FRAGILE WORLD ON THE SPECTRUM



                      MY WORLD IS “CONFUSING” AND “OVERWHELMING”!!



 OVERWHELMING                    WEAK & FRAGILE                         STRESS                      FIGHT, FLIGHT,
 ENVIRONMENTAL                   NERVOUS SYSTEM                       OVERLOAD!                      OR FREEZE!
    DEMANDS

                             o Sensory defensive; over-reacting     o Build up of stress          o Shut-downs: Withdraw;
o Too much, too fast!          to stimulation.                        chemicals.                    unresponsive; nervous
o Too loud, too bright!      o Poor registration of information.    o Feeling confused,             system shuts down in
o I don’t understand!        o Problems integrating senses.           overwhelmed.                  order to rebound.
o What do they mean?         o Becomes overloaded easily.           o Feeling frustrated,         o Meltdowns: Tantrums,
o I don’t know how to act!   o Poor digestive and weaken              anxious and scared.           aggression, property
o What is expected?            immune systems                       o Break down of                 disruption, self-abuse,
o How should I respond?      o Areas of brain do not work well        thought processes and         all in attempt to release
                               together to give meaning to event.     ability to regulate           stress chemicals and to
                                                                      emotions.                     escape/avoid stressors.



PLEASE HELP ME TO UNDERSTAND AND FEEL SAFE, ACCEPTED, AND COMPETENT!!


                                                                                              Author: Bill Nason
SOURCES OF STRESS



  I Don’t Understand!               Sensory Overload!                  Social Performance
    Cognitive Deficits
                                                                         Expectations!
                                    o Too bright, too loud,
o Delayed informational               too strong, too much!.
                                    o Difficulty integrating      o Strong social anxiety
  processing.
                                      sensory input.              o Difficulty reading and
o Difficulty processing
                                    o Over or under aroused.        interpreting social cues.
  multiple information.
                                    o Sensory overload!           o Impaired ability to understand
o Focus on detail, often
                                    o Physical demands too          intent and perspective of others
  missing the big picture.
                                      difficult.                  o Hard to coordinate and repair
o Rigid, inflexible thinking.
                                                                    interaction.
o Problems processing rapid
                                                                  o What is expected?
  change, shifting gears
                                                                  o What is he saying?
o Difficulty planning,
                                                                  o What does he mean?
  organizing and following a
                                                                  o What should I say?
  plan of action.
                                                                  o How should I act?.
o Trouble understanding what
                                                                  o Interaction moving too fast!
  is required.
                                                                  o I DON’T WANT TO STAND
o Must process too much, too
                                                                    OUT!
  fast!                               CONFUSED!                   o Often unaware of how behavior
o Need simple, concrete, visual
  instructions.                     OVERWHELMED!                    is seen by others.
                                     FRUSTRATED!
                                       SCARED!
                                       ANXIOUS!



     Poor Emotional                                                     Structured Routine
        Control
                                                                     o Demands of routine, too
                                                                       much, too fast.
 o Poor frustration tolerance.                                       o Transitions/change is hard.
 o Poor self control.                                                o Difficulty understanding
 o Often anxious, easily               Communication
                                                                       rules, roles & expectations.
   upset, disorganized.                                              o Need rigid schedule that is
 o Unpredictable emotional          o Difficulty processing            familiar and predictable.
   outbursts.                         what others are saying.        o Avoids novelty and change.
 o Difficulty identifying,          o Problems reading non-          o Difficulty with mediating
   interpreting, & regulating         verbal communication.            time and schedule
   emotions.                        o Very literal; cannot read      o Unexpected shifting gears.
                                      between the lines.             o Unstructured time causes
                                    o Trouble formulating a            stress.
                                      verbal response.
                                    o Problem communicating
                                      feelings, needs and
                                      wants.
                                    o Verbal skills deteriorate
                                      when upset!



                                                                           Author: Bill Nason
STRESS REACTION



                    SENSORY DEMANDS
                      (STRESSORS)


TASK DEMANDS                          SOCIAL DEMANDS
 (STRESSORS)                            (STRESSORS)




                       HELP!!!!
                CONFUSED! OVERWHELMED!
                   (INSECURE! UNSAFE!)




               INCREASED STRESS CHEMICALS
                      (ANXIETY)




                FIGHT OR FLIGHT RESPONSE
               (SHUT DOWN OR MELT DOWN)


                                             Author: Bill Nason
STRESS REDUCTION



                                      Calm and Organize
                                       Nervous System
                                  o Reduce stimulation
                                  o Provide calming input
                                  o Deep pressure to calm
                                  o Proprioception to organize
                                  o Slow vestibular as
  Reduce Confusion                                                      Reduce Social
                                    tolerated.
                                  o Physical activity to release          Demands
o Reduce demands                    stress chemicals
o Slow down, one step at a        o Sensory diet to calm and       o Encourage and support,
  time.                             organize nervous system          but do not pressure.
o Keep directions simple,                                          o Help interpret intent and
  concrete, with visual cues.                                        expectations of others.
o Don’t assume child                                               o Assume social anxiety.
  understands; provide                                             o Role play and/or guide
  added support.                                                     through interaction
o Preview and review often.                                        o Use social stories
o Ensure concrete beginning                                        o Awareness training for
  and end to tasks.                                                  peers.




     Support When                                                        Structured Routine
       Agitated
                                                                     o Consistent, predictable
 o Intervene/support at first                                          routine.
   signs of agitation.                                               o Visual schedule
 o Remove demands, slow                                              o Slow down, space out
   down, stay calm.                                                    activity.
 o Be supportive not punitive           PLEASE HELP                  o Tailor demands/expectations
 o Help child calm and feel                ME….                        to maximize success.
   safe.                                                             o Minimize fatigue, sensory
 o Coach alternative                                                   overload
   responses.                           FEEL SAFE &                  o Support for transitions
 o Provide “safe area” to               ACCEPTED!!                   o Preparation for
   escape to when anxious                                              novelty/change
 o Help problem solve if                                             o Patterned routine and
   calm enough.                           FEEL                         demands to individual needs
                                       COMPETENT!!




                                                                               Author: Bill Nason

Fragile World On The Spectrum

  • 1.
    FRAGILE WORLD ONTHE SPECTRUM MY WORLD IS “CONFUSING” AND “OVERWHELMING”!! OVERWHELMING WEAK & FRAGILE STRESS FIGHT, FLIGHT, ENVIRONMENTAL NERVOUS SYSTEM OVERLOAD! OR FREEZE! DEMANDS o Sensory defensive; over-reacting o Build up of stress o Shut-downs: Withdraw; o Too much, too fast! to stimulation. chemicals. unresponsive; nervous o Too loud, too bright! o Poor registration of information. o Feeling confused, system shuts down in o I don’t understand! o Problems integrating senses. overwhelmed. order to rebound. o What do they mean? o Becomes overloaded easily. o Feeling frustrated, o Meltdowns: Tantrums, o I don’t know how to act! o Poor digestive and weaken anxious and scared. aggression, property o What is expected? immune systems o Break down of disruption, self-abuse, o How should I respond? o Areas of brain do not work well thought processes and all in attempt to release together to give meaning to event. ability to regulate stress chemicals and to emotions. escape/avoid stressors. PLEASE HELP ME TO UNDERSTAND AND FEEL SAFE, ACCEPTED, AND COMPETENT!! Author: Bill Nason
  • 2.
    SOURCES OF STRESS I Don’t Understand! Sensory Overload! Social Performance Cognitive Deficits Expectations! o Too bright, too loud, o Delayed informational too strong, too much!. o Difficulty integrating o Strong social anxiety processing. sensory input. o Difficulty reading and o Difficulty processing o Over or under aroused. interpreting social cues. multiple information. o Sensory overload! o Impaired ability to understand o Focus on detail, often o Physical demands too intent and perspective of others missing the big picture. difficult. o Hard to coordinate and repair o Rigid, inflexible thinking. interaction. o Problems processing rapid o What is expected? change, shifting gears o What is he saying? o Difficulty planning, o What does he mean? organizing and following a o What should I say? plan of action. o How should I act?. o Trouble understanding what o Interaction moving too fast! is required. o I DON’T WANT TO STAND o Must process too much, too OUT! fast! CONFUSED! o Often unaware of how behavior o Need simple, concrete, visual instructions. OVERWHELMED! is seen by others. FRUSTRATED! SCARED! ANXIOUS! Poor Emotional Structured Routine Control o Demands of routine, too much, too fast. o Poor frustration tolerance. o Transitions/change is hard. o Poor self control. o Difficulty understanding o Often anxious, easily Communication rules, roles & expectations. upset, disorganized. o Need rigid schedule that is o Unpredictable emotional o Difficulty processing familiar and predictable. outbursts. what others are saying. o Avoids novelty and change. o Difficulty identifying, o Problems reading non- o Difficulty with mediating interpreting, & regulating verbal communication. time and schedule emotions. o Very literal; cannot read o Unexpected shifting gears. between the lines. o Unstructured time causes o Trouble formulating a stress. verbal response. o Problem communicating feelings, needs and wants. o Verbal skills deteriorate when upset! Author: Bill Nason
  • 3.
    STRESS REACTION SENSORY DEMANDS (STRESSORS) TASK DEMANDS SOCIAL DEMANDS (STRESSORS) (STRESSORS) HELP!!!! CONFUSED! OVERWHELMED! (INSECURE! UNSAFE!) INCREASED STRESS CHEMICALS (ANXIETY) FIGHT OR FLIGHT RESPONSE (SHUT DOWN OR MELT DOWN) Author: Bill Nason
  • 4.
    STRESS REDUCTION Calm and Organize Nervous System o Reduce stimulation o Provide calming input o Deep pressure to calm o Proprioception to organize o Slow vestibular as Reduce Confusion Reduce Social tolerated. o Physical activity to release Demands o Reduce demands stress chemicals o Slow down, one step at a o Sensory diet to calm and o Encourage and support, time. organize nervous system but do not pressure. o Keep directions simple, o Help interpret intent and concrete, with visual cues. expectations of others. o Don’t assume child o Assume social anxiety. understands; provide o Role play and/or guide added support. through interaction o Preview and review often. o Use social stories o Ensure concrete beginning o Awareness training for and end to tasks. peers. Support When Structured Routine Agitated o Consistent, predictable o Intervene/support at first routine. signs of agitation. o Visual schedule o Remove demands, slow o Slow down, space out down, stay calm. activity. o Be supportive not punitive PLEASE HELP o Tailor demands/expectations o Help child calm and feel ME…. to maximize success. safe. o Minimize fatigue, sensory o Coach alternative overload responses. FEEL SAFE & o Support for transitions o Provide “safe area” to ACCEPTED!! o Preparation for escape to when anxious novelty/change o Help problem solve if o Patterned routine and calm enough. FEEL demands to individual needs COMPETENT!! Author: Bill Nason