Day Three:
Day Four:
Journal Entry:
I pointed out in my previous post how many of Pamela's meltdowns revolved around fear, anxiety, or unexpected change. Parents have to develop their own set of priorities in handling meltdowns. One reason why we focused so heavily on prevention was to avoid harming others (or ourselves) with an out-of-control child. We chose to leave an event early rather than ruin the enjoyment of others. When prevention failed, people generally welcomed us back because they saw how hard we we worked to avoid meltdowns in the first place. While it seemed unfair that we missed out on so much at first, in the long run, our efforts worked. Pamela has lived a rich and interesting life, including travel to some unusual places.
Another priority was to build up a bridge of trust between Pamela and us, so we picked our battles. Pamela was five the last time we rode an elevator in her early childhood. When forced, she not only cried, screamed, and fell onto the floor, but she also grabbed the doors as we hauled her inside. Not a pretty picture. Since every building with elevators must also have stairs, we opted to for the latter. It was inconvenient at times but offered us exercise. Rather than destroy her trust with unnecessary tests of the will, we tried to compromise when it seemed reasonable. We could have forced the issue but we hoped to avoid filling Pamela's memory with the two of us digging in our heels over something insignificant. Why build the habit of obstinacy when it might be unnecessary?
When facing meltdown central, it can be hard to decide whether to prevent, guide, or persevere. For us, it boiled down to context. If we had control over the setting, we focused on prevention. If we had plenty of time and flexibility, we tried guiding her thoughts and calming her fears. If we had no alternatives, then we did the best we could and let go of the guilt. Sometimes, we assessed the cause and focused on Pamela's needs. Does she need more structure? Is it too noisy? Is there an easy way to set limits and boundaries? Does she need time alone in a quiet place?
Another thing to avoid is adding fuel to the fire and making it worse. When eyes of the nosy people of Walmart are glued to you, it is easy to flip out and join in the meltdown. It's not fair and you didn't ask for a child with autism, but those busybodies are too ignorant to get it even if you had all day to explain it. While remaining calm may not calm your child, losing it usually increases the heat. Since our children are not processing very well, talking, asking questions, and threatening punishment are typically ineffective. Demanding eye contact is also a waste of time because they won't be able to understand your nonverbals either.
Once the firestorm is over, it is perfectly alright to give authentic and consistent feedback about the situation. "I was so sad about your crying at Wal-Mart. People were staring at me. Next time, I can take you out of there if you need a break." Tone, facial expressions, and gestures ought to match what you are saying. If your child is verbal, after they have calmed down and recovered, you might talk about what happened to find out how you could have prevented it.
Our children can learn from these situations when everyone is consistent in setting limits. In our case, Steve has a soft spot for Pamela, who can be sweet and charming when she's not acting like Fidelita. When she wants to test limits, she invariably hits him up because she knows that I am the iron lady. Both children knew my shopping rules when they were little. The cart stops until the whiny "It's taking too long" child zips it, thereby making the long trip even longer. All requests for candy, toys, videos, etc. must be negotiated before we leave the house. If a child comes close to embarrassing me, we will leave a full cart at the store and said child will miss the next couple of outings. My tough love policy only worked with Pamela because I coupled it with prevention.
Here is a quick summary:
Back in 2006, the kids and I spent three weeks living in a high-rise apartment in Santiago, Chile while Steve worked on a computer project for his parent company. Pamela, a veteran traveler, had a blast riding the Metro, eating at different restaurants, sampling sorbet, walking in the beautiful parks along the river, touring museums, attending a rodeo, and riding a cable car to the top of Cristobal. Because she enjoys the adventure of exploring a new place, she adapted very well. We were very careful to space out our activities enough to give her downtime and suffered no meltdowns until the night we were supposed to leave.
The key to handling meltdowns is preventing them in the first place. How? By putting out the flame before it hits the blasting cap. It is not as impossible as it sounds if you understand your child and what to expect at her level of development. When Pamela was under the age of six and highly volatile (imagine the stick of dynamite sweating nitroglycerin), I practiced the same skills that a child learning to cross the street uses: stop, look, and listen. When she was four, we were at Tulane Medical Center and Pamela had a meltdown. Although I avoided the elevator, she still freaked out when we reached the waiting area. I was puzzled because she had no problems during an earlier visit the previous winter. After she calmed down, I noticed an usual sound and asked the receptionist what it was. An air conditioner! I added low-toned rumbling to the list of noises that frightened Pamela.
The first step of prevention is to become aware of the triggers of meltdowns: physical, mental, and emotional issues that add to Pamela's level of stress. Being aware of potentially explosive situations gives you time to anticipate: think of a back-up plan or an alternate strategy, locate an escape route, remove her from the setting, calm her down to lower her level of stress before taking another step, etc. When Pamela was very little, we expected to leave events early if things proved too much for her. We looked for a quiet room where she could hang out before getting overwhelmed. If one of us had to stay, we came in two cars. I brought a bag of things to keep her preoccupied. We took the stairs instead of the elevator. Occasionally, she surprised us and stayed for the whole enchilada.
Understanding Pamela's sensory needs was my most effective tool. Every autistic child is different, but I learned early on that Pamela craved and loved vestibular stimulation. When she was four years old, I noticed she cried every time I tried to skip an aisle at the grocery store. I didn't let her box me into a routine or listen to her crying all the time by counting, "One, two, three! WEEEEEEE!" Then, I zipped past the aisle, pushing the shopping cart just fast enough to put a sparkle in her eye. Years later, when I enrolled her in a homeschooling co-operative class, I was her aide, looking out for signs of increasing stress. By reading her body language, I knew when she was growing more frustrated. Rather than wait for the explosion, I put out the flame by walking with her into the hall, spinning her until her body melted, giving her some deep pressure hugs, and getting her a drink of water. The first year she needed that about once an hour to last through a five-hour day once a week. After three years, Pamela could handle the whole day without any sensory breaks.
Sometimes, previewing a situation in advance helps. When Pamela was four-years old, we flew to Germany to visit my parents. She threw a major fit walking through the jetway to board the plane. Once aboard, she calmed down immediately. Getting off the plane, I noticed that the sound of the engines echoing down the hall had bothered her. Five years later, we were planning a trip to see Steve's sisters in El Salvador. Between two rounds of Auditory Integration Training, her own maturity, and our improved ability to guide her, we weren't sure how she would react. Two months before our trip, we had to pick up my mother from the airport. In that pre-911 world, we got permission to walk in a jetway with Pamela for a dry run. She had absolutely no problem, and I was so relieved.
Sometimes, no matter what you do as a parent, no matter how capable you are, there is nothing you can do to prevent a meltdown. Sometimes, the burden is too much for our highly sensitive children. It helps to know what to do when your child has totally lost it.
You're in Wallie World and you see this. What is your first impression?
Pamela's last big public meltdown Pamela was at the Wallie World in St. Cloud, MN when she was fifteen years old. Meltdowns are bad enough, but the spectators make it worse. Even though we know we have more tools in our parenting tool bag, folks like me feel mortified, clueless, and inept. A friend of mine told me that people reacted much more kindly right after her autistic son had surgery. His scar smoothed things over with the general public until his hair grew back. People usually judge us because they don't understand why a kid that old is behaving like a toddler. It's simple! They have the social and emotional skills of an infant, are easily frustrated, and don't handle change very well.
Over the years, we have developed a thick skin. Pamela gets stares when she says something odd or laughs really loudly in her chortling way. Back in the day, when public meltdowns were like imagining I was in the Calgon take me away commercial. While I love creating autism awareness, trying to get Pamela calm trumped that goal when she was melting down. I blocked them out of my mind because they had no idea how to handle her. I ignored the ignorant for they didn't know how lucky they were.
These pictures depict children the world would judge as spoiled brats. The girl on the left is clearly referencing the person making their life miserable, trying to get her way with the "I hate you mom" scowl. Without footage, it is hard to know if the boy on is doing the same. If he cries and stops to peek at mom, well, he's no different than the girl. Crying and screaming without knowing who is watching, reacting, or judging is a typical autistic meltdown. A meltdown makes people feel like no one is in control.
A child with this level of distress doesn't consider the safety of himself or others. He has no clue about the social context and what is changing or staying the same. If he suddenly quiets when given a treat, it wasn't a true meltdown. Trying to stop a meltdown midstream is like trying to stop a stick of dynamite from exploding after the flame has hit the blasting cap.
"There was a man who had two sons. He went to the first and said, 'Son, go and work today in the vineyard.' 'I will not,' he answered, but later he changed his mind and went. Then the father went to the other son and said the same thing. He answered, 'I will, sir,' but he did not go. Which of the two did what his father wanted?"I never understood the parable until last week. I always wondered why there wasn't a son who answered yes and then obeyed. Wouldn't it be even better to do both? It never sat right with me that the mouthy guy did what his father wanted. He sassed his dad.
"The first," they answered. Matthew 21:28-31
Then, she saw a young man who was her age and only a little taller than herself. His name was José too, but he was the wrong José. He was not her cousin who liked to play shooting games by pointing their fingers at things. She asked, "Where's cousin José?" It turned out that the two José's were roommates at the college in Charlotte. The young José said, "He went back to El Salvador on Wednesday." Even though she was sad to miss her favorite cousin, her parents were not surprised. They were happy to see the three José's and the rest of this unfamiliar family. She bravely stayed quiet and decided to go with the flow on this very unusual day, full of unexpected surprises."My son who's on the spectrum is a very rigid thinker. He needs clear-cut definitions of right and wrong. Anything hazy or gray confuses him. For instance, if I try to get him to see that a friend behaved badly, he'll often get upset with me because a friend is a 'good guy' by definition, in his book.
When the children were younger, I lost every round of the "Well Begun Is Half-Done" game (otherwise titled "Let's Tidy up the Nursery"). We never had a nursery, and the kids' rooms never stayed tidy. David could destroy a room in one minute flat, searching for that one elusive Lego piece (he had several plastic bins of these). While listening to a read aloud, he would suddenly dart off to find the perfect costume, leaving a mess in his wake. Steve traveled a lot, and I was too tired to juggle everything. As much as she adored The Big Comfy Couch, Pamela never rose to the occasion of the ten-second tidy ("Who made this big mess?"). Nor could she point things into their proper place as the Banks kids did in Mary Poppins. Neither child of ours could ever find an element of fun in cleaning up."First of all, I would like to make one thing quite clear . . . I never explain anything."Fortunately for you, I am no Mary Poppins! However, I will leave explaining executive function to a another blog post.
Raising children is a process, not an outcome.
If you stay focused on the process (staying centered on the development of the relationship, staying in a place of love, and accepting your child's own organic process), each step of the journey will be more enjoyable and more rewarding.
If you stay focused on the outcome (worried about the future, staying rigid, and expecting an attainment of predetermined goals) you'll be parenting from a fear-based paradigm that will ultimately compromise the relationship with your child.