Welcome to the January edition of Ask Dr. Emily! We often receive questions that we want to share with all our readers. To help with this, Dr. Emily Rastall, a clinical psychologist at Seattle Children’s Autism Center, will share insights here, on the last Friday of each month, in a question and answer format. We welcome you to send us your questions and Dr. Rastall will do her best to answer them each month. Send your questions to firstname.lastname@example.org.
Q: Is it possible for an 18 month old boy to sometimes act having all the signs described about autism then some other times he acts completely normal? I can not express how irregular his behavior is. Does that mean he has a variation of autism or some other disorder or is it just his personality at this age? Read full post »
Welcome to the September edition of Ask Dr. Emily! We often receive questions that we want to share with all our readers. To help with this, Dr. Emily Rastall, a clinical psychologist at Seattle Children’s Autism Center, will share insights here, on the last Friday of each month, in a question and answer format. We welcome you to send us your questions and Dr. Rastall will do her best to answer them each month. Send your questions to email@example.com.
Q: I am a nanny and have taken care of many children who are diagnosed with autism. My grandson also has a diagnosis of autism. At times, when I set a limit (like with portions of food), my grandson and some of the children I care for have a hard time accepting “no.” I try to stay calm and maintain the limit, but sometimes the situation escalates to yelling, hitting, or pushing. What is going on and is there something I can do to handle this better? Read full post »
To date, our most popular blog is Why Do Kids with Autism Do That? Not surprising I suppose, as we are always trying to figure out why our kids do what they do. We gathered more puzzling questions for our panel of providers and invite those of you who offered your own insight and perspective last time to join in. This time we asked Brandi Chew, PhD, Jo Ristow, MS, CCC-SLP, and Soo Kim, MD to share their thoughts and this is what they had to say . . .
Why do some kids with autism . . .
Learn unevenly – seem to take one step forward and then one back
Jo: The answer to this question could fill a book! In my practice, I see a lot of this unevenness when kids have difficulty translating (or generalizing) learned skills to different people, environments and items/activities. For instance, I’ve seen kids learn that they can touch a photo on the iPad to activate voice output and request a Skittle, but then not be able apply that learning to touching different photos Read full post »
As we turn toward the long summer months, many parents of children with autism are busy filling out summer program forms. If you are like me, you pause when you get to this section:
Does your child have any behavioral concerns?
Why do I pause at this question…?
First of all, I usually marvel at how little space is provided to answer such a complex question. My son’s Behavior Intervention Plan is nine pages long!
Second, the answer for my son is YES, he does have behavioral concerns. I’ll admit to being afraid to list his specific challenging behaviors for fear of being excluded from the camp. I’m tempted to simply write “some” with a little smiley face and leave it at that—-but this would be unfair to everyone— Read full post »
Dr. Mendy Minjarez
Researcher and clinical psychologist at Seattle Children’s Autism Center, Dr. Mendy Minjarez, along with researchers at Lucile Packard Children’s Hospital Stanford, show in a recent study that parents, in a group setting, can learn Pivotal Response Training (PRT) to effectively increase motivation and language skills for their child with autism. Typically, PRT has been taught to parents in individual therapy sessions, but this research demonstrates that it can be just as effective when taught in a group setting.
In a previous blog, Minjarez describes PRT as a naturalistic behavioral intervention. She explains, “PRT utilizes the principles of ABA (Applied Behavioral Analysis), such as reinforcement, but also incorporates developmental principles, such as following the child’s lead in intervention. Rather than applying ABA principles in a highly structured way, as in discrete trial training, in PRT parents are taught to embed ABA teaching principles into interactions with their child to enhance learning.”
To read more about the study and PRT, please see Seattle Children’s blog On the Pulse.