Strategies to consider include distraction, diversion, helping the person use calming strategies such as fiddle toys or listening to music, removing any potential triggers, and staying calm yourself.
It doesn't last long but once triggered, there's no stopping it. Meltdowns are emotional avalanches that run their course whether you or the autistic person having it likes it or not.
The model includes six phases: Calm, Triggers, Agitation, Meltdowns, Re-Grouping, and Starting Over.
Nonetheless, medicines such as risperidone and aripiprazole can be beneficial in ways that can ease these core symptoms, because relieving irritability often improves sociability while reducing tantrums, aggressive outbursts and self-injurious behaviors.
Calming activities to try
Use of body sock/lycra material to wrap the child in. Light touch/hard touch (depending on the child) – have the child brush a feather over their arms, or squeeze their arms with their hands for deep pressure.
Two types of reaction are typical of autism meltdowns – an explosive reaction or a withdrawal. Explosive reactions may involve screaming, shouting, aggressive behaviour or crying. On the other hand, less explosive reactions may include refusing to communicate or interact, withdrawing themselves or shutting down.
Sensory overload, changes in routine, social isolation, co-occurring conditions, and lack of support can all exacerbate the symptoms of autism. However, with early intervention, therapy, and support, individuals with autism can manage these challenges and improve their quality of life.
Although your son's reaction sounds more severe than most, many people with autism struggle with a range of fears, phobias and worries. These can range from a debilitating fear of, say, spiders or the dark to chronic anxiety about making mistakes or being late.
Many autistic people experience hypersensitivity to bright lights or certain light wavelengths (e.g., LED or fluorescent lights). Certain sounds, smells, textures and tastes can also be overwhelming. This can result in sensory avoidance – trying to get away from stimuli that most people can easily tune out.
Lithium is another option for children and adolescents with ASD who present with symptoms of a mood disorder, such as elevated moods/euphoria, mania, and paranoia, whether accompanied or not by irritability.
Meltdowns can last from minutes to hours. Meltdowns are not your child's way of manipulating you: Meltdowns are emotional explosions. Your child is overloaded and is incapable of rational thinking.
There are generally three stages to a meltdown; the build up, the meltdown/shutdown and recovery. This is also known as the anxiety and defensive stage. It usually consists of physical, verbal and behavioural signs.
Positive reinforcement can go a long way with children with ASD, so make an effort to “catch them doing something good.” Praise them when they act appropriately or learn a new skill, being very specific about what behavior they're being praised for.
Hobbies such as collecting stamps, playing cards or board games, drawing and photography can also provide opportunities for enjoyment, as well as increased self-confidence and motivation individuals on the spectrum.
Meltdowns are not behavioral responses and generally aren't used to attain a specific outcome. The reaction is involuntary and cannot be controlled as intense emotions take over, and tension build-up is released via stimming, repetitive movements, zoning out, screaming, crying, stomping, etc.
Untreated autism causes changes in brain function that make it more difficult for the person to control impulsive behavior or think rationally about their actions before they act on them. This can lead to situations where ASD adults are unable to live alone and take care of themselves without assistance.
Kids with autism experience “deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to the absence of interest in peers (DSM-5).”
Most children with autism respond well to structured discipline, perhaps due to their desire for sameness and routine. Consistent discipline can also alleviate some of your child's anxiety, a common characteristic of autism. Consistent outcomes help children feel secure and confident in their choices.
The rumbling stage or the anger build-up stage includes repetitive behaviors such as rocking and pacing, covering ears with hands, suddenly becoming very tense, and threatening others. The rage stage will occur if anger is not internalized in the rumbling phase and may turn into aggression.