Published:

10/07/2012 12:22am

A Dozen Ideas to Manage Your ASD Child's Repetitive Behaviors

There are many things we do to stimulate or calm our senses. We rock babies to soothe them and we sing or hum to ourselves in the shower, we fan ourselves to cool off when we are hot, and we hug and kiss others to give and receive comfort. When we want to increase or arouse our senses we often run or engage in some form of physical activity or exercise, or we may turn the music on loud to get in a party mood and dance. Most of these behaviors are seen as appropriate if carried out at the proper time and in the proper place.

Then there is the term 'stimming', often associated with Autism, which conjures up a more negative image. The term 'stimming' or 'stim' cannot be found in the Merriam-Webster Dictionary but is defined by Wikipedia as "a repetitive body movement, such as hand flapping, that is hypothesized to stimulate one or more senses".

In the world of Autism 'stimming' is known as any type of repetitive, stereotypical behavior engaged in to alleviate or increase sensory input. It is derived from the verb; to stimulate; to provide stimulation in order to get a response, make someone interested, more alert or engaged in something.

We all engage in sensory regulation - behaviors that seek to arouse or calm our nervous system and there are many that are approved by our culture but we don't refer to all of them as 'stimming'. Is stimming just another word for patterns of self-regulatory behavior that are unacceptable? Depending what form the behavior takes and how often it occurs it could be seen as normal - a way to help a person function, or abnormal - a pattern of obsession.

Every child whether on or off the Autism spectrum, will attempt to modulate his or her sensory experience as they interact with their world. Only ten percent of children with an Autism Spectrum Disorder (ASD) actually engage in what we now call 'stimming' - exaggerated self-stimulation. Many of these activities would be considered outside the norm, such as hand flapping, spinning, toe-walking, licking objects, tracking hand movements or sniffing foods, items or people, to mention a few.

Unfortunately these activities can be embarrassing and even stigmatizing because our culture does not yet understand Autism. Many individuals who are not touched by Autism, and even some of those who are, fear anything that is odd, different or left or right of the so-called norm. The hope is that tolerance and better understanding will come but what is a parent to do in the meantime?. ..

It is very important that you discuss these behaviors with your child's Occupational Therapist and follow his or her recommendations. If your child does not have a qualified OT, find one. Make this a priority regardless of insurance coverage. Whatever money you may need to expend, you will get a wonderful return on your investment. A qualified occupational therapist will be able to create a customized sensory diet for your child that will not only help reduce 'stimming' behaviors but will address emotional meltdowns and much, much more.

While you are shopping around for an occupational therapist there is much you can do yourself. You are the expert on your child! You alone hold the key to unlocking his or her world - the more you understand, the better you will be able to maximize his or her potential.

In addition, any occupational therapist you currently have or are about to acquire will appreciate any and all of the information you can provide from the suggestions below. Here are a dozen ideas to help you understand and manage what some call 'stimming' behaviors in your child.

1. Conduct a detailed review. When solving any problem, I you to begin with a thorough assessment of your child's behaviors. Is there a behavior that interferes with daily living such as his ability to pay attention? Are there any behaviors that negatively impact her social life? Are any of these behaviors obsessive?

2. Seek to understand the function of these behaviors. It is important to remember that most of these are unconscious and they occur involuntarily to some degr