Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

How to talk to a child with autism

Kathleen O’Grady
Conditions
December 25, 2013
Share
Tweet
Share

The holiday season means most of us will be socializing with colleagues and neighbors, friends and family.  Chances are good this circle of friendly acquaintances and loved ones will include a child with autism.

Why? An estimated 1 in 88 children are now diagnosed with the neurological disorder, with a four times prevalence for boys.  Among other challenges, those with autism often have difficulties with social communication (be it verbally or via a communication device) which can make casual conversation challenging.  But that doesn’t mean they should be left out.

Contrary to popular belief, most kids with autism are not anti-social.  Yet, many “neurotypicals” still struggle when it comes to including a child with autism in the conversation.  Those that do try, often fail because they don’t know a few essential rules that can help make the interaction possible.

1.  Don’t start the conversation with a question — begin with a statement. A question, even a simple question like, “How are you?” or “What’s your favorite color?” can be like an exam for some children with autism.  If they fail the first question, the conversation is over before it starts.

It’s often not that they don’t know what you are saying or how to answer, but that the answer sometimes gets ‘trapped’ between the thought and the verbal expression of the thought. The slightest change in environment — background noise, pace of speech, accent or their own anxiety when exposed to new environments and people — can make the answer to even a simple question enormously difficult.

So start the conversation with a statement instead, then the child does not have to ‘pass or fail’ at the outset.  They can build on your statement with a statement of their own if they so choose.  “I love your shirt;” or “Cool dinosaurs” are observational statements that invite the child to comment in kind, should they so choose.  Each statement then functions like a Lego block that you can add to piece by piece.

2.  Wait longer for an answer. Kids with autism don’t usually need you to speak slowly, but they do need time to form a response of their own.  Too often I’ve seen adults wait for a child’s response to a question, and when the response doesn’t come, immediately throw another question out there in hopes that the child will respond to the second attempt.

If they’d simply waited another twenty or so seconds, they may have had a response to their first query.  But now that they’ve thrown a second item out there, the child may get confused and freeze up trying to figure out if they should continue to respond to the first or second query.

Be patient.  Wait longer.  And just when you think you’ve waited long enough, count out five more seconds in your head, and wait again.  Each child has their own response time, so it may take a few tries to figure out how long they need.

3.  Don’t take it personally, and try again later. I know adults who have tried to engage children with autism and failed, and presume that the child doesn’t like them or is anti-social generally.  Neither is likely to be the case.

Kids on the spectrum sometimes just don’t respond to social communication — even when they are fully able, and even when they understand what’s going on.

It may be that the child is imagining something terrific in their head — their favorite video game or story line — and this is so powerful that they can’t be pulled out of their imaginary world into your social world at that moment.  You can’t compete, in other words.

Or sometimes the environment can be overwhelming and is making them too anxious or overloaded with sensory stimulus to respond.  But sometimes, it’s just that they don’t feel like talking.

ADVERTISEMENT

By all means, try again and see if you can convince them that joining your conversation is worth the effort.  But if they still don’t respond, it’s not you, but it’s also not them — it’s just their present mood.  It will pass.

Try again later, and don’t take it personally.

Bottom line: Don’t ever leave a child with autism out of the conversation.  Chances are they want to engage, but they need to do so on their terms and within their abilities.  Make the effort, and not only will you make a child happy, it’ll make your day too.

Kathleen O’Grady is a research associate, Concordia University, Montréal. She has two sons, one with autism. She can be reached on Twitter @kathleenogrady.

Prev

Merry Christmas, American health care!

December 25, 2013 Kevin 3
…
Next

Can defensive medicine ever be stopped?

December 25, 2013 Kevin 56
…

Tagged as: Neurology, Pediatrics

Post navigation

< Previous Post
Merry Christmas, American health care!
Next Post >
Can defensive medicine ever be stopped?

ADVERTISEMENT

More by Kathleen O’Grady

  • a desk with keyboard and ipad with the kevinmd logo

    Parenting a child with autism

    Kathleen O’Grady

More in Conditions

  • Why does lipoprotein(a) exist?

    Larry Kaskel, MD
  • The myth of endless availability in medicine

    Emmanuel Chilengwe
  • A new autism care model in Idaho

    Ronald L. Lindsay, MD
  • What an FFR-CT score means for your heart

    Monzur Morshed, MD and Kaysan Morshed
  • Advance directives not honored: a wife’s story

    Susan Hatch
  • The therapy memory recall crisis

    Ronke Lawal
  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • Escaping the trap of false urgency [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • Why does lipoprotein(a) exist?

      Larry Kaskel, MD | Conditions
    • The myth of endless availability in medicine

      Emmanuel Chilengwe | Conditions
    • China’s health care model of scale and speed

      Myriam Diabangouaya, MD & Vikram Madireddy, MD | Physician
    • A new autism care model in Idaho

      Ronald L. Lindsay, MD | Conditions
    • What an FFR-CT score means for your heart

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Why clinicians must lead the health care tech revolution [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 2 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • Escaping the trap of false urgency [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • Why does lipoprotein(a) exist?

      Larry Kaskel, MD | Conditions
    • The myth of endless availability in medicine

      Emmanuel Chilengwe | Conditions
    • China’s health care model of scale and speed

      Myriam Diabangouaya, MD & Vikram Madireddy, MD | Physician
    • A new autism care model in Idaho

      Ronald L. Lindsay, MD | Conditions
    • What an FFR-CT score means for your heart

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Why clinicians must lead the health care tech revolution [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

How to talk to a child with autism
2 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...