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Functional behavior assessment (FBA) is used to determine the cause of a child’s challenging behavior at school and develop a plan for improvement. 

In this article, we take a closer look at the functional behavior assessment process and methods used to identify and reduce problematic behaviors.

What Is a Functional Behavior Assessment? 

A functional behavior assessment (FBA) is a process of identifying the behavior that interferes with a child’s educational progress and impacts their ability to learn. For example, a child may refuse to work on difficult tasks, respond angrily, or act in an inappropriate way to gain attention. An FBA is used when typical school interventions are not effective in controlling the behavior

This type of assessment is based on the belief that problematic behavior serves a specific purpose. An FBA attempts to look beyond labeling an unwanted behavior as simply being “bad” and determine what functions that behavior may be serving. Understanding why a child behaves a certain way is the starting point for developing strategies for improvement. 

A functional behavior assessment is typically used in a classroom setting, but it can also be applied at home if this is where your child is receiving mental health services. An FBA usually takes about 30 days to complete and requires parental consent.

What is the purpose of an FBA?

The purpose of the functional behavior assessment is to: 

  • Designate the problematic behavior
  • Identify the factors that support the behavior
  • Determine the purpose of the behavior. 

An FBA results in making a hypothesis about the functions that the behavior serves and creating a targeted intervention plan for an alternative behavior that will not interfere with the child’s education. The plan focuses on positive outcomes that can help build a better relationship between the child, the teacher, and the family.

Who conducts an FBA?

A functional behavior assessment is typically conducted by a licensed behavioral specialist or school psychologist, although it can also be done by a teacher. The school counselor and other staff who work with the child may also be involved in the process. Finally, as a parent, you will have an essential role in advocating for a fair and thorough FBA for your child.

Why Would an FBA Need to Be Done?

The main reason for conducting a functional behavior assessment is to understand the relationship between the inappropriate behavior and the environment in order to determine what is causing the challenge.

A functional behavior assessment can: 

  • Identify interventions to reduce the undesirable behavior
  • Propose alternative behaviors to replace the inappropriate ones
  • Determine the appropriate placements and services.

The assessment can be part of the Individual Learning Plan (ILP), the Student Assistance Team (SAT) process, and serve as confirmation of a disability.

Most children who are in special education receive behavior programming in school—typically referred to as a positive behavior support plan or behavior intervention plan—to reduce and replace unwanted behaviors. These plans are always based on functional behavior assessments.

However, not all children with a behavior challenge will be able to get an FBA. Read on to find out who is eligible.

Who Has the Right to an FBA? 

A functional behavior assessment can be used both for students in special education and regular education students. 

An FBA is conducted in the following situations: 

  • As an essential part of a school evaluation for special education. The Individuals with Disabilities Education Act (IDEA) requires schools to use functional behavior assessments when dealing with challenging behavior in children with special needs. When an FBA is conducted for a child classified as a special education student, it is a function of the Individualized Education Program (IEP) committee.
  • When there are behavior concerns in children who have an IEP or a 504 plan. Schools are required by law to do a functional behavior assessment whenever not doing so would deny children a free public education.
  • In school discipline situations. Federal law requires an FBA in some cases when a student is disciplined or removed from school.
  • Evaluate risk for students with serious behavior issues. There are no laws requiring a school to complete a functional behavior assessment of regular education students.

Keep reading for more details about the steps involved in a functional behavior assessment.

Steps of an FBA

A functional behavior assessment consists of four different steps:

  • Define the challenging behavior
  • Gather and analyze information
  • Find out the reason for the behavior
  • Make a plan to encourage positive behavior.

Define the challenging behavior

A functional behavior assessment starts by defining the challenging behavior. The behavior must be described in a specific and objective way. For example, it should specify that the child kicks, hits, and throws objects instead of simply stating that the child is aggressive. Furthermore, only fact-based observations such as “the child places his head on his desk” can be used and not assumptions of the child’s feelings like “the child is not interested in the lesson.” 

Gather and analyze information

The second step of an FBA is information gathering. During this stage, the professional tries to answer questions such as:

  • When does the behavior occur?
  • Where does the behavior occur? 
  • In what circumstances does the behavior not occur?
  • How often does the behavior occur?
  • Who is around when it occurs (peers, adults)?
  • What triggers the behavior?
  • What happens after the behavior occurs?
  • What more acceptable behavior can be used as an alternative?

Other useful information includes:

  • The instructions that were provided at the time behavior occurred
  • Academic and behavioral expectations for the child
  • Recent changes in the child’s circumstances in school or at home
  • Any medical and other related issues.

It is also necessary to provide a full history of the interventions that have been implemented previously and indicate whether they were successful or not.

Tools used to gather information

The professional who conducts the FBA may use a number of different methods to gather the necessary information, for example: 

  • Observation
  • Interviews
  • Questionnaires 
  • Reviewing the student’s records

An ABC chart is another tool that is frequently used in this step of the assessment. It helps collect data about the antecedent (what happens before the behavior), the behavior itself, and the consequence (what happens after the behavior). Both the teacher and the child can complete this chart. 

Other information gathering tools include frequency and duration charts which track how often the behavior occurs, how long it lasts, and where its intensity can be placed on a scale of 1-10.

Find out the reason for the behavior

Using the information collected, the team of professionals will outline the hypothesis on what may be causing the behavior, what function it serves, and what the child is trying to communicate through that particular behavior. They will create a detailed report which includes:

  • A description of the procedures used
  • Information and data gathered
  • Comprehensive recommendations.

Make a plan to encourage positive behavior 

Once the team has a sufficient understanding of the reason behind the child’s behavior, it will propose a Behavior Intervention Plan (BIP) to reduce and replace it with more appropriate behavior. An FBA is also commonly used to create applied behavior analysis (ABA) autism treatment plans.

A behavior intervention plan typically includes the following components: 

  • Changes needed to reduce or eliminate problematic behaviors, for example, modifications in the physical environment, the way the information is presented, or the consequences of the behavior
  • Strategies for replacing the challenging behaviors with appropriate ones that serve the same function for the child (replacement behaviors)
  • Skills training needed in order to introduce the appropriate behaviors
  • Supporting the child when it comes to using appropriate behaviors.

The plan must specify the necessary behavior modifications and new skills. Furthermore, the proposed strategy needs to have a clear focus and name a person who will be in charge of carrying out the recommended steps. As the team obtains new information, it will often adjust the plan along the way. 

The functional behavior assessment should be documented in your child’s Individualized Education Plan (IEP). In addition, the agreed-upon recommendations should be incorporated into the child’s goal work.

Below, read more about the types of functional behavior assessment processes. 

Direct vs Indirect FBA

There are two distinct types of FBA processes: direct and indirect functional behavior assessments. 

Direct FBA

The direct FBA is a comprehensive assessment process used to identify and replace severe, persisting, and frequent behaviors. This process is also appropriate when critical decisions are being made to verify a disability, make placement decisions, or choose intensive or intrusive intervention methods.

As part of the assessment, a professional directly and unobtrusively observes the child’s challenging behavior in their natural environment on several different occasions. The professional must record the circumstances surrounding the behavior, such as frequency and duration, the time of day, location, activities, and people present.

Certain interfering behaviors require a more thorough evaluation. In some cases, a functional analysis (FA) is done to test the possible functions of unwanted behaviors. This method clearly identifies functional relationships by verifying them in an experimental setting. 

 

A direct observational assessment is an objective means of gathering information that may help support indirect assessment findings. 

Indirect FBA

The Indirect FBA is used for behaviors that are less severe and occur infrequently, or as part of early intervention using the SAT process. Because it is less time consuming, the indirect assessment is done in urgent situations that need immediate action and where there is no time for a more detailed assessment process. 

During an indirect functional assessment, information about the challenging behavior is gathered from persons who are closest to the child, such as parents, teachers, and service providers. 

The indirect approach is more informal, uses simple language, and is less technical than the direct one. It relies on using tools such as rating scales, questionnaires, interviews, and discussions to help identify the target behavior, the circumstances that support the behavior, and the function of the behavior. 

Based on the collected information and other data, such as disciplinary referrals and attendance records, the team will develop a hypothesis and formulate a detailed intervention plan. The team will also determine whether there is a need for a more comprehensive direct FBA.

A functional behavior assessment can be used to detect or confirm a disability. Here’s why this is important. 

FBAs Can Be Helpful in Detecting And/Or Verifying a Disability

Functional behavior assessments can provide useful information to help determine and/or verify a disability and evaluate how that disability may affect behavior. The determination of a disability is a critical step for accessing appropriate financial support and education. Section 504 of the Rehabilitation Act forbids discrimination against individuals with disabilities and under the Individuals with Disabilities Education Act (IDEA), federal funds are provided to guarantee access to special education and related services to children with disabilities. 

All children love activities, and autistic kids are no exception. But besides being fun and engaging, a variety of sensory, physical, and mentally stimulating activities hold an added bonus for autistic children. They can be used as an effective way to improve their attention span, self-confidence, social skills and communication skills

Here, we’ve listed some of the best activities your autistic child will enjoy and benefit from.

Sensory Activities and Games for Autistic Children

Sensory bottle

Sensory bottles, sometimes also called discovery bottles or calm down bottles, are a great way to keep your autistic child focused and engaged. At the same time, they are useful tools for providing sensory regulation as they can help your child calm down after experiencing sensory overload

To make a sensory bottle, simply wash an old plastic bottle and fill it partially with water. Then add some food coloring, marbles, glitter, and beads, or customize it in any other way that will appeal to your child. Seal the lid in place using a hot glue gun. Let your child shake the bottle and enjoy the sensation of colorful parts slowly moving through the bottle. 

For inspiration on how to make sensory bottles for children with autism, check out the Sensory and Discovery Bottles board on Pinterest, where you can also share your own projects.

* This project is recommended for children ages 5 and up as the bottle may contain choking hazards. 

Make edible jewelry

Due to their coordination challenges and limited core strength and stability, children with autism often experience delays in the development of fine motor skills. Making edible jewelry will help your child hone those skills that require intricate hand and finger movements, while enjoying a fun activity. 

To make edible jewelry, start by taking a piece of string or shoestring licorice that is long enough to fit over your child’s head when tied. Encourage your child to thread some edible items on the string, such as the Fruit Loops cereal, Lifesavers Gummies and other colorful candy, marshmallows, or edible play dough. Tie the ends of the string together to make a necklace or bracelet. You can take this activity further by asking your child to recognize the colors of the items used or count the number of cereal or candy pieces on the string. 

Make tactile collage

Many children with autism spectrum disorder find the sensation of different textures overwhelming. If this is the case with your child, then making a tactile collage may be a great way to introduce them to a wide range of textures and help them deal with sensory issues. This activity is also useful for practicing cutting and improving your child’s fine motor skills.

To create a tactile collage, prepare cardboard or cardstock (the size can range anywhere from 7×9 inches to 14×20 for older children). Pour some glue in a small jar and let your child apply it with a brush to prevent their hands from getting sticky. They can glue a variety of materials like magazine clippings, small pieces of fabric, aluminum foil, glitter, string, felt, and puff paint. You can also ask your child to sort materials by colors and encourage them to talk about what they are doing to enhance their communication skills. 

Brain Activities for Autistic Kids

Matching games

Matching games are simple but effective educational activities where your child has to match words with pictures. These are perfect games for kids with autism who typically appreciate simplicity and order. Based on your child’s skill level and interests, you can use matching games to teach them about numbers, foods, colors, animals, or any other subject. 

You can download the free Matching Games for Autism app, or purchase Word to Picture Matching Cards specially designed for children with autism. 

Smell games

Children with autism are often sensitive to smells and may experience them more intensely than neurotypical children. Smell games are a fun activity that will not only let your child explore a variety of smells, but also help them improve memory and build communication skills. 

To make a smell game, fill small containers (such as painted jam jars) with fragrant ingredients like lavender, coffee, soap, lemon, rosemary, mint, rose petals, popcorn, and cinnamon sticks. If you are using a liquid, like vanilla essence for example, place a cotton ball in the container to soak up the fragrance. Just make sure to avoid any smells your child dislikes or is sensitive to. Fasten a piece of thin fabric on top of the container with a rubber band and ask your child to identify the different smells. 

Building Social Skill for an Autistic Child

Reading

Reading may help autistic children develop language and improve their cognitive skills. Children with autism spectrum disorder typically experience difficulties when it comes to reading comprehension and are usually better at identifying words than understanding their meaning. That’s why books with pictures and little text are the best way to get your child with autism interested in reading. 

To keep your child engaged, make sure to target their area of interest, whether it’s trains, pets, history, or any other subject. You can also encourage your child to enact the characters while reading the book to make the activity more fun. Or ask them how they would feel if they were different characters to teach them empathy skills and encourage interaction.

Sharing time

Children with autism often have little or no interest in the world around them and in sharing their experiences with others. Fortunately, there are many fun activities that can make it easier for your child to share their attention. You can play games such as “I Spy” that require you to look at the same object or ask your child to show you what they are drawing or playing with to improve their communication skills. Take time to play together with your child to encourage them to share toys, role-play, take turns, talk about their experience, and regulate emotions. 

Calming Activities for a Child with Autism

Fidget toys

Fidgets toys are designed to help children with autism focus, filter out the overwhelming sensory information, and remain calm in stressful situations. These toys can also be used to help ease transitions into new situations or activities and deal with routine changes, which is often a challenge for autistic kids. 

There is no shortage of fidget toys to choose from like tangle toys, stress-less gel balls, koosh balls, magic snakes, and more. A wide range of fidget toys and stress balls are available for purchase from National Autism Resources, Sensory Direct, and Amazon. When looking for a fidget toy, choose the one that allows for movement but isn’t too distracting so that it completely draws your child’s attention away.

Coloring

Coloring pages are a great way to help your child with autism focus, build fine motor skills, learn new words, and practice taking turns and interacting with others. What’s more, coloring according to directions will help them learn to recognize colors and numbers, follow instructions, and work on task completion. If your child has fine motor skill challenges, consider using large or triangular-shaped crayons instead of regular ones. 

Websites like Special Learning House and All Kids Network offer a wide range of free printable coloring pages suitable for kids with autism. Some coloring books are specifically designed for autistic children, such as The Autism Coloring Book: I See Things Differently With My Superhero Brain, available on Amazon

Constructive Play For an Autistic Kid

Puzzles

Puzzles are an excellent way to provide your autistic child with a satisfying tactile sensation, help them improve focus and fine motor skills, in addition to having a calming effect when your child is feeling restless. Completing puzzles together with others and talking about what they’re doing can help enhance your child’s vocabulary and communication skills. 

Always make sure to choose a puzzle with a suitable difficulty level for your child. You can find a wide range of puzzles for autistic children at Autism-Products.com, National Autism Resources, as well as Autism Community Store

Building blocks

Playing with building blocks is one of the most popular activities among autistic children. Since the blocks come in limited shapes and sizes and the building process requires repetitive movements, kids with autism perceive this activity as structured and predictable. Building blocks can be highly beneficial for your child’s physical, cognitive, and social-emotional development, in addition to improving their fine motor skills. Furthermore, it encourages children to practice verbal and nonverbal communication skills, sharing with others, taking turns, and problem solving.

The STEM toy company Strictly Bricks offers a variety of building blocks in different sizes, colors, and textures, suitable for children with autism. Award-winning BizyBeez Magnetic Building Blocks is another great choice of building blocks for autistic kids.

Physical Play For an Autistic Child

Dancing

Dancing is a fun and relaxing activity for children with autism. Dancing is beneficial not only when it comes to boosting your child’s body image and body awareness, but also for improving their concentration and memory, enhancing communication skills, increasing empathy, and developing the ability to adapt to different situations. 

Let your child start with free movement and move to the music any way they wish. Later on, try introducing movement prompt exercises where you ask them to dance fast or slow, freeze when the music stops, move only one part of the body, make large or small movements, and so on. Dancing to children’s songs with actions, like “If You’re Happy and You Know It,” “Hokey Pokey,” or “Baby Shark” is a good way to practice following instructions and motor planning.

Exercise

Children with autism spectrum disorder often have limited gross motor function, strength, and coordination. Exercising on a regular basis will allow your child not only to improve these skills and their physical health, but also to enjoy a variety of activities with friends and family. Physical activity can also enhance a general feeling of well-being and counterbalance depression and anxiety, in addition to improving your child’s learning and social behavior. Regular physical activity has even been shown to decrease repetitive behaviors like body rocking, spinning, and head-nodding in children with autism. 

You can make exercises enjoyable by playing games that encourage your child to move in different ways, for example, run, jump, hop, and skip, and play with a variety of equipment such as balls, bats, and racquets. A simple way to add some physical activity into your child’s daily routine is to walk to school and make regular trips to the playground. You can gradually expand the amount of time your child spends doing physical activities until they reach the recommended one hour of exercise per day. 

Obstacle course

Children with autism enjoy moving around and most will be happy to navigate indoor and outdoor obstacle courses. This activity can be designed to target a variety of motor and cognitive skills and include a wide range of activities from simple to more challenging. Obstacle courses are some of the best ways for your child to work on their balance, strength, gross motor skills, and coordination, while having fun. For children who have difficulties with motor planning and sequencing, this activity will provide them with an opportunity to practice completing tasks.

To make an obstacle course, you can use anything from mats and foam shapes to chairs, ladders, and hula hoops, or any other objects you may find in your home or garden. Incorporate activities such as bean bag tossing, throwing and catching a ball, and jumping ropes. You can ask your child to walk on uneven surfaces, stand or hop on one foot to practice balance, push or pull heavy items, do push ups or sit ups to increase strength, and do jumping jacks and run around cones to work on coordination. Whatever activities you choose, make sure to explain the course to your child in advance and give it a practice run. 

People with autism spectrum disorder were traditionally viewed as having low intelligence based on their verbal communication skills

However, autism is today considered to be a condition separate from intellectual disability. We know that autistic people can have a wide range of learning and thinking skills that can make them both severely challenged and gifted. 

In this article, we’ll help you get a better understanding of the complex link between autism and intelligence.

In What Areas Can Autism Affect a Person’s Day to Day Life?

For people with autism spectrum disorder and their families, day to day life is filled with numerous challenges. The condition is characterized by various degrees of learning difficulties. Although many people may be able to live independently, others need lifelong support and care. 

Some of the most common areas in which autism affects day-to-day life are communication, social interactions, and living skills. 

Verbal communication

Depending on where on the spectrum they fall, people with autism have various levels of communication abilities. Some have very limited speaking capacities or are not able to use language at all. They may have significant difficulties understanding what other people are saying. Non-verbal communication including hand gestures, eye contact, and facial expressions may also be challenging for individuals with autism who are unable to fully grasp body language.

Typical patterns of language use and behaviors in children and adults with autism include: 

  • Repetitive or rigid language, like saying things that have no meaning or repeating the same words, a condition known as echolalia 
  • Machine-like and monotonic speech
  • Speaking in a high-pitched or “sing-song” voice
  • Uneven language development, for instance, having an extensive vocabulary only within a specific area of interest
  • Limited nonverbal conversation skills, such as the inability to use gestures and facial expressions.

However, many autistic people have a rich vocabulary and can talk about specific subjects in great detail, even though they may still experience problems with verbal intonation and the rhythm of words and sentences.

Social interactions

One of the main defining characteristics of autism spectrum disorder is social dysfunction. People with autism often show little interest in the world around them and have a limited understanding of other people’s feelings and ideas. 

Autistic individuals frequently experience social interactions as unpredictable and frightening. For example, they may not understand the purpose of saying hello and goodbye, showing facial expressions, waiting for their turn to speak, or maintaining eye contact during conversation. As a consequence, they may find it difficult to maintain friendships, which can lead to further social isolation. 

Living skills

Everyday tasks such as self-care, home organization, cleaning, cooking, shopping, and transportation can be a challenge for autistic people. At the same time, daily living skills are indispensable for being able to live independently, rely less on others, as well as for improving self-esteem and quality of life in general. Research suggests that impairments in daily living skills in individuals with autism are directly related to their cognitive abilities and can often improve throughout childhood and adolescence.

Other challenges

Several other issues can make the normal day-to-day functioning of autistic individuals difficult:

Sensory overload

Most people with autism spectrum disorder are affected by sensory overload. Crowds, excessive noise, bright lights, and strong tastes and smells may feel overwhelming and disruptive because they provide more sensory input than the autistic brain can process.

Emotional sensitivity

Autistic people frequently struggle to control their emotions in new and unpredictable situations and transition to another activity or setting. These stressful situations may trigger unusually intense emotional reactions compared to their neurotypical peers.

Resistance to change

Individuals with autism are generally resistant to change and prefer familiar situations and activities. Any disruption in their routines could cause frustration and anger.

Autism is a neurodevelopmental disorder and the issues mentioned above are consequences of the way different parts of the brain form and connect to one another.

What Parts of the Brain are Affected by Autism?

Research shows that some parts of the brain are structurally different in autistic than non-autistic people. For example, children and adolescents with autism have an enlarged hippocampus, the area of the brain responsible for learning and memory. Furthermore, the size of the amygdala—the region of the brain that deals with emotions—also differs in people with autism and neurotypical individuals. The cortex, the brain’s outer layer, seems to have a different pattern of thickness in people with and without autism.

One of the key brain regions affected by autism is the cerebellum, the brain structure that plays a crucial role in cognition and social interactions. Autistic individuals are known to have decreased amounts of gray matter in parts of the cerebellum. This region of the brain is also indispensable for movement and learning motor skills, which may explain challenges with coordination and fine and gross motor skills typical for autism spectrum disorder.

However, the way that these differences in brain structure affect autism and yield autistic savants or people with below-average intelligence is still not fully understood.

Does family background contribute towards autism?

Studies show that children in families with a history of brain conditions are at increased risk of autism. The more closely related the family members with these conditions, the greater the chances of having autism. Moreover, the odds increase if there are other children with autism, attention deficit hyperactivity disorder (ADHD), or intellectual disability in the family, or if a parent has schizophrenia, bipolar disorder, anxiety, or depression. 

Nevertheless, it is only possible to identify a specific genetic cause of autism in around 15% of cases. Brain development is influenced by a complex combination of genetic and environmental factors. In other words, if a person is genetically predisposed to autism, environmental elements will increase their risk of having the condition.

Autism prevalence in the United States

An estimated 222 per 10,000 children in the United States were diagnosed with autism spectrum disorder in 2020. This is one of the highest autism prevalence rates in the world, after Hong Kong and South Korea. 

An earlier study suggested that some ethnic groups seemed to be more predisposed to autism than others. The study found an increased risk of being diagnosed with autism in children of American-born Hispanic and African American mothers as well as African American, Central or South American, Filipino, and Vietnamese foreign-born mothers. 

However, newer research has demonstrated that the prevalence of autism is in fact very similar among racial groups. The earlier disparity might have been due to the fact that diagnostic practices and services are not equally available to different ethnic groups, in addition to certain environmental factors.

Types of IQ

The intelligence quotient (IQ) is a measure of human intelligence, which is commonly evaluated with the help of Wechsler scales in studies on autism. Wechsler Adult Intelligence Scale (WAIS) and Wechsler Intelligence Scales for Children (WISC) are used to measure a combination of performance and verbal intelligence in autistic children and adults. The results can help determine the areas in which individual support plans and treatment programs should be developed for these individuals.

Performance IQ (PIQ)

Nonverbal intelligence is the ability to analyze information and solve problems using visual, practical reasoning. The performance or nonverbal IQ is a measure of intelligence that doesn’t require the use of words or language. It measures a person’s nonverbal reasoning, spatial processing skills, attention to detail, and hand-eye coordination skills.

Verbal IQ (VIQ)

Verbal IQ is the ability to analyze information and solve problems using language-based reasoning. This reasoning involves reading or listening to words, writing, and engaging in a conversation. Verbal intelligence measures verbal reasoning, comprehension of verbal information, and the ability to express knowledge through spoken language

Intellectual disability measured by IQ scores may vary depending on the type of test used. Non-verbal children, for example, can obtain low scores on verbal IQ tests but may score at an age-appropriate level on tests of spatial intelligence. In general, autistic individuals perform better on performance IQ than verbal IQ tests, consistent with the cognitive and social deficits of autism. 

Autistic individuals with high IQ typically underperform on cognitive tests compared to neurotypical adults or children in the same IQ range. At the same time, people with autism spectrum disorder who have low IQ perform similarly to their neurotypical counterparts. Research suggests that cognitive deficits in high-IQ autistic people may have underlying causes that are not rooted in the condition itself.

Is IQ related to the range of function of an autistic person?

The intelligence and range of function in individuals with autism are highly but not perfectly correlated. IQ scores generally relate to communication skills and adapting to daily life, however, they are not exact indicators of cognitive functioning and the ability of a person with autism to navigate the day to day life. Studies show that many people with autism have lower life skills than what would be expected given their cognitive abilities. 

This is why taking the intelligence quotient to categorize autistic individuals can be misleading. An individual’s level of functioning can be more impacted by underlying mental health issues, such as attention-deficit hyperactivity disorder (ADHD), substance abuse, gastrointestinal issues, obsessive compulsive disorder (OCD), depression, and anxiety, than by IQ. 

When you think about autism, you likely consider the challenges that people face. You might not realize that many people with autism are also geniuses. They excel in certain areas, from mathematics and technology to music.

Find out what an autistic savant is. Then, get the details on 15 geniuses with autism. Finally, find out how ABA therapy can help autistic geniuses reach their full potential.

What Is an Autistic Savant?

People with autism have some challenges that others don’t face. These challenges might include:

  •   Social phobias
  •   Excessive worrying
  •   Avoidance behaviors
  •   Obsessive-compulsive disorder

It’s also not unusual for people with autism to be rigid in their routines.

Even with these challenges, numerous autistic children and adults demonstrate nearly super-human abilities in specific areas. These people are identified as autistic savants.

If you’ve ever watched the movie “Rain Man” with Dustin Hoffman and Tom Cruise, you’ve seen an autistic savant in action. Dustin Hoffman’s character, Raymond, is autistic. He portrays characteristics such as strict adherence to routines and isn’t emotionally expressive.

However, he has a photographic memory. He can quickly rattle off phone book listings or baseball statistics as if he’s reading from a book.

His character was based on a real person named Kim Peek. Just like the character in the movie, Peek has an unbelievable memory.

15 Famous Geniuses With Autism

Now, let’s look at 15 geniuses with autism. These geniuses have either been diagnosed with or are thought to have autism.

1.     Elon Musk

If you watch Saturday Night Live, you might have seen Elon Musk announce he has Asperger’s during his monologue on May 8, 2021. As the co-founder of The Boring Company, Neuralink, SpaceX, and Tesla, Musk is a tech genius, with many more exciting things to come.

2.     Albert Einstein

While not formally diagnosed, many believe that Albert Einstein had Asperger’s. He showed many signs, including some difficulties with small talk.

Those challenges didn’t prevent him from winning the Nobel Prize for Physics. The world as a whole is still benefiting from his many discoveries.

3.     Isaac Newton

Experts also believe that Isaac Newton had autism. He immersed himself in his work, rarely speaking. He was so passionate about his work that he’d even forget to eat.

His passion paid off, as he is credited for leading the Scientific Revolution of the 17th century and is responsible for discovering the laws of gravity.

4.     Charles Darwin

“On the Origin of Species” is one of the most important works ever published and cemented Charles Darwin’s place as a groundbreaking biologist. He was passionate about his work but withdrawn socially. Many believe that’s because Charles Darwin had autism.

5.     Nikola Tesla

Many experts also believe that Nikola Tesla had autism. He had the ability to hyper-focus on projects and ideas, and that led to the development of the groundbreaking alternating-current electrical system.

His true power came from his ability to visualize concepts. This allowed him to turn concepts into reality.

While he was a successful inventor, he struggled with sensitivity to sounds and lights and had various phobias.

6.     Thomas Jefferson

Thomas Jefferson will always be remembered as the author of the Declaration of Independence. A prolific writer and gifted inventor, his legacy lives on today.

Many people believe that Jefferson likely had autism. This is largely because of his adherence to routines. He couldn’t stand it if his established routines were interrupted for any reason.

He was also known as being emotionally distant, with poor communication skills. That didn’t hold him back from achieving success.  

7.     Michelangelo

Michelangelo was an artistic genius with numerous world-renowned works of art, including the sculpture of David and the Sistine Chapel’s ceiling.  Experts state that he exhibited many traits of autism, including adherence to a routine and emotional distance.

These traits might have helped him with his work. He was able to lock into a project and see it through to completion with little interruption.

8.     Steve Jobs

As the co-founder of Apple, Steve Jobs transformed personal computing and mobile devices. If you use an iPhone or a Mac, you can thank Jobs.

There’s also speculation that he had autism. He was known for perfectionism and managed to think outside of the box. Being on the spectrum might have helped him turn Apple into the tech giant it is today.

9.     Alfred Kinsey

A famous biologist and sexologist, Alfred Kinsey, redefined the way people think of sex and sexuality. Like many others on this list, he threw himself into his work with little time for social interaction. He didn’t have many relationships, leading many to believe that he was autistic.

10.  Bobby Fischer

A chess prodigy from a young age, Bobby Fischer went on to become an American grandmaster. His genius-level IQ helped him defeat opponents and turned him into a household name.

He was obsessed with chess and had issues with personal relationships. Experts have attempted to diagnose him, with many believing he was autistic. It’s possible that he had autism and another disorder, such as schizophrenia.

11.  Tim Burton

Tim Burton is a creative genius. He manages to manifest ideas that others couldn’t even begin to think of, which is why he’s had so much success.

He hasn’t been formally diagnosed with autism but identifies with the condition. After watching a documentary on the subject, he mentioned that he felt the same way as a child.

12.  Andy Warhol

Andy Warhol changed the art world for the better. He was a creative force during the Pop Art movements in the 1960s. He also likely had autism.

People point to the repetitive nature of his work as a sign of autism. He was also known for providing monosyllabic responses to interview questions, which might have been due to autism.

13.  Stephen Wiltshire

Stephen Wiltshire is a British architectural artist who became a household name due to his photographic memory. He can tap into his memory to draw complete city skylines. He now has a gallery and has contributed numerous pieces to the art world.

He received his autism diagnosis when he was only three years old. Language was difficult for him early on, but that didn’t slow him down. He created his first commissioned piece when he was eight and had been going strong ever since.

14.  Ludwig Wittgenstein

Ludwig Wittgenstein is often considered the greatest philosopher of the 1900s. His genius was clear in the early days, when he made a sewing machine at the age of 10, using his own design for the project. While his mind was agile, he had trouble making friends and was often teased.

His contributions to ethics, logic, and metaphysics are still important to this day. Along with his work, experts have been discussing the possibility that he was autistic.

15.  Amadeus Mozart

A child prodigy, Mozart started composing music at the age of 5. His musical memory was like nothing people had seen before. It was clear early on that he was a musical genius.

While autism wasn’t even a concept during his lifetime, experts now believe that he was on the spectrum.

Mozart was bothered by loud sounds and had trouble controlling his impulses. You can also find lots of repetition in his musical pieces. Instead of hindering him, the characteristics of autism likely helped him achieve greatness.

How ABA Therapy Can Help Autistic Geniuses

Autistic geniuses can feel like they are trapped in their own worlds. While this can help some achieve greatness, the characteristics of autism can hold others back. In other words, for every Mozart, there’s a musical genius who cannot move beyond the rigidity of routines to compose something great.

Many autistic geniuses find that applied behavior analysis (ABA) can help. Autistic geniuses can use this therapy to improve their communication and language skills. The therapy also boosts focus and memory while decreasing problematic behaviors. It can even help autistic geniuses become more social.

The therapist begins by determining the cause of behaviors. This includes the circumstances under which a patient engages in a behavior. Then, the therapist helps the patient replace problem behaviors with new, healthier options.

After successful treatment, people with autism will have new skills to use in various situations. They will also have finetuned existing skills and should notice a decrease in problem behaviors.

As an autistic genius, this can be quite valuable. It helps people maximize their potential by reducing roadblocks that get in the way of achievements.

Unlock Your Potential

If you’re an autistic genius, consider ABA therapy. It could be the key to unlocking your full potential. 

If you are ready to work with the best Applied Behavior Analysis therapy provider in Texas or Georgia, give us a call at (404) 487-6005. Our dedicated team is ready to help and we will treat you like family.

Engaging autistic teenagers in various activities is essential for helping them learn and nurture necessary skills that may otherwise be hard for them to master. Activities ranging from arts and crafts to music, animal care, and even playing video games can increase your teen’s confidence, sense of self-worth, and general well-being. 

Below, we discuss the best activities for teens with autism spectrum disorder that are both educational and fun. 

15 Activities for Autistic Teenagers

  • Board games

Board games are highly beneficial for children with special needs, including autism. Playing board games can help your autistic teen develop skills that are often hard to master, such as concentrating, following the rules, and taking turns.

When choosing a board game to play with your teen, make sure that the game difficulty level suits your child’s ability. 

You may want to start with a simple game that requires only throwing the dice and moving the pawn, such as Ludo, Snakes and Ladders, or dominoes. If your teen has a good visual-spatial memory, they may enjoy playing chess and other more advanced strategy games. Some board games, such as Social Skills Bingo for Teens, focus specifically on teaching social skills, asking questions, and understanding body language. 

  • Painting 

For teenagers with autism spectrum disorder, painting can be a great means of expression. Studies show that engaging in artistic activities encourages children with autism to communicate their feelings and emotions. Activities such as painting and drawing can enhance your autistic teen’s fine and gross motor skill development, in addition to building and strengthening their visual-spatial skills. They can also positively impact communication, social interaction, and self-esteem.

Some autistic teenagers avoid painting due to tactile defensiveness. If your child likes technology, you can suggest using the Draw Something app. This social drawing tool will allow your teen to interact with friends and send them pictures they draw. The Scribblify painting app with its extensive selection of brushes, drawing modes, color effects, and backgrounds can be another fun way for your teen with tactile sensitivity to create artwork.

  • Exercising

Teens with autism often have limited motor function, strength, and coordination, all of which can affect their daily life skills and self-esteem. Exercising on a regular basis will allow your teenager not only to improve their physical health, but also to enjoy a variety of activities with friends and family.

Physical activity can also enhance a general feeling of well-being and counterbalance depression and anxiety, in addition to improving your child’s learning and social behavior. Regular physical activity has even been shown to decrease repetitive behaviors like body rocking, spinning, and head-nodding in children and teens with autism. 

The Autism Fitness website offers exercise suggestions suitable for autistic teens and provides many other fitness-related resources for teenagers with autism. 

  • Cooking

Cooking is a soothing and predictable activity ideal for autistic teenagers. Meal preparation is an essential daily living skill that will help your teen become more independent as an adult. What’s more, cooking and sharing meals is also an excellent way to develop social skills. 

Before starting to teach your teen with autism how to cook, make sure to take into consideration any sensory issues, fine and gross motor limitations, and food aversions. The eduAUTISM website offers plenty of recipes for autistic children and teenagers that accommodate different food-related challenges. Here you’ll also find gluten-free, dairy-free, casein-free, and sugar-free recipes for children who are on a restriction diet.

  • Reading

Reading should be a part of every autistic teen’s daily routine as it helps develop language and improves learning and comprehension skills. Encourage your child to read a variety of fiction, educational, and scientific books that are easy to understand, but also books that are specifically targeted towards autistic teens. 

AAPC Publishing offers a range of inspirational and informative books for autistic tweens and teens with communication and social skills challenges, such as The Secret Rules of Social Networking by B. Klipper and R. Shapiro-Rieser and Diary of a Social Detective by J. Jessum. 

Brightly has excellent book suggestions for teens with autism, for example The Reason I Jump: The Inner Voice of a 13-Year-Old Boy with Autism by N. Higashida or Anything But Typical by Raleigh Baskin that deals with the topic of fitting in for autistic teens. 

  • Watching TV

Carefully curated TV watching can help your teenager with autism build knowledge and skills that can be useful both in a school setting and everyday life. Through game shows and documentaries, for example, your child will be able to acquire the necessary language skills to discuss a variety of topics with their peers. In addition, selected TV programs can show them how to behave in various situations and help them develop social skills.

  • Video games

Children and teens with autism are often attracted to video games because of their visual nature, structure, and immediate feedback. The good news is, playing video games can be beneficial for your teenager as it encourages the development of problem-solving skills, use of logic, as well as imagination and creativity. Multiplayer and MMO games are excellent tools for improving your teen’s social skills. Video games your teen may enjoy playing include Minecraft, Portal 2, and New Super Mario Bros.

  • Puzzles

Puzzles are an ideal activity for autistic teens as they provide a tactile sensation, while at the same time helping your child improve focus and fine motor skills. Puzzles can also enhance creative and cognitive abilities and can have a calming effect when your teen is feeling restless. Furthermore, completing puzzles together with others can help enhance your teen’s language and communication. Always make sure to choose a puzzle with a suitable difficulty level for your teen and encourage them to talk about what they’re doing while working on the puzzle. 

  • LEGO 

Building with LEGO blocks is a popular pastime among autistic teens. The activity is perceived as structured and predictable because the blocks come in limited shapes and sizes and the building process requires repetitive movements. 

Building with LEGOs can also be beneficial for teens who experience anxiety in social situations, for example, if they are interacting with someone they don’t know well. Studies have shown that autistic children often become more interested in interacting with each other if they are playing with LEGOs. This mode of playing encourages children to use verbal and nonverbal communication skills, share with others, take turns, and use their problem-solving skills.

  • Household chores

One of the best ways for autistic teens to develop a practical understanding of concepts such as responsibility and sharing is by doing household chores. They can start with simple tasks like putting things in their place, watering plants, or collecting letters from the mailbox. As they get comfortable with chores, you can teach them more advanced tasks, for example, how to make the bed, set the table, clean the house, or cook a simple meal.

  • Listening to music

Many teenagers with autism are emotionally responsive to music, and melodic sounds often capture their attention much better than spoken language. Listening to music is also a powerful multi-sensory experience that can help your autistic teenager reduce anxiety levels, develop their verbal and social skills, and improve memory. In addition, music offers security, comfort and increases self-confidence. 

  • Learning an instrument

Playing musical instruments stimulates the brain to make new connections and strengthens existing ones, resulting in improved mental health and cognitive ability. Besides, it may help your teenager improve fine and gross motor skills as well as posture, concentration, coordination, and creativity. Playing in a musical ensemble can further build social and communication skills. Some of the musical instruments your teen with autism may enjoy learning and playing are the ukulele, guitar, violin, keyboard, recorder, trumpet, and bongos. 

  • Dancing 

Dancing is a fun activity that can have a great impact on your autistic teen’s development. Joining a dance class can be hugely beneficial in improving your child’s concentration and memory, enhancing communication skills, increasing empathy, and developing the ability to adapt to different situations. Dancing and also boost your teen’s body image and body awareness.

  • Meditation

For many teenagers on the autism spectrum, having control over the relationship between their minds and body is a major challenge. Meditation is an activity that can address some critical areas teens with autism struggle with, such as motor skills, sensory issues, and socializing with others. It can show your adolescent how to tune into the present moment instead of getting overwhelmed by emotions. Guided meditation apps like Headspace, Calm, or My.Life—that is created specifically for teens—are excellent options for learning how to meditate. 

  • Animal care

Research shows that interacting with animals significantly improves social behavior in children with autism. Animals can provide companionship to your autistic teen and help alleviate their stress and anxiety. Owning a pet will also foster a sense of responsibility in your child. The most suitable pets for autistic children and teens are older puppies or young dogs, guinea pigs, rabbits, pet rats, and fish that your child may find relaxing to look at.

Of course, you don’t need to own a pet for your child to engage in animal care. Your teen can participate in a range of activities involving animals from horseback riding to volunteering at nature centers, fostering kittens or puppies, or working with animals at a local farm. 

How ABA Therapy Can Help Autistic Teens with Their Activities 

ABA is a form of behavioral therapy that focuses on changing unwanted behaviors and reinforcing desirable ones. It is the most widely researched and successful therapy for autism. 

Although ABA is for the most part used for younger children with autism spectrum disorder, adolescents across the spectrum can also benefit from ABA-based interventions

ABA therapy is used to build and improve social and communication skills, as well as daily living skills in children and teens with autism. These skills include everything from understanding social cues such as facial expressions and body language to initiating conversations, responding to questions, following directions, and acquiring basic academic skills. The therapy provides targeted treatment based on your child’s individual strengths and weaknesses.

ABA therapy typically uses positive reinforcement in the form of rewards and other incentives. When a desirable behavior is followed by a motivator, like a special treat or activity, children are more likely to repeat the action. Over time, this method leads to positive behavioral changes.

ABA therapy can help your child experience multiple sensory stimuli in a safe, welcoming environment and ultimately become more focused and better in their activities. ABA therapy has been shown to lead to improvements in skills such as eye contact, language, socialization, on-task behaviors, and concentration, all of which are required for successful participation in various activities your teen with autism engages in.

The sooner someone with autism spectrum disorder (ASD) starts to work on their social skills, the better. It’s important that ASD gets diagnosed as early as possible so ABA therapists can help build strong, practical social skills with their autistic patients.

Read on to learn more about:

  • What social skills are and why autistic children struggle with them 
  • Important social skills for autistic children 
  • How ABA therapy helps autistic children develop social skills
  • Other common strategies used for teaching and developing social skills

What are social skills?

Social skills are essential tools. Everyone needs to have them and use them in their everyday lives. They are what make it possible to have successful communication. Without them, there would be misinterpretations during each social interaction with another person.

Social skills can be characterized one of the following:

Verbal social skills: Let the other person know about certain information through talking and voice how you’re feeling to the people around you. 

Written social skills: Exchanging information, feelings, thoughts, and opinions through writing. Newsletters, lists, emails, and notes are all used for written social skills.

Non-verbal social skills: Using appropriate gestures to communicate during social interactions and knowing how to use facial expressions and body language in practical ways.

Empathetic social skills: Empathy as a social skill consists of three key components. how to recognize the emotions of others. Understanding what they are feeling and thinking—knowing and feeling the same way that they do to give a sincere response. 

Some of the common characteristics of social skills include:

  • They are often goal-oriented.
  • The social skills used depend on the situation, who it involves, and where it occurs. For example, a scenario taking place at home may produce a very different reaction than the same scenario taking place at work. Personal and professional social skills tend to be quite different from person to person. 
  • Social skills are certain types of behavior that get judged by other people. These behaviors get evaluated to determine our level of social skill. 
  • They can be taught, practiced, and learned by almost anyone.
  • However, suppose they only get taught what the definition of those social skills is. In that case, they still get considered underdeveloped. 
  • To learn and develop social skills of their own, they need to have a complete understanding of what they are. They also need to know how to recognize them in day-to-day life. They need to have complete cognitive control over them without being told when and how to do so. 

Why do autistic children struggle with social skills?

Autistic individuals who are older or have a late diagnosis may struggle to relearn healthy social skills. It could also take them longer to develop those skills as well. Learning a new skill set can take quite a bit of time. 

More time is often needed because they also have to forget their old habits. Letting go of negative behaviors that hold them back is one step closer to having good social skills. 

Having good social skills can help autistic children:

  • Determine how to act appropriately in any social situation. 
  • Make new friends, and be able to keep them as well.
  • Discover personal interests and develop new hobbies.
  • Learn from their peers. 

Another reason why children with autism struggle with social skills because it is much harder for them to pick up on social cues. They may not recognize how another person feels right away, which can sometimes lead to them seeming like they don’t care.

A robust set of social skills is essential for autistic children. It will have a significant positive impact on their mental health. Communicating their needs and expressing emotions to others will give a massive boost to their self-esteem. 

Building solid social skills is good for the mental and emotional wellbeing of people with ASD. It can increase their overall quality of life.

The most important social skills to teach an autistic child?

The most essential and needed social skills that can be taught to children with autism belong to these four groups:

Play skills: Sharing toys and taking turns to be fair with one another.

Conversation skills: Choosing appropriate conversation topics or what body language to use.

Emotional skills: Recognizing, understanding, expressing, and managing their emotions, also doing the same for the feelings of other people.

Problem-solving skills: Making proper decisions in social situations, dealing with and resolving conflict. 

Here are seven social skills that every child should have and why they’re so necessary to have:

Sharing

  • It helps make and keep friendships.
  • Feeling good makes you share, and in return, sharing makes you feel good.
  • It raises self-esteem.

Cooperating

  • It Teaches teamwork.
  • It Helps set goals.
  • It Shows respectfulness.
  • Positive contribution to society.
  • Can teach leadership roles.

Listening

  • Teaches good communication.
  • Improves ability to learn and absorb information.
  • Shows respect to the other person speaking.
  • It teaches patience.

Following directions

  • It helps avoid having to correct mistakes.
  • It shows independence.
  • Following directions shows that they understand when they get asked to do something.
  • Good work skill to have.

Respecting personal space

  • It teaches respect.
  • It helps set boundaries for themselves and other people.
  • Allows privacy.
  • Shows ability to follow the rules and directions.

Making eye contact

  • Needed for proper communication.
  • Good eye contact shows that they are listening. 
  • Engagement. 
  • It shows respectfulness. 
  • It shows politeness.

Using manners

  • Shows respect.
  • Good communication.
  • It teaches politeness.
  • It can help keep some behaviors more under control.
  • It makes them more approachable.

ABA therapy for autistic children to improve their social skills?

Applied Behavioural Analysis (ABA) is an effective type of therapy. It is a common form of therapy for children with developmental conditions such as autism spectrum disorder (ASD).

ABA therapy involves reinforcing new and healthy behaviors. It pinpoints what specific strengths and weaknesses need attention.

It is also one of the most popular therapies. It’s primarily known for helping autistic children build positive skills such as:

  • Interactive play
  • How to follow directions
  • Social communication
  • How to initiate conversations 
  • How to take turns with others
  • How to follow set rules
  • Coping skills
  • Appropriate eye contact
  • Identifying and understanding social cues
  • Reducing problem behaviors

ABA therapy’s effective design was created for meeting the needs of everyone in a different way. Each treatment plan is unique. 

The main goal of ABA therapy is first to understand how certain behaviors develop. Once the behaviors that have adverse effects get identified, intervention and a treatment plan get put into place. 

ABA therapy can help your autistic child build healthy social skills. It can also improve learning abilities and modify behaviors into more positive ones. Check out Hidden Talents ABA to learn more about how you can easily access quality and effective treatments. 

Additional Strategies for teaching and developing social skills

Role-playing

To role-play as a social skill-building strategy, set the role-play:

  1.  Make its theme in context for a specific social skill you want the autistic child to learn. 
  2. Let the child choose their role and act out the scenario. 
  3. When role-playing, you want to show the best possible behaviors for specific situations. When they do happen in real life, they will have prepared to deal with it accordingly. 

Video-Modelling

One of the most effective intervention strategies for teaching social skills to autistic children is video modeling.

 It is a visual teaching technique and involves watching a video of the desired behavior. After the video is over you, then work with the child to try to mimic the same behaviors as seen in the video. 

Play games 

Use games as your tools when teaching autistic children new social skills. Games are hands-on and fun. They are good at making it easy for any child to take part in skill-building activities

Playing different types of games is a great interactive way to develop meaningful social skills. Behaviors that get learned through playing games also often will stick. 

Visual supports 

Visual supports enhance the communication process by adding another interpretable level to it. 

Photographs, artwork and various objects can all get used as visual supports. Using written words as visual supports, such as checklists and schedules, can also be used.

 An excellent example of a visual support is a stop sign.

Giving proper praise

Giving out proper praise when deserved is essential. It’s a necessary part of effectively teaching autistic children social skills. 

Children are more likely to remember how to use good social skills when rewarded. You can give them praise for displaying certain positive, ideal behaviors. 

Giving credit when needed also shows them that they are on the right track. It reassures them that they are offering the appropriate social behaviors. 

Social skills training 

Social skills training (SST) is a type of behavioral therapy. It helps people with developmental disorders, like ASD, to quickly learn and build a solid set of social skills. 

It shows how to use positive behaviors in complex social situations. SST also teaches valuable social problem-solving skills needed in everyday life. 

Read social stories 

Social stories are personalized short stories. They are a way for autistic children to easily exchange information.

Doing so can make it easier to develop positive social skills. They typically get written in an active first-person point-of-view. They can answer questions based on: Who, what, when, where, why, and how. 

You can find several examples of social stories for different specific issues here

Many believe that Autism Spectrum Disorder (ASD) makes those on the spectrum lack empathy. The reality is that many people with ASD have trouble identifying what they are feeling. When unable to express their emotions, it seems like they don’t have any.

The purpose of this article is to inform people about the effects that autism has on empathy. By the end, you will have learned:

  • The elements needed to show empathy to others
  • If autism causes a lack of empathy or not
  • How you can explain autism to other children
  • How ABA therapy may help teach empathy to autistic children
Three children of different genders with autism is smiling , Their expressions conveying empathy.

Understanding Empathy and Sympathy 

Empathy means being able to feel the emotions of another person. You experience certain feelings together. 

Sympathy means understanding why that person feels those emotions. Yet, they remain distanced enough not to inherit their feelings. 

Psychologists Daniel Goleman and Paul Ekman discovered three forms of empathy. Cognitive, emotional, and compassionate. 

Cognitive Empathy 

Cognitive empathy is awareness of how and why a person might feel a certain way. It is the ability to look at things from all perspectives. Doing so helps you understand their emotions and thought processes. 

Emotional Empathy 

Emotional empathy is when you feel the same emotions as another person. You can achieve it by putting yourself in the same emotional place as someone. You then can feel and understand what they are going through. 

Compassionate Empathy 

Compassionate empathy is a balance between cognitive and emotional empathy. You are aware of the other persons thinking and emotions and can feel them as well. Those two elements put together motivates you to take action to help them.

Does autism cause a lack of empathy?

Someone with autism spectrum disorder may have trouble expressing sympathy and empathy. Or they may fail to express them at all. Being unable to express those emotions makes it appear as if they lack those emotions. 

It’s common for someone with autism to fail to express those emotions. It doesn’t mean that they don’t have them, though. Most of the time, they have underdeveloped skills. Those skills can be in one or more of the many elements needed to show empathy to other people. 

Here are the empathetic elements that you need to connect with someone:

  • Be able to recognize the other person’s thoughts and feelings
  • Understand what the other person is hoping for and what their expectations could be
  • The personal relation to the other person’s emotions through shared emotional experiences
  • Know how to express feelings of empathy both verbally and physically 
  • Culturally understand that displaying empathy is an expectation or a desire

Empathy is an emotion with two dimensions. It has a cognitive level and an affective/emotional level. 

The cognitive level is where you recognize and understand someone’s emotional state. 

The emotional/affective level is where you feel someone’s emotions.

Emotions are displayed on the face using the mouth and the eyes. People with ASD tend not to pay attention to those places and look at the sides of a face instead. As a result, they cannot use cognitive empathy. They are unable to recognize emotions by looking at the expressions on people’s faces. 

Affective empathy gets felt more powerfully. It even can be overwhelming for some people with ASD. The emotions of other people may even be more intense for some autistic people.

Another factor that makes it seem like autism causes a lack of empathy is the missed social cues. Children with autism tend to have different responses to things than typical children. They end up having different reactions because of those missing cues.  

Here are some reasons why someone with ASD may miss these cues:

  • It’s complicated for those with autism to interpret non-verbal forms of communication. They can’t pick up visual cues like facial expressions and body language. 
  • Children use repetition and mimicry to learn and develop social skills. Children with autism tend not to imitate others instinctively. Expressing empathy as others do may be more challenging to them because of this. 
Empathetic hand hold

Can empathy be taught to autistic children?

The Journal of Applied Behavioural Analysis published research involving autistic children learning empathy. The study indicated that autistic children could indeed get taught cognitive empathy. 

Many techniques for teaching empathy include reinforcing responses to other people’s emotions. Modeling and prompting are two popular ones. They teach how to use the correct facial expressions, body language, tone of voice, and phrases. 

However, those techniques only teach behavioral empathy, not empathy at an emotional level. 

Cognitive-behavioral therapy (CBT) and other therapies have proved to improve emotional empathy. 

Explaining to children that autistic children may lack empathy

Reports show that 1 in every 54 children in the U.S. gets diagnosed with some form of ASD. Over half of autistic students ages, 6 to 21 are in a regular classroom for 80 percent or more of their day at school. 

Proper and clear explanations of autism to other children are essential. Doing so helps make classrooms more comfortable for autistic students. It creates a safer environment for them when the people around them are aware of their needs.

When explaining autism to another child, keep these tips and ideas in mind:

There are no wrong questions

Honesty should never be considered rude, especially when it comes to the curiosity of a child. You can take it as an opportunity to explain to them that everyone’s different and that that’s okay. 

Different ways to communicate

Show them the different ways that they can communicate with non-verbal autistic children. Let them know that even though they can’t talk, it doesn’t mean they don’t understand anything. 

Be open and honest

If you hold back on not talking about certain things, it shows them that it’s too bad to talk about it. A negative mindset can develop if a child feels like they shouldn’t discuss a specific topic. 

Use storybooks

Books and stories can have a powerful impact on the way a child views things. Try reading them books about autism spectrum disorder with autistic characters in them. Those types of books can put certain things into an easier-to-understand perspective. 

Remind them to be polite

You may hear them say, “that kid is weird” or that they “act crazy.” Please take this opportunity to correct them. Explain that some people have more significant reactions to things than others do. Also, let them know that it’s never okay to call someone weird or crazy because they’re different. It can be hurtful to the other person’s feelings. 

ABA therapy and teaching empathy

Applied Behaviour Analysis (ABA) therapy helps children with autism spectrum disorder build social skills. It also teaches them appropriate behaviors. Each therapy plan is different and gets catered to the autistic child’s unique needs. 

Here’s what a trained therapist may do to teach a child with ASD empathy:

  1. First, they will begin to teach the child what emotions need an empathetic response. They then get taught how to recognize them. The therapist may do this with pictures or silent videos of facial expressions.
  2. Next, they teach the child how to identify those emotions during everyday interactions. 
  3. Learning how to understand what the other person is feeling is the lesson that follows. The therapist, by then, will have shown them when a particular situation needs empathy. 
  4. Finally, the autistic child will get taught appropriate responses. They will learn what response they need for different emotions. Teaching proper responses usually gets done through role-playing. 

The main goal of ABA therapy is to teach a child with ASD how to understand their emotions. They also will develop an emotional understanding of the feelings of others. The therapist will work with the child to improve the child’s behaviors and responses. 

One of the many challenges children with autism face is wearing shoes. Due to sensory issues and other factors, they may find it difficult to put on shoes and keep them on their feet. 

Here are some tips on how to make wearing shoes easier for your autistic child. 

Why Autistic Children Have a Hard Time with Their Shoes

Children with autism spectrum disorder are often reluctant when it comes to wearing shoes.  Several factors may contribute to this particular challenge: 

Sensory issues

One of the main reasons for foot discomfort in autistic children is sensory processing disorder, a condition often associated with the diagnosis. Children with autism regularly experience hypersensitivity to various elements in their environment, including clothing and shoes. 

Foot pain

Foot pain may be another cause of your child’s hesitance to wear shoes. It can result from injury, physical conditions like the size and shape of feet, some medical conditions, or the use of an ankle-foot orthosis. You should consult your child’s occupational therapist or health professional if you suspect your child might have foot pain.

Dealing with stress

Many children with autism have difficulties learning to tie their shoelaces due to fine motor skill delays. As a result, putting their shoes on can become a stressful experience that triggers meltdowns and further increases their reluctance to wear shoes. 

How Do You Get an Autistic Child to Keep Their Shoes On? 

Persuading your autistic child to keep their shoes on can be a daunting task. Here are a few tips that can help you turn wearing shoes into a positive experience for your child. 

Get the right pair of socks

Autistic children with sensory issues are often sensitive to the seams on their socks, which may be a part of the reason your child dislikes wearing shoes. Seamless socks are more comfortable and will provide relief for your child’s sensitive feet. Brands like EZ Sox and SmartKnit Kids carry sensory-friendly socks with seamless toes, non-skid bottoms, and pull-up loops to help your child put them on. Soft fabrics including cotton, bamboo, or silk also work well for children with sensory issues.

Find alternatives to laces 

Buckle and lace-up shoes can feel tight and restrictive and may be a reason your child won’t keep their shoes on. A hook-and-loop fastening is a better choice as it will allow your child to wear shoes as tight or loose as they wish. To avoid the stress of tying the shoes, you may want to replace your child’s regular laces with quick-release or no-tie elastic laces such as Xpand, Greeper Laces, or Lock Laces, for example.

Know the right measurements

It is essential that your child’s footwear is the right size. Tight and ill-fitting shoes are not only painful but can also damage your child’s feet as they grow. Some children like high-top sneakers because they make them feel secure, while others find them too constricting. If this is the case, you may want to consider wider shoe models or loose-fitting sandals for your child. 

Buy adaptive shoes 

Adaptive shoes are designed for children who have special needs when it comes to footwear. Your child with autism can greatly benefit from wearing adaptive shoes, as they provide increased comfort and are easy to put on and take off. These shoes are usually extra wide and include features such as adjustable straps, removable insoles, and pull tabs. 

Check whether your child needs orthotics

In case of musculoskeletal issues or walking difficulties, your child can be referred to a podiatrist who will assess their feet and gait and determine whether there is a need for additional support aids. The podiatrist may prescribe orthotics or foot orthoses, special shoe inserts that provide foot support. There are many shoes that work well with ankle-foot orthoses if your child needs to wear them. 

Going to a Shoe Store with Your Autistic Child 

A trip to a shoe store with an autistic child who doesn’t like to be touched, finds busy places overwhelming, and has trouble understanding how to wait for a turn can be extremely challenging. It may trigger anxiety and quickly lead to aggressive behavior. Here’s what you can do to create optimal conditions and ensure a less frustrating shopping experience for your child. 

Prepare in advance

Children with autism spectrum disorder need predictability. Knowing what to expect allows them to better cope with potentially stressful situations and makes the transition to a new space easier. That’s why you should ideally start preparing your child for going to a shoe store the day before. Talk to your child about the upcoming shopping trip, show them the photos of the store, and let them know what to expect. 

Use social stories

Creating a social story that depicts the situation you will encounter will help your child understand how the visit to the shoe store will unfold, what they will be asked to do, and when the trip will end. 

Measure your child’s feet

If you know that going to the shoe store will be a difficult experience, measure your child’s feet in advance using at-home devices such as RITZ Stick or Brannock

Visit during the store’s quiet time

If your child has sensory issues, it may be a good idea to contact the store in advance to find out if they have any quiet hours. This way, you’ll avoid crowds and prevent your child from getting overwhelmed. 

Buy more than one pair of shoes

To make sure you chose the perfect fit, buy several different pairs of shoes and let your child try them on at home. You can then simply return the ones that your child finds uncomfortable, but don’t forget to check the retailer’s return policy first.

Identify your child’s triggers

Identify the triggers that could provoke your child’s anxiety in the shoe store. If your child is sensitive to loud sounds, you can bring headphones and if overhead lighting poses a problem, your child can wear sunglasses or a baseball cap for protection. 

Bring a soothing item

Make sure to bring your child’s favorite toy or blanket, earmuffs, a fidget toy, or any other object or activity that will soothe your child in case they get overwhelmed. 

Plan a fun activity

Schedule a fun activity after the shopping trip that will serve as a motivator for your child. This can be as simple as setting aside some time to play with a favorite toy or game together.

Reward good behavior

Reward your child with a small treat for completing the shopping trip. Provide lots of praise and attention if your child is doing a good job.

The Best Adaptive Shoes for Autistic Children

Many brands make adaptive shoes designed for children with sensory issues, including those with autism. Listed below are some of the most popular ones:

Stride Rite

Stride Rite carries a range of wide and extra wide children’s shoes with soft memory foam footbeds, flexible soles, and hook-and-loop fasteners that are both comfortable and easy to put on. If you donate an old pair of shoes to charity, you’ll receive 20% off your purchase.

Pediped 

Pediped shoes support children’s natural movement and promote healthy foot development. They are made from soft, pliable leather, and feature convenient hook-and-loop closure. All models comply with the strictest safety standards.

Tsukihoshi

Tsukihoshi footwear is a popular choice for children with autism due to their comfort and flexibility. Most styles have no-tie stretchy laces, ideal for children with fine motor skill delays. The shoes are washable, latex-free, and work well with ankle-foot orthoses.

BILLY Footwear 

BILLY Footwear offers functional shoes with zippers that go all the way along the side and around the toes, allowing them to open and fold over completely. The shoes are both comfortable and quick and easy to put on and take off. 

Hatchbacks Footwear

Hatchbacks Footwear developed and patented a hinged shoe that opens from the back to make it easy to put on and easily fit over ankle-foot orthoses. 

Plae 

Plae shoes are a good pick if your child uses ankle-foot orthoses or supra-malleolar orthosis which supports the foot just above the ankle bone. They are flexible, wide, have extended Velcro straps, and are machine washable. 

Skechers

Many Skechers models feature Velcro straps or a pull-top loop so that they can slip on and off your child’s feet easily. The shoes have gel-infused memory foam for increased comfort and are lightweight and durable. 

Nike FlyEase 

The Nike FlyEase sneaker line consists of lace-free adaptive shoes that are quick and easy to put on. The responsive foam adapts to your child’s movement, making them soft and very comfortable to wear.

Vans

Vans autism acceptance collection is a line of sneakers designed for children with sensory processing issues. The collection features shoes that slip on with pull-tabs or close with hook-and-loop fasteners. The footwear comes only in muted colors that will appeal to children who find bright colors overstimulating. 

Autism Friendly Shoe Stores in Georgia

Here are five autism-friendly shoe stores in Georgia, including Atlanta:

  1. Stride Rite – Located in multiple locations including Atlanta, Stride Rite offers shoes specifically designed for children with sensory sensitivities, including those on the autism spectrum.
  2. Nordstrom – With locations in Atlanta and other parts of Georgia, Nordstrom is known for its inclusive shopping experience, offering sensory-friendly shopping hours and trained staff to assist customers with special needs.
  3. Shoe Carnival – Located throughout Georgia, Shoe Carnival offers a wide selection of shoes and is known for its accommodating staff and willingness to create a comfortable shopping experience for customers with autism.
  4. The Sensory Shop – While primarily an online store, The Sensory Shop has a physical location in Marietta, GA. They specialize in sensory-friendly products, including shoes that cater to the needs of individuals with autism.
  5. New Balance – With stores in various locations in Georgia, New Balance offers a variety of shoes with features that cater to sensory sensitivities, along with knowledgeable staff trained to help customers with autism.

These stores provide a supportive and understanding shopping environment for individuals with autism, making shoe shopping a more pleasant experience.

In conclusion, finding the right shoes for individuals with autism is crucial for their comfort, sensory needs, and overall well-being. With a growing awareness of the unique challenges faced by those on the autism spectrum, many retailers are now offering specialized footwear designed to meet these needs.

Raising a child with Autism Spectrum Disorder (ASD) in Atlanta can be both rewarding and challenging. If your child also struggles with anxiety, depression, or ADHD alongside their autism diagnosis, you might be wondering what additional support options are available. Here at Hidden Talents, we understand the unique needs of Atlanta families with autistic children, and we believe Cognitive Behavioral Therapy (CBT) can be a powerful tool to help them manage these additional challenges and thrive.

Let’s delve deeper into Cognitive Behavioral Therapy for children on the autism spectrum.

What Is Cognitive Behavioral Therapy?

Cognitive behavioral therapy (CBT) is a form of therapy designed to treat mental health disorders by identifying and changing unhealthy and harmful behaviors. It is based on the idea that behaviors are learned and that, as a result, they can be changed.  

As its name suggests, cognitive behavioral therapy relates to both cognition or thinking and behavior. One of the core principles of CBT is that thoughts and feelings are not determined by the situation but rather by the interpretation of the situation. Therefore, negative behaviors are often caused by unrealistic thoughts that set off false feelings and emotions. Through cognitive behavioral therapy, patients can learn different strategies to help them change the way they interpret and respond to a situation. 

CBT has been proven effective in treating a broad range of psychological disorders such as anxiety, panic disorders, depression, eating disorders, post-traumatic stress, obsessive-compulsive disorder, psychosis, and bipolar disorder. More recently, it has also been used to treat other conditions including autism spectrum disorder.

Techniques used in CBT

Cognitive behavioral therapy encourages patients to challenge their thoughts and beliefs using a variety of techniques. As they gain new coping skills, they are exposed to increasingly difficult situations in a process called graded exposure.

Some of the most frequently used techniques in cognitive behavioral therapy include: 

Cognitive restructuring

This method involves identifying and reframing negative thought patterns. Once patients are aware of their thoughts, they can learn to reframe them into something more positive and productive.

Guided discovery

Patients are asked questions that challenge their beliefs and assumptions. In the process, they will start seeing things from other perspectives and eventually choose a more helpful way to deal with challenging situations.

Exposure therapy

Patients are gradually exposed to whatever provokes their fear or anxiety, while the therapist provides guidance on how to cope with the situation. Eventually, patients will start feeling less vulnerable and more confident as they confront the feared object, activity, or situation.

Relaxation techniques

Progressive relaxation techniques, such as deep breathing exercises, visualization, muscle relaxation, and guided imagery, are helpful techniques used for dealing with phobias and social anxieties.

Journaling

Patients are asked to write down both negative and positive thoughts and record any new behaviors that occur between two therapy sessions. This practice helps recognize distorted thought patterns and move away from negative thoughts.

Behavioral experiments

This technique is used for patients with anxiety disorders that involve catastrophic thinking. Before they face a situation that makes them anxious, patients are asked what they think is the worst thing that can happen. After the experiment, they can test the validity of their belief by estimating to what extent their prediction was correct.

Activity scheduling 

Patients are required to write down all the activities that they need to complete and schedule them in an orderly manner in order to lower the level of stress and anxiety.

Role play

Role playing can help patients understand other perspectives, through visualizing and practicing different ways of handling challenging situations. This technique is successfully used in dealing with social phobias, improving communication and problem-solving skills, and increasing confidence levels.

Successive approximation

This CBT exercise helps patients tackle difficult situations by taking tasks that are perceived as overwhelming and breaking them into smaller, more achievable steps. 

Using CBT for Autistic Children

Children with autism spectrum disorder typically suffer from additional conditions, such as anxiety and depression. Studies have shown that psychological issues are common in autistic children, with anxiety disorders affecting around 40% of children with autism, often accompanied by anger, depression, ADHD, or oppositional defiant disorder (ODD). 

Cognitive behavioral therapy is an effective tool in treating the common conditions associated with an autism diagnosis. Researchers have found that using CBT can help ease anxiety and redirect avoidant behavior in children with autism. A study has also shown that after only sixteen CBT sessions over three months, 78% of autistic children have seen improvement in their condition

Benefits of CBT for children with autism

Cognitive behavioral therapy can equip children with autism and their families with coping skills that will help them understand and manage emotional distress, and any accompanying physical symptoms, negative thoughts, and problematic behaviors.

Cognitive behavioral therapy has multiple benefits for children with autism:

  • It can help them cope with and manage anxiety and other emotional issues.
  • It helps them deal with stress and fear, making it easier to face dreaded situations. 
  • It allows them to change irrational and negative thoughts.
  • It may help older children improve their relationships with others. A study on children with high-functioning autism has shown that CBT enables gradual improvement in communication and other social skills.

What does a CBT session for autism look like?

During cognitive behavioral therapy sessions, your child will work with a specially trained therapist who will help them identify and analyze unwanted behaviors and their harmful aspects. A clear understanding of the behavior will make it easier to recognize it later on and react appropriately. The therapist will also teach your child how thoughts, feelings, and behaviors are related, how they influence each other, and provide strategies to approach difficult situations in a more constructive way.

To help your child learn necessary skills, a CBT therapist will use a variety of techniques, such as:

  • Asking the child about their thought processes in a difficult situation in order to identify any negative patterns. These patterns will then be reframed into positive and productive thoughts.
  • Explaining how to cope with fear and anxiety while at the same time slowly exposing your child to the same situation that triggers negative emotions. 
  • Helping a child who avoids or puts off activities due to fear or anxiety to establish a structure and a routine, which will make it easier to follow through with the task.
  • Visualizing all the steps and potential risks before getting engaged in an activity. This exercise will help reduce stress and anxiety.
  • Practicing relaxation techniques, such as deep breathing, mindfulness, and guided imagery. These techniques are particularly useful when dealing with anxieties and phobias.
  • Practicing positive behavior in difficult situations with the help of role play. 

CBT therapy for autistic children can be done either individually or in a group. Your therapist may also offer family therapy as well as parent coaching.

Challenges CBT therapists face when treating autistic children

Cognitive behavioral therapy is an effective and empirically supported treatment, however, therapists who work with autistic children may still encounter a number of challenges. 

To begin with, children with autism spectrum disorder need to have the necessary skills to ensure the success of the therapy. Although autistic children can usually distinguish thoughts, feelings, and behaviors, and even attempt to alter their thoughts, recognizing emotions is an area that can pose significant difficulties during therapy.

In addition, cognitive behavioral therapy tends to require strong linguistic and abstract thinking abilities, which can represent a challenge for children on the autism spectrum. That is why therapists often need to introduce modifications to make CBT techniques more pertinent for autistic children. They may resort to more concrete, repetitive, and visual tactics, and focus on your child’s special interests to keep them engaged and motivated. Besides, therapists may have to incorporate frequent movement breaks or sensory activities for children who have problems with attention or sensory under- or over-reactivity.

How Often Should CBT Sessions Be Administered For Autistic Children?

Each child with autism is different and there is no one-size-fits-all CBT treatment schedule that will guarantee positive results. However, most children will need one session per week for a total of 12-16 sessions, with each treatment lasting between 30 and 60 minutes. 

What Is the Difference between CBT and ABA? 

Both cognitive behavioral therapy (CBT) and applied behavioral therapy (ABA) are considered to be evidence-based best practice treatments by the American Psychological Association. Depending on your child’s specific needs, either one or both of these therapies might be good options. 

However, you should keep in mind that while ABA is often the starting point in treating autistic children with more severe symptoms, CBT is recommended for children with milder symptoms of autism and those with high-functioning autism. Most children are between 2 and 6 years old when they begin ABA treatment. CBT is more appropriate for children above the age of 7 as well as teens and adults with autism spectrum disorder. 

ABA focuses on managing specific and immediate behavioral issues of autism spectrum disorder. At the same time, CBT takes a broader approach to address mental health problems that accompany autism, such as mood disturbances and anxiety. 

Finally, ABA therapists will often recommend as many as 40 hours a week of therapy, often in full-time, classroom-based programs. Your child will need anywhere between 25 to 45 hours a week of applied behavioral therapy for 1 to 3 years before you start seeing positive results. CBT, on the other hand, is time-restricted and it usually takes a few weeks to a few months to notice results.

The Best CBT Providers in the Atlanta Area

If you live in the Atlanta area, you may want to consider one of the following top-rated CBT providers for your child with autism:

Atlanta CBT

Atlanta CBT offers cognitive behavioral therapy for anxiety, obsessive compulsive disorder, and positive discipline, in addition to providing parent training where you can learn the necessary skills to guide your child.

Anxiety Specialists of Atlanta

A team of CBT specialists provides a variety of treatment techniques, with a focus on exposure therapy and exposure and response prevention for anxiety disorders, OCD, and related conditions.

Thriveworks Atlanta

Thriveworks Atlanta CBT counselors and therapists are trained in child therapy and have extensive experience in dealing with various issues your child with autism may be facing.

Cognitive Atlanta

Founded in 1985, Cognitive Atlanta was the first treatment and training institute of its type in the Southeast. Their psychologists specialize in cognitive behavioral therapy for children, adolescents, and adults.

Atlanta’s Children Center for Developmental and Behavioral Health

This service offers family and individual therapy using cognitive behavioral strategies to help children with behavioral difficulties, anxiety, mood problems, and social skills. They specialize in treating autism, among several other conditions.

Atlanta Specialized Care

The Atlanta Specialized Care therapists have years of experience using cognitive behavioral therapy and other techniques to treat autistic children and adolescents who are dealing with depression, anxiety, and ADHD.

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LifeStance Health 

This service allows you to find your nearest provider of CBT therapy in Atlanta and several other Georgia cities.