Christmas is a magical and exciting time but for many children with autism and other SEN, the festive period can be anything but wonderful.
Changes in routine, a house pulsating with flashing Christmas lights and a steady stream of visitors can be too overwhelming and lead to sensory overload, anxiety, distress and confusion.
Making adjustments that help your child cope better at this time of the year will hopefully allow them and all the family to have a more enjoyable and relaxing experience.
It’s also a good opportunity to work on important social skills that can be transferred to other situations at different times of the year as well.
Keeping to the same familiar routines as much as possible, even on Christmas Day, can be key to helping things run more smoothly. There are no rules to say things have to be done a certain way so do whatever suits your family best.
It’s sometimes not possible to avoid some disturbance or change to the regular schedule at this time of year. Children who struggle with changes to routine can find this very unsettling. If they use a visual schedule at home or school, this is a great way to make sure they know about (and can prepare themselves for) anything different that’s going to happen.
If different or unusual foods are likely to be an issue, think about preparing and freezing your child’s favourite meal ahead of the big day so that it’s easy to serve alongside everyone else’s dinner and gives you one thing less to worry about.
Flashing lights, glittery objects and jingling bells all around the house are natural triggers for sensory overload. Let your child help to choose the decorations you buy and put up and consider decorating gradually over a few days so they are not overwhelmed immediately. Make sure to leave some areas of the house undecorated so there’s always somewhere for the child to retreat if needed.
Be aware of sensory triggers such as balloons, Christmas crackers, party poppers, festive music – consider using headphones or ear defenders at parties, carol concerts or similar events if sudden or loud noises are disturbing.
Use an “All about Christmas” symbol list or simple social story to support a conversation with your child to familiarise them with all the different things they can expect to find at Christmas time.
Christmas is usually a time of increased social contact and festive events with family and friends. Use a visual schedule to show what’s going to happen before any visitors come to the house or when you’re going to parties, visiting family and friends, church services, etc.
Maybe even keep a separate tag as a checklist to show all the family members they may be meeting and what an appropriate social contact might be for each group (eg. hugs are ok for family, hand shake for friends, etc.).
There’ll be lots of opportunities to teach social skills such as learning to greet visitors appropriately and saying please and thank you. Include relevant symbols in your visit schedule list or use another tag that you keep handy for a discreet reminder of social behaviour rules.
Many children with autism don’t particularly like surprises and aren’t good at faking delight if they get an unwanted gift. Some may prefer to have their presents left unwrapped or, if they do like the unwrapping part, they might want you to tell them what’s inside first.
They may also be overwhelmed by a large number of presents in one go. Try introducing them one at a time over the day (or several days) or adopt an advent calendar-style approach, bringing out a small gift each day in the run up to Christmas.
Don’t forget to put batteries in toys in advance so that they can be played with straight away!
Above all, remember that this is your Christmas as well. Get as much support from family and friends as possible and share out the workload wherever you can. Get children involved by giving them jobs to do which will keep them occupied and give them something to focus on.
We used the kit I know what to expect at Christmas & birthdays for the examples here. We know it can be a particularly taxing and stressful time of year for our loved ones with extra sensory and emotional needs, so there’s also an expanded version of the basic kit available which includes additional tags and blank buttons plus a Feelings & Emotions sticker pack. We call this our Christmas survival kit!
This guide is available as a free downloaded using the link below.
The TomTag feelings tag-o-meter is a visual feelings thermometer that can be used to support the development of all the skills required for good emotional intelligence.
It can help children to understand and communicate their feelings. By linking with a visual reminder of appropriate actions and strategies, they can learn how to manage those feelings too.
Regular use of this type of visual scale helps children to recognise the causes and triggers for their feelings and emotions. They can work out ways to help themselves improve their responses and handle things better in the future.
Let’s get started
At the start of the school day it’s helpful to know how a child is feeling to assess their readiness for learning today. Use the feelings thermometer as a way for them to quickly and easily communicate this to you.
You might find it useful to provide a list of further options (like the red tag shown here) to help you identify the cause of any problems. For example, are they sad because they are hungry or tired, too hot or too cold, are the surroundings too noisy or bright?
Once any issues have been dealt with appropriately the child will be more able to access and engage with their learning.
Are you expecting a change to routine, an unusual event or a visit to a new place today? Use the same approach to rate how comfortable the child is about this. If they are frightened, worried or anxious you can try explaining more about the reasons for the change or event or what they can expect to happen during the day or the visit.
Encourage the child to think about whether the strength of their feeling is in proportion to the situation. Does their reaction match the level of the problem? If not, discuss strategies they can use to deal with their feelings and talk about what a more appropriate response might be.
Get down to work
Before starting a task or activity, ask the child to rate their anxiety or confidence level about what they have to do. This information can help you to decide what support they might need to be able to complete the task successfully or it can open a discussion about whether their anxiety is proportional and realistic for the task faced. For example, are they:
How was that?
Revisiting the scale once a task, activity or event has finished offers an opportunity to reflect back and learn from it. Was their actual experience better or worse than they had expected it to be? How would they feel if they were now faced with the same event again?
If they were initially very anxious but with support were able to succeed, should this make them more confident about the next time they face the same task or a new one?
Another good time to check in with the feelings thermometer is after school, particularly as they may keep emotions locked up until they get home. Just as at the start of the school day, it’s a quick and easy way to communicate how they’re feeling and alerts you to any issues that have occurred during the day that might need further investigation or discussion before settling down to homework or evening activities.
What happened there?
Getting a child to think about and try to understand what made them angry or prompted their behaviour begins to develop their emotional self-management skills. Using a feelings diary can be a good way to identify patterns of behaviour and incident triggers and plan for minimising stress at key points.
Encourage the child to use a feelings scale to start recognising how they feel or what their impulses are when their anger level starts to build. Set up some different coloured tags for each level like the ones shown here. Use each list as a reminder of suitable calming ideas they can try to help prevent their progress up the anger/stress scale and bring their feelings under control.
This technique can also be used to identify and respond to inappropriate behaviour from over excitement or a high arousal state.
Children not only need to understand and interpret their own feelings, it’s important for them to be able to recognise the feelings of other people around them too.
When a child is familiar with using the feelings tag-o-meter to rate their own feelings and emotions, they can build their skills in appreciating other people’s feelings too.
As a parent, carer or teacher, you might want to let the child know that you are pleased with their work or attitude today. They may not have behaved well and you want them to understand that makes you sad. Reinforcing your words by showing them on the scale how you feel helps them develop their ability to recognise and interpret verbal and non-verbal emotional signals.
Let’s be friends
You can take a similar approach when dealing with social interactions between the child and their classmates, friends and family. If there’s been a disagreement or incident, try using the feelings scale to help those involved communicate with each other about what happened, how they are feeling and how they might be able to better control their actions in the future. Our School Timetable sticker pack (included in the kit “I know what to expect at school”) has a number of useful behaviour-related symbols that would help with identifying positive strategies in these situations.
The more practice a child has at acknowledging and recognising their feelings, using different coping techniques and appropriate communication strategies, the more relaxed and content they can be knowing that they have the skills to cope. A child who can identify his own emotions is more likely to be able to identify the emotions of others. Children who can see a situation from the view point of others are more able to engage in problem-solving and other social activities.
This guide is available as a free downloaded using the link below. The guide for this topic also covers the information in our post Understanding feelings and emotional intelligence.
Emotional Intelligence – what is it?
Emotional intelligence is defined as the ability to be aware of and recognise our emotions, understand and express them, and to realise how they affect those around us. Emotional intelligence is known to be a key factor in success in life, quality of relationships and overall happiness.
What type of emotions and feelings do we have?
Angry, irritated, mad, furious, upset
We can get angry for lots of different reasons. It can happen when we feel threatened or offended or when we can’t have something that we really want. Our children will often display anger and challenging behaviour when they are finding something difficult, confusing or uncomfortable but are unable to communicate the problem to us in other ways.
Sad, unhappy, disappointed, depressed, hurt
Emotions themselves are not ‘good’ or ‘bad’. Everyone will, and should, experience being unhappy, down or disappointed at times. Learning how to recognise and respond to feelings of sadness in a positive way is good for our emotional health.
Fear & anxiety
Anxious, nervous, frightened, scared, tense
Fear can be a useful emotion when it stops us doing things that might be dangerous or bad for us. It works against us when it stops us doing important things that we need to do or when we are unnecessarily worried or fearful about what might happen to us. Being overly anxious affects our ability to focus, learn, and achieve things.
Calm, satisfied, happy, relaxed, glad
When a child is happy, calm and relaxed they will be more able and willing to focus, listen, learn and communicate. We can help them by learning what they need and would benefit from in their physical and social environments in order to achieve that status.
Excited, antsy, energetic, bouncy, aroused
When children have difficulties communicating, it’s easy to misinterpret their behaviour and wrongly identify the cause. For example, a child with autism may display repetitive motor behaviour such as flapping or spinning but they may need this sensory stimulation to deal with extremes of excitement and arousal as much as they do when overwhelmed by other emotions.
Fear of the unexpected, communication difficulties and sensory processing issues are some of the reasons why going to appointments at the doctor, dentist or hairdresser can be challenging and distressing for people with autism.
In this blog, we’ll look at how you can help your child prepare for health-related appointments and develop the skills and strategies to cope with and understand these events to improve their long-term health and well-being.
I know what to expect at appointments can help you prepare for visits to the doctor, dentist, optician, hospital, therapist or hairdresser. Here are some strategies that can be adapted to take into account your child’s level of understanding and individual needs and will hopefully make these visits more bearable for everyone.
See if you can arrange some ‘friendly’ visits before the actual appointment so that your child can become familiar with the surroundings – perhaps they can be shown the equipment that is used, sit in the chair, etc. This will help to de-sensitise your child and can flag up issues you may not have considered so that you can address them before going to the real appointment. It will also give you an opportunity to explain to the professional about the particular needs of your child and tell them some of the things they can do to help.
It’s a good idea to try to schedule appointments for when your child is likely to be at their best and when the surgery or salon is quietest – appointments early in the day are often a good choice and you’re less likely to be kept waiting from earlier bookings running over.
Try out some role-play at home to start with. See if your child will let you put your hand in their mouth to count their teeth before going to the dentist. Show what happens at the hairdressers by sitting them in front of a mirror with a towel around the neck to comb their hair.
For many children it can be helpful to watch another person having the experience first to get an insight into what to expect. Make a video or take your child along with you when a sibling or friend needs a hair cut or doctor’s check-up. Showing them getting a small treat or reward afterwards is a good incentive too!
Prepare a visual support (like TomTag) that you can use to explain the order of events and what is likely to happen during the visit. Talk through the events with your child before you go to help reduce their anxiety about what to expect and take the support with you so that you can refer to it again once you’re there.
You might want to try writing a short social story to explain what usually happens on a visit to the hairdressers, dentist, etc. or find basic story books about the subject. We found the Topsy and Tim series particularly popular with Tom!
Talk to the professional you are visiting about the Tell – Show – Do approach, a technique often used by dentists with young patients to help reduce fear and anxiety about dental examinations.
First they should TELL your child what they are going to do using clear and simple language, supporting verbal language with visual supports if necessary (remember to take TomTag with you!). Next they SHOW the equipment and action involved – a dentist might lightly touch his scraper on the back of the child’s hand to demonstrate the sensation, for example. Now they are ready to DO the action for real.
The Toothpick blog have teamed up with Anna Kennedy to compile a list of autism friendly dental practices in the UK that are recommended by other parents.
There will be many potential sensory triggers in these unfamiliar environments that can cause your child anxiety and stress. They’ll be experiencing unusual sounds and smells, there will be strangers in close proximity and the professional will most likely need to touch parts of the child’s body. Bring headphones or music if noises are upsetting and favourite comforting items such as toys, books or computer games. Letting your child know how long the appointment is going to last using some sort of timer might also help.
Ask staff to praise your child immediately and ignore any inappropriate behaviour. Try and stay as calm as possible yourself and use a reassuring, steady voice to help your child relax and get through the experience.
If you’re interested in creating your own TomTag visual supports for appointments please click on the products listed below.
Shopping with my son, who has autism, was often the stuff of nightmares! Confused, frustrated and overwhelmed by the bright lights, strong smells and noisy crowds he would scream, run for the exit knocking over displays, leaving a trail of destruction and disapproving glares from other shoppers in his wake.
Shopping online seemed to be the only solution – why would anyone put their child (and themselves!) through this challenge on a regular basis? Put simply, a shopping trip can help develop life skills. The need to plan and organise; the necessity of buying food and the pleasure of choosing what you want to eat; interacting with others – all things I felt were essential and that he deserved for his future.
So, how can you change a shopping trip from a nightmare into a positive, dare I say it, maybe even a fun experience? Here are some of the strategies that we used.
Create timelines using TomTag to show the different stages of a shopping trip and make sure to talk through them with your child before you go. Knowing what to expect can greatly help to reduce anxiety and stress for a child with autism. The amount of detail needed in your timeline will vary with each child. Use FIRST – THEN prompts in a single tag at the simplest level or link 2 tags together to create a more detailed shopping trip sequence like the ones shown here.
For my son, the route to the shops was really important to his routine too – try to stick to the same one each time if possible to help prevent distress before you even get to the shops! Include the route or what transport you will use in your timeline as well.
Don’t forget to include a visual prompt to define that there will be a point when the shopping trip will finish too (maybe the home symbol, for example) – cue relief all round!
Make a list
Shopping with a list is a good discipline for anyone to adopt. It can save us time and money as we’re more likely to only buy the things we really need.
You can introduce different skills by involving your child in preparing your shopping list. They can learn to budget and prioritise by only including the items that are needed for a meal or recipe. Perhaps they want something that’s not on the list – maybe offer to add it next time if they are good this time to teach delayed gratification.
Taking a prepared list will also help to keep a child engaged whilst shopping as they search for and check things off their list. They’re learning to be responsible and it helps them to realise they can have a role to play in everyday family tasks.
Matching – finding items on the shelf that match the items on their list.
Counting – use a different coloured tag to show how many of each item you need to buy and have them put the right number into the trolley, like this example using apples and oranges.
Calculating – working out the best value choice often involves quite complex calculations, particularly with 3-for-2, half price and BOGOFs (buy one get one free) to compare!
Making healthy choices – reading and understanding food labels is a key starting point to being able to select healthier options.
Loud sounds, overwhelming smells and flickering lights can be particularly confusing and frightening for a child with sensory issues. If your child has trouble processing light or noises then provide some sensory armour such as sunglasses, ear defenders or a baseball cap to reduce the potential of sensory overload.
Keep a visual list handy so your child can show you what they are having problems with (too bright, too noisy, thirsty, hungry etc.). Pair it with a list of strategy symbols (deep breath, count to 10, need to leave, etc.) that remind them of suitable self-help solutions.
Allowing for any sensory issues, explain the expectations for behaviour when going shopping and inside shops. Be prepared that your child may not get it right first time, or every time – be patient, practice and remember to praise them when things do go well.
Prepare a visual prompt and talk through the rules before you go. Take the tag with you as a handy reminder should you need it when you’re out and about.
Shopping for shoes and clothes with a child with autism can often be particularly difficult and require specific explanation of what to expect before you go.
Try role playing the shopping experience at home first. For example, if you need to shop for shoes you’ll most likely need to get their feet measured as well. Practice having your child let you take off their shoes and touch their feet as the assistant in the shop might do. This will help you know what triggers any specific reaction and then prepare for how to deal with it.
Use a visual timeline to help you talk about what’s going to happen. Take it with you to use as a reminder of the process once you’re there.
John Lewis have recently introduced an autism-friendly shoe fitting service in some of their stores. Do you know of any other local or national shops offering this kind of service to autism families that you’d like to recommend?
For a more detailed look at strategies to help children with autism cope with shopping trips see this great resource from the National Autistic Society.
If you want to make your own schedules and checklists like the ones shown in the examples here have a look at the kits and symbol packs listed below.
“It’s the most wonderful time of the year” – but not for everyone.
Christmas can be a magical and exciting time but for many children with autism the festive period is anything but wonderful. Changes in routine, a house pulsating with flashing Christmas lights and a steady stream of visitors can be overwhelming and lead to sensory overload, anxiety, distress and confusion.
Making adjustments to help your child cope better with this time of the year will hopefully allow all the family to have a more enjoyable experience. It can also provide some valuable learning experiences that help to build those all-important social skills.
We’ve introduced a Christmas and Birthdays sticker pack that contains useful symbols to help you prepare for the festive season and other celebrations. Here are our tips for using these visual supports along with some simple strategies.
Keep to the same familiar routines as much as possible, even on Christmas Day. There’s no rules to say things have to be done a certain way – do it the way that suits your family best. If different or unusual foods might be an issue, think about preparing and freezing your child’s favourite meal ahead of time so it’s easy to serve alongside everyone else’s dinner.
It won’t be possible (or necessarily desirable) to avoid disturbances to routine at home or school altogether. Children who struggle with changes to routine can find this very unsettling but you can use a visual timeline like the example here to prepare them for when something unexpected will be happening.
Flashing lights, glittery objects and jingling bells can all spark sensory overload. Let your child help to choose the decorations you buy and put up and consider decorating gradually over a few days so they are not overwhelmed immediately. Make sure to leave some areas of the house undecorated so there’s always somewhere for the child to retreat to if necessary.
Use symbols showing items traditionally associated with the event to make an “All about Christmas” list that can help familiarise your child with what to expect.
Christmas is usually a time of increased social contact and events with family and friends. Use TomTag as a scheduler to help your child prepare for visitors to the house or for visits to family and perhaps keep a separate tag as a checklist to show all the family members they may be meeting.
We’ve also included symbols that can be used to reinforce positive social behaviour. Build a tag to use as a reminder for how to greet visitors to the house or to remind them when to say please and thank you.
Many children with autism struggle with surprises and aren’t good at faking delight if they get an unwanted gift. You could leave their presents unwrapped or if they like unwrapping gifts tell them what’s inside first.
They may also be overwhelmed by a large number of presents – try introducing them one at a time or even adopting an advent calendar-style approach, letting them open a small gift each day in the run up to Christmas.
Don’t forget to put batteries in toys in advance so that they can be played with straight away!
Above all, try to remember that this is your Christmas as well. If you’re in a good mood and happy, those around you are more likely to be too. Try to share out the workload – try out our Food & Drink stickers and enlist some help with peeling and chopping all that veg!
The NAS has compiled a list of tips to help you through the festive period.
Do you have any great tips you can share?
Occupational Therapy Week took place last week and it prompted me to reflect on the occupational therapy (OT) my son has received over the past few years. Gulp… it’s also focused my mind on the amount of money I’ve spent on buying OT resources!
The main emphasis for my son has been Sensory Integration Therapy to help him cope with his sensory difficulties, with activities focusing on developing gross and fine motor skills and his sensory perception (i.e. touch, body awareness, balance, auditory & visual skills).
Naturally some activities and resources have proved more successful than others so we thought it would be helpful to select our TOP 10 to share with you.
1. HUG & TUG
This simple exercise can calm anxiety, increase concentration and help develop fine motor skills. Just needs two hands and can be done at any time!
Visit the Handle Institute page for details of the exercise.
2. SCOOTER BOARD
At his last school my son cut quite a dash scooting along the corridor propelled by his arms! Great for building up shoulder stability and core strength.
Sensory Direct have some reasonably priced boards.
3. ANIMAL ACTION CARDS
Make a set of cards showing different animal walks then take it in turns to choose a card and complete the exercise shown on it. Try dog walks, bunny hops, kangaroo jumps, crab walks – whatever takes your fancy. Great for building upper body strength and a sense of humour!
This is a good activity to do with siblings and as a rainy day or birthday party game.
Stuck for ideas? Pop over to the blog Pinning With Purpose for some good tips on how to make your own animal exercise cards.
4. TIME SHOCK
Have you got a steady hand? This frantic beat-the-clock game is great for developing fine motor skills and also uses visual memory.
The aim of the game is to place the shapes in the matching slot before the time runs out. Need nerves of steel though and can get competitive!
5. POP-UP TUNNEL
Crawling helps develop shoulder stability which is important for writing skills. This simple item also offers hours of fun playing peek-a-boo which encourages eye contact.
IKEA, Tesco, ELC and the like all have similar versions.
Great for developing hand muscle strength. You could even try making your own putty.
Fledglings have are some lovely reasonably-priced Rainbow Putty which comes in a variety of different colours and is colour-coded to indicate the level of resistance.
7. HIDDEN TREASURE
Fill a tub with rice or another pulse and hide small objects such as toy cars, figurines or sweets. Great to develop fine motor skills and another fun party game.
Swinging is good for vestibular movement. My son particularly liked this cuddle swing.
They can be expensive to buy so here’s some tips on how to make your own cuddle swing and there’s even some ideas for versions that don’t need attaching to the ceiling.
9. CRAFT ACTIVITY
There are plenty of options here – we chose to make our own dominoe game using card, craft foam, marker pens and stickers.
There were lots of opportunities to practice fine motor skills with all that cutting, sticking and drawing and we all enjoyed playing the finished result.
10. CHEWY TUBE
Our bright red T-shaped Chewy Tube saved many a shirt cuff and tie being shredded! Very resilient and helps develop chewing skills as well as reducing anxiety. Fledglings and Rosy & Bo both have a good range of oral motor aids to choose from.
Find out more about what occupational therapsits do and how occupational therapy can hep by visiting the British Association of Occupatinal Therapists website www.cot.co.uk
Our lives are full of sensory experiences. We take in information about the world around us through our senses – we touch, move, see, hear, taste and smell.
Many people with autism have difficulties interpreting this sensory information. Sensory sensitivity can significantly impact an individual’s behaviour and ability to develop independence in life skills.
Here are a few of the personal care strategies that have helped me to better manage my son’s sensory-driven behaviours.
- Use comfortable clothes – consider particularly the type of fabric and length of sleeve
- Cut off care labels from inside clothes
- If seams cannot be tolerated try wearing undergarments (eg leggings under trousers) to reduce friction
- Wash and dry clothes in unscented products
- Dressing in front of a mirror can help provide visual cues to improve sequencing and body awareness
- Use non-perfumed soap
- Apply firm pressure when shampooing or drying with a towel
- Be aware of bathroom lighting levels and reduce any loud noises e.g. run the bath before the young person goes into the bathroom
- Provide deep touch using a towel to head, hands and feet
- Use a firm stroke or pressure as you comb or wash their hair
- Count or have the young person count as you comb, wash or cut their hair
- Give a definite time limit to the task e.g. brush or cut until you or they count to 10
- Use moist toilet roll if the young person is sensitive to toilet tissue
- If feet don’t reach the ground when sitting, using a stepping stool to rest feet on will help the child feel safer
- Try a padded seat insert if the young person doesn’t like how the toilet seat feels
It’s important to talk to the young person to try and understand their individual issues and to explain each step of what you are doing to help them.
Visual aids can also be used to help the young person understand the activity and remember the order or sequence of actions. Our TomTag self care pack is designed to help guide self care tasks such as dressing, washing, toileting etc.
We also recommend Little Grippers socks which use “stay on technology” to help them to stick rather than grip the skin so they don’t fall down or move around.
For more tips, this friendshipcircle blog has some really useful information.
Please feel free to share and let us know which strategies have worked well for you.
We all experience stress during our daily lives but for many autistic people the experience of stress can feel very intense and cause severe difficulties.
Like many young people with autism, my son has been experiencing anxiety related to an overly-literal understanding of what it means to follow school rules and when he is faced with an unplanned change both inside and outside the school setting. He has a very narrow view of what it means to be in the correct uniform or be on time for lessons or appointments. When he is feeling stressed he will rock on his feet, pace the floor and ask repetitive questions. In these situations, he finds it difficult to respond to any reassurance.
Together with his Speech and Language therapist (‘SLT’) and Occupational therapist (‘OT’) we have been using some strategies to help him. We have taught him that the concept of feeling overwhelmed means either too many feelings all at once or a very strong reaction to a situation. He can now use this word to express how he is feeling. He has been taught a format for identifying the worry and setting out actions to help resolve it. The actions relate to what he can think, say or do to make things better. We’ve taught him the phrase self talk and he is beginning to understand what a trusted adult would do or say to him in that situation to help and to use this as self talk. We are sharing this work with his teachers and support staff to ensure a consistent approach to talking about worries and solutions.
On the suggestion of my son’s OT we are trialling a tactical breathing programme developed for the military and emergency services to use in times of extreme stress. We wanted to have activities that were discreet and applicable to the classroom environment. Tactical breathing is a great strategy as no one needs to know that he’s doing it and he can use it to prepare for stressful situations as well as once he is feeling stressed. We’ve incorporated tactical breathing into an anxiety busting resource for him called the 3 O’s- Overwhelmed, OT, OK.
One of the resources we’re using is a simple free app called ’Tactical Breather’ which I’ve downloaded onto his phone so it’s readily to hand for stressful situations. I’m also encouraging him to use his phone to record worries and solutions so that these can be kept and built up to form a ‘library’ of helpful strategies for managing situations.
It is hoped that over time and with continued support in this area he will become more able to self soothe and manage his anxiety. Incidentally, studies have shown that stress levels of mothers of kids with autism are similar to that of combat soldiers. Perhaps I should download that app for myself too!