Home Sweet Home
We drove 2 hours from Tampa to Orlando to catch our flight back to London Gatwick.
The ups and downs of motherhood and relationships. Our son diagnosed with ASD (Autism Spectrum Disorder) at three and Apraxia of Speech at Four years 8 months, this diary is to record and share our journey, our hope and moments that are important to us.
We drove 2 hours from Tampa to Orlando to catch our flight back to London Gatwick.
Posted by Christine Hoh at 8:02 pm 0 comments
After a whole day of walking yesterday, I told Jem that I have used up my quota for the next decade!
Posted by Christine Hoh at 8:14 pm 0 comments
Alex got up at 5am and wanted Breakfast.
Posted by Christine Hoh at 11:37 pm 0 comments
It's Christmas and it's also my birthday. Somehow, it doesn't felt like either.
Posted by Christine Hoh at 11:59 pm 1 comments
I cannot believe I'm saying this. Shopping is boring!
Posted by Christine Hoh at 11:32 pm 0 comments
Mazeltov Erin! and Happy Birthday!
My beautiful niece is now a young lady. I am so proud of her.
I cannot believe how time flies. My little niece turned 13 and I am not even ready to let her grow. I am extremely proud of her and I know I'll always will.
The Reeds left for the Temple early and the Greens .... as usual take their own sweet time but managed to arrive on time for once. The culprit here is of course ..... Me! I have a serious problem and that is time keeping. There are previously two important occasion that I managed to be on time. My first date with Jeremy and my wedding day.
Being on time for Erin's BatMitzvah is a good omen.
Alex had a short tantrum, refusing to go to our seats, I tried consoling, bribing and anything I could think of to make it less embarrassing .... nothing worked. My last resort .... I pulled him outside and went down on my knees .... No I wasn't begging!
I said to him sternly, "Stop this INSTANTLY! I will not have anymore of your tantrums! Go sit down and be quiet. Do you understand me?"
To my surprise and to Jeremy's .... he went to the seat quietly and remained that way until the end of the service. Two hours later, Alex is still well behaved and we were so proud of him.
After the service, we had lunch and then Disco. Alex danced with me the whole time and at one point, a little girl came to him and asked him to dance. I had to tell her that Alex is shy but thank you for asking though, she looked so disappointed and I look like the control freak mum - LOL
It was a long day but we all enjoyed the occasion.
Posted by Christine Hoh at 10:45 pm 0 comments
Road trip day!
Driving over five hours and over 200 miles from Orlando to Tallahassee, we've finally arrived at our true destination.
We arrived earlier than planned to find an empty house. My sister Adrinna is busy picking up stuff from shops for the big day. Bill and Erin practising for the Big day at the temple while Josh was still at school.
It wasn't long after that everyone finally got together. It was great to see my niece and nephew. I realized how much I missed them. Alex picked up from where he left last year. He instantly bond with his cousins and soon played chasing and wrestling together.
Adrinna offered to cut Alex's hair as we failed to get this done at home. It was amazing how Alex sat so still and cooperative. She did a great job!
I didn't get to talk to Adrinna after that as she had to go to the temple again.
We went to bed early.
Posted by Christine Hoh at 11:50 pm 0 comments
Looked like we planned our holiday quite well ..... so far. We did Magic Kingdom on the best day of the week.
We woke to a yucky rainy morning that turned into day ... there was a Tornado Watch. We didn't dare to venture far and went shopping at Orlando Premium Outlet Mall instead, as it was just a short drive away from our hotel.
It wasn't easy going in and out of shops on a rainy day as the shops here are like strip malls but on a larger scale. Getting from one section to the other required an umbrella, a Pancho, newspaper or whatever you can find. If you don't have either, try running for your life as the rain is not just drizzle it's RAIN.
Alex was very good ..... up to a point .... after we got all his things that is. We got him loads of clothes from Gymboree and Osh Gosh. I have to say this ..... children clothing ARE definitely more interesting in America.
By the time we finished with Alex's shopping, he was tired of going in and out of shops. If we hadn't hired a funky stroller, I don't think we could last this long. We didn't get much for ourselves as when Alex is not in the mood, there is no point for us to go on.
Before we left, I quickly ran back to Eddie Bauer to get my goose down jacket. I saw this on our way in the mall and that was the only thing I got for myself.
We ordered Chinese again and as usual, we ordered too much ..... again. Had an early night as we needed to travel early in the morning.
Posted by Christine Hoh at 11:00 pm 0 comments
Hot, humid, lots of walking and oh so tired!
Despite all my moaning, it was all worthwhile!
The smile on Alex's face brought a lump to my throat. Watching my son laugh with joy riding on the carousel horse, made everything alright.
Our day started very early, waking at 4:00am.
At 8:00am, we were then picked up from the hotel to Marriott's Vacation Club for a supposedly 45 minutes non obligational presentation to get $100 Disney Dollars to spend.
After the presentation, we went to Magic Kingdom and arrived around noon. Although this is not the first time I've been, I was still mesmerised by the beauty of Cinderella Castle.
This visit is not about me, we decided to let Alex make all the choices for the day. Doesn't matter what mummy wants ..... it's all about Alex this time.
We started with Steam train ride around MK from main street station. Followed by Big Thunder Mountain Railroad - Alex was laughing with excitement. Our boy is an adrenalin junkie!
Had lunch and followed by The Magic Carpets of Aladdin, Jungle Cruise and Pirates of the Caribbean.
Straight after, we were just in time to catch the Parade - you were never in Magic Kingdom if you don't have photos of the parade to proof your presence - LOL
After the Parades, we headed to Cinderella Castle for Dumbo the flying Elephant and Cinderella's Golden Carousel.
Finally, at Tomorrowland - we accidentally went into Stitch's Great Escape! and pleasantly surprised by the 4D show. Alex enjoyed it so much that he was clapping and laughing all because Stitch stole a sandwich and burped on us. It smelt of onion breathe and it was awful. Because everyone said "ewe" at the same time, Alex giggled with excitement.
After Stitch, we went to Buzz Lightyear's Space Ranger Spin followed by the grand finale .... TTA (Tomorrowland Transit Authority). Sounded posh but it was just a train that go round the buildings.
It was certainly a grand finale ride as we were stuck in the train for at least 15 minutes in the dark because some crazy woman left her carriage and walk in between the tracks. They had to stop the trains to get her out. What a nightmare but thankfully, Alex is OK with it.
We planned to stay for the fireworks at 8:00pm but because it was a long day and we were tired of walking, we decided to head back to the hotel and rest. Alex was really tired as he was awake for 14 hours. We left at 6:00pm.
During our six hours at MK, we enjoyed every moment of it. We got a special pass for Alex and used the Fast track lane for almost all the rides. If we hadn't, we would only be doing half of what we did today. To fully enjoy the park, you need at least three days to do any justice to the place.
We hired a stroller for Alex and that made a big difference to our day. I would recommend Disney Parks to any special need families as it's such a friendly place to be.
Entrance to Park x 3 = $226.86
1 1/2 hrs Presentation = -$100.00
Parking at Disney = $12.00
Stroller Hire = $15.00
Lunch x 3 = $28.00
Souvenir = $5.00
Smile on Alex's face = PRICELESS!
Posted by Christine Hoh at 11:06 pm 0 comments
After much needed sleep and rest, Alex woke at 3:00am Orlando time. When Alex wakes, everyone wakes!
We all went back to sleep an hour later and woke up at 9:30am. Well rested and happier, we decided to have a quiet day to chill.
Went to Waffle House for breakfast and decided to do the tourist thing .... taking photos of our food - LOL
Went to a tacky gift shop for a walk ... the American do everything in an over sized manner - not being disrespect to my American readers but everything is much bigger compared to the Brits.
Even the gift shop is tackier than any I have seen.
After breakfast/brunch, we drove to Publix to get a few provision and dinner. We decided to pick up some fried chicken, coleslaw and potato from the deli. I have to say, the American makes food look interesting and not like us back in England with limited choice from a supermarket that is. Pick up some freshly made Sushi .... hmmmmm scrummy, just mentioning it now makes my mouth water.
Got back to the hotel for a swim and then rest. Later went for a walk by the hotel to checkout the food centre .... No biggie.
We decided to take a drive to International Drive and Jem drove this time. It was getting dark and he missed a turning and took us onto a highway and learned our way around after paying $2 for tolls.
International Drive, not what it used to look like eight years ago when I first visited Orlando. It was beautiful in some part with lights decorating the trees, looking magical. At the other end of I-Drive, tackier than anywhere I've seen in my years of travelling. The closest resemblance to the places I've visited is Phuket's Patong Beach night Market.
Don't get me wrong, it's nice just not my cup of tea. Meanwhile every bus that we passed, Alex would say "purpur ba go go airport" or "bu ba go go airport" all the way and back our drive. Our son is obsessed with airports and I bet I know where he'll work when he gets older.
It was a pleasant day 2 of our holiday.
Posted by Christine Hoh at 11:37 pm 1 comments
One of the most stressful day of our lives!
It was a long long long day but we cannot be prouder parents. Alex was amazing despite all the waiting, waiting and waiting.
We all woke up at around 5:30am and left the house at 7:05am. Traffic was ... Well, what do you expect on a Monday morning? It was rather awful on the M3 but as soon as we got onto the M25, it was rather smooth sailing but not for the other lot at the opposite direction.
Alex was really excited about this trip. We prep him with social stories on the transport mode. First we go on car then bus from the long stay car park to airport. Then train (monorail) to boarding gates and the airplane to Orlando in that order. However, things are never what it seem in real life and social stories especially the author mainly the mum was not up to date with the travel arrangements. She thought it was the north terminal that we are flying from. Well duh! We flew Virgin Atlantic this time which flies from the South terminal (she previously flew on other airlines).
Anyway, Mummy the control freak likes driving and drove past the entrance to the long stay car park and ended up dropping Daddy with the luggage at the terminal. Thanks to Daddy's quick thinking about social story, Alex came with mummy to the car park to board the bus to the terminal.
When we were at the terminal, Alex kept saying "choo choo" but we had to tell him that we don't go on the train at this airport. He was really disappointed but he got over it after saying "choo choo" what seem like a hundred times.
Finally, on the plane! Cannot be prouder with our pain in the backside. He was very well behaved but very fidgety too. He didn't want to sleep and trick his dad and me a few times that he wanted to poo. Well, I knew he needed to as he let go a few smellies when he sat on me. It had to be me ..... aiyah yah yah yah!
By 4:30pm, five hours flying time and after tricking us six times that he wanted to poo, it's my turn to take him to the toilet. Imagine this .... in a small cubicle, my little boy on the bog, straining away while mummy knelt to see if he's doing it, plop came a long one followed by one squirt of 'eau de poo' and another long one and another squirt. The relieve on his face while mummy turned green.
It's strange how he does it like clock work, always at around the same time, not sooner not later.
Meanwhile, mummy and daddy had to endure a whole nine hours of "airport?" his way of saying "are we there yet?" Holy mo! For one limited speech boy, he sure can drive us crazy!
Can I say finally now? No ... but it was finally landed on American soil but not pass the immigration yet. You would think that we will be welcome with open arms but No! There seem to be an attitude with these guys. Considering we are bringing money into this country, we had better treatment from immigration from Atlanta the last time but these Floridians are a different species.
Queued for an hour with 800 other Brits, it was hot and noisy and we can't wait to get to the hotel but all these while Alex was a gem.
After waiting for our luggage twice, we finally had our rental car. Zap on our SatNav and key in the hotel address. "No Match for address" I told Jem to ring the hotel but he said, "we won't miss the hotel it should be along Vineland Road." After paying two tolls at the turnpike, drove along Vineland Road twice, we were no where near Marriott's.
We had to call the hotel and was told that they are at Vineland Avenue, 12 miles from where we were. Meanwhile, it was 7pm Orlando time and 12 midnight UK time, Alex finally fell asleep on the back seat. He was awake for 19 hours and did not complain while mummy and daddy biting each others head off.
Finally! Reached the hotel, checked in, ordered Chinese for dinner and hit the pillow straight after. Don't ask me what time but all I know it's not soon enough.
We cannot be prouder parents but we are ashamed of our own behaviour for snapping at each other.
Posted by Christine Hoh at 11:17 pm 0 comments
Just got home from Auntie Wendy's house in Little Hampton.
Posted by Christine Hoh at 6:13 pm 0 comments
Woken to the sound of rumbling thunder?
Nope .... it's Alex dragging his toy box and stools around his bedroom.
I got up to see what the fuss is all about. What I saw put a smile on my face.
Alex stripped his bed and moved all his pillows and duvet to make a comfortable little nest on a platform next to his drawers. He dragged his toy box and stool to build a step to reach his nest.
He could have easily got onto his nest all by himself but as soon as he saw me, he said "mumma ..... I can't". He wanted me to help him up.
Alex could do anything on his own but as soon as he sees us or someone he knows pretty well, he will ask for help.
Anyway, after I helped him up, he made himself comfortable and said "tweet tweet".
It's quite strange! (I read quite a bit about autism in forums and discussions where parents share their experiences on what their children do.) Autistic individuals, mostly children like to strip their bed to make a nest on higher places. Is there a reason?
Could it be a characteristic of autism? Similar to hand flapping and repetitive behaviour, he find comfort in building a nest.
I wonder .......
Posted by Christine Hoh at 7:16 am 0 comments
My mornings are mostly filled with surprises and laughters (that is when I have enough sleep).
Monday morning .... The first day of December, I was half awaken by a weeping child. He came to my bed at 5:30am and wanted a hug. We cuddled abit and I fell asleep.
7:00am - I was awaken by "oh oh" and then an empty Tupperware on my face. Alex has eaten all the chocolate tea biscuit for breakfast. He then said "mumma .... Apple ju".
I knew there weren't many of those biscuit left in there as Jeremy had them in the study ... he would have eaten most of them. For all I know, Alex might just have licked all the crumbs (one of those life mysteries) off.
Anyway, back to apple juice. Got up, and on my way downstairs, I passed the study and saw ..... Bob the builder book opened, with all the shapes placed correctly. (Alex got this book from his Aunt Susan yesterday and it's one of those 3 in1 books where you can read, place shapes in certain places and press on the shapes to make sounds.) I was well impressed with my son. Further at the corner where the desk is, he placed his fire engine with it's ladder up against the chair. A fully extended measuring tape placed from the desk to the fire engine via the chair ... as if someone is trying to escape from the scene.
Well, if anyone say an Autistic child is lack of imagination, please come see Alex.
I went downstairs to get his juice and I belted out the biggest laughter I've ever made, Alex decorated my scrabble board with the tiles (picture of evidence to follow) around it.
Made his juice and went upstairs. Quickly grab the camera to collect evidence. Turned on the light and what did I see? Alex with a Hitler moustache.
If this is not joy of motherhood, I don't know what is. I count my blessings everyday for having such a delightful son and a loving husband.
Posted by Christine Hoh at 8:17 am 0 comments
Well, he is the Boss alright. And there is nothing we can do about it. In this case anyway.
For almost three days, Alex consumed around a cup of water at the most. The reason?
We changed his bottle. Alex could drink from a cup, using a straw on just about any drinks. There is only one thing he would drink his water from - is out of his favourite Tommee Tippee straw-like teat bottle.
We tried to wean him off from that and replaced an upgraded version of his bottle but he just can't take on to it.
We persevered for two and a half days and he only manage to consume about one cup at the most. Consequently, we have a dehydrated, cranky little Alex over the weekend, yesterday and this morning.
We had to give in or we would be very bad parents. This is one thing we cannot insist upon.
I think I know the reason. Alex like drinking his water laying down or leaning against something soft, relaxing. That is his way of winding down and quality moment. For us to take that away from him doesn't feel right.
We don't take his bottle out with us and he only used them at home. I guess the bottle could stay for now ..... Until he is ready to change.
Posted by Christine Hoh at 9:53 am 0 comments
I am sitting here updating my blog with a nice glass of Rose. It can't get any better than that!
Posted by Christine Hoh at 9:20 pm 1 comments
After giving much thought about this change in Alex, I decided to use the iceberg method to determine what the possible cause that is turning my son into a brat.
Much thinking and remembering, I think I know what causes the problem.
The heating!
Alex has been waking up really early in the morning and then sneak into our bed, wriggling and fidgetting, digging his cold feet into me. Rather than having two uncomfortable people and not enough sleep, one of us usually gets up (we take turns).
We were so tired of this arrangement and thought that the cause of his early rising is due to the heating. True enough it was. He has been sleeping through and waking at an acceptable hour. The downside to this is that we have the heating on all night.
It's too hot for us and Alex is sleeping on top of the duvet. His bed is right next to the radiator and it's hot hot hot. I think he is feeling hot inside and hence the temper tantrums.
I have been having sore throat and Jeremy headache for the whole duration of the heating being on all night.
We have to find a solution for this problem. Finding the right temperature is quite difficult unless we install a very expensive climate control system in the house. It's trial and errors from now on.
I want my lovely Alex back!
Posted by Christine Hoh at 9:48 am 0 comments
What's new with Alex?
Posted by Christine Hoh at 10:29 pm 0 comments
I don't know where he learn this from but Alex loves looking into the mirror and make different expressions and the appropriate voice to go with it.
Posted by Christine Hoh at 10:55 am 0 comments
How do you discipline a Cheeky Monkey?
The answer is extremely difficult!
It's Sunday and it's not a day of rest for me when Jeremy is at work. I have Alex all to myself and piles of laundry needed washing.
I was in and out, up and down all day. Alex wanted my attention but I have so much to do. I feel guilty leaving him watching tv all day.
So, every so often ..... I give him hugs and tickles.
Came mid day when I sat in the lounge folding the laundry. Alex sat next to me watching and giving me that mischievious smile. I knew what he was about to do, I gave him a warning and he walk away looking back checking if I was looking.
All of a sudden, he lifted one of the folded pile and drop them on the floor and laughed. I was so angry that I screamed at him and asked him why. He looked at me and he knew what was coming. I gave him a slap on the backside and told him that he is naughty. It is not an acceptable behaviour.
I sent him to a corner and asked him to sit there for four minutes. He sat there quietly and look at me. Meanwhile, I continued with my work and watching him at the same time. He looked at me and gave me the sweetest and cutest smile.
I had to put a stern and angry face on but I was dying inside trying to stop myself laughing.
It was the longest four minutes of my life!
He sat there until the four minutes was up. I asked him if he knows he had done something wrong and he said yes. He gave me a hug and then the biggest cuddle.
It's so hard to be angry with Alex.
Posted by Christine Hoh at 11:08 pm 0 comments
Since having Alex, we have never had a sleep in past 6:00am. Well unless one of us get up and let the other sleep.
Jeremy went to work early this morning, so I won't expect to get some peace after 6:00am.
Normally, it would be "ma ma baa" and then "ma ma ba ha" that's bath and breakfast.
So, when I was awakened by the sounds of click clack cluck and followed by the strumming of a guitar, I knew he was up to no good. I turned over and saw 7:45am on the clock and quickly jumped out of bed.
Ran to the room next door and guess what greet my presence?
Alex holding a bunch of colour pencil smiling. On the floor, pieces of play dough in a line all over the room and the guitar on the floor.
Jeremy's guitar has gone through a lot since Alex. Look, check and found nothing suspicious looking on the surface.
As I pick the guitar up, I heard something in the hollow. Shook it and then parts of mr, mrs and miss potato head started to fall out one by one.Balloons and pieces of tissues all been hiding in there as well.
So, this is how my son keep himself entertain while mummy is sleeping. Well, I'm glad it's nothing serious but I ache for Jeremy's guitar.
Well, bye bye sleep and hello clean the mess up now.
I was in time to catch him before he start being Picasso and put his masterpiece on my wall.
Too good to be true. There will alway be something.
Posted by Christine Hoh at 9:39 am 0 comments
This one is for Andrea and her family.
I met Andrea through Rainbow and invited her to join us at Friends of EarlyBird. Alex used to be in the same class with her son Joseph.
We became good friends and have a few play dates for the children.
Andrea gave birth to her youngest son Benjamin on 12th November. Unfortunately, the baby died before birth.
God bless Andrea and her family.
Posted by Christine Hoh at 9:02 am 0 comments
Alex has been a difficult child lately.
Posted by Christine Hoh at 8:25 pm 1 comments
Posted by Christine Hoh at 5:11 pm 0 comments
Posted by Christine Hoh at 5:05 pm 0 comments
Alex never forgets. When you tell him something or should I say promise him something, he make sure you do it.
Yesterday was Bonfire Night and I told him the night before that I will get him some fireworks. The condition is .... He has to go to bed.
When he woke up, he asked for fireworks. Although he couldn't say the word, he made the sound of rockets and used the makaton sign for flower. I think he made up the sign but coincidentally similar to the makaton sign.
So, I went to Sainsburys to get them.
As soon as he walked in the house after the taxi dropped him, he asked for it again. We told him that we have to wait till it's dark outside. He waited patiently for an hour and when it was dark outside, he went searching for his Dad. Jeremy was in the toilet at the time, Alex went in and grabbed hold of his hand and said "Dada go go".
Alex then grabbed his coat and shoes and pushed his dad out the back door. What a persistent child!
We had fireworks and sparklers. Alex enjoyed them so much. It's great to see the smile on Our son's face.
The excitement was overwhelming for him. He refused to go to sleep after that. I had to bribe him by telling him that if he go to sleep, he can have the special yoghurt I bought him tomorrow. He went to sleep without complaining. Bless!
Guess what he asked for after breakfast this morning?
Posted by Christine Hoh at 10:25 am 0 comments
Posted by Christine Hoh at 12:10 pm 1 comments
We had lunch at TGI Friday today.
After lunch, Jeremy briefly asked me if I wanted dessert and I said " no". All of a sudden Alex looked our way with glittering eyes and said "dessert".
We looked at each other and laughed and then asked him what he wants. He said "pie".
We then said to wait for Daddy to ask for the menu. All of a sudden, he shouted "pie ... Come!"
Cheeky Devil!
Also another milestone today, Alex drank the whole glass of orange juice using a straw. This is the first time he managed to do that. Call for celebration ..... Pie Come!
Posted by Christine Hoh at 1:13 pm 1 comments
Well, I didn't want to say anything until I am sure of it.
Posted by Christine Hoh at 9:13 pm 0 comments
Here's the latest report from Dr Irani after our last visit on Wednesday, 22nd October 2008. We received the report on Friday, 24th October 2008.
Posted by Christine Hoh at 10:37 am 0 comments
Alex ..... Is one difficult child to talk nicely to .... sometimes.
Seriously, Jeremy and I sometimes feel like we have to shout and be stern with Alex to get our message across.
Everything is a joke to him. He doesn't know when to stop, when to listen. And when he is in such a silly mood outside, it's not always possible to talk nicely to him.
To a stranger listening, we sounded like step parents or we are talking to a dog rather than a child.
It's the only way to get our message across to Alex by simplifying language. Alex has his moments, he is not always like that but when the Autism part of him takes over, that's when we feel ashame of ourselves for talking to him like that.
Sorry Alex, mummy and daddy loves you to bits but we had to.
Posted by Christine Hoh at 7:41 am 1 comments
This report was written by Mrs Dunham for Meath School visit on Tuesday, 21st October 2008.
Posted by Christine Hoh at 11:27 pm 0 comments
Since my last meeting with Mrs Dunham and Becca at Rainbow three weeks ago, Becca reassessed Alex and here's the Progress Report dated 17 October 2008 which I would like to share with you. Most people feel that reports should be confidential but I would like to share this because it may help someone .... someday.
Posted by Christine Hoh at 10:14 pm 0 comments
It's been two weeks since I updated my blog. Two days ago, I sat down and start writing what's been happening to us. Guess what happened?
It took me 2 hours to write and finally, it was ready to publish ..... Pressed "publish now" plop ... Blue screen with an error message. Everything that I have been doing was gone because Blogger.com was under maintenance!
#*$£ .... I was so upset that I had to walk away before I smash the laptop. It's not easy to find time to sit down to write. I should have known .... Next time, write them offline and then cut and paste. There, learn something new the hard and frustrating way. I have now downloaded a new software on my iPhone and can now update my blog wherever.
Just thought I'll try it out before I write another long story and findout it's not working. Work smart this time. Will follow with account of the past two weeks.
Posted by Christine Hoh at 7:19 pm 0 comments
Posted by Christine Hoh at 11:06 am 0 comments
We received good news today.
Posted by Christine Hoh at 9:31 pm 0 comments
OMG My Niece lock me out of her BLOG.
Posted by Christine Hoh at 1:01 pm 0 comments
Posted by Christine Hoh at 11:11 am 2 comments
Out of curiosity, I googled Apraxia misdiagnosed Autism. Here is an interesting article:
Apraxia and autism are two entirely different neurological disorders which can occur in a child independently of one another, or together in the same child. While autism’s symptoms can impact and impair many different systems, behaviors, and thought patterns, apraxia occurs when the child struggles to plan and carry out voluntary physical movements.
In terms of gross motor skills, apraxia may impact a child’s capabilities to stand up, sit in a chair, or catch a ball and with fine motor skills, a child may not be able to zip up a jacket, button a shirt, write or print, or even point at an object.
Children with apraxia may also struggle to produce sound patterns to make words, or even coordinate the various speech mechanisms to make the individual speech sounds such as the difference between a “g” and a “b” sound, or the hum of an “m” sound. Even when a sound is modeled, a child with apraxia may not be able to mimic the same sound.
However, though these symptoms may also cross over into autism, there remain important differences between the two conditions. For example, when a child has only apraxia it is only the motor functioning and not the social and emotional skills that are impacted, as is often not the case with autism.
Apraxia and autism can become difficult to tell from one another when the child is exhibiting symptoms of verbal apraxia (officially known as oral-motor apraxia). The reason for this is that children with either condition can be very aware of their struggle to communicate verbally, and therefore they may choose to avoid having to talk by staying away from social situations. However, in the case of verbal apraxia, if you play with your child and don’t demand speech from him or her, you may find that they begin playing actively and engage others in their play.
The child usually experiences relief from being able to socialize and have contact with others without being required to talk, which is frustrating for them and can create a fear of failure. Often, with these children, when they are allowed to select the type of play and are allowed to go without having to speak, the relief and comfort they feel can make them more open to accepting the slow introduction of new sounds and syllables, which may eventually bring about simple words into their favorite games and play. Encouragement to vocalize or verbalize should be gentle in both apraxia and autism, and should be gradual, tailored to the pace of success rather than to a schedule.
In both motor apraxia and autism, children show social interaction problems, but in the case of motor apraxia, this is normally because they are not always capable of performing the physical movements that allows them access to others. However, motor apraxia won’t usually make a child want to avoid social interaction altogether, such as failing to make eye contact, or specifically moving away from other people.
It is easy to see why there is so much confusion between apraxia and autism spectrum disorders. Especially considering children with these conditions can also both exhibit signs of over-reactivity to sensations. However, there are differences between the two and it is important to speak to your doctor or a specialist if you are unsure. Your doctor will be able to determine which condition your child may have, or if both are present.
Grab your free copy of Rachel Evans’ brand new Autism Newsletter - Overflowing with easy to implement methods to help you and your family find out about apraxia and autism and for information on levels of autismplease visit The Essential Guide To Autism.
Posted by Christine Hoh at 2:53 pm 0 comments