Autism Therapy: milestones

definition of milestones: not yet defined.

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Pediatrics, by Greenspan, SI, Brazelton TB, Cordero J., Solomon R., Bauman ML, Robinson R., Shanker S., and Breinbauer C., published in 2008, summarized Jan 7, 2009

Floortime may be a useful tool for creating a therapy program that meets the many needs of each child with autism.

This short article describes the views of some of the top autism doctors in the country. They suggest that doctors alert the parent any time a child does not meet a healthy milestone. They suggest that watching these milestones from an early age will give a better picture of a child than merely giving an autism screen at 18 and 24 months. They also suggest that doctors tell parents about Floortime therapy. Floortime intervention can include sensory integration therapy, speech therapy, social therapy, play therapy and more.


See Beneath is a San Diego organization focused on helping parents help their kids with autism improve social and communication skills. Gerin Gaskin and Jim Turner, both employed at UCSD Autism Intervention Research Program, and Casey Hoffman, a project manager for a number of start-up non-profits collaborated on a sea-themed animation project for kids with autism. Aiko and Egor is a short film based on imitation skills; Aiko is a whale, while Egor is a blowfish. There is also Wade the seahorse, who likes to play with friends. And, Lydia is a motherly clam who encourages all the characters to explore their environment. The goal is to have six more episodes that focus on various social and communication skills, such as sharing, turn-taking, and academic skills.

Read original article: See Beneath Inc. Helps Children with Autism Reach Communication Milestones


Denise Reynolds, a registered dietician, has provided some good suggestions for toilet training your child with autism. She reminds parents that there are milestones that must be reached before a child can be toilet trained, for example, knowing how to dress and undress, understanding the bodily clues needed to use the bathroom, and walking. She explains that sometimes kids with autism have gastrointestinal problems that need to be addressed before successful toilet training. She quotes from an referenced article by Danica Mamlet, Autism and Toilet Training, for motivation cues and potential social integration issues. “A system that uses picture icons with each step identified is recommended as a tool to teaching toilet independence. A consistent routine capitalizes on the autistic’s child need for repetition.” Other tips include a transition object such as a book or a toy and teaching your child words specific to the bathroom so he can communicate. Reynolds’ final reminder is that each child has his own timetable and some children take longer than others to toilet train.

Read original article: Potty Training Tips for An Autistic Child


The owners of Indiana’s Second Steps (2nd Steps) and Sensory Critters have added an applied behavior analysis (ABA) clinic to their offerings. Lisa Compton, co-owner, explains that now there’s a one-stop-spot for kids to get the autism therapies and therapy products they need. The ABA clinic provides a team approach to autism, ensuring that the child is supported by parents and teachers, at school and at home. The basis of the ABA program is Mark Sundberg’s Verbal Behavior Milestones Assessment and Placement Program (VB-MAPP), which is an assessment, curriculum, and tracking tool.

Read original article: Therapeutic Clinic for Kids Opens


How many times do you wish your child with autism came with an instruction manual? Paula Tarver and Jeanne Martin, occupational therapists did just that with their book, Advance My Baby: The Ultimate Secrets of Healthy Development for Your Baby – Birth to 3 Years. Both working with the Florida Elks Children’s Therapy Services were both frustrated by the lack of time they were given to help children progress and by the lack of training parents had in helping their children. They explain that while the manual is targeted to parents of kids with special needs, there is good information for any parent. They believe that detection and early intervention are key for children's success. The book begins with and focuses on sensory issues; Tarver explains, “That’s the way the central nervous system processes information. We hope that will become a term every parent knows. Children with undeveloped sensory integration can have speech and language delays.”

Read original article: Valrico Therapist Publishes Manual to Help Children Reach Developmental Milestones



Please comment on this autism topic.

I'm on-board...by myself

Jan 23, 2009 by dankohn

Winter stinks. I'm serious. I've had it up to here, literally, with the snow. And I can't stand the cold. The older I get, the harder it is for me to just breathe outside in sub-zero temperatures. The Norman Rockwell imagery is only enticing up to and including Christmas. After that, those images get old. As winter goes on, they become a source of contempt and scorn. My sister lives in California and she laughs and laughs when she says, "Gee, it sure is cold here. It got down to fifty degrees overnight!"

Strangely enough, the cold weather seems to affect the kids not at all. Last week, the kids had an unexpected five-day weekend. School was cancelled Thursday, Friday and Martin Luther King Jr. Day was Monday. A nice little mini-break during which we had NOTHING to do because we couldn't leave the house. Actually, the car did start on Thursday so I took the kids to Target. We wandered aimlessly before picking up Jonathan's blood pressure medications and then one of the wisest, most useful purchases I've ever made: a heated mattress pad. It's wonderful. It's like slipping into a hot tub in bed at night. I can't stand sheets made from anything other than at least 250 thread-count cotton, so flannel sheets are out. I need smooth, but the cotton ones get so cold. Ha - not anymore. Thanks for the gift card, Aunt Sally! We used it well.

Speaking of beds, Thomas is still playing musical beds at night. He is getting better, though. He will come in every other night or so. This morning, he did wait until after Jonathan got up for work to come into our bed. That's our little rule; they can't come in until Daddy gets up for work. Hayley disregards this rule entirely. She usually comes in around 1 a.m. (I think...) but she's such a good snuggler. If I'm still up when she comes in, I send her back to her bed. Lately, since we've been using this heated mattress pad, if I've got mine on (there are separate controls for each side of the bed) and Hayley's snuggled up against me, I wake up soaked with my own, and also some of Hayley's, sweat.

Thomas has been doing really well in school. Last Tuesday when I was in class, the teacher had each of the kids take a dry-erase board and a marker and sit on the floor and practice writing words. This seemed like something we could do at home, so I took a huge dry-erase board from an easel that nobody uses, cut it in half with a jigsaw, and now Thomas and I spend a few minutes every day writing what his teacher calls "popcorn" words; words that come up in conversation a lot. Words like can, today, we, him, she, it, etc. I also pick a really simple book from our shelf and try to get him to sound out words with me. Most of the time he is very reluctant and complains and whines about it. The fact is that he simply does not like to read or write. He might like to read if he learned how, but I don't think that writing will ever be his favorite thing to do. Hayley loves to do it mostly because she lives for praise from grown-ups. Thomas gets shy and anxious when Jonathan and I praise him for his efforts. We try to keep that kind of thing to a minimum, just saying, "Good, okay, what's the next word?" If we don't jump up and down and clap our hands and shout, he's okay. Hayley loves the jumping and clapping.

Today Thomas saw the occupational therapist. She came out to talk to me while the kids were getting their coats on. She mentioned how much improved Thomas is at writing his name. When we try to write it at home, Thomas makes such big letters or he starts writing in a spot that doesn't give him enough room to finish his whole name. The OT gave him a very long strip of paper today, so he was able to fit all the letters on it. He sometimes makes the letter "s" backwards, but she told me that they don't get concerned about that until second grade. He also needs to work on his lower-case "h" and "n" since they look very similar. Other than that, she said he's doing really well and she's noticed an improvement. Something I forgot to ask her was if she's noticed Thomas needing a lot more OT since after winter break, which has always been a hard time for him. Nobody has said anything and the extra OT minutes are built into his schedule this time of year, so if he needs it, he's getting it.

So far, we haven't noticed any side-effects from the Strattera. I don't know if it's really doing anything for him, but that's what we said about the Focalin until we took him off of it. It had been making a tremendous difference...along with a disconcerting facial tic. Jonathan works with a woman whose boyfriend's son is autistic with symptoms of ADHD. She said that this young man had developed an extremely pronounced facial tic while taking Ritalin or Focalin or something...one of the stimulants, anyway. She said that he was switched to Strattera too and hasn't had any tic problems and the medication seems to work for him. Thomas has been taking it for just over two weeks. The doctor said it needs to ramp up in his system for about four weeks before we might notice a difference, so I'm counting the days. I'm also supposed to call her around February 7 to let her know how things are going. She may decide to raise the dose from 10 mg to 18 mg. The lower dose of Focalin didn't produce a facial tic, but the higher one did. We'll see. At least we don't get bored, having to constantly observe our child for signs of one of the millions of side-effects of these meds.

I had the chance to speak to an old college friend of mine that I got in touch with on Facebook earlier this month. It just so happens that his own son was diagnosed with autism as well. He and his wife are 100% sure it was the 18 month MMR shot because he had been doing fine; meeting milestones and developing normally until he had that shot. He lost all of his words over the course of the week following the shot and was a completely different kid one week after the shot. I know that there are a lot of people out there who have dismissed vaccines as a cause of autism (mostly doctors and drug companies, no?), but it's stories like this one from my friend that really make me wonder.

I'm starting to think that autism is not caused by one thing only. I think that vaccines could cause it, but I don't think that Thomas' autism was caused by a shot. He never "lost" words; he just never had any words to lose until he started speech therapy. I really wonder a lot about the flu shot I had in my third trimester with Thomas; my doctor told me to get one, so I did. I wonder if something funky happened with that. The other possibility is that Jonathan was working on a job site during the time Thomas was conceived and while I was pregnant. This site was known to have heavy metals in the soil and Jonathan had to have blood tests before he started working there and after he finished the job to make sure he wasn't poisoned. I don't know if that kind of thing can get into sperm; it would seem that if it did, the sperm would be incapacitated and therefore unable to do its genetic job. Who knows? I'm not a doctor. But I do wonder if Jonathan went to work, put his dirty (heavy metals-laden) jeans and socks in the laundry basket, and then I handled those clothes, shaking them out occasionally and probably releasing all kinds of toxins in the air that I must have inhaled. It's my best guess at this point.

My friend with the autistic son pretty much considers his boy "recovered" due to their strict gluten and casein-free (GFCF) diet. I've really been wondering if we should try it. Of course, this is no time to be spending hundreds more per month on groceries, but I do wonder if Thomas would benefit from it. Jonathan does not want to do it, but purely for selfish reasons, I think. If one person in the house is GFCF, the whole family has to be. I must admit, it would be hard for us; I myself am a bread and pasta junkie, but if Thomas could "recover," my God - how could we not do it? I'm going to check out my buddy's wife's website, gfcfdoneeasy.com, and see if it really can be done easily. For as hard as it would be on Jonathan and I (I don't think Hayley would care much; she never eats that much anyway), it would hands-down be hardest on Thomas. I'll have to think about it a lot more, but I'm really beginning to think we should try it. If it doesn't work, it doesn't work and we can go back to our usual eating habits. But what if it does work? I've heard different statistics about it, saying that anywhere from 60% to 80% of autistic or special-needs kids benefit in some way from a GFCF diet.

The problem is, we all have to be on-board. Right now, I'm on this little board all by myself.


Beyond the Mask

The walk-a-thon, Walk Now for Austism Chicago 2007 was a great success. Healing Thresholds held a booth inside Soldier Field Stadium for individuals to get on line and to cheeck out the website and to create art. Art therapist worked with the children through the creative art process of mask making.

Art therapy is an established mental health profession that uses the process of making art to improve the physical, mental, and emotional well-being of individuals. Art therapists believe that the creative process of artistic self-expression helps individuals to resolve problems, develop interpersonal skills, manage behavior, reduce stress, and increase self-esteem.

While growing up, we all have many obstacles and challenges to overcome. We can either take on these challenges and try to grow from them, or allow the challenges to  control us. These obstacles and challenges can influence who we are and who we will become. Art therapy is a way of understanding and facing the conflicts that occur in our lives.

The expression of art begin early in a child’s life as a reaction to sensory experiences.  As the child’s senses mature, his/her reationship to the environment also matures. In additon, as a child grows and learns s/he begins to understand him/herself in relation to the environment.  The milestones in a child’s life relate to the physical emotional, and cognitive perspective of development.  As a child identifies his/her own experiences and the environment, mental growth begins. A young child begins to express him/herself in constructive forms of art that are self-expressions of his/her feelings, emotions and thoughts. Through development, a child knowledge gained takes on a visual form.  By creating symbols a child can take something they have captured and tranform it to something that has meaning. Art therapist use the abstraction of art and the multisensorial experience of art to help a individual understand his/her environment and overcome or cope with the challenges in life.

We all wear masks and may wear several in the same day.  As mask makers, we wear masks that are both visual and invisible. They can hide, protect or allow us to express ourselves. The face is powerful and holds the senses of sight, sound, smell, and taste.  In addition, our emotions can be seen mostly through facial expression.

            Often masks are used in rituals, religion, culture and uniforms. Some cultures believe masks to be magical. They may symbolized or represent an animal or spiritual meaning. Overall, masks are a powerful form of art that has been around for thousands of years.

            In art therapy the process of creating and wearing masks can help an individual to explore the self.  A mask can serve as a container to be seen or unseen.  By exploring different masks allows an individual to transform from the present state to a new place.

These experiences may enable an individual to be free to express themselves or perhaps provide an emotional distance.  Masks can connect the non verbal to a visual form. 


Thanks to my sister...

Feb 24, 2007 by Anonymous

My dear sister just emailed me the link to this website. She knows I've been going crazy lately trying to cope with our son's fluctuating behavior and with the doctor's visits, speech therapy, and my own depression and angst about the changes happening in our little family.

So this might be just what I needed: an outlet for my thoughts and experiences that may elicit some comments from folks in similar circumstances.

Our son, M, is 4 years old and has always been a bit different or odd (intense focus, observer more than participant, a tad or more late at the major developmental milestones, and so on). But my partner and I are also a bit odd, and he was our first child, so I don't think he seemed that out of the ordinary until preschool. Even his first year in a small Montessori program went seemingly well. But this past fall was different: His little world just started to fall apart.

In the past two months, we have removed him from the preschool, obtained an evaluation with a developmental pediatrician and speech therapist, began speech therapy to address interactive speech, and pressed the physician for a diagnosis in order to access preschool services in our local school district. We received a diagnosis of high functioning autism/Asperger's syndrome. In a matter of days we have a screening at the school district. And we have begun to drastically lower the gluten in his diet, as we have read about the diet connection many people have discovered.

That's all for now...


One therapist's perspective

Nov 15, 2006 by Anonymous

While growing up we all have many obstacles and challenges to overcome. With each one we either take on these challenges and try to grow from them or the challenges begin to control us. These obstacles and challenges will influence who we are and who we will become. It is a matter of knowing and facing the conflicts that occur in one's life.

The concepts of art begin early in a child's life as a reaction to sensory experiences. As the child's senses mature his/her reactions to the environment also mature. As a child grows and learns s/he begins to understand him/herself in relation to the environment. The milestones in a child's life relate to the physical, emotional, and cognitive perspective of development. As a child identifies his/her own experiences and the environment, mental growth begins. A young child begins to express him/herself in constructive forms of art that are self-expressions of his/her feelings, emotions, and thoughts. Through development, the knowledge gained takes on a visual form. The making of symbols can capture an abstraction and an understanding of the environment. Art therapists use the abstraction of art and the multisensorial experience of art to help a child understand his/her environmental and overcome the challenges in life.



Please comment on milestones or other autism therapy topics.

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