Autism and Screens

Greetings Earthlings! 🙂

Leading on from my previous post about virtual autism, this week I’d like to take a more specific look at the impact of screen use has on people with autism.

Whilst screen use is largely seen as a negative thing for the general population, screens can actually have a positive impact for autists:

  • Communication, connection and social skills– screens can help autists to connect with peers and communicate without the pressure of face to face interactions. There’s no need for eye contact, and plenty of time to think about and edit your response, allowing autists to relax. Removing these social barriers will also help autists to develop their other social skills which can then be applied to the real world. In my work for example, I’ve found that AI chatbots can be very useful when I’m struggling to find the right words and tone to deal with an awkward email
  • Regulation– Screens can offer a calming, safe (at least perceived as safe to an autist) and familiar presence for autists in an overwhelming, out of control world, enabling them to manage anxiety and meltdowns. For example, one of my autistic friends whips out her phone to look at cute animal videos anytime she is anxious, helping her to re-centre
  • Accessibility and gamified learning– screen based technologies can be very helpful for autists struggling with learning issues and verbal communication. The use of augmentative and alternative communication devices (AACs) and speech-to-text/text-to-speech tools can be hugely beneficial for autists. Similarly, gamified learning can be used to encourage autists to learn through the use of educational games which can help autists who struggle in a classroom setting. While studying for my leaving cert French oral, I used to study my notes while I played Mario Kart, which somehow made the information stick a lot better in my memory 😂🙈
  • Life skills– the internet is filled with useful apps and videos that can help teach autists valuable life skills that they struggle with in the real world such as personal hygiene, cleaning, map reading, cooking and shopping. Online shopping has been a complete gamechanger for me as I can shop peacefully with no pressure or risk of sensory overload
  • Specialist interests– having access to a screen enables autists to easily explore their specialist interests which can further help them to regulate when overstimulated. Back in the early days of dial up internet, I would happily spend a couple of hours waiting on a page to slowly load on the ABBA website just to read the historical chart information for all of my favourite songs. I would have bored everyone senesless with ABBA facts had I access to a mobile phone back in the 90s! 🤣
  • Executive function- planners, reminders, alarms and body doubling ADHD apps (such as Dubbi) can be very useful to help autists who struggle with organization

However, there are also many negative implications for autists that overindulge in screen time:

  • Overstimulation– excessive exposure causes over stimulation of the brain, increasing stress levels and disregulating emotions
  • Addiction as previously discussed, autists can be prone to addictive behaviours. As screens are highly addictive for neurotypicals, the risk can be even higher for an autist
  • Cyberbullying– autists are often an easy target for bullies, and granting them access to social media unchecked can have disastrous consequences. Growing up in the early era of social media, I didn’t know how to act appropriately online and often emulated those around me without thinking. This autistic tendency for masking and mimicry got me into hot water a couple of times, but if I were unsupervised and allowed to emulate the way users behave today, things would have been so much worse
  • Decreased focus and sleep issues– overuse of screens can impair concentration and attention spans for autists, which may be already impacted by co-morbid ADHD. The blue light emitted from these devices can also disrupt sleep patterns which are often dysregulated for autists. Sleep and screens is often an issue for me, especially if I have been watching content at double speed (it’s like listening to fast speech revs up the speed of my inner monologue which can overstimulate me before bed)

Some studies have also suggested that there is a link between screen usage before 2 years of age and the risk of developing autism, buuutttt it doesn’t look like this link is causal. Perhaps the link is coincidental given how virtual autism manifests.

As with most things in life, moderation is key for autists when interacting with screens. There’s no set amount of hours that one can follow, but monitoring your child’s screen use and it’s impact on their behaviour will help you determine how long is too long.

Hope you enjoyed this post dear Earthlings!

Have a lovely weekend! 🙂

Aoife

Autism and MDMA/Ecstasy

Greetings Earthlings! 🙂

Leading on from my previous post about autism and CBD, this week I’d like to explore another drug that is being researched in the treatment of autism- MDMA, the active ingredient in Ecstasy.

Yes, you’ve heard me correctly, the psychoactive drug MDMA is indeed being explored as a treatment option for autists!

So how can a recreational party drug help people with autism?

First synthesized for use in psychotherapy by Merck in the 1910’s, MDMA is the active ingredient in the street drug ecstasy and is thought to improve anxiety, sensory perception and sociability in those who take it. Many autists who have taken the drug recreationally have reported feeling more at ease in their body and increased empathy.

So how does the drug work?

MDMA increases release of neurotransmitters such as serotonin, noradrenaline and dopamine in the brain- neurotransmitters that are dysregulated in the autistic brain. In addition, MDMA is also thought to boost the hormones oxytocin and vasopressin the body which are also implicated in autistic symptoms. These hormones and neurotransmitters are heavily involved in anxiety and social behaviours, so targeting these makes pharmacological sense for autists.

That’s fine in theory, but does it work?

A pilot study (a small scale preliminary study) was conducted in 2016 to compare the impact of MDMA assisted psychotherapy on anxiety levels in autists versus psychotherapy alone. The study found that social anxiety significantly reduced in the group that received MDMA, a positive change that occurred rapidly and show signs of long term duration. This was however only a small pilot study and studies are ongoing with larger cohorts.

The drug does not currently have any legally approved medical uses, but if these clinical trials prove successful, this may change in the coming years.

In case you’re getting worried, the street drug itself is not being explored- ecstasy does not contain enough MDMA for therapeutic benefit, and it is often combined with other substances such as methamphetamine which make long-term use highly addictive and damaging to overall health. However, long-term use of MDMA does hold similar safety caveats such as sleep disturbances, depression, heart disease, decreased cognitive functioning and concentration so further research is required.

Nearly half of people who regularly consume ecstasy have tested their drugs

Hope you enjoyed this post dear Earthlings! 😀

Have a lovely weekend!

Aoife

Autism and Illness

Greetings Earthlings! 🙂

As we head into flu season, I thought I’d explore some of the challenges that face autists when it comes to feeling unwell.

We all know the glorious sensations that accompany common illnesses, the coughing, the vomiting, aches and pains and that delightful swollen head feeling that makes it hard to remember what breathing feels like! 😛

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Now imagine you have autism- you are hypersensitive to stimuli such as temperature changes, struggle with change, and do not cope well with discomfort. On top of this, your struggles to communicate might make it difficult to convey that something is wrong. Most children will tell their mother that their tummy hurts; an autist may struggle to identify or describe a medical problem to a parent or doctor, especially in nonverbal cases.

It might just be a simple cold or bug to a neurotypical, but to an autist, it may be an entirely overwhelming experience.

One of the biggest challenges that I faced growing up was not so much coping with illness, (I have been known to go out clubbing whilst suffering from a bug or the flu!) but treating it.

I HATED taking medication!

Taste aversion was a big issue, mostly because medication came in foul tasting liquid form! Here’s a fairly accurate representation of my face after swallowing medicine:

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Every year my mother and I would go to war to get me to take my cough bottle or antibiotics. I would try it once, discover it tasted rancid, aaaaannnd then do everything my twisted sense of logic would come up with to avoid taking it. I would often pour out the medication when she wasn’t looking, or pretend I was old enough to dose myself so I could get away with not taking it! 😂

Didn’t work out so well though when things got worse… 😛

I know! I should have know better- but don’t  judge me too harshly, seven year olds are not well versed in the concept of antibiotic resistance! 😛 😉

Tablets were a little easier, but tricky to get used to the sensation of swallowing them at first. Once I discovered that antibiotics came in tablet form as an adolescent however, I became far more amenable to knocking them back! As the guys from Pringles say- “Once you pop, you can’t stop!” 😉 Although I may still recoil as the tablet slips down on occasion, especially if it has an unfortunate taste, or even worse, a powdery texture…!😬

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Getting an autist to take medication can indeed be quite a daunting task, but here are some of my top tips for parents struggling with this problem:

  • Mix liquid medications into another drink or yoghurt– Ok, I know this feels a little bit like wrapping tablets in meat to get your pet to take them, but there is method in the madness! My mother used to mix antibiotics or antihistamine in with my juice or flat coke when I would refuse to take them. For the most part this worked, but sometimes I found the combination tasted just as bad- so trial and error! Just make sure that they consume the whole thing to get their full dose.
  • Ask for tablets not liquids– Granted, you can’t get tablets before the age of 12, but if given the choice- take the tablets. There is far less chance of taste related rejection!
  • Bribery- My mother was always particularly fond of this approach. To first encourage me to take propolis tablets, I was promised a fun-size bag of Malteasers if I swallowed them without complaint! Needless to say- it worked! 😉
  • Make a game of it- Why not try and use a specialist interest to encourage them to take their medicine? ‘It’s a magic potion to make you feel better!’, ‘This is what makes the Hulk strong!’ ‘See- it’s pink like Barbie; her favourite drink!’ My mother tried something like this by writing a note on a box of meringues to say that she had cast an engorgement spell on them to keep me from eating them! I was a bit older at the time, so I mostly ignored it, but I got a chuckle out of it at least! 😛 😉 Had I been a stubborn 6 year old however, I definitely would have fallen for it.

Failing all that- try to stay healthy folks! Wear your warm jumpers, take your multivitamins (although the scientific jury is out on whether or not these are actually useful!) and your apple a day and hopefully you will keep the doctor away 😉

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Enjoy the weekend everyone! :)`

Aoife

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