Mum to the boy who frequently quotes that he is never understood in a neurotypical world. A tale of navigating life with Dyspraxia and Aspergers, via a detour in home education.
Thursday, 15 January 2015
Even the Health Visitor has Parenting Problems
Sunday, 11 January 2015
New direction
Tonight I write wondering how life will be from tomorrow. Its a big day in the Quirky house as we leave the safe, comfortable routines of home educating and venture back into a school classroom.
Not just any old classroom mind you, it is a specialist provision for autistic children within a secondary school. The boy is the 9th pupil there, the rest are also boys ranging from years 7-10. The ethos is that they access some lessons with their other school peers whilst being supported by specialist teaching staff and having time also to focus on social and interaction skills. The unit is fairly new, they have thought about the challenges that these children face and ways of overcoming them. For example the pupils arrive later and leave earlier to miss the crowds, the homework is completed within the school day in the unit so that their time at home remains interruption free. Even the colour scheme is muted and there is a sensory room for the pupils to use to de sensitise or just have their lunch in.
When we visited a few days ago, we felt that this had been built with the boy in mind. We were already relieved because he had come with us to see it and proceeded to talk to the head and assistant that showed us the unit. He relaxed and commented on how lovely it was. The specialist assistant was just fabulous with him, she didn't patronise him and gained his trust immediately.
The head then asked if the boy could start full time this week. We had been led to believe that there was meant to be a meeting about integrating him very gradually and I queried this too. We also felt that putting the inevitable off wasn't going to gain us anything and that this time round, it could only work in our favour. The boy balked at this however, to the surprise of the teachers,
And there it is, the age old issue of control rearing its unwanted head yet again. The head asked why the boy felt he couldn't start full time and so I for the first time ever stated that there was a control over his time anxiety that stopped a lot of plans from going ahead. The boy agreed with what I said and the specialist assistant totally agreed that this is normal for autism. So we settled on 3 hours a day and building up from there.
All weekend we have watched the boy for any signs that tomorrow s first session will happen or not. I doubt I will sleep tonight. I have already been accused of nagging him as I sang the sun will come out tomorrow from Annie, innocently after hearing it on the girl's ipod. That was a bit of a bad choice I admit!
We have been down this path so many times before, all hopes raised to have him slamming on the brakes that very moment we reach the party, get to the school gate or wake him up on that fateful day. I have been very conscientious, ensuring that forms and his bag are packed quietly(previous experience of involving him was not pleasent). I told him casually at lunch time what time we would be leaving and reminded him that he will earn a bit extra pocket money this week as a reward. I have thought back to all of the previous advice I have been given, trying to remain nonchalant but inside just feeling obsessed with worry.
If he makes it, well dreams of returning to being a mother whose child attends school and who can therefore work will be achieved. I will be back in Italy so to speak.
If not, well disappointment and fear of what happens next will just raise up and maintain their usual position in my life. The specialist assistant did say as we left that he could leave earlier if he needed to so I can offer him that life line if I am facing refusal tomorrow. I guess I will have to take what he gives and work from there, plus this time round we have help from professionals so hopefully my Italian dream will be achieved in the distant future.
It is so hard not being in control of my life. I always worry about being judged that I can't get him to do the simple act of going to school. Home education has been great, but I am not that way inclined and I need to know that he can separate from me to build his own life. Oh if I could only gaze into 24 hours from now and see the other side!
I will keep you posted. Xxxx
Monday, 5 January 2015
Coping with Loss
Monday, 15 December 2014
Christmas past, present and future
Christmas has always been rather peaceful in the quirky household. Despite my being a huge fan of Christmas. Both of my children were scared of Father Christmas so trips to see him were never made because my poor husband would have to go and sit on Santa's knee in their place! He has never been that fussed about decorating the tree or attending parties. Advent calendars required too many skills, remembering to open a door each day and then being physically able to open said door and foil containing the chocolate. I would often have to do it for him and I would often find that by the time Christmas arrived the boy would have several doors left to open because he would not have remembered to do it or asked me. One key ritual for him started after watching Toy Story, for a few years the boy would call a meeting with his toys to discuss the welcome party for the new toys and where they would go. We have always been to look at the Christmas model village scene in our local garden centre and then have cake. That is the sum total of his preparations.
He always went to bed at the usual time and often needed reminding to open his presents on Christmas morning. I guess because presents weren't normally part of our every day routine he didn't think to look for them. He always enjoyed his presents however. He would play with a toy for an intensely long amount of time before exploring another item. This was generally the cheaper present and I would moan that my lovely expensive presents were going ignored! Nowadays its all about the computer so he's even less sociable than normal. Last year, he was fascinated by a free game that he downloaded and he played this for about six months before starting on the game that I had bought him. It is a bit of a teasing point currently. He managed all of the other rituals such as Christmas dinner really well. Crackers were also well tolerated but he couldn't ever pull hard enough. When we had had friends over in the evenings he was the one putting his pyjamas on before they had gone home and hinting desperately that he was tired, even if it was his good friend visiting. This is completely opposite to the girl who loved socialising and staying up late.
We watched a programme about Aspergers a few months ago which was incredibly informative. They showed a couple celebrating Christmas, who also stated that they would see relatives for about an hour and that's the socialisation done. The boy hooted with laughter at this and stated that he wished he could do the same. At a time when we all got together with our large, noisy families and spent time with them, he often struggled. When he was a baby/toddler he would often go upstairs and sleep through it all. I was always puzzled by the fact that when we returned home, he would also want to go in a quiet room for a bit more sleep! My lovely mother in law often used to organise party games which he didn't really enjoy participating in. Bingo was a particular nightmare for him, because he would often read the numbers backwards and the pace of it was too fast for him to find the number before the next one was called out. He then worked out that being the youngest boy, he could tell which prizes had been bought with him in mind so he would just claim them anyway! Last year when he was very depressed, he stayed at home with me and did not see his other grandparents, uncles and aunties.
Luckily for us, our families are very understanding. The boy has always been known to spend time upstairs away from the excitement and this was before a diagnosis or his depression. Since then, it all seems to make sense and I guess there are more allowances made for him now. He is coming with us this year to see family and spend a few days with them. He is nervous about this and has told me that he struggles when the younger ones insist on jumping on him when he is upstairs or if he is invited to play party games. We have talked about how he can distract himself, by taking one of the numerous dogs out for a walk, spending time with a cousin his own age or just coming to find me. When we arrive home, as always I will not plan any events for him for a good few days so that he can recover and enjoy some control back over his routine again.
I think this has been the way of life for so many years now. I wonder what will happen when he is an adult and has moved away from home? Will he come and see me for just an hour? The last year has seen him blossom into someone that is very confident with his loved ones who will engage in any conversations that people will initiate with him. Christmas for him will always be peaceful, spent with people that he loves, doing the things that he likes to do and I think that is a truly wonderful way to enjoy this special time of year.
Merry Christmas Everyone! Clairexx
Monday, 1 December 2014
The Power of Touch
I really enjoy the opportunity to "cuddle" him because he has never liked any source of physical affection from us. It was very difficult to see my friends babies enjoying a big hug, where they would burrow their faces into their mothers chests and put their arms around them too. When he was a baby, the boy would return from weekends away with the family and be so unsettled that he would need us to pop him into a quiet room to let him sleep it all off. He would find the attention so exhausting.
As he grew older, I would feel rather rejected that he didn't want to cuddle me and I would ask him how could I show him affection. He used to reply that food was a good way, so I have indulged him a lot over the years. He has a very sophisticated palate, good strong cheeses, gentlemen's relish and olives to name but a few tasty morsels.
As part of my job, I learnt how to teach parents to massage their babies. This also involved discussing the benefits of massage throughout life. The boy at the time was being assessed by an occupational therapist who diagnosed sensory processing disorder which had led to the development of the dyspraxia. She started to brush the boy's limbs with a lovely soft brush in order to start de-sensitising him to tactile sensations as he was extremely sensitive to this. We were advised to also do this at home and the boy really took well to it. I then considered using the massage techniques that I had been taught, so started to use firm strokes on his back which he really enjoyed. We made up stories behind the massage, for example Star Wars was a particular favourite whereby the space ship would land on his back and then my fingers would moon walk up and down his spine. Through this I was able to maintain some sense of connection with him that was special and individualised for him.
When he was ill, it was this touch that kept our bond strong. I remember him turning off his computer game without a murmur so that he could have a massage before bedtime. I used lavender oil which really helped him sleep too. It is said that with teenagers particularly, a back rub is a great way to show them that you are there for them during stressful times. Neither of you have to say anything, the massage does that for you. It releases lots of happy hormones in both of you which has a huge benefit on emotional wellbeing.
Since we started home educating, he is the most affectionate he has ever been in his life. He will reach out and stroke my back and give lots of smiley eye contact. He has also started to do this with other members of the family too. It is moments like these that I really cherish and make a note of to go in my happy memories because he is now starting to feed back his feelings towards us. Don't get me wrong, the boy has not been a grumpy tyrant all this time. I have so many photos of a smiling boy, clearly we have been doing something right for him It is just that these moments of connection between us and within the family demonstrate to me that he is building his own feelings of security and self esteem. You can not underestimate the power of love.
Monday, 24 November 2014
The power of reading around the subject
One aspect of this that particularly frustrates me is when my knowledge conflicts with that of a professional. Two years ago I would tend to not say anything and doubt what I had read before, returning home to check and find out that there was a discrepancy. This would add to my confusion. To make matters worse I would apply the latest recommendation by the professional to the boy with horrific results. It got to the point where he dreaded me meeting with other people to discuss his behaviour as he never knew what tactics I would be trying next. The main tactic that was generally advised were rewards and the dreaded chart. They never EVER worked and I loathe them. I will talk more about why in another post as today I want to concentrate on how advice can vary widely which adds to our difficulties as parents.
I was visiting a client recently and met another colleague from a different professional background. She had attended training which discussed the fight flight response in humans and how this affected children with autism. She reported that the adrenaline surge in the body actually prepares the limbs to either run away or lash out at someone. There is also a depletion in oxygen to the brain so there is less rational thought as the energy is directed to the limbs. The consequences of this is that the child will either hit out or run away.
I thought about how this related to my experiences, right from an early age the boy's temper tantrums were long and hard. They were also very physical. There was one incident when we were trying to leave the swimming pool and he created such a noise that my husband thought other people were thinking that the boy was being abducted. Another time, the boy did not want to go to school and was kicking me as I drove the car. Naturally my reaction at the time was to shout at him which of course made the situation a lot worse. When he was diagnosed with dyspraxia, although we were still recommended rewards charts ( I just used to smile and ignore them), we were more aware of triggers that could cause a melt down, and managed a bit better than before.
It's like feeling around in the dark isn't it? Waiting for someone to turn on the light and to then say "Ah yes now I see". That happened to me last week with this colleague. If I had not have met her, I would till be fumbling. The boy was not being naughty at all, he was so stressed and nobody understood him. How many other children are not being heard?
The main clash was between myself and an educational psychologist when he started secondary school. Due to the fact that the boy was managing most of the time to keep it together in school she would not diagnose anxiety. She also observed some of his incidents of distress and again dismissed as it being behavioural as he was quick to calm down when he was in a place of safety. Apparently the sobbing did not last long enough for her expertise in this area. A GP, a psychologist all argued that it was anxiety but the school did not listen to them only her.
Some criteria for referrals in children's mental health services dictate that the behaviour needs to be present in two settings for an assessment to be made. I would feel instinctively that the boy did not feel safe to display any emotional distress within school. Instead, as with most children, he would hoard it in a nice big pile and let go when he got home. I have since read this in books written by experts on Dyspraxia too. It makes me wonder how many more children and young people are suffering due to this criteria. It is not a one size fits all type of condition which is why most of it is regarded as a spectrum.
Our GP was also querying Aspergers when he referred the boy to children's mental health services. (CAMHS). We informed the school of this to be told that it wouldn't make a difference to how they would treat him. It did not help that the person we saw in CAMHs described the boy as being quirky but not Aspergers.
The implications of this was that the behaviour advice was handed out in droves, rewards, special time together, not speaking to him if he did not do as he was told, deprivation of his X box. These kinds of strategies unsurprisingly led to more meltdowns so we were taught how to react non violently to him which involved the suggestion of him and us signing an agreement that he would go to school ( I also smiled and nodded at that tactic). Interestingly the educational psychologist did not agree with non violence response which added to our confusion as to what we were supposed to be doing. The final offering that was professed to us was a parenting course ( I again smiled, nodded and later turned that down too.)
When the boy eventually sunk into a depression due to the "non existent anxiety and Aspergers", I got into the driving seat so to speak to sort him out. We saw a private psychiatrist who diagnosed everything that hadn't been, prescribed anti depressants and suggested that I access experts who could help me with the Aspergers side of things. I read and read and to my horror I discovered well known experts on these matters confirming everything that I had thought about the boy. Tony Attwood in particular describes how the cause of the problem for some children is that they can not communicate extreme stress at school, it is not the parent who does not know how to control the child. There goes the two settings theory.
I know that Health professionals will warn about the dangers of the Internet, I do it myself with the families that I work with . But I also know of the good ones too and it is with this in mind that I have created a page with useful links for you to research too. Time and time again I hear stories of parents struggling to cope with the behaviour of the children and being given inappropriate strategies to manage them. It is crazy that we should become the experts and guide the people from whom we seek advice. I can only liken to it that being a nurse I am no expert on the inner workings of the heart, but I can talk forever about atopic eczema in children as this is in an interest and necessary for my role as a Health Visitor.
It is generally first line professionals that parents are referred to when a problem is suspected. Sadly it seems that the experts are at the top of a tall tree that can only be reached when the child is very unwell. The charity Young Minds are relentless in their campaign to get this changed and it seems that politicians are also now realising that practice has to change for intervention to happen earlier. However there is absolutely no shame in getting up and turning on that metaphorical light ourselves if we can. The information and advice is out there we just have to reach out and not be afraid to share it with those who are working with us.
Until next time, Clairex