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<blockquote data-quote="Dr. Douglas Riley" data-source="post: 247677" data-attributes="member: 6888"><p>Beth:</p><p> </p><p>Kind of hard to know where to start. I gathered from your post that your son has Asperger's, that sensory issues can set him off, and that there was something bad that happened in the past. </p><p> </p><p>Sensory input can certainly set off all types of behaviors in kids with sensory integration issues. It can be sounds, smells, sensations, pressure, taste, and so on. You would be the best judge as to what the pattern would be. If this is the issue, it would be best to consult with a pediatric occupational therapist. If you have not read <em>The</em> <em>Out of Sync Child</em>, by Carol Kranowitz, you really should. Kids with sensory issues can easily get diagnosed with ODD because of the way they over-react. </p><p> </p><p>Also, Asperger's kids often do not like changes in routine. In this regard they will need lots of warning about what is going to happen, when, who will be there, what is expected of them, and so on. This group of children needs lots of practice at interacting with groups, which is hard for them because they do not understand the unwritten social rules that most of us get without much difficulty. Social groups, church youth groups, clubs, scouting, and so, are useful. You will have to give him lots of feedback on how he is doing when in groups, or when interacting with individuals. If you see him making social mistakes, gently take him aside and tell him what he should be doing instead. </p><p> </p><p>Whatever the bad stuff was that happened earlier, it is also possible that he has some post-traumatic stress. People with post-traumatic stress will mistake current situations as having the same potential to harm them that similar situations had in the past, even when harm is unlikely (I worked with sisters who were mauled by dogs, and they would go through the roof if they heard the sound of a dog barking in the distance). If this is the case, you need to work with a therapist who has training in post-traumatic stress disorder (PTSD). </p><p> </p><p>Your son seems to be an example of the importance of making sure that each of his issues receives the proper treatment, as opposed to some broader type of psychotherapy. Don't give up!</p><p> </p><p>Best regards, Doug Riley</p></blockquote><p></p>
[QUOTE="Dr. Douglas Riley, post: 247677, member: 6888"] Beth: Kind of hard to know where to start. I gathered from your post that your son has Asperger's, that sensory issues can set him off, and that there was something bad that happened in the past. Sensory input can certainly set off all types of behaviors in kids with sensory integration issues. It can be sounds, smells, sensations, pressure, taste, and so on. You would be the best judge as to what the pattern would be. If this is the issue, it would be best to consult with a pediatric occupational therapist. If you have not read [I]The[/I] [I]Out of Sync Child[/I], by Carol Kranowitz, you really should. Kids with sensory issues can easily get diagnosed with ODD because of the way they over-react. Also, Asperger's kids often do not like changes in routine. In this regard they will need lots of warning about what is going to happen, when, who will be there, what is expected of them, and so on. This group of children needs lots of practice at interacting with groups, which is hard for them because they do not understand the unwritten social rules that most of us get without much difficulty. Social groups, church youth groups, clubs, scouting, and so, are useful. You will have to give him lots of feedback on how he is doing when in groups, or when interacting with individuals. If you see him making social mistakes, gently take him aside and tell him what he should be doing instead. Whatever the bad stuff was that happened earlier, it is also possible that he has some post-traumatic stress. People with post-traumatic stress will mistake current situations as having the same potential to harm them that similar situations had in the past, even when harm is unlikely (I worked with sisters who were mauled by dogs, and they would go through the roof if they heard the sound of a dog barking in the distance). If this is the case, you need to work with a therapist who has training in post-traumatic stress disorder (PTSD). Your son seems to be an example of the importance of making sure that each of his issues receives the proper treatment, as opposed to some broader type of psychotherapy. Don't give up! Best regards, Doug Riley [/QUOTE]
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