Monday, March 16, 2015

Routine..

When a child is diagnosed with autism, or a spectrum disorder, one of the first things you are likely to hear as a parent is "Children with autism need routine".
Parents are encouraged to keep their lives as predictable as possible, to avoid meltdowns and problems processing the change in schedule. We are encouraged to have visual charts to show our children what is happening each day, each week.

Here is my experience with this, and please note, this is not for all children. Some truly do need routine to be able to function. Some kids just have too much going on to even begin to cope with another piece of their world falling apart. But, please, do not buy the line that "all children with autism NEED routine". Some of them can be taught to cope, to adapt, to roll with it.

When our son was diagnosed at 2, we were also fed this line. I considered our life - that of a military family - as well as both mine and my husband's personalities. It wasn't an option for us. Military families move on average every 2-3 years, and indeed just a month after our son was diagnosed, we were due to move again, for just 11 months, after which we would be moving somewhere else. New schools would be the norm for him, including new teachers, therapists, friends, houses, climates, states and doctors. I am a pretty poor planner and a terrible procrastinator, which tends to mean that things get done when they get done, often at short notice, or at the last minute.
So, considering all these factors, I proposed to do exactly the opposite. I would sabotage our 'plans' as often as I could, without causing havoc. I would tell my son we were doing something, then throw in an errand, or say "change of plans", or just 'forget'. Sometimes he remembered when I did this, often in fact. We would just make 'firm' plans to make it up, especially if it was something fun. We would talk about how sometimes things just didn't go to plan.
Sometimes he got upset, although this decreased quickly. After about 18 months, he would get in the car and ask "where are we going today?". I considered this a victory.

Don't get me wrong, I'm not advocating for people to become parenting flakes with their children, but, children (and some adults) need that horrible, valuable life lesson that sometimes plans don't work out. Sometimes people don't show up for parties or playdates. Sometimes things get cancelled. Sometimes you want to cancel. And that is ok. As my son says "It's not the end of the world, mum". Life doesn't fall apart because you said you would take your child swimming at a particular time on a particular day, and well, you just didn't get to it. By insisting that routine is the only way to live gives you an exhausting, unattainable standard to live by.

ABA therapists talk about 'generalization' a lot - that is, the transfer of skills across people and situations and this is a perfect example. If your child has issues when they get a new teacher or a new therapist, what do you do? You cannot insist on 'sameness' so that your child doesn't have a bump in the road. You work through it. Our old therapy office had a great system. The kids would rotate through tutors in timed blocks, so, they were exposed to all the tutors at the center, which was good for the kids and also great for the tutors, since all kids with ASD are so different. Of course, some children might need a little more hand holding through the process than others and some might need to work it slower, especially if they are used to a very consistent routine. But, the reward of having a child that can fly by the seat of his pants and have a little more spontaneity is just amazing.
Give it a try.... :)

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