homes this month!  Good luck!

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What is the Best Way to Teach Communication for People with Autism?

Best Way to Communicate for People with Autism

I’ve been asked so many times “How did you get Casey and Rob to talk?  What’s the best way to teach communication skills?”  And I have an answer – I have no idea.  I don’t know.  We got lucky.  The stars were aligned.  I don’t mean to be flippant about my answer, but I just don’t know.  I wish I did.  I would be rich!

But seriously, every single communication device has good points and bad.  And, every person with autism is different.  What worked with Casey, Rob had no interest in.  I’m still trying to figure it out.

Casey could sing entire songs as a toddler, but she had no interest in using her words to ask for what she wanted.  Even into preschool, after a year of speech therapy, she had few words that she used consistently.  Her teachers used PECS (picture exchange communication system) with her and she began to understand that she could ask for what she wanted.

They printed the PECS cards of everything that could think of that she might want and put velcro on the back of each card.  Using a long strip of cardboard with opposite velcro, they constructed sentences for her to repeat.  She could point to each picture as she said the words, such as “May I have cookie, please?”  I also started using American Sign Language with her.  I found out that she could say the word easier if she could sign it, too.

When she was 5, we had Auditory Integration Therapy done with her.  We knew her ears weren’t hearing normally and had heard good results with this therapy.  My mom and I (and Casey, 2 year old Mandy and baby Robbie!) spent two weeks in a hotel about three hours from home.  To add to the “fun” we all had pink eye.  My dad and their dad joined us over the weekend.  My best  memory of that trip is that 4 days after Casey started the therapy, she said “doughnut” at breakfast!  I hadn’t asked her what she wanted – she volunteered she wanted a doughnut.  And I cried.  We all cried.  (she did get a doughnut!)

The therapy was done in June and we continued to hear a new words throughout the summer.  She still didn’t use whole sentences, except the ones we had scripted for her.  And if she was having a meltdown, communication was non-existent.  She simply couldn’t get the words out when she was upset.  Meltdowns were common when she started school.  She had them at school often, but at first, we didn’t see them at home (probably because she didn’t have demands on her here)

Now, Casey is more likely to have a “conversation” with you – about what she wants to talk about, of course.  She won’t sit and visit with people, as she sees no reason to do that.  If she wants something, she is able to tell me what she wants.  She can share memories and answer most questions.  I try to always remember to say “Tell me what you want” instead of “what do you want?”  (I highly suggest you try that with your child – statements are much easier to process than questions).

Rob had more words than Casey as a toddler, but he was also less likely to use them.  Mandy spoke for him all of the time.  When he wanted something, he pointed to it and Mandy told me.  I asked her so many times to let Rob talk, but she was so earnest in wanting to help him, she couldn’t understand why she shouldn’t.  When she started preschool (she went to the preschool our school district offered – typical and special needs children.  It was where Casey had gone and she loved the teachers), I was amazed at how many words Rob could say.

He didn’t see any reason to talk beyond what he needed, but he had a huge vocabulary compared to Casey at that age.  (She understood everything – she just didn’t acknowledge the words)  He loved being read to and pointing out objects in books.  He was still so far behind other children his age, but at least I knew the words were there.  With Casey, I was never sure.

I used ASL with him more than I did with Casey.  It’s funny, because once in a while, she still signs please and thank you as she says them.  Rob liked to rip up the PECS cards, so ASL was the better choice for him.  I still use it with him, especially when he is getting anxious.  We use later, stop, listen, now, wait and look a lot.   He understands a long list of signs and used to use them often.  Now, he tends to just say what he needs, but once in a while, he does sign as he says his words.  If your child has any sensory issues with their ears, trying ASL may be a good choice for you.

I also suggest that when you talk to your child, make sure you give them time to process what you said and form an answer.  Rob was in elementary school when we discovered that if he was asked a question and given 30 seconds to answer, he usually would.  I was thrilled with this and still give him plenty of time when I ask him something.  (By the way – 30 seconds is an eternity when you are trying NOT to say anything and waiting for a response!  Keep waiting, anyway!)

Some people are completely against using ASL because they think it means they are giving up on their child speaking.  This can’t be farther from the truth!  You are simply giving your child another way to communicate as they learn to use their words.  And, the reality is, some people with autism will never have verbal skills, but they use other ways to communicate and the results are amazing.  Be happy with whatever way your child chooses to communicate!

Casey and Rob both have iPads with a communication app on them.  They love Proloquo2Go.   They both understand how to use the app (it’s easy – you can even add actual photos of items your child might want) but they tend to say what they want after playing with the app.  They both like to use the app to make sentences that are funny to them.  Rob especially likes to type sentences such as “The dog is purple” and just laugh and laugh.

There are so many techniques for helping your child communicate.  You know your child best and what might interest them.  They may like the picture exchange actions or a communication device might catch their attention.  You will have to try many techniques and constantly work with your child to improve their communications skills.  Notice – I didn’t say “verbal skills.”  I said communication – in whatever form that takes!

Think of the people with autism who never speak, but can type their thoughts.  Or the ones who sing.  Or who can sign.  Never give up, but adjust your dreams.  You may never “hear” your child say “I love you” but you may see in it signs, in words or, most definitely, in their eyes.

I wish I had the perfect answer for each of you.  I wish I could promise you that your child will be communicating with you soon.  What I can tell you is that you will learn how to communicate with your child.  It may not be long talks around the supper table, but you will each learn the best way to communicate.  It may be an odd assortment of techniques that work for your family.  It won’t matter how you communicate – it just matters that you do and that you accept however your child chooses.