Thursday, October 17, 2013

Notes from Tate: Part Two of Three Steps Forward and Two Steps Back


STOP! If you haven't read the last post (yesterday's post) then this one will not mean much. So click on the purple link, read it, and catch up! Thanks for joining in my "fun" with autism.

We are one day into the elimination of fantasies and Tate is doing very well. He is past crying and seems to be okay. He is not verbally arguing but still he seems to have gotten the last word. Ha!

In the past, on occasion, when Tate feels the need to argue with an adult but knows he will be stopped, he has written notes. The first note I ever remember him writing was around third grade and he was upset with a teacher. He wrote her a note to continue an argument that she thought she had won. He’s been writing notes ever since. Not all of them get delivered but it may be a good release for him. I’ve written my fair share of notes to school board members and various others that I never sent. Now I blog for therapy. Ha!

Last year, Tate wrote a couple of notes to his well-loved para to fire him from his position because he was asking Tate to do things that Tate did not think were “worthy” of him. Things like reading and math. Ha! We explained that students cannot fire school staff and then went around the corner and laughed hard. Three steps forward: Tate is initiating interactions with others, trying to advocate for himself, and using communication skills that are really hard for him. Two steps back: Tate is unable to “drop” the “argument” that he lost and is sometimes, boarder-line, disrespectful, both typical of autism.

Following is a note Tate wrote to his Dad regarding the babysitting service he wants to open based on a television show scenario. It was in a folder at school and the para sent it home so we could see it. We’re not sure when he wrote it.

Dear DaD I thank I will Be a GOOD BaBY SiTer  The BilDing Will Be a wonDerful Place and I canT waTe To Be a Bother [brother] and Manager  We Will have Dinner every Day aT 4:00  I We will come and viste you MosT oF The TiMe  Winever the Kids GeT sik I will TaKe them To The DoTer and Me and SiDNey Will Go To the Computer every Day at 5:00  I will NoT Give UP intell This New Year’s Day From TaTe  PS I will aso BaBYSit NaNs KiDS and The aParTMenT Will Be for KiDS and animals Who Need a BaBYSiTer only

The reference to being a brother and a manager is from an unrelated joke we have also been trying to eliminate (also from a television show.) The joke is never delivered in a context that is understandable to his “audience” and only makes Tate appear very odd. I have been trying to extinguish this one for two or three weeks and Shawn addressed it when he spoke to Tate about the inappropriate fantasies and stories he has been telling people. 

Three steps forward and two steps back.

Wednesday, October 16, 2013

Three Steps Forward and Two Steps Back


Three steps forward and two steps back: My life is a version of hhe bunny-hop.  We make a little progress and then have a set-back.

This week has been a hard one. I’m not good at tough-love, especially with my two youngest. It has always been hard for me not to spoil my kids and sometimes I have had to undo damage that I have inflicted, but it seems doubly hard for me not to give the two youngest what they want. What they want is not always what they need though and that is where the tough-love comes in. Tate and Sydney have to do without so much in their world that I cannot always give them: regular friendships, the ability to understand social relationships, a grade-level understanding of academics, age appropriate motor skills, the ability to communicate what they are thinking or feeling, and much more. So, when there are things that I CAN give them, things they want, I tend to bend over backward to make those things happen. Saying “no” to them is hard for me. 

It has been a long time since I’ve left Tate at school crying. He used to cry almost every morning before school but that was before we had the kind of IEP team we have now. I had forgotten how hard it is to walk away from the young man that has custody of my heart when he was sobbing. This morning I left him, wiping tears, with his shoulders shaking.  I told myself it was no big deal. I had a talk with myself about toughening up and the “big picture.” I got a block from school and burst into my own tears. I wanted to turn around, run back into the building, tell him that everything that led up to the tears was a mistake, and we could let him have it all his way. But his way, is not the best way and his way will just handicap him further. 

There is a behavior stereotypic of autism called echolalia. It just means echoing or parroting words or phrases. Tate used to echo movie phrases or book passages a lot. He also used to echo the last word of every sentence he spoke. He often did that in a whisper. It was pretty creepy sometimes and it was one of the first behaviors we eliminated when he was diagnosed with autism. I worked hard to rid us of that behavior by constantly telling him not to repeat, or “No whispering.” If I had a dollar for every time I said, “No whispering” I could probably buy a new car. I always said it with a smile on my face because I never wanted Tate to think he was in trouble or doing something naughty. A child with autism cannot help the fact that they have stereotypic behaviors (stims.) A stim often looks like a behavior you would see with Obsessive Compulsive Disorder. Stims can be redirected and eliminated sometimes but are often replaced with other behaviors that are even worse than the original behavior. We try to eliminate the worst stims we see and live with the milder ones.   

Occasionally when Tate is stressed he can still be heard whispering the last word or sometimes the last sentence he spoke but he doesn’t do it often. We don’t hear the movie dialogue like we used to either, but he has taken it to another level. He tells bits from sitcom stories as if they really happened to him. This is where our problem today began. Tate’s favorite shows are shows on the Disney channel: “Sam and Kat,” “Jessie,” “i-Carly” and “Good Luck Charlie.” Tate has taken scenes or jokes from the shows and built stories around them to tell to anyone that will listen. His latest story is that he will start a babysitting service in his apartment building (we actually live in a house) and he will “change them, feed them, burp them” as well as have a website for Tate’s babysitting service dot com. I have heard this over and over for days. Before that, he was going to be in a play on the high school stage and he was inviting people to it. I actually had people stopping me and asking what Tate’s play was going to be about. He loved the attention. It didn’t matter to him that it was all fantasy and he couldn’t really “deliver” a play.

This is a fairly new thing. Three steps forward:  Tate is seeking attention from others. Tate is communicating. Tate is pretending. All these things are things we WANT to see when a kid has autism. 

I didn’t know what to do about this new behavior. At first I listened and gave him an audience. I tried to help him with writing a script for his play. He was not interested, nor does he really have the ability to plan or write a play, even with help. So then I tried talking to Tate about it, explaining that he was pretending and he couldn’t continue to talk to people about all the pretend things. I told him it was not appropriate and it was confusing to people. He did seem to make an effort to hide it from me and only talk to people about his fantasies when I was not standing right beside him. So then I tried asking him nicely to stop. It stopped at home but not at school or in the community. 

Two steps back:  The fantasy talk has become a real problem. He is interrupting teachers, dominating conversations with peers, and causing awkward moments because people do not know how to respond. Soon, I fear he will be alienating people from his world who used to enjoy his company.  

So, what’s a mom to do? Tell the dad to take care of the problem, of course! Shawn is a very involved dad. Tate recognizes that Mom is a softer place to fall than Dad and Dad is the authority figure in our home. Dad had not yet addressed the “problem” although he knew it was becoming an issue. Last evening Dad initiated the tough-love I asked him to. He had a serious talk with Tate. Shawn did not frown, did not raise his voice, and did not try to intimidate Tate in anyway, but the message was clear:  the pretend babysitting service and all the other fantasies have to stop. There will be no more conversations based on those things. This morning I reminded Tate that he could start conversations with his friends and teachers about a lot of things. He could talk about his pets, his Halloween costume, or even a show he liked to watch, but he was not to talk about having a babysitting service or anything else that was not true. He seemed okay. He stimmed a little, but not a lot. We walked into the school, I greeted his Para and Tate choked. Then he began to sob.  He rarely cries. Seriously, I think he has gone a whole year before without crying. In Tate’s world, crying is big. In Tate’s world, crying is huge. Oh how I wish he was still two years old and I could make everything better. When Tate was two I still didn’t know what autism was. I still didn’t know our world would be turned upside down by a disorder I didn’t recognize. In my mind I still had six “normal” kids. Until you hear the words, “Your little boy has autism” I’m not sure you could understand how badly I would like to turn back the clock. Ignorance was bliss.

I’ve read a lot of books about autism. A. Lot. Of. Books. Some of the most helpful books I have read, were written by adults with autism. Temple Grandin is a favorite author of mine, and Sean Barron is another. Sean tells of being a young man and being very interested in television. He also was interested in having friends but had no idea how to make a friend or how to communicate. He didn’t know what was socially acceptable and what was not. He knew that the cartoons and sitcoms he watched got a lot of laughs from people so he began to memorize lines from the shows and he would deliver them to his school mates. Because the scripted lines were not set up properly and were out of context, Sean would get no laughter. He couldn’t figure out why and it left him angry and confused. I often think about this when Tate is trying to tell a joke he heard on television or is quoting movie lines. Is it the same for him? Is it different? Will he ever be able to tell me? 

We move forward in other ways, only to fall back. For years I have tried to interest Tate in participating during worship services. He has been singing for years but zones out for the rest of the service. I have tried to get him to hold a songbook while he sings but he has complained that it was too heavy and he couldn’t look up the numbers because it was too hard. I have made some huge headway with him lately. Three steps forward:  Tate has learned to follow along and keep his place while we sing hymns. He understands how the stanzas work and the chorus repeats. Most recently, he began looking up the numbers by himself, rarely needing help to find a hymn!  He has even begun to pick up his book without me reminding him. Two steps back: Holding that “heavy” hymnbook has brought back a stim that we broke him of many, many years ago: fanning the corners of a book. I’m not talking about fanning the corners for a second and putting the book away. I’m talking about becoming LOST in the movement of the pages as they fan across his thumb. His whole focus is absorbed into the corners of that book and it could keep his attention for twenty minutes easily. No big deal if he only does it during worship? No! It has the potential to consume him at home and with every book he can get his hands on. So, after we sing, I take the book, put it back in the rack and tell him he is not allowed to touch it again until it is time to sing. What’s the big deal? Do you know how many books there are in this world I will have to keep an eye on now? Ha! Honestly, I feel like I can hear the music playing now. The tune is “The Bunny Hop.”   
There is a follow up to this story here: Part Two 

Monday, September 16, 2013

Just Another Day in Paradise


People often tell me I should write down the things these kids say.  I do.  I keep a folder on my desktop and try to write down word-for-word the funnier things they say.  I often use them for Facebook statuses often.  So. Following is a sort of scrapbook of random things I've saved.  There is no real theme involved in this post which sort of makes it a lot like the world I live in here.  Ha!

I have a lot of “Who’s on first” conversations with my two youngest every day of the week…
One day this past spring, Sydney came running into the house and said, “There are only two kittens in the chicken house!”  I said, “One of the mamas must’ve moved some.  We’ll find them this afternoon.”  A few minutes later she came running back in and said, “I found all the kittens.”   Me: “Where were they?”  Sydney: “They are in the chicken house.”  Me: “Great, but where did you find them?”  Sydney: “In the chicken house.”  Me: “So they were never lost?”  Sydney: “Yeah, they were lost but I found them and put them in the chicken house.”  Me: “So, where did you find them?”  Sydney: “They are not lost. They are in the chicken house.”  Me: “Where were they when they were NOT in the chicken house.”  Sydney: “lost.”  UGH!!!!!  I gave up.

Me, noticing Tate’s voice sounded a little rough:  “Tate, do you have a sore throat?”  Tate: “Don’t worry.  Sore throats only last one day.”  Me: “So, your throat is sore?”  Tate: “My teacher got a germ from another student.”  Me, turning Tate’s face to look at me:  “Tate. Is. Your. Throat. Sore?”  Tate: “Don’t worry, it will be better on Friday.” I think I can assume his throat is sore and administer Tylenol, maybe. ??

Here are some of my recent favorite Sydney-isms:
Sydney, while eating a waffle said, "Mom, would you put my hair in a ponytail 'cause it is gonna get all sticky with this syrup and then you will get all dramatic and ask me how I got my hair all sticky and say 'did you chew on this hair and get it sticky or did you drag it through your food and get it sticky' and then I'll have to tell you that I got it in my syrup and you will be saying 'we should have put it up in a ponytail' so would you just put it up in a ponytail?"

Sydney came running in the door. She was wearing shorts and cowboy boots.  I asked her why she had on the boots and she said she was going out to the barn and there might be snakes. She's never worried about snakes before. Her big phobia is bees. She said, "Mom, COULD there be snakes out there?" I said that there could but they are afraid of people and don't usually hurt anyone. She said, "Well, I could poison 'em. Just whip me up something poisonous please."

Sydney makes up words all the time.  A few evenings ago the locusts were very loud in the trees.  She asked me why those crickets were “cricking.”  A couple of days later, she was bent over for quite a while and said she was getting “a cricket in the back.” 

I don’t like to mislead the kids but I try to avoid certain stressful topics or things that I know will upset them, especially right before school.  Sometimes I have to come clean though….
Sydney (on our way to school):  Mom, what are YOU going to do today?  Me: Oh, all kinds of things.  Sydney: Like what?  Me (trying to change the subject): I love this song on the radio.  Sydney: Me too.  What are you going to do today?  Me: Well, I have to help Grandpa with something today.  Sydney: What does he need help with?  Me (scrambling for a way to avoid the truth): Well, the other day I helped him make coleslaw.  Sydney: coleslaw?  Me: Yeah, he got a new grinder and we used it to make coleslaw.  Sydney: What are you going to help him with today?  Me (buying more time): Whatever he needs help with.  Sydney: Are you going to make more coleslaw?  Me: No.  He won’t need any more of that yet.  Sydney: What will he need help with today?  Me (cringing ‘cause we aren’t near the school yet and I’m out of everything except “NONE OF YOUR BUSINESS!”): I’m going to help Grandpa with his cows.  Sydney: WHAT? What are you doing to do?  Me (wishing I thought it was okay to lie): I’m going to the sale barn with Grandpa.  Okay?!  Sydney: You are going to the sale barn with Grandpa?  Me (defensively): Yeah.  Grandma doesn’t like for Grandpa to go alone.  Sydney: So, why am I going to school?!  Me: You cannot skip school every time Grandpa goes to the sale barn.  Sydney: Why not??  Me: Because you have things to learn and your teachers need you at school.  Sydney (glaring):  You have to tell me about every cow.  Me (feeling like a traitor): I will take lots of pictures.  *Fast forward 8 hours to pick up.  Sydney gets into the van and holds her hand out for my phone.  Yes, I was probably the only one to ever sit at a cattle sale taking pictures of the cows being paraded across the auction block.  Anything for my baby girl.   

The amount of love that Sydney has for animals is probably equivalent to the amount of disdain that Tate has for them.  Animals are unpredictable and they might slobber on you, scratch you, jump on you, rub against you, or make sudden moves.  Therefore, animals cannot be trusted.  We have a big black tom cat named Fraidy that lives outside.  Fraidy is friendly, calm, and has a great disposition.  Fraidy prefers Tate to anyone else.  Poor Fraidy.  Poor Tate.  Tate likes to sit on the deck and almost every time, Fraidy finds him.  Tate talks to the cat as if cats can totally understand the English language.  It goes something like this, “Hey cat. Don’t come over here.  Get away from me.  No. Hey!  I don’t like it when you touch me.  MOM!!!  There is a black cat out here that keeps bothering me.”  I remind Tate that the cat’s name is Fraidy; he’s lived here for a long time; he is friendly; he only wants petted…   Tate usually ends the conversation by telling me I should “call animal control” and ask them to come and get “this cat.”  Once this summer my oldest daughter Regan and Tate were outside together.  Fraidy approached Tate and Tate spoke to Fraidy and said, “Hey cat. Regan wants you.”  He totally thought that would do the trick and divert the cat’s attention from him to her.  It did not of course, and Regan was able to convince Tate to actually touch the cat with a couple of fingers that time.  I think Fraidy may actually be a pretty good autism therapist! 

This past weekend we were heading out to roast hotdogs over a bonfire when Sydney became interested in what our hotdogs were made from.  Shawn read the label and told her they were made of beef and pork.  Sydney started naming animals we can eat.  (This is somewhat of a touchy subject because we are not sure she understands that we eat cows.  She is CRAZY passionate about cows.)  She rambled on:  “We eat chickens, turkeys, pigs, deer, antelopes, Indians, horses...”  Shawn, half-listening was agreeing with her but was just a couple of beats behind.  He perked up and said, “Now wait a minute.  Indians are people.  We don’t eat people.  I don’t eat horses either.”  I was listening from the other room and was so glad it was Shawn’s turn to try and keep a straight face in the presence of Sydney.

Tate often gives advice:
This summer Levi got his learners permit and took drivers’ ed.  I was talking to Levi about his drivers’ education class.  Tate interrupted, “Levi, I don’t even know why you need to go to school to learn to drive.  Driving is easy. Once Dad let me drive on the driveway and I didn’t even have a license.  You just put two hands on the wheel; Put your foot near the brake; and look at the road. If you follow those three steps and keep your arms and legs in the car, then you are driving.”

Tate gave Levi another tip about driving later:
“Levi, you drive cars all the time on Mario Cart.  You don’t need to go to a school to learn how to drive.  You just do the same thing to drive our car you do on Mario Cart.  It’s really not hard.  Just don’t run off the road.” 

I woke at four this morning with a headache.  I tip-toed into the living room to get some medicine.  Why tip-toe?  Because Sydney’s hyper-vigilance is especially keen in the early mornings.  She caught me.  I heard her holler, “Mom, Can I have some cantaloupe?”  I told her it was still night and she actually went back to sleep.  Whew!  At 6:00 she was up for real.  As always, her volume was turned all the way up and she was wound up tight.  Just like most mornings, she asked dozens of questions without waiting for any answers and touched on many topics that are totally unrelated.  I just cannot believe how fast her brain is whirring in the early mornings before medication.  I tried to jot down some key words this morning so I could remember how it went and give an accurate picture of our morning but she talks FAST and I missed a lot of it.  It went something like:  Mom, can I have juice? Why were you up in the night?  Did it storm?  I heard it raining.  Where’s Dad?  Why is it still dark?  Can I wear my cowboy boots today?  I can put tennis shoes in my backpack for PE.  Is it PE day?  Yesterday, at church Miss Robin saw a bug and she said, ‘Bug! Bug! Bug!’ cause she was afraid of it.  I asked if I could sit BETWEEN Robin and Steve and they let me.  Miss Robin said, ‘Between?’ and I said ‘Yes, between' and then she let me!  There is a gnat in here.  Will you make me a cow puppet? Is it cold or hot today? What is Pepper barking at?  Is Daisy dog here?  Are Kassie and Ian coming today?  Where is Dad?  I hope Grandpa feels better today.  Can I take vegetables in my lunch today? Do you know where my ipod is?  My favorite song is 'Sunny and Seventy-five' (then she began singing it... SUNNNNNNYYYYY AND SEV-EN-TY FI-I-I-IVE.... 

Just another day in Paradise!!