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Helping Your Child with Autism Communicate Through Play

6/20/2015

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How can you help your child with Autism talk more? It all starts with play. @OaktreeCounselPhoto Credit: Henry Burrows via Flickr
A parent recently told me that her son with autism lives and breathes to play on his iPad and watch YouTube, and that everything else is just "counting the hours".  I laughed.  A lot.

Maybe you kiddo is obsessed with YouTube or Lego® or lining everything up.  So... how do we help your child or young adult talk more, engage more effectively and enjoy relationships?  It starts with play.


These strategies work with any age; though, you'll need to adapt them for young adults or older individuals. CONTINUE READING

Play To Talk by James MacDonald & Pam Stoika

Play To Talk: A Practical Guide to Help Your Late-Talking Child Join the Conversation is an excellent resource for helping any child who is late in talking.  I'll include a link to the book at the end of the post.  The authors focus on teaching parents strategies to encourage back-and-forth interaction, which is the social building block for social skills, relationship, and shared problem solving.  

Neurotypical children will usually start engaging in back-and-forth interactions very early, for example, turning their head toward the sound of Mom's voice.  Over the next several months these interactions become more complicated and involve more turn-taking.  Baby smiles, Mom laughs, Baby laughs, etc. (Greenspan, 2006).

Many children on the Autism Spectrum engaged in fewer of these back-and-forth interactions as infants.  My clients' often continue to have difficulty in conversations and play that require many, many back-and-forth interactions (e.g. reading and interpreting facial expressions, body language, social expectations, motor planning, etc.).  So, how can you help?

By Taking Turns

What's a "turn"?  This doesn't refer to letting someone else have a toy or taking turns with the remote, but taking turns interacting.  A "turn" could be a statement, a facial expression, a laugh, making a noise or sound effect, pointing, etc.

5 Strategies from Play To Talk

  1. Be Balanced.  Don't take more "turns" than your child.  You'll need to wait sometimes for an interaction.  Be careful not to rush, since your child is processing all the elements of the interaction.  Play To Talk also encourages you to "accept any safe behavior as a 'turn'."
  2. Be Matched.  During play, act and talk in the ways your child can imitate.  Use around the same number of words in a sentence that your child does.  Use your child's interests to draw her out.  Play To Talk says to "avoid communicating only in words when your child is nonverbal."
  3. Be Responsive. Respond not only to words that a child uses, but also any preverbal noises or sounds that they make.  More preverbal practice will often lead to engagement and more language.  However, try not to "respond to undesirable interactions (for example, interrupting, repeating, actions or words excessively, whining)".  Often waiting with an expectant look will prompt another, more appropriate behavior.
  4. Share Control. Make sure you both get chances to choose the activity or topic.  Make sure to respond to the child's ideas, as well as encouraging them to respond to your own.
  5. Be Playful and Affirming. When you are worried about your child's progress it is easy to get focused on how things "should" be done.  The strategies in Play to Talk are all about being funny, relaxed, goofy, and cheerful.

Remember the goal

The goal here is to increase the number of back-and-forth interactions a child can engage in.  It is more important to continue the interaction than it is that the play or activity be done "right".  You can use these strategies during daily activities, and you should, but let the interaction be more important than the chore.

A Great Resource For Parents

Picture
Play To Talk by James MacDonald, Ph.D. and Pam Stoika, Ph.D., is a great resource for parents.  It's full of ideas, suggestions, how-to's, lists, pictures, and is written for a variety of learning styles.  It's incredibly practical and the principles can be used with any individual who struggles with language and communication.  I encourage anyone in my office parenting a special needs child or adult to read this book.

DISCLOSURE: Not much.  I have no affiliation with any company, website, or author mentioned here, other than thinking they are awesome.  Nor did I receive anything in return for mentioning them.
Picture
Engaging Autism by Stanley Greenspan, M.D. and Serena Wieder, Ph.D. is another book I often recommend, that I cited earlier.  It's a little more like a textbook and a heavier read, but it provides a solid theoretical approach for a very similar model and the two approaches are very compatible.


Nikki Schwartz, LPC at Oaktree Counseling
Nikki Schwartz is a Licensed Professional Counselor at Oaktree Counseling and focuses on using neurofeedback, play, and talk therapies to provide practical, effective counseling to families and clients.

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Things to Remember about Raising a Child on the Spectrum
10 Self Care Tips if You Have a Kid on the Spectrum
10 Self-Care Tips if You Have a Kid on the Spectrum
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    Nikki Schwartz, Licensed Professional Counselor

    Nikki Schwartz,
    LPC, NCC

    About Nikki

    Nikki is a Licensed Professional Counselor and owner of Oaktree.  She focuses on utilizing neurofeedback in the Virginia Beach area, as well as play therapy, and other counseling techniques to help clients and families play, live, and work together.

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