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There's something about Autism and Youtube. While my evidence is anecdotal, children on the spectrum seem to have a special affinity for YouTube.  In fact, one of the questions I'm generally asked by people who know someone on the spectrum is "Does your son love Youtube?" The answer is a resounding yes.



Curtis has hijacked the YouTube account I started years ago and quickly uploaded about 60 original videos with 2,500+ views and counting. These include about 7 versions of "Sittin on Tha Toilet", with each version of the same song sung from a different bathroom, another 8 or 9 "funny sense of humor" videos ( with enough camera bounce to make even the strongest stomach queasy) and various video game walkthroughs that appeal to only the smallest of YouTube niche audiences.

Whether it's the ADD nature of YouTube or the access to virtually anything of interest Curtis is one child on the spectrum who can't get enough YouTube. Perhaps predictably, he also mimics the behavior of his friends who are prolific YouTube posters. He's taken to doing a roll call of shout-outs at the start or conclusion of his videos as he's seen friends do and takes leads from his friends posted material on how to do his own videos. Then there are the gems (some linked below) in the form of advertisements, original songs, and a special author's reading. I imagine most kids like YouTube but it would also make sense that those on the spectrum especially fond.

Curtis is also looking for subscribers, and agreed to take the picture above only when I told him I'd ask people to subscribe to his channel. So subscribe to his channel if you want to join his growing list of shoutouts.



 
 
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At Curt's most recent educational plan meeting, his support team and parents decided it was time to experiment with pulling back his 1:1 support. Effective recently, his support was pulled back to two hours a day instead of the full day support he had received through his first three years and fours months of school.

This limited amount of support was unfathomable in previous years. Curtis spent his kindergarten year trying to scale the playground fence to get away and the next two years clinging to a series of bracelets, necklaces, and other items to make him feel safe and comfortable at school. But this has been a year of great growth for Curtis evident to his home and school support, those in his classroom, around the school, and us at home.

Since starting with his new ed tech a couple months ago he has continued to progress. While forming a bond and trusting relationship with his new support person he has become less dependent on supporting staff in the classroom and relies more on help from friends and going straight to his teacher. On top of that, he has been spending three days a week in an after-school rec program with 25 kids and 2 or 3 adults in support. Not only has he been fine, he recently received a Kindness and Respect Certificate of Appreciation "in recognition of valuable contributions to the staff and kids in the after school recreation program". The feedback we get from the rec staff is glowing. They tell us his is consistently considerate of every kid in the program and is never unkind to anyone.

This isn't to say there aren't still issues at school and all is "normal". He still needs his dad to walk him into the school and not leave until there is a handoff to his support person. He has his friends, but still has issues regularly initiating appropriate social interactions with peers, has generally bad eye contact when speaking or listening, difficulty in large groups, difficulty doing group work without support, hard time handling music class or the cafeteria. difficulty closing out his day (packing up), and an assortment of other obstacles. But this pullback in support is a very gratifying thing for his parents. He is thriving in his classroom and keeping up with his peers and doing it with pride and a smile.

It can be a difficult sell to get a boy with classic autism into a mainstream classroom and expect a school to welcome the situation with open arms. But we always felt strongly that if we gave him all the training and support he needed from that first day of kindergarten that we would be working toward decreased support in the future and perhaps someday, no support at all. Reducing to two hours of support a day was a big step but we tried not to make it a big deal and Curtis is responding like it isn't one. And going from full day support down to two hours by 3rd grade provides validation to us that we knew what was best for him all along.






 
 
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Now in 3rd grade, Curtis will soon be expected to move on from the only ed tech he has ever known to help guide him though the school day.

Curtis and I started our closure processes last Friday. His growth this year and his ability to tap into every tool that we (as a support team) have instilled in him over the past few years has been very evident. I have said since day one that my goal with Curtis was to, eventually, work myself out of a job. Over the past 3 and a half years I have acted as a mirror for him, so that in an environment where he doesn’t exactly feel comfortable or know “what to do” he can look at me, model, learn and eventually live the behavior that is desirable.

We are at the point in our working relationship where continued growth will happen by being set “free” and exploring every tool he has learned to confront his fears.   I told him last Friday in the afternoon.  We packed up his school bag and said goodbye to his class an hour early. I told him that we were going to go for an old school walk – on the train tracks behind the school like we use to when he was younger and needed more running time and space from the chaos of a school environment..

I did inform one of his best friends in the room of this news earlier in the day so that when we did leave the classroom, he could give Curtis a big hug to (unbeknown to Curtis) make him feel good – to feel connected before the big news dropped. The look in his friends eyes as he was saying goodbye to Curtis for the weekend (knowing the news that I was about to share) spoke of the love and loyalty he has for Curtis. His friends, more then anyone, have made me feel the best about my decision to move on. They are ready to pick up right where up where I will leave off.

We made a stop by my car to grab the half dozen eggs that I brought, thinking he might want to chuck a few at a tree after he hears the news that Ms Barber was going on to another job. We stopped at a bench once we got to the trail and I told him that I had something important to tell him. I started by sharing some “remember when you when you first got to Presumpscot” stories to paint the picture of what he looked and acted like when I first meet him at school - timid, mute, anxious, confused, isolated and unpredictable. I then began to share a reminder of what my job was and is now – and how even that looks different because of how much growth he has undergone.

I told him that it was job to make him feel safe, secure, and comfortable at school so that he can learn.

And learning he has done – he has advance skills in math, reading, and writing.

I also mentioned how my job was to help him make friends and find the good (or the humor) in all those around us; he also has surpassed what his support thought was possible in this area. He has a very diverse school filled with friends of all ages and backgrounds that give him high fives daily, and some special ones that get the hugs. I finally told him that it is now my job to let him go when he was ready – and he may not be able to see it, but I can and it makes those around him very proud and happy and excited about the future.   

His first reaction was backing away from me and saying over and over again, “You’re joking Ms Barber – right? Say you’re joking. Don’t kid with me. Are you lying? ” He then wanted to know if  I didn’t like him anymore and wondering why I was quitting on him and quitting on my job. And his final verbal reaction was telling me that I wont like my job and I will be back working with him by April.

His nonverbal reaction was shredding leaves on the ground and tearing his snack bag with fury in his rambling and in his body language. Before we started to process all these thoughts on our walk, I wanted him to start throwing eggs. I did the first one to model – I threw an egg at a tree while also letting out my verbal feeling, “I am so nervous about this change!”  He then stepped up to the tree, nailing it smack in the middle with an egg saying, “I’m so angry at you Ms Barber!”

It will be the most important job I face over the next three weeks to work through every feeling he has around this transition and to help him into a more clear space. I gave the school a month notice so that I had plenty of time to honor all of these first reactions and leave him in a place where his skin is a bit thicker, he feels brave as an individual and is ready for the new support to come in - or at least ready to fake it.  He will continue to have full support in the classroom.  But it is my belief that, b/c Curtis is an out of sight, out of mind sorta guy, he will step up to the plate when I'm gone.

I have a feeling that he will come into himself as a individual more through this change and lean more from his friends. This ultimately has been my job all along -  to show him the joy of true connection and through this transition he will find his true connection to himself and to his peers.

Caron, 1:1 School Support

 
 
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Here's a reprint from the Huffington Post. Great article.

http://www.huffingtonpost.com/2012/09/27/autism-employment-white-collar-jobs_n_1916611.html


A few weeks ago, Matthew Koenig, 24, was doing data entry for below minimum wage at a supervised employment center for people with disabilities in St. Paul, Minn.

Koenig, who has autism, was happy to have a job in a tough economy, but soon realized the workplace wasn't well suited to him. His co-workers "had too broad of a range of [disabilities]," he said. "Some people had really serious problems."

Moreover, employees were graded using "a time study to measure efficiency," he said, "but the nature of my disability means I lack certain kinds of motor skills, so I can't type as quickly as other people."

A sleep disorder caused Koenig to be late a few times, and since then, "they haven't asked me to come in for a few weeks." He acknowledged that "part of it was my fault," but the combination of a menial job and an abrupt dismissal "made me feel like I'm not worth anything."

Koenig, who scored a 1450 out of 1600 on his SATs, knows this isn't true. "Despite my autism, I have good instincts about people, and I try to do the right thing," he said in a self-assured staccato. "I'm perfectly willing to stick around, and ultimately my goal in my career is to make sure the job gets done."

The simple, repetitive tasks of his last job didn't match his intelligence, needs or aspirations. Instead, he said he wants to use the unusual outlook afforded by autism to build a meaningful career in the tech sector.

"I'd like to help come up with ideas for entertainment and video games," he said, "because one of my strengths is that I have an unconventional train of thought that other people don't have."

Mindful and ambitious, Koenig is one of a growing number of young people with high-functioning autism who are increasingly focused on building meaningful careers. A cadre of groups have begun developing new ways to prepare these young people for white-collar jobs.

AN 'AUTISM TSUNAMI'

They face a daunting set of obstacles. Job prospects for adults with autism in the U.S. are crushingly bleak. Nationwide, their combined unemployment and underemployment rate is around 90 percent.

The employment situation owes much to the basic nature of autism spectrum disorders (ASDs). Typically diagnosed in early childhood, autism is a developmental disability that can impair communication skills, speech, fine motor skills and behavior. In very mild cases, symptoms may be limited to impaired social skills and difficulty registering empathy. In severe cases, individuals face enormous challenges with verbal communication, show little interest in other people, exhibit extreme sensitivity to light and sound, and develop obsessive behaviors.

Some researchers estimate that up to 1 percent of U.S. adults have ASDs -- about 3 million people -- but the range in severity and the historical stigmas surrounding autism have made it hard for scientists to collect population data. The unemployment estimates take the entire population into account, including those with severe symptoms.

There is currently no established cause of autism (though theories abound), nor is there a cure.

Another pressing mystery for researchers is why diagnoses of autism among children in the U.S. jumped 70 percent between 2002 and 2008 -- from one in every 150 kids to one in every 88. Autism Speaks, a large national nonprofit, has estimated that during the next 10 years, more than 500,000 young people with ASDs will turn 18.

But if current trends continue, many of them won't receive the basic education required to join the competitive workforce.

According to a 2011 study, only 56 percent of young adults with autism in the U.S. graduated from high school, and only 14 percent started college. How many graduated from college is unknown, but experts say it's likely to be fewer than half of those who started.

The high dropout rates among students with ASDs are due in part to the structure of school itself. People with autism often have difficulty meeting deadlines, managing their time and asking for help when they're confused -- all basic academic skills.

"Schools still struggle to understand autism and how it's different from other disabilities," said Peter Bell, executive vice president of programs at Autism Speaks. "One of the fallacies we have to overcome is that IQ is a meter of disabilities. In 2003, we learned that 60 to 70 percent of people with autism have average or above average intelligence, up from what was thought for decades to have been only 30 to 40 percent."

Despite the evidence, Bell said, some educators are still unequipped to address the needs of kids with developmental disabilities and above-average IQs.

"We clearly have a crisis looming," said Brenda Weitzberg, the founder of Aspiritech, a Chicago nonprofit that employs young adults with autism. She warns that unless there are adequate jobs available, even the most effective skills training will be of little use.

"I have no doubt that more of these kids are going to be better prepared" for high school and college, Weitzberg said. "But after they finish school, then what's going to happen to them?"

"Some people refer to it as the 'autism tsunami,'" said Bell. Unless more employment opportunities are created for people with autism in the coming years, hundreds of thousands of young adults with autism will join the ranks of the unemployed or underemployed.

THE NEXT BEST HOPE

The news isn't all bad. Two decades of well-funded research and treatment have produced young adults with autism who are better prepared to join the workforce now than ever before.

"The skill sets of these kids are so much higher than we ever gave them credit for and what people in the norm tend to give them credit for," said Gary Moore, founder of a recently opened autism career-training school, the nonPareil Institute, in Plano, Texas.

Bell at Autism Speaks noted much the same thing. "There's no question that there's a segment of the [autism] population that has tremendous skills and that can be quite successful in sectors that we never considered before," he told The Huffington Post.

For workplace disability researcher Laurie Gutmann Kahn at the University of Oregon, it's all part of a broader trend toward viewing "people with ASD as having a different way of navigating the world, which can be extremely useful in a variety of professions," she said.

Marc Lazar, program director at Aspiritech, takes it a step further. "There's a growing recognition that high-functioning ASD individuals have qualities that neurotypicals don't," he said. (The autism community coined the term "neurotypical" to describe someone who is not on the autism spectrum.) "They can find details that most people miss, they're able to focus for long periods of time, and they really savor specific kinds of work like software testing, lab work and proofreading."

All of which leads to one conclusion, in Bell's view: "The autism population represents a pool of potential employees that corporate America needs to explore."

This is where autism career-training programs come in. By focusing on those young people with autism who appear best suited to function in a competitive workplace, organizations like Aspiritech and the nonPareil Institute are offering a small group of high-functioning adults the opportunity to decide for themselves whether to integrate into the neurotypical world.

In Chicago, Aspiritech aims to prepare people for competitive workplace demands while they hone their skills on software testing. Since it was founded in 2008, Aspiritech has employed more than two dozen adults with high-functioning autism, most of whom still work out of its main offices. Weitzberg, the founder, said she is proud of the fact that they have 18 corporate clients, including a number of large U.S. companies with which Aspiritech has competitive contracts.

In Plano, a different model is being developed with the same goal: to prepare each of the school's students, who have high-functioning autism, for an individualized, personally fulfilling white-collar career. Founded in 2009, the nonPareil Institute operates as part university campus, part vocational center. Students learn the finer points of video game and computer app design, while also building up their social skills and life strategies.

Both programs are also designed to create cultures of self-determination and healthy personal ambition.

"I didn't have a professional life before I came to nonPareil," said Renee McMurtry, a 21-year-old student from Fort Worth, Texas, who was diagnosed with Asperger's syndrome. Today, she has "opportunities that didn't exist before. ... I see myself doing a lot in the next few years, making money and being successful."

SILENT BARRIERS

As the autism community rallies together to prepare young people for the workforce and for white-collar careers, many of the nation's biggest employers have yet to return the favor. A number of them are still wrestling with basic questions about hiring individuals on the autism spectrum.

As Matthew Koenig, the young man in Minnesota, put it, "the conveyor belt of traditional employment puts you at a huge disadvantage with high-functioning autism, because you talk the way you do, and that's an automatic strike one."

Under the Americans with Disabilities Act, it is illegal to discriminate against qualified job applicants because they have autism, but experts say widespread discrimination continues. "They still do it. They'll just find another reason not to hire the person [with autism]," said an autism advocate, one of a half-dozen activists and autism experts who spoke to HuffPost about the slow pace of integrating people with autism into the white-collar workforce. None were willing to speak about employment barriers on the record, however, citing the sensitive nature of the subject. Employers were equally reluctant to be identified as having hired people with ASDs for white-collar jobs, noting issues of employee privacy and potential legal liability.

The conversations revealed three distinct concerns about hiring people with ASDs that persist for some employers, serving as silent barriers despite the law.

First, employers worry that they don't know enough about autism in adults to wade into the community, lest they make a mistake. Two people also said some employers don't know how to discuss job expectations, performance issues and potential limitations comfortably and respectfully with employees who have autism.

Second, some white-collar employers expressed hesitation about the administrative steps in providing "reasonable accommodation" for someone with autism, a requirement under the Americans with Disabilities Act.

One such accommodation in particular was cited more than once as a source of frustration: autism-related "job coaches." People with autism often need more help adjusting to new jobs and responsibilities than neurotypical workers do, and the coaches help them navigate new workplaces and learn their tasks.

Coaches are typically paid for by state employment agencies, not the employers themselves. But in interviews with HuffPost, autism advocates relayed complaints they had received that job coaches were "disruptive and didn't fit in with the rest of the staff" and "didn't know their way around the office." In one situation, an employer said, "the coach just came in and did the guy's job for him, while he sat there."

Kahn, the University of Oregon researcher, defended the provision of additional support for people with autism early in a new job, even if it is sometimes inconvenient. "A person with autism might not understand that you're supposed to talk to people at the water cooler. In those situations, they need someone who can explain it to them," said Kahn, "and maybe coach them and say, 'People are going to ask you about your weekend when you're at the water cooler. If you want to, you can tell them, "I'm really busy and need to get back to work."' That's what they need to hear."

The third silent barrier to hiring people with autism is by far the thorniest. Employers said privately that company lawyers suggested that hiring someone with autism could put them at a greater risk for legal liabilities, as well as higher health care costs.

Last year, a San Diego-area Comfort Suites hotel paid $132,500 to settle an Equal Employment Opportunity Commission lawsuit filed on behalf of a front-desk clerk with autism, who said he had been illegally denied a job coach when he requested one. Cases like this one have apparently bolstered the myth that hiring people with autism is especially complicated or that people with autism are somehow less reliable and more risky than neurotypical employees.

"ASDs still carry the 'Rain Man' stigma for a lot of the general public," said an autism advocate who requested anonymity to speak frankly. "[Employers] are just covering their asses."

To this day, many Americans have never met a person with autism, and millions rely on stereotypes and movies for the bulk of their opinions about people with ASDs.

Yet a huge wave of high-functioning young people with autism, like Matthew Koenig, are beginning to explore the possibility of meaningful work. Members of this new generation have learned to view their diagnoses less as disabilities per se and more as different sets of abilities. As they push the limits of their potential, one at a time, they simultaneously push the ball forward for the entire autism community.

"The reality of having autism is that in order to find our strengths, you've got to get to know us," Koenig said. "It's like an onion. You have to peel back the layers."


 
 
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Birthday parties are often difficult for children with autism, ADHD, and Aspergers. There is a lot of pressure on these kids as to what is expected from them at these parties. The unexpected nature of the different party activites coupled with the inevitable stimulation overload can prove trying. Parents often struggle as well, sometimes from a staffing point as these kids typically have a hard time making and maintaining friendships at school, but also because the child's behavior is unpredictable at these parties and the experience isn't all that enjoyable for the parent either.

While Curt's birthday parties generally went well when he was younger, the past couple of years we have chosen to take him somewhere special for his birthday with just his mom and dad. This has been his preference and we've had a great time respecting his wishes not to have a party by visiting museums and aquariums to celebrate his birthday. But that doesn't mean Curtis can't throw a party. As long as everything is completely expected and as he planned it to be.

Curtis spent a little time each day last week planning a small surprise birthday celebration for his mom. It was out of character in that sense that he typically does not want to talk about birthdays and never parties. Things that occur just once a year are not things he enjoys. However, he continues to become a little more open to things as he ages and he took this party head on, planning every last detail of the party. He asked me to pick three things: East End Cupcakes (the best in Portland, ME), $38.91 in small bills and change and noisemakers from the party shoppe store.

With Caron's help he constructed hats for a party, cards, and a Wheel of Fortune game for his mother to solve. Cash per letter ranged from a low of a penny to a high of $8.00. Laura won the cash prize of $38.91 by successfully completing the "Happy Birthday Mom" puzzle, just as Curtis had planned. Curtis felt empowered planning all aspects of this party for his mom and has a positive birthday party experience to draw on for the future. Positive even if it did kick-off with Curtis unexpectedly vomiting down the front of his shirt and on his socks.

Greg, Dad

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That's vomit down the front of Curt's shirt. He started the party by throwing up. Why not? Also pictured is Curt's "Wheel of Fortune game and $38.91 in cash prizes to be won.
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_ The week leading up to Laura's birthday was one of the most caring, thoughtful, and compassionate weeks I have ever experienced with Curtis. Having had gone through three years of his birthdays, his parent's birthdays, and his friend's birthdays, I have learned to be very careful in discussing these sorts of events and the expectations that tend to follow - but Curtis blew me away this year in his ability to communicate, plan and be excited about something that had nothing to do with himself, drawing roads, monkey quest, youtube or the goods in his lunch box. He turned a corner that was beautiful to watch and certainly worth sharing on this blog.

On the Monday before Laura's birthday, Curtis came to me and told me that his mom's birthday was the same day as his basketball game. I took this information and reacted with a "no big deal" tone as I simply suggested that we should eat some cupcakes at the game. Leading with that comment was easy for Curtis to digest - it had nothing to do with any expectation placed on Curtis and everything to do the joy of eating a cupcake in his mom's company -  a guarantee "in" for a kid that loves cupcakes and his mother. After he replied with an "Oh ya - that sounds good!" (but with a bit of hesitation in his voice wondering what other suggestions I had up my sleeve) we began to discuss some other things that we could do at the basketball game for his mom that would be fun.  We would work calmly together all week to put his party plan in motion but we didn't need to talk about it too much or with too many people, because after all, it was a surprise. Another sneaky move that lead to a success of a party thrown by a kid who has detested anything to do with birthday parties in past years. With cupcakes used as bait and the idea of it being a surprise as the foundation - we were set to create a fabulous 33rd birthday party for Laura. 

Shortly after these beginning conversations, we decided it would be best if we created a "How to Throw a Birthday Party" list - jotting down all the things we needed to get done before the big day. That Monday we created the party hats from a template online, Tuesday he created the birthday cards - complete with a birthday pencil from the school office, Wednesday we created his Wheel of Fortune game (in which he wanted his mom to win $39.81 to buy anything she has always wanted to buy), Thursday we created her birthday package and on Friday we wrapped it all up in a big blue (her favorite color) envelope. All of these activities were done during his earned free time - he sacrificed his favorite time of the day for his mom.

I was than given the strict direction to pick up the cupcakes at 5:30 and meet him and Greg in the school's OT room at 6:20. Greg was directed to bring noise makers and a tie to blindfold Laura. The birthday party was set to start at 6:25 sharp and go only until 6:45. We had games, music, food, presents and a small number of invited party goers (Greg, Laura, Jamie and myself). He wanted to invite the whole basketball team but to avoid it getting too out of hand and ending with complete over stimulating melt down - we agreed that these five attendees were enough because his mom would want it small. This was a fantastic way to exemplify what it takes to create a party, and done so in a predictable and scheduled manner. Curtis felt empowered because this all came from his heart and I felt lucky to see it unfold start to finish. 

As Greg has mentioned in his post, the party was a success and the five of us had a blast. I laughed, cried a bit, smiled and saw a young boy take on something so large with his larger heart for his mom. The party lasted 15 minutes longer than he had planned and that was also great to experience with him. I see Curtis every day live down to the minute on activities - he knows whats going on, when, for how long and most importantly - what follows. It was nice to see time pass him by without staring at the clock wondering what comes next. The party for Laura was all he cared about in that moment - that was all he wanted to "come next". And to wrap it all up in true Curtis style, as I was leaving he goes to me - "Well, now things can go back to normal!" That final thought was like icing on the cupcake - he gave, planned, loved, organized and worked so hard that (like all of us) he felt rather exhausted when it was all over but had the foresight to know that everything will be back to normal - his normal - by tomorrow.

Caron, 1:1 School Support

 
 
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We realized around the age of 12 months that Curtis was not like other children. He would not respond to his name or make any eye contact. He would spin the wheels on cars instead of rolling them. When we gave him a bag of letters to spell words he made patterns of the letters or laid them out in order. Curtis would not point, wave, and showed no inclination towards speaking.  When Curtis was diagnosed with Autism around the age of 2 years, his mother and I were not exactly sure where to turn for help. Coming to terms with the fact your son (or daughter) has autism is not easy. The developmental disorder is fraught with uncertainty from how your child will develop to how he got the disorder in the first place. Instincts tell us to blame, worry, and fix the problem. It's frustrating to discover the lack of real answers pertaining to autism.

What I really wanted was a projection. You say he is ranked here on the autism spectrum so does that mean he can have a career or make friends or is none of that going to happen? What I've found is that the progress and changes are unpredictable and changes happen fast. I've gone from wondering if he will have the ability to sort silverware as an adult to expecting him to become an engineer (he says artist). My advice to parents of autistic toddlers is expedite your grief over the diagnosis and get to work. Early intervention therapies have been instrumental in our son's progress and have allowed us to unlock his potential but they are not without red tape. If you feel there is a stigma attached to the autism label you're going to have to get over it for the sake of your child. There is simply no benefit to waiting. if you suspect your child has autism there are simple screenings which can confirm or deny the symptoms. If you have already been told by a specialty physician that your child has autism, it's time to get to work.

Greg, Dad

ADHD diagnosis
     Up until Curtis was about 5 years old, he had absolutely zero safety awareness.  He would run full speed into the street and had no regard for how far away from his adult companion he would go.  Despite countless hours of work by his in home support specialist, we were finding it impossible to get him to respond to the simple directions "stop, no, and wait."  I lived in constant fear that Curtis would jump into a body of water, run into a busy street, or fall off of a cliff before he entered kindergarten.  In addition to this fear for his safety, I was also concerned for his development aside from the common delays associated with Autism.  He seemed incapable of sitting for more than 3 minutes, which really compromised his fine motor development, as he could not sit long enough to learn how to hold a pencil, use scissors, and do puzzles.  And he would run around the house for hours on some days and even his most preferred activities couldn't grab his attention.  Again, his in home support spent countless hours using strategies to try to calm his body, but nothing worked for long.
     One day we were walking out of the Children's Museum and his hat flew off his head.  I turned around to pick it up and when I turned back around, Curtis was running full speed toward a busy Portland street and had no plans of stopping.  I ran, screaming, "Curtis, STOP!" but he just laughed and ran faster, thinking we were engaged in a game of chase.  Thankfully, I caught him about a foot from the street, but that was the day I knew he had to be tested for ADHD because his brain was not able to tell his body to stop.
     Once the results came back showing Curtis had ADHD combined type (hyperactivity and attention deficit), we had to face the tough decision whether or not to medicate.  Due to the extreme safety concerns, we decided to go for it.  We had to try 3 different medications before we found the right one for Curtis.  My advice to parents is not to take the first med you try if it has too many side effects.  Every kid is different.  The medication helped Curtis learn safety skills and his fine motor skills skyrocketed because his brain could finally slow down enough to work through those skills.
     Now we use meds to get him through the school day, but generally, he can maintain himself without them on weekends and vacations.  When we go to visit family or a birthday party where there is a lot of stimulation, we can rely on the meds to help Curtis control his body.  He is more successful in certain settings with it and with that success comes pride.  And he hasn't been "smashed up like a pancake" by a car (as he would put it.)

Laura, Mom