The Westview School Blog
The transition between childhood and adolescence can be a confusing and difficult time for children. Things are beginning to change on a mental, physical, emotional, and social level. Autism adds another complicated layer of development to these already challenging times for children. As a parent, you may wonder how you can best support and help your teen navigate these years. It comes with a myriad of questions: Are these behaviors normal? Should it be happening this early? How long will this last? Is this autism or hormones? Should I be concerned about a particular behavior? What can I do about it?
There are a few things to take into consideration. First, parents should determine whether new behaviors are actually due to autism or simply part of typical adolescent behavior. Also, parents need to consider if these changes reflect their teen’s individual personality and preferences. To make things more complicated, it could be a combination of all the above.
Typical Adolescent Behavior
To better distinguish between which behaviors are due to typical adolescent behavior versus autism adolescent behavior, let’s look at what typical adolescent behavior looks like:
- Physical changes include changes in hormones that can lead to new body hair or smells and increases in height and weight.
- Mental changes include developing more abstract thinking skills, using more logic and reason to make decisions, forming their own beliefs, questioning authority, and a heightened focus on physical concerns.
- Emotional changes include shifting moods quickly, feeling more intensely, and increasing risk-taking and impulsive behavior.
- Social changes include experimentation with different levels of social and cultural identity, increase in peer influence, awareness of sexual identity, and learning how to manage relationships.
Most children pass through this period of adolescence with relatively little difficulty despite all these changes. On an even more positive note, youth tend to be quite resilient when problems arise; this includes those with autism. Teens on the autism spectrum often thrive, mature, and increase their competence during this period of growth.
Tips For Parenting Your Teen on the Spectrum
Front Load Information: Our teens on the spectrum learn best when we can front-load them with logical and factual information. We need to be able to prepare them and teach them these life skills ahead of time. The truth is you will not be able to prepare them for everything but showing them the how, why, and what to do can support them through this transition. A simple one to tackle first is why we need to use deodorant or feminine products.
Share Experiences: Teens appreciate first-hand experience, so if you had difficulty navigating through a situation like theirs, then share your experience with them.
Answer Questions: Perseveration on any subject matter is common for children on the autism spectrum. When experiences are novel and uncertain, perseveration can sometimes increase and often cause heightened anxiety. This is not healthy or comfortable for any teen! Answering their questions, no matter how many questions there may be, will be helpful to your child. Also, offering solutions and assisting them in a calm, helpful, and consistent manner will convey that you care and validate their feelings.
Seek Outside Help for Your Child and Yourself: As parents, there is a tendency to tackle it all for your kids. However, during these adolescent years, it may be helpful and even more impactful for your teen to talk about these changes with someone other than you. This could be with a trusted family friend, relative, peer, or professional that the teen feels comfortable answering their questions.
You must also remember that you can build and rely on your support system to help you gain clarity from the fog of dealing with your teen daily. Parenting is hard, and these years with your child can be exhausting! Your community can offer support by letting you vent and sharing personal experiences. You are not alone.
Supporting and learning from each other is key to you and your kid's successful management of the teen years. This is true no matter how old they are. Parenting can be tricky. And life, in general, is not without its share of challenges. When parents and children work together to face changes head-on, we know that these struggles can produce perseverance, and perseverance helps build resilience for both you and your child.
As your child gets older and the teen years approach, it can seem daunting for parents, but as indicated above, there are ways to successfully support and help your teen through this time. If you want to learn more about individual or family therapy, please reach out to The Stewart Center at The Westview School. We are available to support you and your child.
Mimi Le, M.A., LMFT, LPC is a Licensed Marriage and Family Therapist and a Licensed Professional Counselor. She provides therapy and consultations for adults, parents, siblings, children, families, and groups. She received her Bachelor of Arts Degree in Art History from Baylor University and earned her Master of Arts Degree in Family Therapy from the University of Houston – Clear Lake. She specializes in autism spectrum disorder, trauma- and stressor-related disorders, anxiety disorders, depressive disorders, interpersonal relationships, and multi-generational and cultural matters. She also provides parent-coaching among her other duties as a Student and Staff Support Specialist at The Westview School.
Are mealtimes a battle? Does your child have a limited food repertoire or only eat one brand of food? Desperately seeking tips for a successful family mealtime? The Stewart Center has some Picky Eater experts on staff to share their favorite tips and best practices from hands-on experience working with some of the pickiest eaters and their families.
The first question many families ask is: Who can help? Eating is a multisensory experience. As adults, we forget the many factors involved in eating because it is such a routine task for most of us, but eating is a surprisingly complex process. Both speech and occupational therapists can play an essential role in supporting positive change in even the pickiest of eaters.
Abby Cook, M.S. OTR, and Alexandra (Ali) Nevins, M.S., CCC-SLP are part of The Westview School's Stewart Center team and are trained in the S.O.S. Approach to Feeding®. This approach is a sensory-based feeding intervention that moves students through a hierarchy of exercises designed to increase tolerance of various foods. The S.O.S. Approach to Feeding® was developed by Dr. Kay Toomey over 30 years ago. Her program has a high success rate in the diversification of diets of picky eaters.
Because eating uses every sensory system, from visual and tactile to vestibular and interoception, a multisensory approach to feeding therapy is the start to a recipe for success. Pun intended. The Stewart Center therapists are trained in evaluation and assessments and the facilitation of individual and group feeding therapy.
When it comes to feeding therapy, a speech therapist, like Ms. Ali, can assess and support the development of a child's oral motor and feeding skills, mechanisms of chewing and swallowing, oral motor structure as well as protecting the airway during the swallow, biting, and chewing phases of eating.
An occupational therapist (OT), like Ms. Abby, can help to develop a child's fine motor skills and coordination needed to move food from plate or hand-to-mouth. Skills such as grasping, utensil use, postural control, and musculoskeletal strength for positioning during eating are necessary for successful feeding. An O.T. can also observe and assess environmental factors, modify or make changes to support optimal focus and attention to eating. Both speech and occupational therapists will consider all of these factors when working with children with food aversions to identify how to best help an individual child.
Today, we want to offer some quick tips that you can implement at home now. When dealing with a picky eater, it is essential to examine three things – the environment, language, and behaviors we model. Start with a quick check by asking yourself these questions:
- Is there a smell or taste that is overwhelming or underwhelming to your child?
- Is the environment overstimulating?
- Is there background noise during mealtimes, such as television or music?
- Does your child have the opportunity to watch a sibling or parent eat and model typical feeding behaviors?
- Can your child manipulate a utensil successfully?
- Do you find yourself saying two more bites, and then you can go (i.e., play, watch tv, or play the IPad).
Try these tips to skip those mealtime battles and help your kiddo expand their palate and self-feeding skills.
Set Up for Success: Check Your ENVIRONMENT
- Seating tops the list of important environmental factors for a successful mealtime. Think 90-90-90. Hips, knees, and elbows should be at 90-degree angles while seated for eating. Stick to a sturdy chair or highchair at the table.
- Provide appropriately sized utensils at mealtime, and use fun phrases to initiate utensil use during mealtime like "Catch the food on the fork."
- Keep food portions small – especially with new foods. The new color, smell, or texture may be overwhelming! Always provide at least one familiar food item for your child to eat. Make sure to have some new options to try exploring, but a safe food should be just that - one that feels "safe."
- Keep regular mealtime routines to lower stress and keep expectations clear for everyone.
- Have your child throw away their uneaten food items in the trash. This gets them one step closer to interacting with food, even if it is to throw it away.
- Limit both visual and audible distractions during mealtime. Television, music, and iPad can detract from your child's ability to observe typical eating and self-feeding.
- Model it! Eat meals together as much as possible. Children need to see visual models of typical eating behaviors.
Hungry for LANGUAGE. While your focus may be on what should be going in your child's mouth, what comes out of yours matters just as much.
It might be time to flip the script if you have said one of the following to your picky eater: "Clean your plate." "You have to take two bites to leave the table." "Good job eating that." "Finish your food before (i.e., T.V. or Dessert)." These phrases can unwittingly up the anxiety during mealtime.
Instead, use some alternate words/phrases that keep mealtime stress-free and fun.
- In response to, "I'm not going to eat that!" ask, "What can you do with the cheese stick?" It helps to give an example: "Can you make a mustache or wiggle it like a wobbly worm?"
- "What can you catch on your fork?"
- "Does that food have a big flavor?"
-Encourage your child to say, "I'm still learning about that." instead of "I don't like that!"
Your mother may have said, "Don't play with your food!" but when it comes to a picky eater, it might be time to change your BEHAVIOR around eating.
- Model eating and be PLAYFUL! Make food fun! Make it ok to "play" with your food. Parents can model food interactions that go beyond simply eating; encourage play during mealtime. Some examples of play can include: placing food on body parts, making a noodle into a worm, using crackers to build a sandwich, digging for gems in jello or pudding, and using food as a mustache or a long tongue.
- Avoid forcing your child to take a bite or a drink of something. This sets up an unwinnable power struggle.
- Avoid tricking your child with foods or beverages. As therapists and parents, we need to build and maintain a child's trust-related to food and drinks. When we "sneak" a new vegetable or drink into a familiar dish or a preferred cup, it can disrupt trust and turn a child off from a preferred food altogether.
We hope that these tips help you gain confidence and avoid some pitfalls at mealtime with your picky eater. If you want to learn more about Individual or Group Feeding therapy, please reach out to The Stewart Center. Our team is passionate about working with our picky eaters, supporting their families, and having fun with food.
Parent & Caregiver Workshop (Free Full parent workshop video)
Learn from Dr. Toomey (the founder of the SOS Approach to Feeding) about why children don’t eat well and practical strategies for improving mealtimes in your home through the introductory video “When Children Won’t Eat (and how to help!).
Alexandra (Ali) Nevins, M.S., CCC-SLP is a Licensed Speech-Language Pathologist with the Texas Department of Licensing and Regulation and obtained a Certificate of Clinical Competence through the American Speech-Language-Hearing Association. Ali completed her Bachelor of Applied Science Degree from The University of Mississippi and received a Masters of Science in 2018 from Yeshiva University at The Katz School. In New York City, Ali worked as a clinical extern in the school system as well as at New York Neurogenic Speech-Language Pathology, P.C. Ali has been working full-time as an SLP at The Stewart Center at The Westview School since 2018. She has received continuing education training in SOS Approach to Feeding ® and Social Thinking ®.
Abby Cook, M.S., OTR is a Licensed Occupational Therapist with the Texas Board of Occupational Therapy Examiners and obtained certification through the National Board for Certification in Occupational Therapy. Abby completed her Bachelor of Arts degree in Psychology and Family Studies at St. Olaf College in Minnesota, and received a Master’s of Science in Occupational Therapy from the University of New England in Portland, Maine in 2017. Once in the Houston area, Abby started her OT career in Early Childhood Intervention for Brazoria County and has been full-time with the Stewart Center at The Westview School since 2018. Her continuing education training includes SOS Approach to Feeding ® and introductory coursework in The DIR/Floortime Approach®.
Learning about Finley's Autism diagnosis at age three was overwhelming. I cried because I was scared and didn't know what it meant for Finley or our family. His whole life flashed before my eyes. Would he be ok? Would he be happy? Could he enjoy himself and his family and friends?
Finley was our first child. As I reflect on the time of his diagnosis and the years following, our world quickly became intense and stressful. Our singular focus was to get Finley everything we thought he would need to develop. The right school, the right therapists, the right activities.
When Finley was 6 or 7, I noticed that he communicated better with me (and his mom and younger brother) than he did with others. I realized that he was comfortable making eye contact with us, but not others. It became clear that the comfort of the family bond was helping him communicate better with us.
It was a lightbulb moment. I realized how important my relationship with Finley was to his development. With me, he had a "head start" and was more expressive. He gave more within our family unit than he could give to the world around him. Our relationship blossomed, and it was reciprocal. I was finally open to receive from Finley what all parents experience - the joy of seeing the world through their child's eyes. And, as our connection grew, I could clearly see how meaningful our relationship was for him. Being present and meeting him where he was socially and emotionally was me showing up for Finley in the best possible way. It was my job to give him the opportunity to have experiences and make memories when he was most comfortable and able to be himself. And this is when Finley is at his best. This is when Finley can take it all in. As a dad, watching this happen... well, it can be thrilling.
And, while I can still get anxious when I think of Finley's future, spending time with him now is something that gives me comfort and joy. And I am not near as anxious as I used to be, because I know he is well on his way to being the best person he can be.
Finley says that the weekend is "when I don't have to go to school, and you don't have to go to work." It feels great when someone else is excited to spend time with you on the weekend. So, I'm really looking forward to this weekend and spending time with Finley. We may go golfing on Saturday with his brother and grandpa. On the golf course, Finley likes to drive the cart, and I like to be his passenger.