Behavioral Therapy

We started behavioral therapy a couple of months ago. I wish we had been able to get behavioral therapy a lot sooner. I know that some behavioral therapy is done at school, but I sure could have used the help at home.

Disciplining a child with autism is extremely difficult for several reasons. First, it can be difficult to tell the difference between bad behavior and autism...what can't they help doing, and what can they help doing? Second, many autistic kids just don't understand many discipline methods. This is very frustrating.

We have always tried to expect good behavior from our son, and have always been consistent. I always give a tremendous amount of positive reinforcement, follow through on threats for punishments, and I always try to make sure that the punishment fits the crime. However, this doesn't always help because many times my son just doesn't seem to "get it".

Also, he can be aggressive toward himself and me. He bangs his head when he is angry, frustrated, or afraid. Trying to get him to do something else is extremely difficult. This is the second thing the therapist is trying to address.

Other things we're working on are sitting at the dinner table, potty training, and transitions.
The therapist uses something called ABA therapy. That stands for Applied Behavioral Analysis. We've actually been using many aspects of ABA without evening knowing it.

Basically, ABA breaks down tasks into minutia and the child receives a tremendous amount of positive reinforcement in order to get them to display desired behaviors. The hard part is knowing what tiny steps to break the activity into, and focusing only on positive reinforcement because these kids DON'T get traditional discipline. The negative reinforcement is withholding the positive reinforcement. This is extremely challenging and takes an immense amount of patience and energy. It's absolutely exhausting. By the end of the day I'm often feeling very burnt out, and this takes a lot of attention away from my daughter.

Steps we're taking are using picture schedules as well as using lots of pictures for communication, giving stickers for taking medications, and giving positive reinforcement like saying good job or giving a high five every few seconds that my son is seated at the dinner table (and getting up dozens of times to put him back into his seat during dinner...right now we hate dinner time). Potty training involves getting to watch Chitty Chitty Bang Bang for 20 minutes if he spends as much as one second sitting on the potty, and we've limited the choices of what to do instead of bang his head down to just one thing that he can do...stomp his feet.

ABA combined with his new medication has been somewhat effective, but anything in autism takes a lot of time...often years. Some things never happen. However, we have to have high expectations in order for my son to achieve his highest potential. So, that's what we're doing.

Lastly, my nephews gave my son a drum set from the video game Rock Band. It's quiet, and my son loves it. We've tried all sorts of other drums or other things to get him to bang on because he needs to bang constantly. He ruined so much furniture and broke lamps and hit others constantly, and it drove us crazy. Now he has an appropriate outlet for his drumming, and everyone is happy.

Patience, time, consistency, repetition, reinforcement. ..difficult but worth it.