Tantrum vs meltdown

Weekly Autism Tips for Emergency Responders – Sensory Meltdown Vs. Tantrum

Tantrum vs meltdownHey, Spirit of Autism family! I appreciate your patience regarding the fact that I’ve not been able to keep the Blog up to date while finishing Advanced EMT school. It’s been quite a ride but I’m nearly there! I can see a light (or is it flashing lights?) at the end of the tunnel…

I’m going to be transitioning the Blog to focus more on Autism Training Tips for Emergency Responders, Autism Safety Tips (for families and responders alike) and Emergency Preparedness for Autism Households. Previously the focus was on parents and caregivers only, which made it very confusing for those landing on my website, seeing that I do training for emergency responders, but solely reading about my journey as a parent. I will still be sharing lots of stories and personal experiences and of course adding my experiences and perspective as a parent – how could I not? My main focus, however, is to get critical information into the hands of emergency responders that have not yet taken my training course. To do this, I need to start offering it here.

If you have friends and family members in public safety, healthcare security, disaster response, or similar fields, please point them to the website! I want to go beyond local training efforts and start making a global difference.

So, the first in the Weekly Autism Tips for Emergency Responders [W.A.T.E.R.] series is… (sound the horns)…

Sensory Meltdown Vs. Tantrum

When I introduce my course objectives to class recipients, I talk about the definition of Autism, starting with what Autism is NOT. It is not a mental illness and it is not a behavior issue. At this point, students typically turn their heads and look at each other questioningly, as if I’m speaking Swahili. If I had a nickel for every time my son’s inability to cope with an overwhelming sensory environment was labeled a temper tantrum or behavior disorder. And I’m not just talking bystanders, this has happened with Special Ed teachers and pediatric neurologists.

I am a single mom. I’m not going to sit here and tell you that my child has never had a tantrum or behavioral outburst. He’s a BOY. With lots of ENERGY. Going through PUBERTY. Of course there have been times he’s tested those in authority. That’s what teenagers do.

Even knowing all I do about Sensory Processing issues, it is still a fine line to walk when discerning a sensory meltdown and an actual tantrum. I want to help arm you with some real, tangible signs and symptoms to help you tell the difference. Recognizing the physiological differences may change your response and radically alter the outcome of a situation. I’m not ever going to tell you to go against your local protocol or training and put yourself in danger. I’m talking about some really good scene size-up tools to help you respond in the safest way possible for all parties.

Signs and Symptoms of both a Tantrum and Meltdown

If you are just looking at the surface, it is challenging to tell what’s going on – the signs of both tantrums and meltdowns may present as screaming, kicking, shouting, stomping, swearing, biting, throwing, or hitting (either others or self-injurious behavior). Let’s go a little deeper:

A Tantrum typically occurs when a person wants something

A Meltdown is a response to environmental sensory overload or feeling extremely overwhelmed

During a Tantrum the person frequently checks to make sure you are paying attention to their behavior

During a Meltdown the person does not care if anyone is paying attention, they cannot stop themselves

A person acts this way in front of an audience during a Tantrum (behavior will cease when no one is looking)

During a Meltdown the behavior will continue with or without an audience

A Tantrum will cease abruptly once the person gets what they want

In a Meltdown situation, there is no goal – the behavior will cease only when the person can self-calm or when someone helps them regain control

In a Tantrum, there are no residual autonomic nervous system signs following the behavior; the person returns to normal activity within 5 minutes

A Meltdown will yield residual symptoms such as red ears, sweating, and dialated pupils; it takes 45-60 minutes for a person to return to normal following a sensory meltdown

Remember that someone experiencing a sensory meltdown is in survival mode – they are battling their environment and it is pure physical and psychological torture. Their senses are on fire and they have little control over themselves. No one chooses to be in a meltdown, and when you understand what’s happening to the nervous system and help someone through it your are not “giving in to” or “reinforcing” negative behavior. You are throwing someone a LIFELINE.

Stay tuned for future tips to learn more about Sensory Meltdowns and how you can most safely intervene.

Our Listening Training Experience So Far

Listening Training? Huh? Is that some new form of obedience school for children?

No, silly! It’s an awesome auditory processing tool that I decided I wanted my son to experience.

From EnListen®:

Listening is the primary foundation for competency in speaking, reading, writing and social interaction. There is a difference between hearing and listening. Hearing is the passive reception of sound, while listening is the active acknowledgment and organization of sound. Listening is the interpretation of sounds in the brain. Individuals with autism and other learning disabilities can have significant listening disabilities.

The process began with an extensive questionnaire and interview to assess Justin’s history, strengths and deficits, sensory issues, diet, behaviors, and more. From that and the desired skill set indicator (specific, measurable goals), a listening program was custom-engineered and shipped to us for his first intensive.

This intensive, two-hour sessions per day for fifteen days, consisted of low-frequency music files and narrated stories. He listened in special bone and air conduction headphones to sounds with different filtering, gating and delays sent separately to the right and left ear to wake up the brain and stimulate his vagus nerve.

Low frequency training addresses issues with basic body functions, including fine motor skills, toileting, balance, appetite, sleep, spinning, and the need to crash into things (sensory-seeking proprioceptive behavior). The vagus nerve connects the brain to the body’s major organs, delivering vital messages via the parasympathetic nervous system.

Our Experience with Listening Time

I thought it would take an Act of Congress to get my child to sit still and listen to ANYTHING for two hours. Knowing that he could engage in conversation, do homework, draw, or sleep during Listening Time helped my willingness to try it :)

He LOVED this time. Every day there was a new experience that he looked forward to; each session alternated between music and narrated stories. But this isn’t just “music therapy”, the files are engineered to delay and repeat in specific ways that wake up the brain and “rewire” neural pathways! By day two, he actually fell asleep during Listening Time. YES! (it works whether the child is awake or asleep)

It was made very clear to me that this is a long-term process, not a magic bullet or overnight solution to anything. Each intensive consists of roughly two weeks of Listening Time and a four-to-six week “integration” period before the next one.

The Noticeable Changes

Each child is different, and I was also prepared to see no real gains within the first intensive, which was to be expected. In fact, there was a strong possibility of seeing some regression, or behaviors getting worse before they got better. We had a mixed bag of experiences, all positive in regard to the big picture.

I first noticed Justin expressing frustration at small things quite a bit. He had a few more tantrums and meltdowns than I was prepared for. However, I was able to take a step back and realize that he was feeling things for the first time and had to learn how to react and respond to these new feelings. This was good!

He started falling asleep to Listening Time, and was relaxed and in bed by 9:30 several nights in a row! You don’t understand, this is a child that even with a Melatonin pill in his system would be-bop around like a whirling dervish until at least midnight. This was HUGE. It also meant we started consecutively making it to school on time for a change!

Other amazing observations include Justin being able to do his homework in his own handwriting and having an easier time in the bathroom; his typical 45-minute potty experience began taking 15 minutes or less. Wow.

It’s been a few weeks since his first intensive and he continues to show new behaviors that astound me. He recently looked at a bad grade in school and showed remorse that he did not complete the assignment. Given another chance, he was able to draw the conclusion that he could change his grade by completing it then and promptly did so. He apologizes when he unintentionally hurts me and is much less hyper. He is starting to think through responses rather than mimic phrases.

I know these things will continue to improve as I support him fully with other modalities and tools we already use, as well as clean up his diet (progress, not perfection!). I love being able to ease some of his struggles without attempting to change who he is.

The next intensive will address planning and organization, language, multi-step instructions, magnitude, expression, and more, so we’re VERY EXCITED about that!

I will be releasing a video and free report that goes into more detail about EnListen®… stay tuned as I share with you our journey with Listening Training!

And uh…thanks for listening.

Sorry… I had to :)