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Five Tips for Managing Challenging Behavior in Children With Autism

Autism Learning Collaborative
When a child is having problem behaviors it can be a significant challenge for parents and families. 

Problem behaviors often show up in a variety of forms such as aggression, tantrums, noncompliance, and more. 

You might think “What could I have done to stop it?” or “How should I react in a way that will lead to improvement over time?” 

Below are a few strategies that may help to prevent the behavior from occurring and some tips for responding to the behavior when it has already occurred.

5 Strategies

1.Increase Recognition for Good Behavior

We all enjoy knowing when we are doing things well and this is often overlooked.


Increasing praise and rewards for good behavior is important. It is often tempting to ignore when your child is engaging in good behavior because generally that means they are doing what you expect them to do, and it may not occur to you to show your appreciation.


However, if your child learns that doing what they are expected to do results in being largely ignored, while misbehaving results in getting more of your attention (even if the attention comes in the form of scolding), your child will learn that when they want your attention, it is more efficient or more effective to misbehave compared to doing what you expect.


The rule you should follow is to “catch them being good.”


Reinforcement can include:

  • iPad time
  • TV time
  • Playing with toys
  • one on one attention from parents
  • Playing outside


Providing this “reward” connects an appropriate behavior to the reinforcement and the praise that you give your child.


Anyone can provide reinforcement to the child; it just needs to be something that is meaningful to the child. 


When providing praise to your child, it is important that the praise is specific to what you like that your child did.


For example, if your child does a good job playing with their sibling and you want to provide praise, saying “nice job playing so well with your brother” will let your child know exactly what you liked them doing. 


2. Remain Calm

In the case of your child having a problem behavior, even though it is difficult, it is important to stay calm. 


When problem behavior occurs often parents can feel frustrated or angry but showing this emotion may lead to the challenging behavior continuing.


Some children with autism can find emotional responses from those around them to be rewarding, especially in the case that the child has a dual diagnosis of autism and Oppositional Defiant Disorder (ODD). 


Even though it may be counterintuitive because the outcome is negative, children can find exerting control over the behavior of others in their environment to be desirable.


 A separate benefit to maintaining calm is that modeling calm behavior is a nice way to help promote self-control. You are an important reference for your child to learn how to respond to various situations. 


Social referencing is a common behavior in children where they look to others to learn how to respond to a given situation. You may have noticed this phenomenon when a child falls down. 


They might look around at others and if you respond emotionally, the child is more likely to cry. 


But, if the fall doesn’t seem to have caused any serious injury and you respond calmly, the child might reference that calm and remain calm.


3. Provide Choices

Everyone makes choices in almost everything they do.


In day-to-day life we make choices about what we are going to eat for dinner, the time we are going to wake up, and the movie we are going to watch.


Research and experience tells us that children find the option to make choices for themselves very rewarding. In fact, many problem behaviors can be said to have their source in limited options.


When a child feels they have lost control over their environment, what happens in their day, or what they get to do, this can often trigger outbursts.


There are a great deal of opportunities to provide options during the course of a day. For example, when you are asking your child to do a chore like picking up their toys, there are still options that can be provided.


You could ask your child “Do you want to pick up the toys in your bedroom or the toys in the living room first?” This gives the child the power to choose and exert some control over their activities.


Another possibility is that it provides choices for what the child is going to work for if you have established a reward system.


An example of this is asking “Do you want to work for iPad time or TV time?” when asking your child to pick up their toys.


Even during leisure or play time, you can provide choices such as “Do you want to play with your cars or your blocks?” As children feel like they have more control and choice, they may become less likely to lash out because of a sense of powerlessness.


4. Create a Routine or Schedule

Transitioning from one activity to another is something that can be difficult for a lot of kids.


Many children with autism rely on routines to keep their environment feeling safe and predictable. Routines help establish expectations for a child so that they know when they are expected to transition without surprise. 


However, sometimes things happen where our routine can’t be the same every day such as going grocery shopping, going to the doctor, having visitors, etc.


One way that we can maintain the expectations and routine for children is by using visual schedules.


 A visual schedule is used t visually present what is coming up in the future for the day.


This can be done using:

  • Photographs
  • Drawings
  • Symbols

 

For example, having an icon showing that it is time to wake up, followed by a bathroom icon showing it is time to use the restroom, followed by a shower icon showing that it is time to shower could be a good visual schedule for a child’s morning routine.


This helps make sure that the child can see what is coming up next and keeps it so the day can be predictable. It is also important to give praise and reinforcement when children are flexible with their routines!


5. Remain Consistent

Having a routine and a schedule shows how important consistency is for children. But routine isn’t the only way of providing consistency to help prevent problem behaviors. Setting clear expectations and verbally clarifying expectations will help.


For example, if you say to your child “pick up your toys” they might go watch TV and pick up their toys after. Saying “First pick your toys up, then you can watch TV.”


Being consistent with the way you respond to problem behavior is important as well. If you respond one way during a day and then respond differently the next, it could lead to confusion and unclear expectations from your child. 


Dealing with problem behaviors can be a very difficult thing for parents and family members to handle. Remaining calm and maintaining consistent expectations are important things that can be done during a problem behavior. Providing reinforcement for appropriate behaviors, having a routine, and creating a schedule are all strategies that we can do to help prevent the problem behaviors from occurring.


In Conclusion

These are some basic tips that have been shown to work with some children under some circumstances. Ultimately, knowing the root causes of your child’s problem behaviors is the best way to know how to address them.


If you find that your child continues to struggle with behaviors, you are encouraged to reach out to a professional, such as a BCBA, who has experience implementing assessments of problem behaviors and designing individualized plans to address them.

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Being a parent of a neurodiverse child has its own set of challenges. Challenges that can be so unique that a practitioner may have to get creative with evidenced-based interventions. Being a parent of a neurodiverse child AND a practitioner is a completely different story. Especially 10-15 years ago. Let’s talk about this. Many years ago, I knew my then 2-year-old daughter was different. Whenever anyone asked me how she was different, I could never put my thoughts adequately into words. “She is just different.” The general response would be, “Well, she just NEEDS discipline. Spank her, put her in time out.” I had so many conflicting feelings about this. My instincts were screaming “THIS IS NOT RIGHT!” My brain was at battle with myself daily. I fought negative thoughts and comments from family telling me I was not a good mother or parent, and my child was unruly. At 2 years old, my daughter was engaging in screaming, kicking, biting, hair pulling, crying, scratching, punching and slapping behaviors during transitions from the home to the community. She did not prefer ANY change to routine, did not like various smells, lighting, and sounds. She struggled with social and play skills with peers and only wanted one person, ME, her “momma”. Getting the Diagnosis: Fast forward through years of struggles, heartache, trauma and being ostracized (not only myself but my child by family and peers), she got a diagnosis! After visiting numerous physicians (so many I lost count) and countless misdiagnoses, she was FINALLY diagnosed at the age of 10 years old with Asperger’s Syndrome. The uphill battle began with family, friends and her school district. During this entire time, I continued to hear what a terrible mother I was and witnessed my child being excluded from school functions by her peers and being bullied daily. Helping as a Parent: I accessed any resource I could to help her. There was not much to choose from. Most of the resources were for children with level 3 autism spectrum disorders or significant behavioral issues such as drug or alcohol dependency. Nothing, absolutely nothing, for a high functioning child with sensory and social skill needs. At that time, the only true resource we had available was an intensive parent training program and ABA services for my daughter. During this time, I saw her blossoming. It gave me hope. It inspired me to get into this field I so adore today. I say all of this NOT to discourage parents from seeking help. I share my story to reflect on how much this field has changed in 10+ years. Today, the resources are plentiful. Private and public ABA resources from schools to individual companies and government funded programs. ABA practices focusing on assent-based, trauma-informed, evidence-based interventions. Absolutely incredible the amount of assistance to help our children of all ages. Trust your Gut! As I reflect on these changes, I can’t help but wonder how all of these resources would have impacted my daughter and my other children like her not so long ago. My momma heart swells with pride thinking of how much she has overcome to get where she is today. For all the parents out there who may be listening to the “noise” of others, DON’T. Follow your instincts, seek the resources, advocate for your child. You got this! Lori Vitello, MA, BCBA, LBA Autism Learning Collaborative St. Louis In-Home Branch Assistant Clinical Director www.autismlearningcollaborative.com
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07 Jan, 2024
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