Make adaptations to the environment where possible, for example lower unnatural light if too harsh. Try noise-cancelling headphones to reduce sensory overload. Use sensory tools and stimming to reduce anxiety levels, if that works for you. Try relaxation methods such as meditation, mindfulness, yoga and exercise.
Talking therapy
Clinical trials have shown that cognitive behaviour therapy (CBT) is effective for anxiety disorders in children and young people with autism. Self-help programmes based on CBT can also be effective to help parents and carers or autistic people reduce anxiety.
Some symptoms of anxiety overlap with symptoms of autism. This can make anxiety more difficult to identify in a person with autism. A person experiencing anxiety may lose their appetite or eat more than normal. They may struggle to fall asleep or stay asleep.
Sensory situations that may provoke anxiety can include: Crowds - school assemblies, concerts, field trips, grocery store, etc. Space - too large, too crowded, too bright, too loud, too smelly, etc. Sounds/noise.
It is well documented that autistic people may have additional sensory processing difficulties, such as sensitivity with sounds and touch. Feeling like one is being constantly bombarded by sensory stimuli can be extremely anxiety provoking (Wigham et al, 2015).
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.
The SSRIs most commonly prescribed to autistic people are fluoxetine and sertraline. Sertraline is often the top choice because its side effects are milder than those of other SSRIs and because it has fewer interactions with other drugs.
Medication can help with behavior issues, which can make it possible for a child to stay at home or continue in school rather than going into residential care. The only medications approved by the FDA for children with autism are Abilify and Risperdal.
For those with autism, anxiety drugs are best used in combination with behavioral interventions. Among high-functioning individuals, they may be particularly effective when combined with cognitive behavioral therapy.
A few different factors converge to explain why autistic people have an “overly full head” and disorganized thoughts, as well as why we may be scatterbrained, quick to lose oversight, and more prone to overstimulation and dysregulation. All these factors are likely caused by overconnectivity in the brain.
In addition to sensory triggers, certain chemicals found in everyday household products like cleaning supplies or air fresheners can also aggravate symptoms of autism. These chemicals include phthalates and bisphenol A (BPA), which have been shown to disrupt hormones and affect behavior in animal studies.
Vasa, a child psychiatrist who specializes in both anxiety and autism. "The standard treatments for autism – speech therapy, occupational therapy, and special education – are not going to target fears and anxiety." And it's important to do so. "Anxiety can make autism symptoms worse.
Luvox, Prozac, and Celexa belong to a class of antidepressants called selective serotonin reuptake inhibitors, or SSRIs. Decisions about these drugs should be made on "a case-by-case" basis for obsessive-compulsive disorder and anxiety in adults with autism, the Cochrane reviewers concluded.
Among those with autism, common triggers include disturbing breaks in routine, lack of sleep, jarring “sensory stimuli” (noises, lights, or smells) or even undiagnosed mental health problems. Clearly, it's important to look beyond the behavior itself to identify the underlying cause.
In conclusion, autism does not necessarily get worse with age, but the symptoms can change over time. Some people with autism may experience new challenges as they enter adolescence and adulthood, but with appropriate support and treatment, they can manage their symptoms effectively and lead fulfilling lives.
Although this can sometimes feel challenging, it is important to recognize three very simple factors that every person with ASD needs: safety, acceptance and a sense of competence.
Create a calm environment by removing distractions, clutter, and loud noise. Relaxation techniques—such as counting to 10, deep breathing, or exercise—can also help calm someone with autism in a moment of stress. Also consider using calming apps to help control anxiety and other powerful emotions.
It's important to remember that everyone's definition of "normal" is different. For some people with autism, a normal life may mean attending college, pursuing a career, and starting a family. For others, it may mean living independently, participating in hobbies and interests, and forming close friendships.
Many autistic people have intense and highly-focused interests, often from a fairly young age. These can change over time or be lifelong. It can be art, music, gardening, animals, postcodes or numbers. For many younger children it's Thomas the Tank Engine, dinosaurs or particular cartoon characters.
These interests are extremely common among people with autism: 75 to 95 percent have them. An interest may involve collecting items such as postcards or dolls, listening to or playing music in a repetitive way, or focusing intensely on a narrow topic, such as insects fighting.