FAQ's with Author and Speaker, Karen Leigh Simmons
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Subject: re; my son's proper diagnoses
Karen Leigh SimmonsQuestion - Hi, This is my first time ever reading about autism and connecting it to my son's behavior. So far the medical community, school, and myself are very perplexed as to what exactly is going on. My son is 13 and since the 2nd grade Ben was diagnosed with ADD but no medication has helped. Here is an intro to Ben: he is "in his own world" most of the time, has 1 friend, wets his bed every night, drums his fingers constantly, talks to himself (even when people are around sometimes),very slow moving, handwriting very difficult and messy and most of the time only gets his name on the paper (doesn't produce), he's very verbal, uses big words, in University level reading comprehension, but stays tuned into a teacher for about 5 seconds then he's gone into his head, very inflexible with change, gets locked into certain thoughts and behavior......I'm sorry this is so long, but does this sound like possible autism to you? Thank you for taking the time..Karen

Answer - What would be best, Karen is to go to our site, autismtoday.com under About Autism under characteristics to see what you think. That would help a great deal.

karen@autismtoday.com

ps you could also pick up a copy of my book "Little Rainman" and see if it fits.

Subject: Is a psychiatrist a good start?
Question - Hello, it is me again to ask you your thoughts about my 8year old son that has Asperger. Would going to a psychiatrist help him? I am thinking if we could figure out why he tics, or to at least make sure he doesn't need to be on any meds. I feel he does not, and neither does his teacher. But the tics are getting worse. I'm so scared to trust people I don't know to tell me about what is good for my son and what is not. I would like to hear from people who are going through this with their kids. You know getting it from the source and from experienced people already dealing with this would make me feel a little easier and knowledgeable about making decisions. I don't mind his strange ways, God knows I'm as strong as it gets. But the tics worry me. He tells me he is fine and doesn't want to talk to the docs and social workers about it. But what am I supposed to do? It is apparent to anyone who is around my son that he is different and the tics can leave people to think he is in pain or that something is wrong. My whole deal is I don't want it to effect his school work or his life. But Asperger does effect it all. I tell him I love you and you just do the best you can, and that will always be good enough. But is that thinking enough for a child let alone an adult with AS? Thanks for all your info, Toni

Answer - Yes, I believe a psychiatrist would be a good start. Be sure to find one who specializes in autism and aspergers.

karen@autismtoday.com

Subject: Could my child be autistic?
Question - Karen: Thanks so much for the response. You were quite helpful...I liked that website. Ray likes the alphabet and numbers and wants to do activities that involve them a LOT during the day. That was one symptom he has. You asked what the teacher thought were problems (symptoms) with Ray. She said that in group singing time, he won't sing, but he looks at the ceiling and around the room while the other kids are singing...he is smiling, too...I think he is just enjoying the music and too shy to sing. Who knows. Also, when she gives him something to do (cut out a shape like diamonds...he is in preschool) and if she leaves him to do it, he won't. BUT he will do it if she sits there and tells him what to do. Also, she is concerned that he's been going to preschool for 5 months last year and 2 months this year and he has yet to have a "best" friend. He just comes and goes and doesn't make a special friend. It's so hard to tell. I am making an appt. with a local psychiatrist to get him evaluated. Doctors now are so "label-happy" with their use of ADD, ADHD, etc. all the time, I am afraid someone will just label him. Hope they know what they are doing.
From those symptoms the teacher mentioned, do you feel there may be a problem? I write it off as shyness or him not used to doing activities like that on his own (cutting out shapes)...he is not use to the structure of school. OR I could be prejudicing myself because I AM his mother. :-)
Hopefully we will soon find out.
Thanks,
Kristen

Answer - Hi Kristen, From the outside in, those wouldn't totally indicate autism from my perspective. Ask yourself these questions taken from our "About Autism" section of the website:
You may know a child with autism…
Do they spin objects around and around?
Is their speech repetitive, like an echo?
Are they attracted to shows like Wheel of Fortune or Jeopardy?
Do they like to watch the same movie over and over again?
Are they fascinated with numbers and letters?
Do they seem unafraid of things that they should be afraid of?
Is it hard for them to make eye contact?
Do they shun away from being touched?

Characteristics
The symptoms of autism and PDD are hard to understand. These children seem to have less control over their emotions, they perceive in odd ways and their understanding seems severely impaired compared to their concrete skills. They seem to have special problems in learning language and social skills. You will find a child having difficulties in most or all of these areas:

Language
All children communicate, but children with autism or PDD have special problems. Some never learn to use spoken language, while others will only learn the basic language specific to their needs. A child may mostly repeat what he hears (echolalia). Others develop advanced speech, but have problems if affect, in their ability to express feelings or ideas, or in knowing the right way or time to say things.

Social
The actions of others are confusing to these children and they may withdraw from social interactions. Many have difficulty with interactive play. They may have difficulty picking up social clues so their actions may not be appropriate for the situation.

Activities
With their difficulty understanding abstract ideas, these children usually prefer and learn best through the concrete. Some show little imaginative play, some have imaginative play, but it tends to follow set themes or interests. Many prefer to repeat the same activities over and over. The child may even "withdraw into himself", engaging in repetitive self-stimulation such as rocking or rhythmic moving of the hands.
These children often seek out the security of routines, and can become very dependent on them. They may avoid new experiences or situations.

Perceptions
It appears both from the observations of others and by first person accounts that these children often experience perceptions differently. Sights, sounds, textures that we easily accept can cause anxiety and even rage in a child. One child, for example, said that red hurt his eyes. Another flew into a rage when she felt the "prickle" of wool. Yet other experiences that may seem important to us may be completely ignored. While at times they may seem hypersensitive, at other times seeming to be extremely distractible, yet at other times being overly focused on an activity or on self-stimulation. They may find human contact stressful at times, or show an unusual focus in their sensory experiences, such as an exaggerated interest in smell, send flowers santa rosa flower delivery, or in rhythmic motion.

Emotion
All of the confusion experienced by the child can make the world a frightful place. Difficulties in understanding and articulating their own emotions, or those of others, may cause your child's response in some situations to appear to be inappropriate. Emotional outbursts are common and it may be difficult for them to regain control. Our response to these outbursts may increase their confusion, frustration and anger. These outbursts may result in a child trying to hurt themselves or others.
You can also talk to your local Autism Society about where you could have him checked. Though labels are not a first choice, if they are necessary the help immensely.

karen@autismtoday.com

Subject: High functioning autism
Question - My five year old son has been diagnosed with high functioning autism. My question about him is that is regression normal and if so how much regression should I expect?

Answer - Regression isn't the word I would use when referring to high functioning autism. I would get my hands on a few good Aseperger's books and begin reading....reading....reading.
If I were you, I would also, depending on where you are located, attend a conference that Catherine Faherty is presenting and you will learn a great deal. We are hosting a conference in Canada next month and it will be great for all the delegates.
Keep your mind open; look for the possibilities and not the negatives. My son with HFA is playing football this year.
karen@autismtoday.com

Subject: discipline
Question - My son will be 4 in Dec. 2001 and he was just diagnosed PDD-NOS and Regulatory Disorder in Sept. on this year. My question is this he is very violent towards all of the other family members especially his brothers. I have asked the specialists involved in his care (speech therapist , Rotary social worker, health nurse, family doctor) every one tells me to wait until he starts Occupational Therapy before they want to help me find some form of discipline that will help. I am so lost I have tried literally everything from spanking to holding therapy to taking away toys to time-outs etc. and nothing works he just gets more and more violent everyday. Please if you have any suggestions on what I can do to teach him that this is not right I would greatly appreciate it.

Answer - Hi Sharron, I am not familiar with Regulatory Disorder but very aware of PDD-NOS. In my opinion, it is better to intervene as soon as possible with disciplinary measures. I believe spanking only models violent behavior. Kids do what is done to them and if they are hit, they also hit. There a couple of good books out there you could pick up to get a jump start on the OT and everyone else who doesn't actually live with this child. A Treasure Chest of Behavioural Strategies and Discipline that Works for Inclusive Schools. Go to www.exceptionalresources.com to find these titles.
The sooner you begin working towards appropriate disciplinary action, the better as negative techniques won't be as ingrained.
karen@autismtoday.com

Subject: problems of a 3 year old
Question - Hello, I have a 3 year old son who is autistic. Whenever he goes out of the house, he looks very uncomfortable and there is a blank expression on his face, he becomes stiff and refuses to even turn his head. He dosent smile or talk outside the house. Of late he keeps his mouth slightly open with his face muscles (especially near the mouth) very stiff. Any amount of my trying to put his lips together dosent help. He looks lifeless and passively follows our instructions without any resistance. It looks as if he wants to shut off from the world around him. Is he frightened of the outside world? But the moment he steps into the house he becomes alright.
For the past 15 days he is speaking in whispers (even within the house). He rarely speaks or sings in his normal voice. The above two aspects are worrying me a lot. Can I do something to help him come out of this problem? Please suggest.
Thanks and regards
Vasanthi

Answer - Hi Vasanthi, Sounds like a sensory condition to me, especially with your comment about whispering. Perhaps he thinks he IS talking in a normal tone! As you are probably aware, most people with autism experience some type of sensory stimulation issues such as being either hypo or hyper sensitive to stimulation. This can be through sight, sound, touch, or taste. Maybe he is so overwhelmed with all the sounds (this is common) of the world and environment around him. Imagine him being a little mini-superman. If he could hear through all of the walls in all the buildings around him, just imagine all the overwhelming sounds he would hear in between. You could try earplugs and see how it goes.
Hope this helps.
check out www.exceptionalresources.com for sensory integration resources.

Subject: aspergers syndrome
Question - I have 3 children ages 4,3,&21mths. my son aged 4 has aspergers syndrome. we are only new to researching jamies problem, however 1 particular question that mainly my husband is concerned about is the chance of probability that our next child if born a boy, would likely have this problem or similar. Your thoughts on this would be appreciated.
Tracy

Answer - There is concern that it is linked genetically but the chances are very slim. There is a Doctor (Dr. Peter Tsastmari) that is actually doing a study pertaining to families that have more than one child with autism who would probably be a better candidate to ask what the actual probability is. You may be able to find him through a search engine.
Hope this helps

Subject: Is there any reason why he is screaming?
Question - I am a student at the University of Portsmouth studying Ba(hons)Health and Social care / Registered Nurse for Learning Disabilities and Diploma in Social work. I have just finished my Multiple Disability Placement and I am now in the process of writting a case study. The individual I worked with is severly autistic, Epileptic, and is classed as having Challenging behaviour. I am focusing on the intervention he recieves and have come up across a problem. This young man has started screaming for no apparent reason. This behaviour started one afternoon when out and he screamed constantly for 90 minutes, when asked questions he did not reply but once he had finished screaming he answered all questins which ahd previously been asked. Originally we thought this was an attention seeking behaviour but he has continued to do it whilst recieving alot of attention on a one on one basis. He has a phobia of dogs but none were around at the time and no trigger causations could be found. But he is still continually doing this when asked he says he doesn't know why he did it, but when asked if he is ok he replys he is happy. We also thought this could be a form of petit mal or maybe a build up towards a serious fit, but this does not appear to be the case. To try to offer him the interevntion he needs and to help me write my case study I was wondering if you could maybe suggest anything, to why this behaviour is occuring.
Thank you
Victoria

Answer - I'll give it my best shot, Victoria. Of course why an individual that one has never met screams is totally speculation, just as a doctor (not that I am none) could not accurately diagnose a patient that he didn't see. I would say, however, through experience with other autistic individuals that he could easily be doing this for sensory stimulation. Sensory issues seem to accompany autism in both high and lower functioning individuals. They are either hypo sensitive (not sensitive enough)through one or a combination of their senses or hyper sensitive (overly sensitive) through senses. Some people bang their heads on the wall it is believed for sensory input and some will hear an airplane miles and miles away. You might want to try ear muffs and see what he does.
Hope these are some ideas for you. You can also check out some of the sensory resources such as Building Bridges Through Sensory Integration at www.exceptionalresources.com

Subject: aspergers syndrome
Question - I have a 17 year old son diagnosed with aspergers syndrome. I definitely believe there is a connection between the gut and this disorder. I wanted to get your opinion about this, and to find out what kind of alternative treatments have seemed to work best for you children.
Thanks
Donna

Answer - Hi Donna, I have also heard this from many people and believe it to be true though we are not following this right now. A good book for this, however, is called Special Diets for Special Kids and has sold tens of thousands of copies worldwide. You can find it at: www.exceptionalresources.com

Subject: autism Question
Hello. I have a 2 1/2 year old nephew, Steven, who we suspect is autistic. When I read the on-line checklist for autism, he displays quite a few of the "symptoms", especially an abnormal obsession with objects and lack of interaction with others (including his 4-year old brother). The problem is it is exasperating to have him around because he's all over the place, getting into things. Steven doesn't learn when we try to discipline him, and we all feel guilty because we find ourselves getting really angry with him. Sometimes I'm afraid what I or others might do to Steven because of ignorance. He hasn't been diagnosed because my sister-in-law denies that there's anything different (I refuse to say "wrong") about Steven. My questions are: How do I convince my sister-in-law to get Steven tested?; and What do we do whenever he's around other than yell and become angry?
Thank you for your time.
Sincerely,
Connie

Answer - Perfect question! I'll tell you a little story. My sister in law and I have two children the same age. When Anna told me that she heard a show about autism when my son, Jonny was 2 1/2 and that she thought "my Jonny" might have autism, I sarcastically replied "well, Julia acts strange too. You should have her checked out!" In my denial, little did I know the favour she was doing for me and Jonny by calling me to the test. She said, what can it hurt to have him checked out, Karen. The doctor could just say, "he's fine, not to worry". If I hadn't gone, he would have missed out on years of early intervention and intensive support. If I hadn't gone, we would be still struggling with the diagnosis and strategies that work. If I hadn't gone, well...........we certainly wouldn't be anywhere near where we are today.
I would advise you to bite the bullet, don't worry about how mad everyone will be with your challenge of getting your sister in law to check it out and get past her own ego. Do it for the kid.
Good luck.


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