Neurodiversity

Never ending ….

I rarely post anymore (and not just because it is so depressing), but also because I am working 40+ hours a week and have a family who demands 110% of my time, so no, the ability to sit and think for the time it takes to write a post is almost nonexistent.  I am up and at em this morning, ready to face the day, mostly because I have to go buy 2 dozen Easter eggs for the school egg hunt, filling little plastic eggs with treats that my kids are banned from eating and knowing full well that the hunt itself will increase stress levels and perpetuate the fight/flight mode my kids exist in.    On that note, I wanted to share a couple of books I have been reading of late, one is ADHD without Drugs, A Guide to the Natural Care of Children with ADHD by Sanford Nermark, MD.

Again, I am not advocating a drug free regime for anyone, choices we make are made with the information we have at the time, and I 100% agree that medication is a choice, one that while I have tried to stay away from it, has crept into our treatment in the past briefly and possibly will again in the future.  Never say never.  However, for now, we are still searching, hoping and praying that we can facilitate a change without medications, (even if this means that I get to sob for 30 minutes in my bedroom at night!!!).  Anyway, again I digress.

This book has so much information, gives an overview of the diagnostic approaches used, statistics, studies to  reference and great balance between traditional thinking and a more natural treatment approach.  Even the author concurs that for some, medication is sometimes the choice that has to be made and he even gives a brief outline of what and how it works.  However, reading through the pages it struck me that our negativity towards ADHD, PDD, ODD, etc., as a society is more crippling to our kids than the actual disorders they are being labeled with.  No one has the compassion or the time it seems to stop, take a deep breath, and see these kids for who they really are.  They are not an annoyance, not a ‘bad’ kid, but just a kid who maybe needs more help, more compassion and more direction than one who may be sitting besides them.  When did we become so intolerant of different?  When did a creative, inspirational, energetic person become so intolerable   As adults, the forward thinkers, the creative types, the out of the box thinkers move our world forwards, why would we try to cripple those thinkers at such a young age??

To gain a fresh or at least alternative perspective on how to understand these kids, this book should be handed to every single student teacher as soon as they enter college, and by the time they leave, this book and Heather Forbes’s new book (Help for Billy) should be dog eared and underlined by graduation (and you know I have a few more that given a chance I would add to the list, i.e, Bruce Perry etc. etc.).   There are just so many kids out there who need more, “… In 1970, about 150,000 American children were taking medication for ADHD.  This represented 0.2% of children (or 2 in 1,000).  By 2003, the last year for which we have reliable statistics, approximately 4.5 million children were diagnosed with the disorder, and 2.5 million, or 3.4% (34 in 1,000), were taking ADHD medication for it.  This represents a 16-fold increase in both the actual number of children taking medication and the percentage of medication use — a surge of 1,600%! …” page 6, Newmark, Sanford MD.  As you read further, we begin to understand that a simple 2 page questionnaire from a parent and a teacher in a PCP’s office can get your child diagnosed with ADHD in 2 x 15 minute conversations.

So something to chew on this morning while going about your daily tasks and dreading that phone call or that email, or your kid coming home again and kicking the walls, there is a positive way to look at this, eventually EVENTUALLY it will be our kids who conquer the world ~ if only they can remember just what it was they were doing!! 😀

Heather Forbes NEW BOOK and ONLINE COURSE

Heather Forbes begins a 5-Week ONLINE Course to go with her new book.  I am part way through the book and can see how this is valuable information for both myself and B…. I am always open to learning new ways to help him go forwards, this book is another in her series of how to make life manageable for kids with trauma histories.

Wednesdays: January 16 – February 13, 2013

Join Heather T. Forbes, LCSW beginning Wednesday evening,  January 16, 2013, for the 5-week ONLINE “Beyond Consequences Classroom” course. (Listen to the Test Drive here for more information on this course!)

Based off of Heather’s new book, Help for Billy, this course will guide both parents and educators on how to create a learning environment for children with trauma histories or any child exhibiting negative and difficult behaviors.

This course will focus on the following school issues:

How to Smooth School-Related Transitions

How to Reduce Homework Battles

What Yelling Does to a Child’s Nervous System

How to Create an IEP That Helps a Child Regulate

What it Takes to Build the Parent/Teacher Relationship

What Being Flexible Means Rather Than Being Rigid

How to Awaken a Child’s Internal Sense of Motivation

Why Reactive Responses Create More Negativity

How to Break the Negative Cycle in the Classroom

How to Support Teachers Effectively

How to Make the Playground a Positive Experience

What is Driving a Child’s Negative Behaviors

How to Create the Beyond Consequences Classroom

Why to Replace Time-Outs with Time-Ins

Why External Controls Are Ineffective

How to Engage a Resistant Child in Relationship

Why Emotional Safety Increases Academic Success

How to Close the Gap in Social Skills Deficits

What Awakens a Child’s Internal Control System

How to Create Emotional Safety in the Classroom

How Teachers Can De-Escalate Behaviors Immediately

How to Effectively Replace Punishment with the Relationship

April 2nd – Light it up BLUE for Autism…

“Join Autism Speaks in celebrating World Autism Awareness Day on April 2 and Light It Up Blue to help shine a light on autism. Whether it’s your front porch or your local city hall, an office party or a banquet, the whole world is going blue to increase awareness about autism.

Light It Up Blue, in its third year, is a unique global initiative to help raise awareness about the growing public health concern that is autism. Iconic landmarks around the world will Light It Up Blue to show their support.”

Click the banner below to pledge your support and tools to help you get Light It Up information out to your friends, families and co-workers.

Some weeks are easy and some are just plain hard!

Last week was a particularly bad week. It got steadily worse as he ate his way through several foods on his ‘intolerant list’. It was only after the donuts from a well known “the lights are on” donut shop that things really took a turn downwards. I know, I know, totally under my control but sometimes …

At this point I am going to concede that food is still a major contributor in his behavior. Especially his mental health. He is once again, dismissive, aggressive, frustrated at every little thing, intolerant, and depressed. Give the kid wheat, dairy, corn, additives, soy, or any other thing on his list and he spirals fast.

Sadly, when someone eats something and they are allergic or intolerant to a certain protein in that food, or to the food itself, damage to the gut occurs.  This causes something known as ‘leaky gut.’ Once your gut is damaged the proteins in food can wreak havoc on the brain.

Celiac.com explains … ” Celiac.com 09/13/2008 – In the last two decades, research has begun to focus on gluten’s effects on the brain, including associations with Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD). Celiac disease itself occurs no more frequently in children with ASD than in neurologically normal children, but it appears there are other reasons to consider excluding gluten from the diet. “Mal-digestion of dietary proteins, particularly casein (from cow’s milk) and gluten-containing foods, produces small peptides (amino acid sequences) that may function as opioids”. This is what is known as “The peptide Theory”, also called “The Opioid Excess Theory”. What this means is that incomplete digestion of specific foods allows the remaining small protein fragments, called peptides, to pass through the gut wall into the bloodstream. Peptides are tiny, but children affected by dietary peptides often have what is termed a “leaky gut”, or a gut that is in some way damaged and unable to fully perform its protective function. In children (and adults) with ASD, gluten breaks down into a peptide called gliado-morphin, and casein breaks down into a peptide called caso-morphin. Eventually these peptides are thought to bind to opioid receptors in the brain, where they are perceived by the body as morphine-like substances. It is this morphine-like or narcotic-like effect that causes many of the typical behaviors associated with ASD. These behaviors can include sensory problems, lack of eye contact, self-stimulation, and altered pain threshold, among others. Repeated exposure to gluten and casein causes a condition similar to opiate addiction – children with this condition often crave the very thing that is causing their problems; consequently, sudden, complete elimination of gluten and casein from the diet can cause withdrawal symptoms. The discovery of caso-morphin and gliado-morphin in the urine of autism patients may be strong supporting evidence for the peptide theory.”

Celiac’s are gluten allergic, but other foods can cause the same problems. An IgG (food allergy testing) test or an IgE test can help determine what foods to avoid. I have heard more than one doctor express that blood tests are better at determining food allergies and the skin prick test is better for detecting environmental allergies. B has done both and the skin test seemed more open to interpretation as reading the reaction takes a skill of nuance. B’s back was covered from top-to-bottom and side-to-side with welts of varying sizes.

The blood test measures IgG responses to food antigens. Is this test really as reliable as we like to think? In our case the foods established on the IgG tend to be ones that we also notice a reaction to at home, usually very quickly after the food has been eaten. However, I am becoming increasingly aware that he also reacts to things that didn’t show as an allergen on his testing, including both cinnamon and garlic.

The debate regarding test results can be a hot button as evidenced in this article, “IgG Food Allergy Testing by ELISA/EIA. What do they really tell us? Townsend Letter for Doctors and Patients, by Sheryl B. Miller, MT (ASCP), PhD, Clinical Laboratory Director. Bastyr University Natural Health Clinic. Adverse reactions to food may initiate a myriad of physiological effects in the body. These reactions may be immunologically or non-immunologically mediated and can result in signs and symptoms ranging in severity from mild to life threatening anaphylaxis. Although the majority of severe reactions are thought to be immunological and mediated via IgE, other immune globulins, such as IgG and IgA, may play a role in adverse reactions to food as well. …”

If you are considering an IgG test this might be an article/debate to read first.

The Great Plains Laboratory, Inc now offers the IgG Food Allergy test w/candida.  They say “We have included the IgG antibodies to Candida at no additional charge. High levels of IgG antibodies to the yeast Candida have been found in patients who scored high on a questionnaire regarding symptoms of yeast overgrowth, like sugar cravings which can improve with antifungal therapy. IgA or IgM antibodies to Candida did not correlate with this questionnaire. Yeast antibodies react with virtually all human organs, including the brain. In one study, individuals with pituitary malfunction had Candida antibodies that reacted to a human pituitary protein. … A wide range of disorders have been linked to Candida including depression, chronic fatigue, thyroid disorders, autism, multiple sclerosis, vulvodynia, and others. … Overgrowth of Candida may also cause a rise in cases of food allergies. The antibodies that provide long term resistance to infections, called Immunoglobulin G (IgG), have a much longer half life than the traditional IgE allergy. Symptoms, ranging from headache and nausea to seizure and hyperactivity, may occur hours or even days after the offending food has been ingested. … The complete elimination of IgG positive foods may bring about important improvements in symptoms of irritable bowel syndrome, autism, AD(H)D, cystic fibrosis, rheumatoid arthritis, and epilepsy as demonstrated in numerous clinical studies. The 93 foods tested in the IgG Food Allergy Test w/ Candida increase the identification of numerous offending foods. This test can be performed using either serum from a blood draw or dried blood from a finger prick.”

What is an IgE test?
An immunoglobulin E (IgE) test measures the blood level of IgE, one of the five subclasses of antibodies. Antibodies are proteins made by the immune system that attack antigens, such as bacteria, viruses, and allergens.
IgE antibodies are found in the lungs, skin, and mucous membranes. They are associated mainly with allergic reactions (when the immune system overreacts to environmental antigens such as pollen or pet dander) and parasitic infections.

What is IgA? Immunoglobulin A (IgA) is an antibody that plays a critical role in mucosal immunity. More IgA is produced in mucosal linings than all other types of antibody combined; between three and five grams are secreted into the intestinal lumen each day. This accumulates to 75% of the total immunoglobulin produced in the entire body.

I first ran across food testing when B was about 18 months/24 months old. We had already started eliminating foods based on stomach reactions we noted but our DAN doctor thought that we should eliminate based on test results as well. Later when he was around 5 years old our allergist redid the tests (both blood and skin prick) to determine where he was at at that time. The only difference was the second round of tests revealed a significant allergen response to apples. Once we removed the apples from his diet it did make a significant difference both to his hyperactivity and interestingly, his pencil holding ability.

At this point I think we just need to keep going with eliminating and avoiding what we know causes issues. I am bound and determined to start us all on the GAPS diet soon. That, if all goes according to what I have been reading, should totally heal his leaky gut and hopefully put him on a road to eating a more normal diet.

What about the autism family?

When one person in the family (or more) has an autism diagnosis, that generally means the entire family wears that diagnosis too. From the minute a child starts exhibiting autistic type behaviors the dynamic begins to change. No one needs the diagnosis to feel this, it just happens. With restrictive behaviors, lack of social skills, tics, tantrums and melt-downs – the family life starts to change. As a parent of a child who exhibited spectrum behavior from 18 months old, my husband and I lament on what we could have been doing as opposed to what we really have done over the past 7 or 8 years. Every occasion that should have been special has been an exercise in control, physical exertion and over-vigilance, every vacation has been an exercise in apologizing, explaining and retreating, every event we attend has to be carefully planned, explained and thought through, to the point where generally we now just opt to stay home. Vacations are just tough, the transition from home to a strange place sets us up for failure, after a couple of days, we start to groove again, but then when we leave to come home the transition anxiety begins again. It’s almost not worth it. Summer camps are out, play centers don’t work, babysitters are unequipped to deal with the onslaught, even the swimming pool is too stimulating or he reacts to the chlorine. It’s a lonely, frustrating life which could easily be open to resentment on our part. The whole family enters a twilight zone.

I think in general most parents are good parents, the same stands true for parents in families with autism spectrum disorder. Trust me no one encourages their child to spit, hit, lick walls, chew shoes, throw tantrums on a deafening level, jump from absurdly high places, or run into traffic. The look on the parents face when their child starts these behaviors isn’t apathy, in general it’s panic, or something akin. At least I know that’s what you see on my face on a daily basis. We can all feign bravado and say “we don’t care what other people think” after all logically we know we can’t control that. What other’s think is their own business. The reality is, when you know other people are judging you, both through your child and your parenting skills, you instantly feel inadequate. Even though you know that the problem is not your parenting it’s a neurological one. In the end it doesn’t matter, you always feel like you could be and should be doing more.

Occasionally I will see a younger women, heavily pregnant, or with little babies looking at us, even commenting, making judgments. I want to walk over and say “Trust me, we have been the “needs more structure, discipline, never let my child act THAT way” people. Yes, that was before kids and certainly before special needs kids.” Part of me wishes I had my son’s unfiltered way of speaking. Sometimes his observations, while not to be shared at high volume, are correct. It sometimes IS the other kids, it IS often unfair that my kid gets disciplined and the other child doesn’t but the reality is he is more aggressive, more combative than many other kids so he is usually the last one standing, and by default he is usually the one who seems to be causing the trouble!

So we all stay home, parents, brothers, sisters… all affected by this thing called a spectrum disorder.

I read many articles about autism, some are super serious, some damning, some thank goodness are hilarious and tongue in cheek, but honestly being a family of autism is harder than anyone can imagine. It isn’t really very funny and it isn’t a case study, its just plain hard and annoying much of the time. The help is limited, and often you are caught in the middle of well meaning “oh that’s extreme, over diagnosed, just a boy, hokey, doesn’t work, isn’t safe, are you crazy to do nothing other than behavioral therapy.” When you are in the trenches you grasp at anything to give you a leg up to get out. ANYTHING. In the end, with money depleted and traditional therapy exhausted and only small progress made or worse no progress, where do you go from here?

Over the past two years there have been too many stories of what happens when resources, patience and sanity wear out. What happens after you are gone. The idea is scary, sad, worrying and the reality is harder. The entire family can become isolated.

The Impacts of Autism on the Family, By Rachel Evans -: “… Raising an autistic child is challenging and can be exhausting without support. …” To that I have to say “and then some.”

This from the Colorado Springs Gazette highlights the ultimate end to the isolation and exhaustion that is the other side of autism. “The deaths of Rene Ogden and her teenage twins, Chase and Olivia, have been ruled a case of murder-suicide – and Michelle Linn isn’t surprised. … ‘I can tell you: As soon as I heard the story on the news and someone mentioned that a special ed bus went to their home, I thought, ‘murder-suicide-autism,” said Linn, board president for Alpine Autism Center, a private nonprofit treatment center. “I don’t condone it, but I can certainly relate. You always wonder, ‘Could that be me who snapped?’” … Or this From Lives Lost to Autism “Maryland Psychiatrist allegedly murders 13 year old with autism, self…” These are not the only ones, just recently another murder in the Bronx “Autism is Not The New Normal: Bronx Mother (Allegedly) Murders Autistic Son,” By Kim Stagliano. Care2.com asks the question: Why Did These Mothers Kill Their Autistic Children?”

Why did they?? I imagine it is because in the end they just snapped. They wanted to make ‘it’ stop. They wanted peace and quiet, they wanted PEACE, they wanted their children to be happy, they wanted to not be so exhausted.

The Care2 article has many comments, but one stands out from a married person with autism. Her point is this: “Needless to say, we don’t think being autistic condemns anyone to a miserable half life.” I just wonder if her parent’s thought that too.

From the person with autism I get it, this is normal, this is ok. In adulthood these folks can, will and do soar, they are genuine assets to society and have meaningful, warm, loving relationships. I get that, I really do, but from this side, I am not even trying for ‘normal’ – I know in my heart I am eventually going to have raised a moral, self sufficient, contributing member of society, but mostly right now I am trying for tantrums that don’t last for 10 hours, for clothes that don’t restrict and come flying off at inappropriate moments, I am trying to keep dirty flip flops from being chewed, trying to stop a sister being used as a punch bag, trying to keep up with life on limited sleep because it is interrupted every night. I want to go on vacation and not consider everything from scratchy sheets, to windows without balconies to food choices and where to eat. I want to go to dinner and enjoy a family fun restaurant without worrying about over stimulating noises or other children being annoying.

I have posted this before, but it’s still true, both my son and I would like a day off, not a day off from each other, but a day off from whatever it is that keeps him spinning this way. He needs a break. Thankfully I have many resources, my parents recently moved here to help out, my husband is 100% on board with parenting, we have limited financial resources but relatively good health insurance, most of all we have support from our family and friends. What if we didn’t? What if it were just me and my kids? What would I do then? What would I do then?

 

 

 

 

 

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