Learning how to use the toilet is a pivotal skill for every child, and one’s “readiness” can widely vary. ABA therapy can help children with autism and other delays master the potty with positive reinforcement.
Toilet training is all too often a frustrating and sometimes tearful experience for many families and children. Parents understand it’s a critical milestone that allows their child to participate in so many activities with reduced risk of negative consequences like as social stigma, poor personal hygiene and discomfort.
Recognize that many typically-developing children struggle with this. A child with autism spectrum disorder is going to have even more difficulties due to challenges with language and communication, sensory processing, motor planning, social skills/ social thinking and behavioral control. It will take more time – and that’s Ok. But with a solid, consistent plan, it will happen.
FOCUS is gearing up to begin offering applied behavioral analysis, or ABA therapy (behavior therapy), to children in Southwest Florida. ABA is one of the most effective early intervention treatments for children with autism spectrum disorder and other conditions. Behavior therapy rewards positive behavior, and can be applied to a host of life aspects, including nutrition.
A 2014 study of 6,000 children and teens on the autism spectrum revealed they are more than twice as likely to be overweight and five times as likely to be obese as their typical peers, which in turn translates to many other associated health issues. A more recent study of nearly 50,000 children with autism in the U.S. revealed much higher rates of conditions often associated with obesity, including high cholesterol and hypertension.
Researchers speculate there could be several different issues going on. Things that can make them susceptible to unhealthy eating patterns include:
- Heightened senses;
- Aversion to new tastes and textures;
- Higher rates of gastrointestinal and sleep issues;
- Higher likelihood of being on medications for anxiety, depression or epilepsy that can affect weight gain;
- Fondness for routine.
Further, they tend to have social and motor skill impairments and have an affinity for screen time, which can result in limited physical activity. What’s especially concerning is that a 2015 study found that unlike a lot of typical children who outgrow their weight problems in their teens, children with autism too often do not. We aim to help change that.
Part of what our pediatric therapists at FOCUS Fort Myers work on with all “our kids” is regulation of emotional responses. Let’s face it: We all get angry. It takes time to learn to control our responses, and even adults still struggle with it. It can be especially difficult for children who have been diagnosed with attention deficit hyperactivity disorder (ADHD). We recognize it;s also sometimes challenging for parents to walk the fine line between healthy expression of emotion and losing one’s temper. That’s true for ALL parents at some time or another, but it’s especially true for those with children who have ADHD.
But here is reason to keep trying: A recent study by researchers with The Ohio State University, published in the journal Clinical Psychological Science, found that when parents reduced harsh parenting approaches (i.e., criticism, yelling, physical punishment, etc.), it had a powerful calming effect on children with ADHD. By instead using positive reinforcement, kids were more responsive and cooperative.
The researchers delved into what they identified as the physiological markers of emotional regulation within children of preschool age who had been diagnosed with ADHD. They evaluated these markers after different types of parent and child disciplinary interactions. What they discovered was that when parents used less physical discipline, less yelling, etc., and instead focused problem-solving, their children responded better and the discipline was more effective.
A recent study published in the journal Pediatrics underscores the importance of early therapy intervention for children with autism spectrum disorder (ASD).
Ample previous research shows the sooner children with autism are able to receive services – including behavior therapy (applied behavioral analysis/ ABA), speech therapy and occupational therapy – the better their overall outcomes. The American Academy of Pediatrics recommends all 18-and-24-month children be screened for autism because intensive early intervention has been found to improve:
- Language Ability
- Social Interaction