When do I possibly have time for a nap? It's about how to find the time. I often discuss the importance of self-care with parents of clients on the Spectrum. Self-care is incredibly important in any situation that is demanding, stressful, and time-consuming. Research conducted in 2009 at University of Wisconsin-Madison indicates that mother's of children with autism have stress levels comparable to combat veterans.
How individuals families go about managing time for self-care will depend on their circumstances. We don't expect all of these suggestions to work all of the time, for everyone in every situation, but hopefully they can help you brainstorm creative ways to take good care of yourself, so that you can continue taking good care of others. Please comment and let us know what has worked for you and your family. 1. Be willing to accept help It can be difficult to accept help, when it is offered and even more difficult to ask for help. Oftentimes people around us don't even know that we need or want their help. Sometimes this means delegating within your family, but often they are just as worn out. So, be willing to let those outside of your home know that you need, want, and are willing to accept help. Friends, neighbors, coworkers, and church family are all good places to seek help. 2. Keep a list of what others can do to help (And then LET THEM help, see number 1). I frequently recommend that parents keep a list of chores that can be done, and instructions if necessary. This way family members or friends can do simple chores, such as loading and starting the dishwasher or sweeping the kitchen floor and you can check something off your list. As I said before, people are often willing to help, but they don't always know what to do. 3. Use this time to recuperate, not to get more work done When we do have help, it can be tempting to use the spare time to get more done. Unfortunately, that is not restful or recuperative. This is time to do something fun, relaxing, and enjoyable. It can be time alone reading, taking a walk, (or maybe you just need time to go to the bathroom by yourself!). This same principle can apply to those times when you have your child or family member occupied, maybe with a game or napping, or (gasp!) the television. Be careful to use some of those opportunities for yourself. 4. Utilize every possible (safe) respite opportunity Many of the parents we see, have safety and availability concerns regarding having someone watch their child or loved one. These are valid concerns, it is very important to make sure any babysitter, volunteer, caregiver, attendant, or church nursery worker, is prepared to manage any situations which might arise while caring for a person with special needs. It takes time for parents and family members to trust others with their loved one. Once you've taken the time to get to know the people who will be caring for your child, you'll enjoy your break a whole lot more. In Virginia Beach, there are groups such as Autism Buddies, who provide a few hours of respite care a month. Trinity Presbyterian in Norfolk hosts a respite night for children on the Spectrum and their siblings, ages 3-16, to allow parents time to a few hours off. 5. Get involved in a community Your local church or synagogue can be a great way to build a better support network for both you and your family. Finding a church that fits your special needs can be a challenge. We hear from so many families that just getting everyone to a service is difficult. There are many faith communities in Hampton Roads that want to serve you and your family. More and more churches are looking to include everyone, regardless of ability. You can find a list of faith communities who serve individuals with disabilities and their families at the Faith Inclusion Network (FIN) website. If church is not the right fit for your family, get involved somewhere, such as a mother's group, like MOPs (Mothers of Preschoolers is open to any parent of a school age child), or a local playgroup. 6. Take your family to sensory-friendly events This is really about finding balance between routine and fun. When your family is able to spend time in the community doing "normal" things, it can help everyone feel more "normal". For example, AMC Lynnhaven in Virginia Beach has at least one sensory friendly movie showing each month. This is usually a Saturday morning matinee and is always popular. The volume is turned down, the lights are kept on, and the previews are shortened or eliminated. This crowd knows and understands disability, so no one is going to get unnerved if your child has a meltdown or flaps his hands. 7. Consider using a tracking device It can be much easier to utilize respite or babysitting opportunities to relax, if you are not concerned about your child's safety if they were to wander off. Of course, make sure you choose responsible individuals to begin with, but things happen. Project Lifesaver provides a tracking service for a very low monthly fee and is able to locate individuals within 30 minutes, if they are contacted right away. The initiative has been life-changing for many of our clients. 8. Encourage independent playtime Work with your child or loved one to have a semi-structured period of independent time each day. It can be easier to start with short periods of time, such as 10 minutes, and work up to 30-45 minutes. It is helpful if this can be at the same time each day and in the same room. Give her one or two activities and explain that she can play by herself for X number of minutes and to come get you if there is an emergency. Make sure that you use this time to relax and rest yourself. 9. Consider Support Groups Many people have heard of attending support groups, but this sounds too much like "therapy". Tidewater Autism Society of America lists many informal events each month on it's meetup.com group. One event that many parents in our office like is the Coffee & Chat meetup. It's informal and supportive. 10. Address your own issues regarding the disability Disability is not something we expect or hope for when we have children. Parents find it difficult to find time and energy to work through the feelings of grief and loss that naturally arise in these types of situations. Once you are able to work through some of these things, you will find yourself more emotionally and physically able to manage the situation at home and provide the best possible care to your child.
Over the past few years, I've noticed a theme with families who have a child with autism. Parents, usually moms, often tell me about their early experiences with friends, grand parents, members of their churches and communities. Over and over again I hear how these parents have been criticized for their parenting skills and choices regarding discipline. In fact, I have yet to meet a parent of a child on the spectrum who has not received this kind of criticism. The most common comment has been something along the lines of: That kid just needs a spanking. Excuse me?! I cannot emphasize enough how discouraging this has been to parents I've worked with, parents I have met in the community and at conferences. I realize that these comments often come from individuals who are ignorant of the fact that the child is on the spectrum, or, probably just as often, is ignorant of spectrum disorders all together. But isn't that the problem? It is so easy to be critical of any parent, especially one whose kid is melting down in the middle of Target. At a conference this weekend, a speaker stated that helping people is not about what YOU believe or what YOU think about their situation. It is about who THEY are and how THEY see and feel about their circumstances. Until we know these things about them and have developed a relationship with them, we have no right to judge or criticize their parenting skills. I have yet to meet a parent with a child who has not truly done everything they could, with the circumstances and resources available. I write to encourage all parents, but especially parents of children on the spectrum, to continue to do everything in your power to educate yourself, advocate for your child, and as much as is reasonable, seek every available resource and service that you can. The key here is "reasonable". Remember that being a caregiver is draining and taxing. Practicing good self-care and utilizing respite care will help. I realize this is easier said than done and we often work with parents to find practical solutions. Check out this post on self-care for parents of kids on the spectrum for more suggestions.
I am always amazed by the clients who begin the rewarding, difficult work of counseling and therapy. It is the beginning of saying something has to change, of saying, "I want something to be different." I am so grateful to be a part of the journey with clients who have this kind of courage. It means facing things about themselves that they don't like, things they are afraid of, and things that are hard or embarrassing to admit. What is really incredible, it is exactly those things that lead to the most real, lasting, and genuine change: confronting the very hard, uncomfortable parts of ourselves, with someone who accepts us for who we are, not who we could be. Isn't that amazing? If I am able to provide a safe place, to really accept my clients for who they are right now, then they are often able to climb those mountains that seemed insurmountable. Often one of those mountains is the desire to please. The key to success is different for everyone, but one thing is for sure trying to please everyone will certainly lead to failure.
Whether you are a therapist, school counselor, or a parent, it can be difficult to connect to kids with Spectrum Disorders and ADHD. We call this “rapport building”. Often a child will come to my office with some amount of apprehension. Coming to our office involves a new environment and new people, which can add to the stress. Kids who are oppositional or defiant often feel like the “bad kid” and this will set a negative tone to our sessions. In an effort to build rapport, I frequently use these three card games, which cost about $5 each from Target or WalMart. I’m usually pretty flexible with “the rules” and do whatever I can to engage the child at their developmental and emotional level. Would You Rather? ™ asks a series of questions such as, “Would you rather… Have to wear dishwashing gloves for a year with no explanation -OR- wear a big blue wig with no explanation?” Everyone playing has to make a choice (they can’t answer, “Neither!”) and they have to give a reason. It can be a silly reason or a logical reason, but they need to give a reason. This game works well with any child who is high functioning. I use it most with children with Asperger’s Disorder or Attention Deficit Hyperactivity Disorder (ADHD), as it encourages them to think through cause and effect, consequences, and desirability of actions and choices. I usually let the kid pick the card and the question and have everyone in the session answer, including myself and the parent. Mad Gab™ Picto-Gabs™ “puts your eyes and ears to the test as you decipher funny word and picture puzzles”. Again this game can be played with an high functioning child, but I like it best for children who are oppositional and/or defiant. As I mentioned they often come in with a Don’t-Tell-Me-What-To-Do, This-Is-NOT-All-My-Fault attitude (which it usually isn’t “all” their fault anyways). This game is silly and engages a different area of the brain than the part of the brain responsible for the negative attitude. It helps shift us away from the “problem child” focus. (Each card has four puzzles, the answers are on the opposite side of each card. The answer to picture/word puzzle shown here is Amazing Grace) I Spy™ SNAP™ is a card game version of the I Spy™ books. The official “rules” are similar to the card game War or Slap Jack. I usually modify the rules and use this game with lower functioning Autistic or Asperger’s clients. The cards feature different objects, but groups of the same objects. Here are several "matches" each with a duck somewhere on the card. Sometimes, I just hand the child one or two cards and point out what is on them. I have played where I hand a child the entire deck, one card at a time.
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Nikki Schwartz,
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