Autistic meltdown

Last updated

Autistic meltdown is a term that has been used to describe an intense and uncontrollable response to an overwhelming situation in some people on the autism spectrum. Irritability or tantrum is the term used historically to describe the behavior.

Angry outbursts in people with autism have been referred to as meltdowns which manifest as an intense reaction. [1] They are linked to maturity and may escalate with age. [2]

There is no scientifically agreed upon distinction between a meltdown and a tantrum. In the literature, the terms are often used interchangeably or depending on the population being studied. [1] [ page needed ] [3] [ page needed ] [4] [5] Temper tantrums are developmentally normal, but for neurotypical children, their frequency decreases as the child ages; in autistic children, however, meltdowns can persist longer, and in a third of cases, they worsen as the child ages. [2]

Luke Beardon states that an autistic meltdown is an "intense response to overwhelm". [6] The distinction between a tantrum and a meltdown as tantrums being primarily verbal (screaming, crying) and meltdowns having a physical component (such as violent behaviour), is not broadly agreed upon. [7] [8] Autistic meltdowns are not manipulative and arise from distress. [9]

Meltdowns can be misinterpreted by first responders and law enforcement officers, leading to escalation of situations. [6] :2033–2034

Related Research Articles

<span class="mw-page-title-main">Asperger syndrome</span> Neurodevelopmental diagnosis now categorized under Autism Spectrum Disorder

Asperger syndrome (AS), also known as Asperger's syndrome, formerly described a neurodevelopmental disorder characterized by significant difficulties in social interaction and nonverbal communication, along with restricted and repetitive patterns of behavior, interests, and activities. The syndrome has been merged with other disorders into autism spectrum disorder (ASD) and is no longer considered a stand-alone diagnosis. It was considered milder than other diagnoses that were merged into ASD due to relatively unimpaired spoken language and intelligence.

<span class="mw-page-title-main">Hyperlexia</span> Significantly advanced reading ability in children

Hyperlexia is a syndrome characterized by a child's precocious ability to read. It was initially identified by Norman E. Silberberg and Margaret C. Silberberg (1967), who defined it as the precocious ability to read words without prior training in learning to read, typically before the age of five. They indicated that children with hyperlexia have a significantly higher word-decoding ability than their reading comprehension levels. Children with hyperlexia also present with an intense fascination for written material at a very early age.

<span class="mw-page-title-main">Controversies in autism</span> Controversies about both the cause of autism and the nature of the diagnoses themselves

Diagnoses of autism have become more frequent since the 1980s, which has led to various controversies about both the cause of autism and the nature of the diagnoses themselves. Whether autism has mainly a genetic or developmental cause, and the degree of coincidence between autism and intellectual disability, are all matters of current scientific controversy as well as inquiry. There is also more sociopolitical debate as to whether autism should be considered a disability on its own.

<span class="mw-page-title-main">Monotropism</span> Cognitive strategy in autism

Monotropism is a person's tendency to focus their attention on a small number of interests at any time, tending to miss things outside of this attention tunnel. This cognitive strategy has been posited as the central underlying feature of autism. The theory of monotropism was developed by Dinah Murray, Wenn Lawson and Mike Lesser starting in the 1990s, and first published in 2005. Lawson's further work on the theory formed the basis of his PhD, Single Attention and Associated Cognition in Autism, and book The Passionate Mind published in 2011.

<span class="mw-page-title-main">Neurodiversity</span> Non-pathological explanation of variations in mental functions

Neurodiversity is a framework for understanding human brain function and mental illness. It argues that diversity in human cognition is normal and that some conditions classified as mental disorders are differences and disabilities that are not necessarily pathological.

Discrete trial training (DTT) is a technique used by practitioners of applied behavior analysis (ABA) that was developed by Ivar Lovaas at the University of California, Los Angeles (UCLA). DTT uses mass instruction and reinforcers that create clear contingencies to shape new skills. Often employed as an early intensive behavioral intervention (EIBI) for up to 25–40 hours per week for children with autism, the technique relies on the use of prompts, modeling, and positive reinforcement strategies to facilitate the child's learning. It previously used aversives to punish unwanted behaviors. DTT has also been referred to as the "Lovaas/UCLA model", "rapid motor imitation antecedent", "listener responding", errorless learning", and "mass trials".

<span class="mw-page-title-main">Tantrum</span> Type of anger outburst engaged in typically by young children

A tantrum, temper tantrum, lash out, meltdown, fit, or hissy fit is an emotional outburst, usually associated with those in emotional distress. It is typically characterized by stubbornness, crying, screaming, violence, defiance, angry ranting, a resistance to attempts at pacification, and, in some cases, hitting and other physically violent behavior. Physical control may be lost; the person may be unable to remain still; and even if the "goal" of the person is met, they may not be calmed. Throwing a temper tantrum can lead to a child getting detention or being suspended from school for older school age children, and can result in a timeout or grounding, complete with room or corner time, at home. A tantrum may be expressed in a tirade: a protracted, angry speech.

Irritability is the excitatory ability that living organisms have to respond to changes in their environment. The term is used for both the physiological reaction to stimuli and for the pathological, abnormal or excessive sensitivity to stimuli.

<span class="mw-page-title-main">Autism therapies</span> Therapy aimed at autistic people

Autism therapies include a wide variety of therapies that help people with autism, or their families. Such methods of therapy seek to aid autistic people in dealing with difficulties and increase their functional independence.

<span class="mw-page-title-main">Stimming</span> Repetitive self-stimulatory behaviour common in neurodevelopmental disorders

Self-stimulatory behavior, also known as "stimming" and self-stimulation, is the repetition of physical movements, sounds, words, moving objects, or other repetitive behaviors. Such behaviors are found to some degree in all people, especially those with developmental disabilities such as ADHD, as well as autistic people. People diagnosed with sensory processing disorder are also known to potentially exhibit stimming behaviors.

Social Stories were devised as a tool to help individuals with ASD better understand the nuances of interpersonal communication so that they could "interact in an effective and appropriate manner". Although the prescribed format was meant for high functioning people with basic communication skills, the format was adapted substantially to suit individuals with poor communication skills and low level functioning. The evidence shows that there has been minimal improvement in social interaction skills. However, it is difficult to assess whether the concept would have been successful if it had been carried out as designed.

<span class="mw-page-title-main">Classic autism</span> Neurodevelopmental condition

Classic autism, also known as childhood autism, autistic disorder, (early) infantile autism, infantile psychosis, Kanner's autism,Kanner's syndrome, or (formerly) just autism, is a neurodevelopmental condition first described by Leo Kanner in 1943. It is characterized by atypical and impaired development in social interaction and communication as well as restricted, repetitive behaviors, activities, and interests. These symptoms first appear in early childhood and persist throughout life.

<span class="mw-page-title-main">Autism spectrum</span> Neurodevelopmental disorder

Autism, formally called autism spectrum disorder (ASD) or autism spectrum condition (ASC), is a neurodevelopmental disorder marked by deficits in reciprocal social communication and the presence of restricted and repetitive patterns of behavior. Other common signs include difficulties with social interaction, verbal and nonverbal communication, along with perseverative interests, stereotypic body movements, rigid routines, and hyper- or hyporeactivity to sensory input. Autism is clinically regarded as a spectrum disorder, meaning that it can manifest very differently in each person. For example, some are nonspeaking, while others have proficient spoken language. Because of this, there is wide variation in the support needs of people across the autism spectrum.

Autism-friendly means being aware of social engagement and environmental factors affecting people on the autism spectrum, with modifications to communication methods and physical space to better suit individual's unique and special needs.

Diagnosis, treatment, and experiences of autism varies globally. Although the diagnosis of autism is rising in post-industrial nations, diagnosis rates are much lower in developing nations.

Sex and gender differences in autism exist regarding prevalence, presentation, and diagnosis.

Autistic masking, also referred to as camouflaging or neurodivergent masking, is the conscious or subconscious suppression of autistic behaviors and compensation of difficulties in social interaction by autistic people with the goal of being perceived as neurotypical. Masking is a learned coping strategy that can be successful from the perspective of autistic people, but can also lead to adverse mental health outcomes.

Critical autism studies (CAS) is an interdisciplinary research field within autism studies led by autistic people.

Various connections have been made between violence and autism within social narratives. According to public opinion, violent behavior is common for autistic individuals, but evidence does not support autism spectrum disorder (ASD) as a predisposition to delinquency or crime. Autistic people are likely to be victims of bullying, abuse and other violence.

The pathophysiology of autism is the study of the physiological processes that cause or are otherwise associated with autism spectrum disorders.

References

  1. 1 2 Sukhodolsky, Denis G.; Gladstone, Theresa R.; Marsh, Carolyn L. (2021). "Irritability in Autism". In Volkmar, Fred R. (ed.). Encyclopedia of Autism Spectrum Disorders (2nd ed.). Cham: Springer. pp. 2561–2562. doi:10.1007/978-3-319-91280-6_102263. ISBN   978-3-319-91279-0. S2CID   242421013. Historically, the term irritability was used in ASD literature as an umbrella category for severe disruptive behaviors including temper tantrums, aggression, and non-compliance ... anger outbursts in ASD have been described as 'immature' with labels such as 'meltdowns' being used to reflect the uncontrollable nature of these behaviors.
  2. 1 2 Sukhodolsky, Denis G. (2021). "Irritability in Autism". In Volkmar, Fred R. (ed.). Encyclopedia of Autism Spectrum Disorders (2nd ed.). Cham: Springer. pp. 2561–2564. doi:10.1007/978-3-319-91280-6_102263. ISBN   978-3-319-91279-0. S2CID   242421013. The intensity and number of tantrums tend to decrease with age although typically developing children continue to outwardly display anger and frustration, behaviors that parents often label as tantrums. This decrease in the frequency of temper tantrums as children age is paralleled by the development of emotion regulation skills and the acquisition of socially appropriate ways to express anger (Blanchard-Fields and Coats 2008). In children with ASD, if temper tantrums and disruptive behavior are present in childhood, they are likely to persist and may escalate in up to one third of adolescents (Shattuck et al. 2007; Simonoff et al. 2013).
  3. Myles, Brenda Smith Smith (2005-03-15). Asperger Syndrome and Difficult Moments: Practical Solutions for Tantrums Second Edition (2nd ed.). AAPC Publishing. ISBN   978-1-931282-70-3.
  4. Mayes, Susan D.; Lockridge, Robin; Tierney, Cheryl D. (2017-08-01). "Tantrums are Not Associated with Speech or Language Deficits in Preschool Children with Autism". Journal of Developmental and Physical Disabilities. 29 (4): 587–596. doi:10.1007/s10882-017-9546-0. ISSN   1573-3580. S2CID   254652712.
  5. Beauchamp-Châtel, Alexis; Courchesne, Valérie; Forgeot d’Arc, Baudouin; Mottron, Laurent (2019-06-01). "Are tantrums in autism distinct from those of other childhood conditions? A comparative prevalence and naturalistic study". Research in Autism Spectrum Disorders. 62: 66–74. doi:10.1016/j.rasd.2019.03.003. ISSN   1750-9467. S2CID   150794671. "Rage attacks" or "temper outbursts" are mostly used for older children or adults with Gilles de la Tourette syndrome or Obsessive-Compulsive Disorder ... "meltdown" is more frequent for autistic children in lay literature, and "temper tantrums" is more universally used for young neurotypical children ... The difference between normal and abnormal tantrums is ill defined ...
  6. 1 2 Beardon, Luke; Chown, Nick; Cossburn, Kleio (2021). "First Responders and Autism". In Volkmar, Fred R. (ed.). Encyclopedia of Autism Spectrum Disorders (2nd ed.). Cham: Springer. pp. 2031–2039. doi:10.1007/978-3-319-91280-6_102159. ISBN   978-3-319-91279-0. Many autistic people experience meltdowns. The public often finds it hard to tell meltdowns and temper tantrums apart, but they are different things. A meltdown is an intense response to a situation an autistic person finds overwhelming. To cope with such a situation, the autistic person may need to engage in repetitive body movements (stimming). Interrupting this may increase levels of anxiety exacerbating the situation.
  7. Benaron, Lisa Dorothea (2009). Autism. Internet Archive. Westport, Conn. : Greenwood Press. ISBN   978-0-313-34763-4.
  8. Brooks, Cheryl A. (2010). "Review of Freedom from Meltdowns: Dr. Thompson's Solutions for Children with Autism". Education and Treatment of Children. 33 (4): 647–652. doi:10.1353/etc.2010.0002. ISSN   0748-8491. JSTOR   42900574. S2CID   143732235.
  9. Patnam, Venkata Sindhoor Preetham; George, Feba Thankachan; George, Kiran; Verma, Abhishek (August 2017). "Deep Learning Based Recognition of Meltdown in Autistic Kids". 2017 IEEE International Conference on Healthcare Informatics (ICHI). IEEE. pp. 391–396. doi:10.1109/ichi.2017.35. ISBN   978-1-5090-4881-6. S2CID   26023992.

Further reading