07/06/2023
Brain Drain: How to Help #5
Reduce Confusion: Add structure and predictability to the daily routine
Since the world can be chaotic and confusing for children on the spectrum, they are often anxious and insecure. “Uncertainty” scares them because they cannot adequately appraise it and feel incapable of dealing with it. They like predictable routines, laid out plans, concrete beginnings and endings, and knowing what to expect and when to expect it. When there is not predictable structure, they feel anxious and seek to control everything happening to them to feel safe.
Reduce confusion and uncertainty in Daily Routine
• Provide structure and predictability to the daily routine.
• Take away as much confusion as possible.
• Use predictable rituals for daily activities.
• Preview events ahead of time.
• Provide clear, consistent rules and expectations.
• Provide strong, clear boundaries and consequences.
Structured Daily Schedules
Knowing what is coming in the immediate future significantly reduces anxiety. Structured daily schedules (this event follows this event, follows this event) make the world understandable and predictable. These schedules can be picture schedules, written lists, appointment schedulers, or smartphone apps. They lessen anxiety and strengthen security. They allow the person to relax and be prepared. Such schedules provide the “mental map” needed to organize their time and make life predictable. It makes the “time” and “future” concrete and visual. I can see it; I can process it! Make the invisible, uncertain future, visual, and predictable. Use visual schedules both at home and at school. As the child gets older, empower him to use appointment schedulers or smartphone apps to provide him a visual “map.” You will reduce anxiety and increase certainty!
Build set routines into daily schedules
As we saw earlier, processing through their daily routine can be very taxing for people on the spectrum. The normal daily tasks that we often take for granted can be very draining for them. It is important that we provide as much structure and predictability to their day to minimize processing and conserve mental energy. Uncertainty requires increased processing, so providing structure and predictability reduces mental fatigue. So build in structured routines during the day and use visual schedules to make the day predictable. This helps lower processing needs, as well as lowers anxiety.
The more you can make simple daily routines (getting in the morning, getting home from school, mealtime routine, before bed, bathing routines) structured, consistent and predictable, the more automatic they become and the less “processing” required. We all rely on set routines to do activities automatically without thinking. We dress, bathe ourselves, and brush our teeth the same way each day without even thinking of it. We do them automatically out of “habit.” They take minimal mental energy, allowing us to think of other, more important things, as we are doing them. The more routines become automatic habits, the less mental energy used to move smoothly through the day. Predictable routines help keep the child from getting overloaded.
Whereas these rituals and routines are important for us, they are vital for those on the spectrum. Routines are the foundation for safety and security for them. They guide them through the confusion and make life predictable. Disrupt these routines, and security comes crumbling down.
Provide consistent rules, regulations, and expectations
Whereas structured schedules and routines give the child a clear understanding of what and when to do things, providing clear and consistent rules and expectations clarifies “how to do” things. They provide the boundaries needed to know what is acceptable and not acceptable. Most rules and expectations are invisible and “assumed.” For people on the spectrum, these expectations are either not noticed, or are vague, inconsistent, and confusing. Without being able to read these invisible rules and expectations accurately, people on the spectrum are left guessing what is needed.
Consequently, what they do and how they act does not match what we expect. We need to be literal, black and white, and consistent with all rules and expectations. Write them down to make them concrete. Go over them frequently, demonstrate, and role-play them. Consistently hold to them, so they are predictable for the child. Probably one of the greatest sources of anxiety for people on the spectrum is the vague and inconsistent rules and expectations inherent in our society.
All of these suggestions significantly reduce the processing needs, requiring less mental energy, and minimizing the chance of overload. Simply make the child’s world more understandable.
This series on “cognitive issues in autism” can be found in the blue book, “Autism Discussion Page on the Core Challenges in Autism.”
Amazon.com: Bill Nason