A look into a special needs mom's everyday life of raising 3 kids- when one of them won't (can't) leave the house. - This blog was started 15 years ago. It is a window into our world and our journey to supporting our son. Who now has the capacity to not only leave our house (on his terms) but to engage in many other activities of life with joy! This is a story about hope!
Friday, July 31, 2020
The day went from my tool belt to my medical kit
Tuesday, July 28, 2020
Covid-19, parenting, and special needs! Does it make you want to scream?
Monday, July 20, 2020
There is no defending ABA with what we now know about brain science
ABA is causing further problems and trauma for way too many people.
The business of behavioral health is one that uses the reward consequences behavior system, planned ignoring (Dr. Mona Delahooke has a great blog post about this June 2020).
It is about compliance and punishment for non compliance.
It does not even consider the current (last 20 years) research of brain science and that kids who struggle ( adults too) are responding from their downstairs brain. They are not able to regulate themselves.
They dont feel safe.
This is not something that can be trained out of a human. Stimming is a way to regulate, and ABA views it as "not acceptable or appropriate behavior, and it needs to be replaced with something someone else deems more acceptable.
Behaviors until they are understood are always needing to be extinguished, under the ABA theory. This assumes the child, person has control over their behavior and they are simply "choosing " to misbehave, to not comply with a demand, to not meet an expectation. And then this behaviorist decides what consequence the child must receive to "learn their lesson".
The polyvagal theory and other neuroscience research explains how the brain can falsely interpret sensory experiences, environments, and as we already know the neurodiversity of so many, the brain is just wired differently leading to a wide range of processing for things that literally a neurotypical person does automatically without conscious thought. Not so for those who are ND.
Until we see the brain of neurodiverse people as processing things differently, and this isnt bad, it's just different, and also to understand the WHY for kids who struggle with behaviors as kids NEEDing help, needing support, needing connection and lowered demands placed on them.
Our experience with ABA over many years and with so many Companies and behaviorists (because of the high turn over, which is also problematic), but their lack of understanding of how they escalated my son.
They had too high of expectations and showed no flexibility in their approaches that then escalated situations which then "required" restraint because somebody “could get hurt”.
They escalated him and then he was made to suffer the negative consequences because they didnt understand the fact that he could not regulate himself. He has experienced trauma in his life, has a hole in his colon and has Autism. He needed so much support, not criticism or judgement.
He needed to feel safe and their approach of constantly placing demands on him to teach him when he was dysregulated, was falsely presuming competence when his behaviors were communicating he needed a safe, calm adult to co regulate and help him. That's it.
That's the simple brain science. And no amount of rewards or punitive measures can change the brain response of a child who is dysregulated and struggling. It really is that simple.
We had people tell us when my son was 5, 6 7, 8, 9, 10 that he is violent, dangerous, and should be placed in residential. This is absolutely insanity and we knew our son. Behaviorists and behaviorism is not using the most current research and science and is contributing to behaviors we see in kids who struggle.
These kids are not appropriately supported and then are blamed, punished and blame gets directed to their parents for “not following the program, not being consistent”. This is so BS and is way too common. That’s all I’ll say on this.
For the few exceptions in behaviorists, there are not enough when the standard theory behind behavioral health is one that seeks to change the person, to train behaviors like a puppy and truly is inhumane way too much of the time.
We now know better, it is time for everyone to do better and stop this cycle that is only further holding our kids that are neurodiverse back. Time to change our lens to “kids do well if they can. And if they can’t, WHY?” as Dr. Ross Greene always says. And our mindshift to what has happened to our kids? Not what is wrong with our kids?
Sunday, July 19, 2020
Does the ABA technique of “planned ignoring” work?
A great post from Dr. Mona Delahooke, PhD. I agree with her that this approach of “ planned ignoring” for many kids cause things to get worse, not better!
https://monadelahooke.com/the-hidden-costs-of-planned-ignoring/
We must use the current research related to neuroscience when it comes to behaviors. The brain and the body are connected.
Why are we still using outdated theories that these kids just lack motivation; these kids just need to be taught more adaptive replacement behaviors; that these kids have learned that certain behaviors get them what they want. These are literally puppy training techniques being used on our children. When my son was receiving ABA, 30 hours a week, “planned ignoring” was one of several inappropriate “tactics” to gain his attention, get him to comply to a demand, to reward an approved replacement behavior and try to extinguish the behaviors that the behaviorists didn’t think was appropriate or useful; of course all without even knowing my child.
This approach of ignoring him always escalated him.
For a child who lives in a state of constant fear and uncertainty about his entire world, this ignoring only created a scarier world that he had to figure out how to exist in. This led to an increase in his anxiety and caused more challenging behaviors because of his constant triggered state of fight, flight or freeze.
I questioned the behaviorists repeatedly on its effectiveness.
Why would we ignore him when he is clearly trying to communicate?
His behaviors have always been the warning signal of frustration, distress, confusion, and pain.
For a child who literally has a hole in his abdomen with a port opening, how can we ignore the possibility that something may be wrong?
We always saw an increase in his behaviors and struggles when his bowels were “backing up”. It was common for him to not feel good for weeks before we ever really realized it. He never said, “I don’t feel good.” Or “ I hurt, my tummy hurts, or my head hurts.” Nothing.
These signals were not processed in a way that he could put the feelings into words. He still struggles with this.
There was and is a disconnect. Mixed signals between his body and his brain. So what would happen if we ignored his attempts to communicate? Yes, it wasn’t through words; it was through his behaviors. But what are the possibilities if we ignored these warning signals?
We usually saw more challenging behaviors when he wasn’t “feeling quite right , or something was off”. It wasn’t until these struggles increased and we saw other signals, such as poor appetite, lethargy, and many times vomiting did we know he actually needed medical attention.
But what if we didn’t pay attention to these “warning signals” as behaviorists instructed us too? What if we punished him through “planned ignoring” to gain control and compliance from him? Even thinking about this makes me sad because we did listen to the professionals and we did attempt the “ignoring”approach. But most often it was not effective.
It only increased his challenging behaviors.
It escalated him to try harder to gain our attention.
When a child has known so much pain, and fear due to medical issues his entire life, which created trauma, chronic fear, anxiety and confusion how could we ignore him?
How would this help him in anyway? How could it possibly teach him anything? This does not teach him more “appropriate” ways to communicate?
The neuroscience, the Poly Vagal Theory that Dr. Stephen Porges has described through his research has helped us understand it won’t. It can’t.
Until his body can regulate, be successful to co regulate with us, he will continue to experience fear, anxiety and fight as if his life depended on it. For my kid, this is exactly what was on the line. His life. He had to fight.
Autism complicated his world because he has not been able communicate in a way that others can understand. When he doesn’t feel good, he doesn’t know how to connect the feelings to words.
Or when he tries, we have found his brain mixes up the words or chooses words that to others doesn’t convey the message he is intending in order for his need to be met.
This has led to its own set of challenges as one can imagine. For example, he will say I’m thirsty. Seems simple. Those words to me tell me he wants water. We
We now know to ask clarifying questions, because he may say he is thirsty, however the word “thirsty” tells us one thing, but to him his choice to use the word thirsty was in fact not what he was trying to tell us. For this example, he was cold. Not thirsty.
But to him, he thinks he communicated to us his need, yet we do not help him with this need properly. We get him some water. But remember although he said thirsty, he meant cold, therefore needed a jacket. Confused yet?
This is exactly why ignoring any attempts to communicate should not be ignored. Our kids are trying. They really are.
Can you imagine constantly communicating and everyone ignoring you? And when you use “words” your brain thinks it is saying what you need, but in fact what comes out for others to hear is not that need? So then it seems like people are still ignoring your attempts to get your needs met?
This is exactly why we must use compassion. We must help them feel calm and safe. We must connect with them so that they can regulate and thrive in life.
Our kids need us. They want to trust but it is hard. Connecting with them will help build the relational safety they need. Planned ignoring doesn’t do this, in fact, it many times makes things worse.
Sunday, July 5, 2020
Reflection on past 4th of July’s
Wednesday, July 1, 2020
Changing our lenses sooner only helps our kids sooner
I was writing something recently, introducing myself and why I am so passionate about advocacy for our kids with special needs and supporting parents along their own journeys.
It quickly reminded me why I am fighting to help all our kids. And why I feel so compelled to educate others about this change in lens from “our kids are bad” “ our kids are dangerous” “our kids can’t be successful”....to our kids can be successful, our kids are struggling and need our help, our kids need to feel safety and connection and need US to co regulate with them.
The brain science is clear, however too few follow and understand it. People resist change. ABA is observable, if we offer a reward to these kids, they will comply to demands, they need motivation, and if not they need consequences etc etc etc.....
I’m an open book. I feel it is important to help others understand that they are not alone. And so sharing personal stories has helped others to see the hard work can help things get better.
To not lose hope!
(Windy Road in September is a photograph by Shawn Einerson which was uploaded on October 15th, 2018.)
Even on those most challenging days, as parents, self reflection is key; am I regulated to be able to help my child? Or am I joining the chaos?
For years, I know we joined the chaos way too often. We didn’t understand ourselves and how our response impacts our son.
Professionals in our circle told us we needed to be firm, hold the line, to not let him escape, to be consistent, he is manipulating you, make him comply, and if it doesn’t work, it is our fault.
I never want parents to have to experience what we endured to get to this point.
Changing our lenses sooner, only helps our kids sooner.
My families story is a long journey. Each part contributing to the next step. That’s why I take one moment at a time. One step at a time.
Success looks different for everyone. Don’t forget to celebrate each moment and steps along the way.
It is part of your families story.