Stimming

You've done it.  Yes, you.  If you've ever twirled your hair, shook your leg, bit your nails, drummed your fingers, tapped your hands....you are stimming.  Self-stimmulating behaviors.  They can provide sensory input or quiet an over-active nervous system.

Let's remind ourselves about Autism.  It's defined as  "a disorder of brain development, probably beginning before birth."  Notice it says "probably"....because in fact, we just don't really know.   It was once believed that it was caused from bad parenting.  We stressed out and devastated many Moms about "frigid mother" back in the 50's assigning the fault to them. Now the thought is that it's a very complex and multi-organ....affecting the GI system, the immune system, the metabolic system and the central nervous system.  It's very common for kids with Autism to have sleep disorders (Nea certainly does) and hormonal imbalances are being reported (Nea also has this).

The stimming behaviors are part of that central nervous system issue.  The difference between "typical behavior" and kids who have Autism is that the typical kids can turn it off or stop the behavior.  Children with Autism cannot. It should also be noted that some stims are seen as "disruptive" and therefore, therapy is used to help with the behavior.   There is much discussion in the Autism community and with behavioral therapists if these kiddos should be allowed to stim or if it should be stopped.

So, can you identify your own stim now?  I will confess, I have 2 very strong stims.  First, I twirl my hair....usually when I'm bored, or when I'm trying to concentrate.  I also rock back and forth.  I'm doing it right now as I type.  Self-stimmulating behavior for typical kids (and adults) is a matter of choice and a matter of intensity.  I can stop rocking and twirling very easily.

And, as predicted, Nea stims too.  We had to make a decision on this journey if we were going to allow her to stim or if we were going to try to stop the behavior.  At home, we allow her to stim and do not put limits on it at all.  In fact, we view it as a communication tool.  And we know at school the rules of society are very different.  They teach "quiet hands" if it starts to get to be too much.  I noticed that during speech therapy (when Nea has to concentrate very hard) that she starts moving her arms up and down as if she's drumming.  The therapist ignored it for a period of time and let her center herself with that activity....and then redirected her gently.  It worked well.

 So how do we know when Nea is stimming?  And what's it mean?

She has an oral fixation for sure (the paci, licking all new objects, flicking her nose to create a vibration around her mouth).   In and of themselves, they are not a big deal.  Babies and infants mouth objects all the time, it's how they get information.  6 month olds have a joyous time when they find their hands and toes and stare at them constantly.   However, for Nea at the age of 3, these activities are not developmentally appropriate and may even be in the way of progressing other development.  She also likes 3 pacifiers at a time.  One for her mouth, one to flick her nose repeatedly and one in her hand....squeezing.

A 3 paci moment (click on pic to enlarge)

Her other ones are spinning or falling down hard.  I can tell you when I see them the most....when she's been over stimulated (after school, time spent in a big crowd, or in an area with lots of noise) or when she's trying to deal with a big emotion (excitement, anticipation, fear, anger, frustration).  Her vocabulary is limited, so her ability to let us know the issue is limited.  She's 3....3 year olds can be quite verbal in expressing their ideas and emotions.  But because communication and speech are so difficult for her, it seems to manifest itself in different ways.  It's our job to meet the need with either a weighted blanket, dark room and quiet activities or hit the other end of the pendulum and get her on her jumper.

 I will tell you that some of it is science, some of it education from great therapists,but most of it's gut instinct.

Some therapists and scientists believe that stimming often produces a chemical reaction in the brain and that for people with Autism, that reaction is 10-fold.  If you've ever experienced a "runner's high", you understand what this means.  Seriously, if you had that feeling when you flicked your nose repeatedly wouldn't you do it often?  And if you were in a very stressful situation, wouldn't you do it as much as possible?

For some reason, I get this stimming thing with her and it never bothers me.  Maybe it's because her stims are more subtle.  But  I know for some parents it makes them very uncomfortable.  Although, I have to say,  the looks we get when she has a paci out are downright damning.   As she gets older, my plan is to help her identify when she's stimming so that she can understand when it's coming and come up with strategies to deal with it.

In the meantime....we spin, we rock, we jump, we flick and also we squeeze, we hide, we cover.

Welcome to Autism.