Showing posts with label perseveration. Show all posts
Showing posts with label perseveration. Show all posts

Saturday, April 18, 2015

Interesting Stuff About Matt Man: Excessive Rigidity To Routine

Wake up at 6:15 AM.  Immediately undress and put on school clothes.  To the kitchen for Aldi-brand mini-wheats, a fried egg with hot sauce, and a cup of milk.  Brush teeth, shoes on, fill the backpack with the red folder and lunch box.  Coat on, hat on, backpack on.  Stand on the chair to see when the bus is coming followed by the announcement, “The bus is rolling,” when it makes it’s approach.  A giggly sprint to the bus, two steps up, “Good Morning,” and taking the same window seat, off he goes.

Bus returns at about 3.  “See you tomorrow,” two steps down and an immediate request for five animal crackers: not four, nor six, but five.  A brief period of playing outside or reading Berenstain Bears.  Half an hour of, “Daddy’s cooking chicken for dinner / You can have dinner in 10 minutes / I can wait patiently for chicken.”  Dinner, then homework which is motivated by five chocolate chips - not four, nor six, but five.  

Bedtime begins with a “pokey-poke,” the daily injection of HGH which he always assumes is going into his right belly.  Go potty, change into pajamas, Flovent, brush teeth, a quick prayer, and then get tucked into bed.  

Wake up at 6:15 AM and do it all over again.  Same thing every day.  This is what Evangeline calls Matthew’s excessive rigidity to routine.  Matthew, like other kids with Autism, loves strict adherence to a routine; in fact, he thrives on it.  Knowing what is coming next is the closest thing to a security blanket Matt-Man needs.   

We all have a routine.  Generally, my own day follows a typical pattern that starts with coffee and ends with a few strums on my Fender.  But if my daily routine, no matter how structured, is somehow interrupted, there is a high degree of probability that I will be able to roll with the change.  You may be the same way.  A deviation from your routine may be annoying but won’t ruin your day.  If Matthew’s routine gets interrupted, the hot sauce may literally hit the fan.

In general, Matthew likes to make his world smaller.  He often has a hard time relating to and understanding the world around him.  He does not intuitively interpret social cues.  His sensory input is often times out of whack.  To make matters worse, when he stims or perseverates or senselessly echoes what he hears, so much of the world doesn’t understand him, which multiplies the frustration.  The number one coping mechanism for Matthew is to make his world very small and very predictable.  

This is why he loves routine.  There is comfort in knowing what is coming next.  There is so much comfort that when he doesn’t know what is coming next, it makes him very anxious; perhaps a little violent.  

Here is an example of how attached he is to his routine: Our two older boys have swimming lessons every Tuesday.  One day, traffic was a little heavy on the ride home, so I took a different route down a side street.  Since the new route was not part of his normal routine, Matthew had a complete meltdown that ruined the rest of his day.  

This is also what makes snow days an absolute nightmare.  Most kids pray for a huge blizzard that paralyzes the city.  Those end up being lazy days full of cartoons, sledding, free play, and no homework.  If Matthew is expecting the bus, and the bus doesn’t come, his marriage to his routine refuses to let him simply enjoy the impromptu day off, and the pancakes hit the fan.


We combat this by trying extremely hard to prepare him for what’s coming next.  If we are going to take a family trip, we begin to tell him about at least a week in advance.  If we know there will be an off day at school, we will tell him, “No bus on Friday, we’re staying home.”  If there is any foreseeable deviation from his routine, we try to inform him as soon as possible and then try our best to give him a routine in it’s place.  And if tomorrow is a snow day, you'll know why our kitchen is covered in pancakes and hot sauce!

Saturday, April 4, 2015

Interesting Stuff About Matt Man: Perseveration

Since this is Autism Awareness month, I thought throughout the month I'd share some things about Matthew that are different about him.  Evangeline and I have a whole new vocabulary we didn’t know existed.  We now have full use of words like Perseveration.

As you may be able to deduce, Perseveration is similar to Persevere.  Good Old Merriam-Webster defines it as, “continuation of something (as repetition of a word) usually to an exceptional degree or beyond a desired point.”  That is, Matthew gets something in his head and he can’t get it out of his head, and he talks about it until you think your own head will explode.

The other day, we were at a restaurant, and when Matthew got a menu in his hand, for some reason, the menu brought pancakes to his mind.  From that moment on, his world revolved around pancakes.  He couldn’t stop thinking about pancakes  All he wanted for the rest of the day were pancakes.  The restaurant we were at didn’t serve pancakes for lunch, so his mini corn-dogs were simply that thing he had to do before he could get pancakes for dinner.  Through the whole meal, he asked for pancakes.  On the car ride, he kept telling us, “You want pancakes for dinner” (often he refers to himself in the second person; he meant “I want pancakes...”).  By the time the car ride was over, we were well beyond a desired point for talking about pancakes

Daddy’s making pancakes
Mommy’s going to buy some pancakes
Pancakes, where are you?
You can have pancakes in 10 more minutes
The pancakes are in the fridge
I can wait patiently for a pancake
Where’s the syrup for the pancakes?
You don’t want hot sauce on your pancakes!

We had lunch around 11.  We finally ate dinner at 6.  That means for 7 solid hours, Matthew perseverated on pancakes.  By dinner time, with respect to pancakes, we had reached the 'roid-raging level of "exceptional degree."

It isn’t always pancakes.  Sometimes it’s mini-wheats.  Sometimes it’s hot sauce.  Today in particular, it's bacon.  Usually his perseveration is food-related.  We often try to redirect his attention to something else - anything else.  At times this works.  Yes, Matt, we will have pancakes for dinner.  Let’s go play trains together.  So we play trains and I ask, Where is Thomas the Train going?  Where else... To the grocery store so he can get pancakes!

So we gave in and had pancakes for dinner.  The tradition in our home is “Friday Night - Breakfast Night,” so pancakes is not out of the ordinary.  And all throughout dinner, for Matthew, pancakes was still the topic of conversation:

Can I have pancakes please?  
You want some more pancakes!
You have syrup on your pancakes!
I love pancakes!
Then when we cut him off after 4 pancakes, he said, 
You can have pancakes for breakfast!


Up to this point, in this little post, I have used the word “Pancakes” 33 times.  And that, my friend, is Perseveration!