Another Aspie? Patterns and Early Signs of Aspergers

This is our youngest daughter, Rose.
She will be 3 years old in a couple of weeks.
She has always been a little more solemn and reserved than the other kids.

When it is your first child, you might not think anything of it, but when you have already had other kids and you have seen the difference in a child with Aspergers and a child without, things will become more apparent.

Now, we don't know for sure that this little cutie has inherited the Asperger gene, but there seem to be so many signs. She seems so similar to her oldest brother with Aspergers and even more strongly in some characteristics.

From very early, even 4 months old we began to see some signs. I remember going into her room and seeing her in her crib with all her dolls and stuffed animals lined up exactly every 3 slats inside her crib. It was weird. It was so meticulous to detail.

As she began crawling we would see new patterns created in her room. All the books and toys would be arranged across the floor in rows and squares and lined up.

Now, we're not saying this is a huge deal. Many kids out there like to stack and line up toys, but it is just something a little almost obsessive about the way an Asperger child will arrange things. They don't just play with the toys, they seem to pose them all and they have to be a certain way or else the child will get really upset. I remember my oldest freaking out because he needed all his action figures posed in an exact way or else he would become so upset. He was only 18 months old but was so upset because I couldn't figure out the exact millimeter of degree that a startrek figure's arm was supposed to be pointing.

Everywhere we go little Rose will line things up. In nursery classes the teachers are astonished and take pictures with their cell phone how bizarre it is. They showed me one day a picture of how she had taken every doll out of the toy sections and lined them up across the entire play area from one wall to another.

I wish I had a picture to show of that, but here are just little instances of her patterns that I have caught:

Above, lining up the snappy dolls....and below what she does with magnets on the fridge:

It is funny because whatever she is doing she has all mapped out in her head and if you were to move one of those magnetic letters she will freak out screaming and crying until it is exactly back to the way it was.

In many ways we have seen the signs similar of her brother. She doesn't respond to others very often. She has always been so solemn around others; hardly smiling, not talking so much, we have to instruct her to say hello or goodbye or things like that. There is little emotion.

She plays so much more alone and by herself. She has everything all worked out in a sort of play or storyline when she plays with her toys.

She walks a bit on her toes like her older brother. We hope that will not continue. It has caused a lot of problems with her brother.

She gets easily upset by change of plans and transitioning from one activity to another.

She gets very upset about different textures or when clothes aren't fitting a certain way.

We just kind of sit back and observe and wait to see what comes of her personality. It's not a big deal to us because she seems so much like her siblings, and she is such a cute girl. It is only when we are out around other kids her age that we see such a dramatic difference. The other kids are so bubbly and talkative and then she is just staring blankly into space while their parents look at me and think something is weird with my child or that she must be so much younger than she really is.

Well, at least we know how to work with Aspergers and how to make sense of their world somewhat. It doesn't scare me or make me feel bad that another family member might have Aspergers. We just take things a day at a time and we know maybe this time we'll have more knowledge to help us have a better understanding.

Swimming Lessons, Asperger's, and Awkwardness

A kid with Asperger's Syndrome isn't always the most coordinated kid in the world. A lot of the time their movements come out just plain clumsy and awkward. At least this is the experience we have had with our oldest son with AS.

When MJ was younger he was constantly tripping and falling when he ran. He has walked on his toes since I can remember, and it does not help with his coordination much. Yes, we tried physical therapy and casting and constant reminders (which we still do), yet, this boy is set to walk on his toes! So frustrating sometimes!

Anyway, MJ's balance isn't always the best, and his reflexes don't respond as quickly as one would like, and so it kind of put a damper on anything sports related. Maybe that's why he hates sports so much. We tried him in T-Ball, Soccer, and Gymnastics, but he hated them all. He was either too afraid of heights or afraid to jump and climb, or he just couldn't connect with a ball in time to enjoy it.

So what if he doesn't do well in sports we thought. He doesn't have to. Although, one thing we knew he did have to learn was swimming. Yep. Swimming lessons. There was not a choice for this one. While I don't care if I have any Olympic swimmers, I at least want each of my kids to be able to swim well enough for safety purposes.

So, we enrolled MJ in swimming lessons way back when he was around 5 years old.

It did not go well. Well, maybe the 1st year he was OK, just getting used to the water and all, but then when we tried the next few years it was not good.

At 6 and 7 years old, MJ was still in the basic beginner level. At 8 years old they tried to move him up to the next level where he just about drowned and it was so traumatizing for him that he didn't want to take lessons ever again.

At 9 we tried again at a private pool. Still, things were not going too well. OK, I lied, this is when he finally mastered the back float and the back "monkey airplane shoulder" thing. Hey, I suppose he could just float on his back and not drown, but he still couldn't tread water, he couldn't do any kind of front swimming besides doggy paddling. Hmm....

OK, this summer MJ is 10 years old. Now I'm thinking back to when I was 10 and I don't think I could swim any better, but kids now a days are more advanced. At least where we live. Most kids by age 8 already know how to swim and can swim across a pool. (How do they do that?!) I mean people are putting their kids in swimming lessons even before they are out of diapers!

Anyway, back to the point---Micah is 10 years old and needs to learn how to swim, but I've got to put him in "Beginning Level" swimming lessons once again because he cannot tread water and he cannot do any front crawl or swim forward for so many feet (whatever they require).

So, yeah, my poor little 10 year old that has to go be in a class full of 6 and 7 year olds who can swim better than him.......(Thank goodness he is short for his age, and thank goodness for his Asperger's that makes him more unaware of social things to even notice or care that he is older!)

So, how would he do?

I've sat for 2 weeks again watching and hoping while MJ half drowns in the water. Will he ever get it? I know he is trying, but it's like his movements just aren't as flowing as the other kids, and while they are gliding and floating, he is sputtering and sinking. It's been 3 years with him in this same level, and I don't think he is ready to move up.

He came to me a couple of days ago crying that he was just scared and he couldn't do it and he didn't want to continue swimming lessons.

Now, what do I tell the kid? It's not really a choice to learn or not, but what if he just can't get it? I mean, as a swimmer I totally suck. Really. I think I never got it either. I think I got to his level in swimming and never got past it. EVER. Sure, if someone throws me into a pool I can get to the side, but I can't do the freestyle, or backstroke, or dive hardly. I can barely tread water for very long. I suppose he can avoid water his whole life.....but how will that help. He's got enough social problems as it is not needing to add "can't swim" to the list.

I told him to not be scared, that the teachers and life guards are there to help him, and just to try his best. Just try. You can do it. Talk to the teacher, ask for help.

On the last day I finally saw MJ jump in the water and swim the width length of the deep end pool somewhat front crawl swimming to the other side. He didn't stop. He didn't drown, he didn't even doggy paddle. He made it! Hooray! Maybe he was finally getting it!

Well, today was the last day of swimming lessons when they evaluate your child and tell you what level they should do next time. And what did they say?

Yep, still not passed. Poor kid will have to repeat this level yet again next year when he is 11 years old!

But, you know, this is all dumb I think. MJ doesn't care that he is 10 and can't swim while all these other kids can. So what! So what does it matter that a younger kid can swim better. So? He is getting better and things are finally connecting. He just needs practice.

I wish I could have the mind of an Aspie just once. All us "normal" people are always so worried about matching up to everyone else and doing what is considered socially acceptable. Someone with Asperger's doesn't make sense of it or even notice the differences. Sometimes I think we could all be a little better if our minds were wired with a bit of that Asperger wiring.

Well, here's to another many many more years of swimming lessons!

Surgery? Toe Walking Continues.....

MJ has been walking on the tips of toes since he was almost 3 years old. We had been in physical therapy when he was 3 but it got expensive and it wasn't doing too much. His new pediatrician said wait and do nothing, then just do surgery when they are about 6 or 7. That seemed odd that there could be no preventatives, so we went to see an Orthopedic Specialist when he was 5.

This doctor recommended putting him in casts for the summer. He bent his feet in 90 degree angles then casted them to stretch them out.

Did this work? No, it maybe kept his tendons from getting any shorter, but it did not make any difference to the way he walked. He was right back up on his toes soon afterward if not almost immediately.

So, we've kind of been back and forth about his whole toe walking thing. Why torment a kid all his life with "PUT YOUR FEET DOWN!"? I got tired of it, and it made MJ have ill feelings toward many of our friends and family.

I asked doctors and specialists every chance I got and no one gave me a real need to take action. I figured maybe some day he would learn to walk down, or if he didn't then oh well, it was his own weird thing. I had seen a lot of other kids with autism do the same thing. He was my kid and I loved him.

Recently a little girl in our neighborhood, 5 years old, was going to have surgery. When I asked her parents what for I was surprised that it was because of toe walking. I had never really noticed this little girl, but her parents said she had been walking on her toes for so long that they wanted to take action.

They took her up to the childrens specialty hospital here and saw an Orthopedic Specialist (well, I believe it was one of their nurse practitioners) that told her if she didn't do surgery on her daughter that she would have back problems and other drastic problems as she got older. Now I have always wondered this possibility, but no doctor has ever confirmed these worries. They told me they were going to do this heel chord surgery where she would have her tendons cut then be casted for 4 weeks, then get them off. It was supposed to fix the problem.

Well, I still think, yeah, what's going to change such an awful habit? So what if you get your heel chords cut, what's going to stop the kid if he's always done it? But anyway, I was interested, and so we made an appointment to go see these specialists at the childrens hospital to see what they thought.

First things first, no one has really believed me on the intensity of MJ's toe walking. Whenever I have asked doctors to look, MJ is aware and he forces himself down on his feet to defeat the whole purpose. I sit there and look like some crazy parent who is trying to make up things wrong with my kid.

Well, this time I was lucky I guess and they actually saw his real toe walking patterns and they examined him and offered surgery right off. I'm not going to throw my kid into any surgery, so I asked many many questions.

They told me there wasn't really any problems with a kid who toe walks, that it's not going to cause them joint or bone issues or hurt their back, etc. (Now how come they told the opposite to the other girl's parents?) And interestingly enough, they said a kid with Asperger's will probably NEVER outgrow toe walking because an Aspie kid just doesn't really care. While other kids will be teased and pointed at, they will learn to walk down because of peer pressure. An Aspie kid is usually oblivious to the teasing, or just doesn't care enough to make the change.

They said MJ wasn't so bad, but they could do the surgery or not. This really wasn't too helpful. I wanted someone to tell me "this needs to be done" or "no, don't do it" and this surgeon was telling me neither. She sat there and sad it wasn't urgent and so we could think about it for years to come, but she saw the need enough that she could do it if we wanted to. SO weird! Isn't that why I go to these specialists so they can help me know what to do? How am I supposed to make that kind of a decision? I was concerned with doing surgery, but then at the same time concerned what would happen not doing it. The doctor said he wouldn't have any problems with toe walking but as his heel chords become tighter it may "hinder" him as he gets older and not allow him to put his feet down at all. Hmmm.....??? She said if he needs to be down playing sports, etc, that he may have problems.

Now, of course MJ hates all sports, but he does love to dance. He takes ballet and tap. The whole reason he takes tap is so I could get him to put those heels down! I haven't seen a big issue with him not being able to put his feet down when he dances, but there are a lot of times when he probably does look a little more awkward while dancing because of it. I want him to be able to dance if he wants, but is this whole toe walking thing going to mess that up?

I waited, and told the doctor I would think about it and she pretty much gave me the impression of whatever it didn't matter either way to her. I decided to go home and see what happened with the neighbor girl. Doesn't that sound bad? Like she's the guinea pig or something? I didn't mean that badly, just we thought we could see her experience.

Well, the little girl did surgery just fine and had 2 pretty pink casts on for a month. They were walking casts so they didn't slow her down any. We waited for the time to take them off. The week after she got them off we saw her at church and she was walking very oddly. One foot was twisted sideways and dragging while the other one pointed up in a strange way. I felt kind of bad for her and realized I didn't think about asking the doctor about what happens after surgery and recovery time.

I watched her for the next couple of weeks and she was getting better but still a little awkward. True, she wasn't walking on her toes anymore, but could she even get up on her toes? I asked her mom this later wanting to know if she could get up if she wanted to. I was concerned because it would be great to have MJ walk flat, but at the same time, if ballet is important to him, he needs to be able to get up on his toes too.

The mom told me she had tried to show her how she could get up on her toes but that she was clinging to the counter and bending her knees out to do it. Hmmm. This didn't sound good.

I'm sure this was all good for the little girl, and actually now 2 months later I see her walking great, but I worry about the whole after surgery thing. I guess the surgery cuts the tendon and so all muscles around it must be built up again and it will probably take a while before they are strong enough to support being on your toes. This is OK, but how do I schedule this in on a dancer?

We could do the surgery then hope he recovers and builds muscle during the summer in time for next fall's dance classes? Or do it in the middle of the year and throw him off? Or......

OK, you're thinking, this is dumb and it's just dance and your son is more important, but who's to say what will happen? I mean, what if he can never get back on his toes after surgery? He doesn't like any other extra curricular activities. He'll have his only thing taken away.

We decided we'll give it one more year. This year he has been waiting since he started ballet do try out for the fancy downtown city's Nutcracker. He will audition in a couple of weeks. Let him do that, have some fun if he makes it, then maybe this next summer we can do surgery. We'd rather not do any surgery, so we are implementing a plan of ankle stretching.

Every day we make him go for a walk around the neighborhood and he must have his heels down the whole way. At school we've told the teachers and principal to cue him when they see him up and to have him agree before walking laps that he must keep his feet down before walking.

We want to see if we can prevent surgery and not have to go through all these worries of when, how, what if???? Plus, poor MJ has enough issues as an Aspie let alone to be in 2 awkward casts for a while to add to it.

Of course we still love our son no matter what, and wonder what's to fix it in the end if he does do surgery. I'm not going to go on a path of doing surgery every 3 years like the doctor told me some kids do who have cerebral palsy or MS that shorten their tendons. Hmmmm.....we've got to break this habit. We hope we can. This year will be the test.

Toe Walking Continues.....

Here he is, my little ballet dancer. Yep, a few years ago he went to see the Nutcracker ballet and insisted on taking ballet. Why not? Others joked with us because MJ was always walking on his toes and so ballet dancing would probably be almost natural to him.

I stuck him in tap dance too, hoping that it would get him practice in putting his heels down, but he still has that awful habit of walking on his toes.

What do you do about this? If you've read our first post on toe walking, well, this was really what gave us the first clue that something was different with MJ. We've had so many various opinions and advice given to us on what should be done, but in the end, nothing has really changed.

We've been told he walks on his toes because it's a sensory issue with Sensory Integration Dysfunction.

We've been told it's because his heel cords are too tight and so they stretched and casted him for a summer.

We've been told to just do nothing and then when he was 6 maybe they would do surgery to cut his heel cords.

We once had him in physical therapy which wanted him to be in leg braces called DAFO'S. But that never happened.

All in all, it's not something he can't do---walk with his heels down. I mean he can if we sit here and tell him over and over and over again, but what kind of a crappy life is that?

Poor kid used to have to listen to it all day. It was like Hi, MJ, come play, PUT YOUR FEET DOWN, want some milk? PUT YOUR FEET DOWN! Get in the car, PUT YOUR FEET DOWN! And you would have to chant it all day long. I wouldn't do this. I didn't think it was right to have every word coming out of my mouth to my son as PUT YOUR FEET DOWN!!!

We used to have arguments with family members who couldn't handle this and wanted to spend the whole day pushing him down and yelling at him to put his feet down, but it wasn't worth it.

I mean, yeah, we worry just as much as anyone would that this is going to cause problems and hurt his bones or muscles or joints as he gets older, but what do you do?

I liked the idea to force him to walk normally, but the casting didn't work, and do I really want a kid with Asperger's who already has enough to worry about have to go around with leg braces too?

And even if I thought somehow he could be helped, he now knows when doctors are watching him walk that he walks down when they evaluate him, so then the doctors think I'm just a hyperchondriac over my son's symptoms.

So, what to do what to do? Bad habit? Something neurological? Something physical? What really is it, and will it cause him problems?

I know toe walking is something that has been connected to autism, and so is that just an added thing to his Asperger's? But don't we want to fix that?

Or do we? I mean, really, I don't care how he walks if it doesn't hurt him. I mean, I love MJ and so what if he is weird? He has many quirks, but that doesn't make him a bad person. I get angry at those people who are always trying to "fix" my kids' "issues". If it will cause him problems with his health or mentally, or whatever, then we will find a way to take care of it. As for now, it is the frustration still of wondering what IS right? What should we do if anything. We always ask and always bring it up to countless doctors, and so far they aren't so concerned, so we will let it be at that.

And, yeah, being a toe walker gives him those strong calves that the other little ballerinas seem to have a hard time being up and balancing, but our MJ does a great job!

The Need for Sensory Overload (or underload)

I've talked before about Sensory Integration Disorder and how before we had the diagnosis for Asperger's, that this is what they thought MJ had.

I find this as a large part of Asperger's. There is this need for some sort of over stimulus in sensory, or maybe there is the need to not have it at all. What I mean in this is that maybe a person might need to be moving all the time or touching and feeling, but then another person with Asperger's might be someone who hates touching or spinning or jumping.

With MJ, he always seemed to be spinning. Jumping, dancing and spinning, he had to be moving all the time. He didn't like to sit still. Along with his spinning and toe walking, it didn't surprise me when one day he came to me and asked if he could take ballet classes. He already didn't like any sports, and so I thought this would be something fun as an extracurricular activity that he could do.

Not just the spinning and moving, but another thing we always noticed with MJ was his lack of personal space. He was always overly groping people I thought. Now, I don't mean this in an ugly way, but he just would be a little too grabby or huggy snuggly up with people. Surprised? Most people who think Asperger's think anti social and don't like to be touched, but really it still breaks down to the not understanding social rules or norms so to say. MJ would sit too close to people, hang on them, snuggle up to them, and always talk to them right up to their face.

This has caused a lot of problems when it came to school or church. He didn't understand or maybe he didn't realize how close he was getting to people. Once at school another boy punched him in the stomach for getting in his space. It's nice for a boy to be loving and snuggly, but it's not great in any given situation. You probably shouldn't be snuggling on up with your new church teacher or whoever strange person you come across.

Now, as far as underload, or the need to not touch or feel---this comes across all sorts of ways. The whole walking on toes things was pinpointed to the sensory need to not have his heels touch the ground. Or what about the way clothes scratch and poke? As an NT, I don't seem to have that much problem wearing something a little scratchy or whatever, but give a stiff shirt to an Aspie and they will just about freak out. I find this more with my husband who thinks he is going to die sitting through a church meeting in a button up shirt.

Or, what about the need to not have people touch you? I am very lucky that my husband is not an Aspie that hates to touch or be touched as far as in a relationship, but at the same time he says that he can't stand to be sitting in a group in a small setting where his knee might possibly touch someone elses. It about kills him trying to focus on not moving his legs or feet in the chance he might touch another person.

We work with MJ as far as his sensory issues by letting him be in dance and spinning away, and then trying to teach him about personal space and when it's OK to hug someone or not. Everyday is a teaching day as far as "what should you do in this situation".

Toe Walking

Well, at first we thought the whole walking on toes thing was because just a few months prior, MJ had stepped off of the bed funny and broken his leg. Maybe while his leg was in a cast, he was stepping on his tip toe with the other foot to even things out, and then he just got used to doing it. Well, maybe. We know he did not start out walking on his toes when he first learned to walk.

We went to see a physical therapist and occupational therapist. The physical therapist tried to work with MJ on his balance and coordination and tried to get him to walk heel toe instead of toe only.

This didn't do much good. It was only by constant reminders that he would put his feet down, or if he knew you were watching his every move. It didn't matter much to me that he walked a little funny. So what. My only concern was that it would cause him problems later in life with extra pressure on his knees or calves, or maybe the tendons in his ankles would grow short. We took the PT's exercises home and eventually quit therapy when it was getting too expensive and our insurance changed.

We went to see an orthopedic specialist because the pediatrician kept telling us eventually we'd have to do surgery on MJ's heel chords to make them longer, and we thought we'd get a 2nd opinion.

The orthopedic specialist suggested an idea to cast both of his legs in a 90 degree angle to force the feet to be flat for a short time to give his ankles more flex. We thought this was less invasive, so we went ahead.

Here we were over the summer with MJ's 2 legs in walking casts. Let me tell you, that was a fun time! The furniture still shows wear and tear from this time.

Then when it was done, the casts off, and did it change anything?

Yes, his heels showed more flex and things measured better, but did it stop him from walking on his toes? Nope. It continued on.

When Do You Notice Something is Odd About Your Child?

Everything is normal, everything is fine, you think. This is your first child. Checkups at the doctor are fine. Maybe he doesn't start to crawl until almost 9 months, and maybe it is funny that he does a 3 legged crawl while dragging the left leg. And then maybe he doesn't walk until almost 16 months, but so what. And then maybe he doesn't talk until 21 months old, but no big deal, because it goes from first words to full sentences in less than a month. This really isn't anything. There are slight struggles with eating, and he seems to have a problem with certain things touching him, but I guess that's just him.

One day he is 3 years old and you sign him up for gymnastics. As he runs around with the other kids the other parents and teachers begin to shout out "Hey! Look at that kid! Look how he runs around on the tips of his toes! Wow! He must have super strong calves!" And then as all the other kids are climbing up and over things, your son won't even climb a ladder because he is terrified.

So all of the sudden, something is different. When did he start walking on his toes, and have I never noticed it before? This wasn't just sometimes. This was all the time and always. He hardly ever was flat footed. He stood on his toes, he walked on his toes. Hmmmm.......

We took him to the pediatrician who threw out wild ideas like Spinal bifada and MDS. She had him tested, but he was fine, so she referred us to a physical and occupational therapist.

At this point he was 3, and he was diagnosed with something called Sensory Integration Disorder.