#getting assistance after autism diagnosis changes a man
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Man I have grown a lot since this tumblr started when I was 18? And now Iām 31. And I just donāt relate to how I was and how I acted here and it feels very weird because I kind of want to make a new tumblr!
#getting assistance after autism diagnosis changes a man#i just wanna post my art tbh and make friends
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DGM Theory: Could Komui Lee be on the Autism Spectrum?
Warning: Spoilers and clunky theory (I havenāt done something like this in a long time and it is nearly midnight). I am not an expert on Autism nor do I know if the author is either. The only credentials I have is I have friends and have known people on the spectrum and I was given a hasty diagnosis at age 7 of a āslight case of Asperger syndromeā (aĀ āmilderā form) and have some relatable qualities with Komui. I do not intend or mean to offend anyone on the spectrum nor do I mean to insult the character. Iāve just seen a couple people do a thing like this with characters like Lilo from Lilo and Stitch and Santana from JoJoās Bizzare Adventure and even a couple Steven Universe characters. Iām just a little copy cat who thought they could throw another character in the mix that maybe people can relate to instead of the generic Sheldon Cooper/ Good Doctor kind of representative. And who knows... maybe Iām wrong and he has ADHD or something. But of course... in the end it wonāt matter because in the end, Komui will just be Komui. No labels attached. This theory will not change that in any way. Komui is Komui and we love him- so letās dive in!
(Also- sorry. No pictures this time. Its too late at night to find any)
For those who are unfamiliar with the Great Komui Lee, he is the branch chief at the European Black Order. He however spends a lot of time in the Science Department, helping out with research and making sometimes very weird and crazy inventions that tend to annoy the whole order in some way. But he has 99% of the scientistsā respect. The other 1% is murderous rage...
People think heās weird and crazy, sometimes even fear him. But they still respect him because under all that goofy hyjinx and over the top personality is a caring Branch Cheif who has done his best to make sure the order is a lot safer and nicer than it was for its residence and staff (including his sister who he went there for).
One characteristic of Komui that I personally think is a sign of Autism (or at least something I relate to) is what appears to be special interests.
Those familiar with D Gray Man know Komui isnāt very fond of doing his job. So much so he had to get an assistant to make sure he did his job. Before that, the Science Division had to make special handcuffs to make sure he didnāt run away a super long distance.
What Komui would rather do is make robots based in his image to āhelpā members of the science division (usually becoming the cause of much chaos with at least one exception when another one of his other inventions got into the wrong hands and the robot kind of helped out). He thinks very dearly of these robots and hates seeing them get destroyed, even if they hurt his beloved sister.
*side note: There are sometimes misconceptions that Autistic people can be seen as self centered. While this may not have been the authorās purpose in creating the character- she probably just wanted to make Komui more fun and silly with making his creations based off his own image as joke, it kind of ties into this theory. It has been displayed quite a few times that Komui isnāt self centered which I shall get into later.
Speaking of his sister, Lenalee Lee, could also technically be seen as something (or rather someone) he prioritizes care on. The reason Komui ever joined the order was because the order took his sister away from him and performed horrible experiments on in order to make her an Exorcist (soldier of the order who fights Akuma for those unfamiliar). While that in itself may not be an Autistic trait, the degree he goes to express his care for her could be.
Many times Autistics are misinterpreted as stoic and lacking emotion (even putting it as a symptom on some websites). But as Autistic Youtuber Princess Aspian puts it, Autistics can be sometimes more emotional or overly emotional (okay- those arenāt her exact words, but you get the gist). Komui will burst into tears and hug his sister at the very mention of her ever getting married (a common anime trope for dads and older brothers of girls, but as mentioned before he gets emotional with his robots too).
Relating back to this, he goes above and beyond to keep his sister safe. You canāt ever breathe a word that you may have an interest in Lenalee or else yo may receive a good whacking from one of his robots. Bak Chang (another branch chief who has a bit of a creepy obsession with Lenalee) was faced with numerous traps when simply trying to give her flowers. Who took the time to put up all those traps? Komui. Who joined a corrupt organization, changed it up, and works hard despite hating the work at said job because he knows his sister is a chosen Exorcist and therefore wants to make her feel safe and happy? Komui.
Another thing that makes Komui seem like he could be on the spectrum was the fact he did start off as anti social. Naturally, having your last living family member who was only four taken away from you by a mysterious church organization would make you very bitter. According to an off panel āask the characters questionsā kind of thing (called āKomuiās Discussion Roomā that he never shows up for) Komui wasnāt always the friendly, emotional, unintentionally-havoc-reeking goofball we all know and love. I donāt have all the details (and neither does the author- sheās setting up something- I know it!) but it took a very friendly and active cook named Jery to help break him out of his shell. And according to another off panel, he and that chef are best friends.
One thing personally Iāve seen and relate to is sometimes the fact that while someone on the spectrum may seem anti social, they either just donāt want to be bothered as their focused on something else, or they just need a friend to relate to or help break them out of their shell. (*side note- please ask your friends or potential friends if theyād like to talk to you before trying to break their shells. Give them the option before forcing yourselves upon them. They probably would like to talk, but they also might be focused on something else. They are humans after all). Komui had a lot of years of guilt and anger built up in him and probably kept it to himself so the Order wouldnāt know why he joined. To have someone open up and be nice to him probably made him not only be able to be the Komui he is now but also really brighten up the Order. Whatās more, heās supposedly very attached to this friend as well, going as far as occasionally helping in the kitchen. I guess we can thank Jery for Komui being friendly and kind (Jery needs more respect guys!!!)
(Holy cow this is getting long! Iāmma need to make more parts...)
I wasnāt sure at first I could have a lot to go on, but now thinking about it more and more, I think I have a lot more to go on. Now Iāve mostly related this part to myself and stuff Iāve heard in comparison to Komuiās demeanor. Iām going to nrrd to do more research, but Iād love to hear what you guys think. Do you think Komui is on the Autistic spectrum? Could it just be trauma? Is he the Autistic idle we all need represented in our media?
Share your thoughts and research and Iāll try to make a part 2!
#d gray man#dgm manga#dgm theory#dgm#komui lee#autism#aspergers#komui#dgm komui#autistic characters#possibly autistic
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The mercs with an s/o who is on the autism spectrum? If you want to
Ā as a person with diagnosed autism( ASD that later changed to SCD but concidering my countrys lack of proper diagnosis and non-existant support when i was growing up, im not sure,it might was a result of chronic abuse or i was a really weird kid) its my duty to answer this ask,
always know that you are perfect with all your imperfectionsĀ
just because maybe your brain is wired different it doest make you less of a person
you are poetry
Scout
-my boy has adhd ( probably undiagnosed until he was examined by Medic) so you two might have a little problem at the begining.
-he might be the closest to a jack russel in human form, but he cares about you and is willing to sit down and do his research so he can understand you and your struggles. He isnāt a hypocrite, he is a hyperenergetic bundle of daddy issues and is sure he will annoy you from time to time, he annoys pretty much everyone except his mom on rare occasion, he is a hanfull and he knows that years now. But he also has come to understand that everyone has struggles and little things that make them more special than others.
-if you have problems with communication , heāll be your mouth .Problems with sensory overstimulation? he will escort you to the safest place and hug you tighter than he thought hes capable of. People mistreating or bullying/insult you? the bat is in his hands and his ready to hit home runs on their balls. You might not be the perfect couple, you will struggle like every couple and have fights and arguments, but he is ready to phase every difficulty that comes on your way. He loves you and he is here for the ride even if its bumpy.
Soldier
-( I and i think a big part of the community claim he is actually autistic) Probably the most tricky of the mercs, since at one side he might completely relate/understand you and the relationship go smoother than soft butter on bread, or he might have problems communicating the relationship problems with you.
-as all relationships you two must sit down and communicate your problems. Believe me he isnāt mentally retarded ( a horrible misconsumption ive seen being thrown around), yes he is stubborn and canāt read social cues to save his life, but he is a loyal beefcake with a golden heart hardened by a lifitime of war. He knows he isnāt the perfect man, he has nightmares and panic attacks on the regualr after so much trauma in his life. But he also knows that if he S/O needs him, it doesnt matter if its a small or big thing, he is ready to go through hell and back to make them happier or more comfortableĀ
-you canāt stand loud noises? copy that privet, he will stop yelling/ screaming around you. Certain things make you uncomfortable/ anxious? hes at your side and he is ready to snap necks...you have his heart and his adoration, he aināt a coward or a pansy, youāll win over any challenge that comes your way like the absolute unit you are and he is there to assist
Pyro
-fresh from the start they can recognise you have autism, i lowkey think they might be ( actually in young adults asd and mild schizophrenia can be mixed and confused by not good qualified doctors, its been years since i read that study so correct me if im wrong) or have really good gut insticts. Either way, they know you are struggling and trie in subtle ways to help you
-did an important call without stuttering? hug and smooch on the crown of your head, completed all your work/homework? they will cover you in stickers and cuddle you in their pillowfort, stood up for yourself? my girl theyll make a huge cupcake tray and youll two will eat while watching sappy disney films
- you wonāt struggle as much, i see them as more easy going than other members of the team. But they also have big issues that may create problems in the relationship that you both needĀ to work on. They are more than a handfull and they arenāt unaware of it, they spended years locked inside their own head doing god-knows how vile and harming things to their mentality and body, they canāt believe they are alive and they wake up every day next to the most beautifull human being they have come across their lif, ( Y/n). You will bond slow but strong , you are their sunshine and theyll make sure their sunshine shines no matter what they have to do
Engie
( lowkey i think is canon he has some form of high-functioning autism, just hide its behind the southern warm and soft hospitality)
- when you confess, he hugs you ( a big thing coming from him since i dont consider him a touchy fella)Ā and returns the confession that he is too. He knows each person experiences different so he wonāt press you for explanations or description of what you have is excactly. He just assures whatever happens, he is there to help you with
- doesnāt really change how he views you, but he takes the initiative for things like talking to strangers, calling to order or things that you struggle with, but he doesnt baby you. You are an adult person and will be treated as that, even if sometimes he feels he needs toĀ āhelpā or āprotectā you
-one of the mostĀ easy going of the mercs, but his work is his priority so there will be long arguments about it. He understands your frustation, but he is a workaholic years now before you came in his life and canāt bring himself to change that. His work is his routine, the only comfort he knows and the only place that accepted him for who he is. But, he will be more elastic and have more breaks/ days off even if it means the project will be finished an hour or two later, unless it has an urgent deadline. He knows he can be very cold and emotionless, he is an engineer, not a spy for that reason. Furthermore he has his own times when he is stubborns or has an anger explosion because something broke/didnt meet his expectations or got way too invested into something that turned to be worthless/ uselless so he isnāt the one to judge if you are in a sour mood or you have your ownĀ ā explosionā. After all said and done, late at night when you are both alonein his workshop he will just cradle you in his arms and make a silence promise to always be there for you through thin and thick ( as we say to go through 40 waves and 40 more ) because you are something that no machine or creation can emulate or recreate, you are ( Y/N) and you are the love of his life.
Demo
-arguably one of the three more knowledgable of the mercs in the topic of mental health department. Being raised in an orphanage i doubt he didnt had at least a dozen other kids who had from high to moderate to severe autism ( during the 20th century it wasnt uncommon for people with autism to be thought less human or that the family of said people couldnāt provide for them in severe cases so theyd be dropped on orphanages and psychiatric hospitals)., so he has some first hand experiene with what autism is. It isnāt something for him in all honesty, after so much trauma and hardship in his life he is at peace that peopleare different and their brains are rarely wired the same
-he also know he isnāt ideal, he acts really stupid when he is drunk and his alcohol consumption alone is a very big problem for any relationship he ever had in his life and i doubt he is the image of psychological perfection, but he also knows that if you are willing to keep him around you have seen him wasted out of his mind, he is more than willing to put up with anyof your quirks or difficulties.
-you want to stim? go ahead heāll leave the room/the house so you can stim to your hearts content, you want to stay? sure thing lass, hell sit in a corner and drink a bit while you have your thing. Work/ school/ home life is stress full and you are in the verge of a breakdown? he has already wrapped you like a burrito and he is holding you while you cry/vent, you dont want to be touched at that moment? hell take you to an open field and you can blow things up to get all those feelings out of you. He isnāt ideal, he is at peace with that, but now that you appeared in his life, you became the apple of his eye. Heāll cherish you and protect you both as body but as a mind and a soul for whatever shit life throws at you, he was never one to back down a challenge.
Heavy
-due to the language barrier and his nature as a quiet man itāll take him some time. If you bring it up heāll simply nod and run to Medic or Spy for translation. He isnāt shy to do a doctors worth of research so he knows what he has to deal with, he knows his english is broken and would prefer to have a migraine over the amount of books hes read than make you feel uncomfortable. Probably will ask advice from Medic ( the most qualified on the team) untill hes satisfied he knows enough.
-probably the sanest of the mercs, but he isnāt perfection. He had to endure famine and death from very early in his life, always be the stone his family anchored on and most people on his life, so he has his own big problems. At one side he is used to so many things, he is somewhat indiferent. You arenāt harming anyone nor its life threatening, so it doesnt really change what he feels about you. All people have flaws, noones perfect and if they do think they are perfect, they are very, very wrong. I wonāt lie to you, some times hell get confuse with your behavior or will get tired of being theĀ ā anchorā of the relationship, but he will never admit it. He survived the Gulags and years in Siberia, this is nothing but a walk in the park for him. He isnāt a fuckboy, he doesnāt want you just for some fuck and then hell forget you exist, he is much more sentimental than he appears to be. He beginned this with you because he sees you more than a body, he sees you as someone he wants to spend the rest of his life with even if itll be a challenge, he was never a quiter and he wont be now.
- donāt expect much communication help from him, unless its in russian. But whenever you feel the tiniest bit of self-doubt or anxiety his arms are open to embrace and warm you withĀ his love. He might was raised among anarchy and war, but he is a gentle giant with a heart bigger than Russia herself. He knows you two will struggle especially on the communication domain but he is willingĀ to do what it takes to make your life easier/ less challenging. He came here to stay, only if you allow himĀ
Medic
-Arguably the most medically qualified of the mercs, but considering the era of his studies hes at least rusty on modern terminology and general understanding of what autism is. Nontheless his a doctor ( with or without a medical license) and i doubt he ever followed the rules of ethical and unethical medicine. He is a healer primeraly and he canāt claim to be the most mentaly stable of the team.
-he might be many things, he knows hes at least crazy by normal standards and has made extremely questionable choices in his life,but he cares for the people he is close to, lovers and collagues alike. He wonāt try toĀ āchangeāorĀ āmedicateā you; unless you specifically ask him for, like yes he has defied any sort of ethical medicine and has played god many times in his life, but he knows that if he changes you, you wonāt beĀ āyouā. You will be you still, but nothing more than a lobotomized version of yourself and he fears that. Letās be real, he probably choosed you because you are a smart individual ( that includes both street and book smarts alike) so if heĀ ākilledā your smart he would essentially kill you and this doesnt sit well with him.
-feeling down? no worries, the doctor is here ( afterhe finis hes re-connecting snipers new kidneys). Stressed? Archimedes will be your own personal cheerleader and the rest of the flock wonāt let you all stressed and alone while Medic is working. In the simplest of works,he wants you to know thatĀ he might be a madman on the field and the medbay, but he is also your lover and that means he cares about you. He doesnt care if act a lil strange or you have some special things about you, guess what? he doesnt cares. H e never cared and he will never cared, all the greatest minds had somethingĀ special about them and you are no exception. He chosed to have a relationship withĀ you and you accepted the love request of a surgery-happy maniac , im sure he is beyond equiped to handle you in all aspects. He might not be the most touchy but he will make his point across that you are someone who means wayy to much for him to change
Sniper
- ( i highly think he is autistic, just the way hes potrayed in most fanfics he acts lowkey autistic, mostly in the communication and sociable part) growing up in the middle of nowhere probably he has never even heardĀ āautismā as a word , so his very lost. (another headcanon of mine is that he is also iliterate) You need to explain to him what autism is and how it affects your life. He has a non-pleasant expression on his face, because he realises most things that you say what that āautismāis and the thing it has are things he actuallyĀ has and felt throughout his life. He looks like hes having a religious expierience and when you are done he only nods and hugs you almost mechanically.
-he will need some time, not because ofyou, but because of him. You might think he is breaking up with, butin reality he just needs some time alone to sit down and think about all the things you said. Its one of the biggest revalations he has experienced on his life and it has hit him like a wall of bricks.
- after a few days he will return to the base and will ask you to meet with him on the most secluded of his snipers nest. While you prepare for the upcoming breakup, he actually showers and wears somet hing nice for the first time in a while. He goes out of his way to make the sniper nest a bit moreĀ ā comfortableā even bribe spy into giving him one of his fancy wines. Once you go up the nest and you two meet, he is the most clingy he has ever been and almost drinks the whole bottle out of pure anxiety. Once his tipsy enough he actually confesses that from the things you said, he found out hes also autistic. Que him basically clinging you like a broken koala baby while half-sobbing to expell all the tension heĀ has inside him. Please pet his hair and rub his back,he will melt and quit his rugged manly man persona for that moment. He needs you there, he needs your soft touch to ground him while his whole life comes crushing down and a weight he never imagined is being lifted from his shoulders.After that, its quaranteed you two wonāt be seperated ever again, he needs you to ease all this pain he has gathered from his troubled life and he will provide you the world and the stars.
Spy
- he knows what autism is( as a spy he should know about human psychology/mental disorders just to know how to impersonate any person with or without issues) and he is a very observant man. He has above average attention span and knows how to read body language so he has figured you are autistic a long time ago. He is just waiting for you to open up about it or confess it, but he also knows the social stigma around autism so he keeps his mouth shut because he really doesnļæ½ļæ½t want youĀ to feel uncomfortable orĀ ānakedā in front of him
- i heavily headcanon him to be at least depressed/having an ugly anxiety disorder or even a dissosiative disorder considering a big part of his life is carefully crafted theater , so he canāt say he is any more better than you.Furthermore he never really cared about what society thinks about mental ilnesses, whos here to judge who sane and not? he has seen so much shady things behind closed doors ofĀ ā pureā people he has lost all respect for what society thinks its normal and what is weird or not acceptable. Yes he follows the rules ofĀ āgoodā society but thats more of a habit than a need. Plus have you seen what the good olā society behind close doors? yap youll need a good bible study and some church to wash away the sins.
-eventually when you confess to him,he doesnāt really act. He knows its a heavyemotinal moment for you but he canāt open up for his own problems, at least now. But he will embrace you for now and say all the sweet words you need to hear...untill the same time he gets drunker than he can and confesses to you in french all his psychological troubles while he cries on your chest. He wonāt let go unless he wants to vomit and he will cling to you for dear life while he experiences one of the ugliest meltdowns he has experienced in the last decade. Probably will wake up with a monster of a hangover, but once he feels you wrapped around him and feel your heartbeat on the bones of his back something will meltin him. He will gather whatever strenght he has, turn around, give you one of the most genuine smiles he has ever given in his entire life and peck your lips bore he starts whining and requiesting you to either kill him or fetch medic. Perhaps one day hell say all the things he wants to say in you mother tongoue but for now, just know he will cherish you and love you like the mostĀ exquisite poetry that has graced his life
#tf2#tf2 imagines#tf2 facts#tf2 self insert#tf2 spy#tf2 scout#tf2 soldier#tf2 pyro#tf2 medic#tf2 heavy#tf2 sniper#tf2 engie#tf2 demo#so#all#long post#autism#relationships dynamic#mentall health
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I was 35 when I discovered I'm on the autism spectrum. Here's how it changed my life. byĀ Zack SmithĀ on January 29, 2016
"Do you hate crowds, especially at supermarkets and restaurants?" I avoided eye contact, which I knew I wasn't supposed to do. "Yes." If Dr. P. noticed, she was too busy looking at the questionnaire to let on. "Do you tend to repeat heard words, parts of words, or TV commercials?" I immediately flashed back to middle school, randomly repeating such phrases from TV as, "I don't think so, Tim," fromĀ Home Improvement. I was tempted to respond that way this time. Instead, I just replied with another, "Yes." "Do you have trouble sustaining conversations?" "Yes." "Is your voice often louder than the situation requires?" "Yes." "Do you find yourself resistant to change?" "Yes." "Do you have restricted interests, like watching the same video over and over?" "Yes." "Did you start reading and/or memorizing books at an early age?" Eye contact suddenly became much, much easier. "Wait ā isn't that a good thing?" "It is. But did you do that?" I went back to boring a hole in the carpet with my eyes. "Yes." "Have you ever picked up and smelled random objects, like toys when you were younger?" "That'sĀ a sign?" "Sometimes. Did you do that?" "...yes." I wanted to puke. After a few more questions, she did some totaling. "Well," she finally said, "it's likely you have ADHD and social anxiety disorder, and you're on the autism spectrum." I slumped back into the overstuffed chair. "Great," I said. "Triple threat." I was 35 years old. There are,Ā according to the Autism Society of America, 3.5 million Americans with autism spectrum disorder, approximately one in every 68 births. Based onĀ reports compiledĀ by the Society, the prevalence of autism has increased 119.4 percent just from 2010 to 2014. Courtesy of Lydia Brown and the Autism Self-Advocacy Network Weāve called autism a disease for decades. We were wrong. The research linking autism to vaccines is even more bogus than you think The errors ā and revelations ā in two major new books about autism It's not that more autistic people were suddenly being born. It's that doctors knew what to look for.Ā A Danish studyĀ published in January 2015 suggests that diagnoses of autism are more frequent because of a broadening of diagnostic criteria over the years, meaning there could be generations of people with autism spectrum disorder who were never diagnosed. I knew, on some level, that I was autistic by the time I was in fifth grade. It wasn't because of Oscar winner and box office sensationĀ Rain Man, which I was too young for; it was, of all things, aĀ Baby-Sitters ClubĀ book calledĀ Kristy and the Secret of Susan, where one of the babysitters tends to an autistic girl. I don't recall all the details, but I do remember reading the book and asking my mom if I was like this, if it was why I needed "curriculum assistance" classes or why I'd been pulled from preschool and sent to "Project Enlightenment," an ultra-structured children's program downtown. Mom assured me I was not like that. Susan never spoke, and that wasn't me, was it? I moved on. I was already neurotic about reading "girls' books." By the time I reached college in the late 1990s, a new term had become a buzzword: Asperger's syndrome. I wondered if that was what I had. It explained so much ā the obsessive memorizing of TV show trivia, the absolute discomfort at bars, clubs, and parties, the way I'd tune out most classes or social situations. Again, I was assured by my parents and friends who knew people with autism ā that wasn't me. I had empathy! And I was doing well in school, I just needed to relax a little. In retrospect, they seemed more worried about how worked up I was over this than the possibility of an actual diagnosis.Ā There's a stigma attached to autismĀ that leads many families to avoid a diagnosis. But in attempting to diagnose yourself, it can feel like the things that make you unique are aspects of some sort of affliction, one that is permanent and incurable. A few years later, a good friend of mine was diagnosed with Asperger's. Then he told me he thought I exhibited some symptoms as well. I freaked. I had finally started to feel "normal." I had a job, I was finally comfortable with things like driving and calling up strangers for interviews ā I was just a "late bloomer!" I broke down and told him I still cared about him, that I didn't see him differently, but that I didn't have what he had! I was finally growing up, I said. I didn't have some incurableĀ disorderĀ that separated me from everyone else. But I worried. Friends didn't quite know what to say when I brought up the possibility, often in tears and just short of hysterics. "You're just you," they'd say. Mom and Dad were practical: "Well, what if you are? What good does it do you to put a label on yourself?" They weren't being mean. They reminded me, over and over, that I was "doing well." They'd already seen me fall into periods of depression and nonproductivity when I was out of school and out of work, and didn't want me to return to that place. I'd pulled myself out of those spirals before they became too serious. But if a doctor told me I'd never be "normal," that my strangeness was something pathological, would that be the excuse I needed to turn into a complete lump? I was just one of those people who did "better" when I was busy, when I had structure. I just needed motivation. That was all. Eight more years passed. Asperger's became a fear, a phantom, and most of all an excuse. The idea that I might have this "condition" lurked in my mind. It was why I messed up, the nuclear option. If someone got upset with me because I didn't understand something or missed some hints they were trying to give me, I had, "Uh, I might have Asperger's" ready. It broke up at least one relationship. It prevented several more from happening. I was in a strange place. By that time, I'd made good connections ā even friendships ā with a wide variety of creative people. But other parts of my life felt paralyzed. My creative work was stalling. Setting and keeping any kind of schedule for myself resulted in overstuffed calendars and quick burnout. There were all the times I'd walk away from an encounter with someone new with the overwhelming feeling I'd done something wrong and had no idea what it was. If someone did get mad at me, I'd obsess over it, frozen in a moment of shame and self-hatred long after the other person had let it go. If I could succeed without the pills, that was proof that I'd "won"I considered therapy. But good cognitive therapists were expensive, and it seemed wasteful to potentially drain what little money I'd saved trying to quell what I told myself were such minor neuroses. Surely I could just power through my own problems. In the past, times like these usually ended when I had enough work ā school, employment, personal projects ā to keep my mind busy, unable to obsess over small things and let myself get "nibbled to death by ducks," as one editor put it. Ultimately, I persuaded my doctor to prescribe me some generic Zoloft. My parents were terrified I was going to have the miscellaneous "suicidal thoughts" the prescription warned about. I didn't, but it was a mixed bag. On the one hand, I felt a bit calmer and had more luck with work and dating. On the other hand, I still faced problems with depression, falling asleep in the middle of the day, keeping an irregular schedule. I'd been dieting for the past year and change, but now I had trouble taking and keeping weight off. Worst of all was that I couldn't feel excited on almost any level ā I'd sit through TV shows and movies like a stone. I rarely felt attracted to girls. When I kissed one, it was like kissing my own hand. There was no sensation, just motions. Zoloft, it seemed, could get me a second date but didn't make me a lot of fun on the third. I started skipping pills or going off my prescription for a while entirely, saving a month's refill so I could use it if I knew I had a stressful period coming up. Inside my brain, the relief at not having to face "judgment" was twisted up with self-hatred and fear, along with a perverse sense of defiance. If I could succeed without the pills, that was proof that I'd "won." When I went off the stuff, it felt like second puberty ā I'd go from clean-shaven to Wolfman Jack in a week. I felt excited again. I also felt like I was on a toboggan, headed down a snowy hill, accelerating faster and faster toward a brick wall. And I couldn't get off, because I liked the feel of the rush. Cleaning out my email folder, or seeing old social media posts on Timehop, it's amazing how many times I made the same complaint over and over: I needed to get something finished, or I needed a new project. I needed to get out of the house more, to spend more time around people, to stop being so hard on myself. Something needed to change in my life, or I needed to change in some way. I said so over and over, but I didn't know how. 10 things I want to teach my autistic son before he goes to college In January 2015, I started what I knew was going to be a stressful period. I was teaching a volunteer course for retirees once a week, taking a graduate course twice a week, and taking shifts at a used toy shop other days of the week, on top of my freelance writing and creative work. It was a lot, but I knew I could handle it. It took exactly two weeks for it all to collapse. Exactly one year ago today, I showed up for a shift at the used toy shop and was promptly fired. I'd been there two years, I was told, and still had no sense of what to do when they didn't explicitly tell me. I had all these other gigs writing and teaching, they said, and this clearly wasn't a priority. Worst of all, customers had complained: They preferred not to come in when I was behind the counter, ready to chat their heads off. Fridays, when I worked, used to guarantee the company a few hundred dollars of retail at least, and now there were records of multiple Fridays with no sales at all. I was costing my boss money because people didn't want to be around me. I'd failed at what was a fairly easy job because I was me. Because I wasn't fit to be around other people. My parents were due to arrive for a visit in two hours. I went home and felt all the symptoms that had hit me in the past take over: crying jags, nausea, coughing fits. I knew I wasn't sick; these symptoms were all in my head. But I didn't know how to turn them off. When my mom and dad arrived, they were understanding. But I told them I couldn't go on like this. I needed to get therapy and get on medication again, this time prescribed by a mental health professional. Research was done. Dr. P. was recommended as a specialist in the area, good at diagnosing spectrum disorders and helping people organize their lives. A few weeks later, I was answering questions about whether I picked up and smelled toys as a child. Decades after I'd begun diagnosing myself, it was official. But somehow I didn't feel "labeled." That sense that I was "wrong," that I was somehow deficient, wasn't there anymore. Instead, I finally understood the areas where I had problems, and why I had those problems. Now I could work on them. The psychiatrist Dr. P. sent me to said that we could try Strattera, the ADD medication I'd attempted in college, in conjunction with Prozac. Tony Soprano and "Here comes the Pro-Zack" jokes flashed through my head. The insurance company rejected Strattera, but they told the psychiatrist I could do Adderall and see if it worked. "If you have a bad reaction, we can apply for Strattera again!" the psychiatrist said, cheerful. It was a lovely thing to know I was taking a medication with the expectation that IĀ wouldĀ have a bad reaction to it, but it turned out I didn't. I could listen without feeling an absolute, overwhelmingĀ needĀ to blurt something outThe first month was rough. I'd wake up throughout the night, an odd change from wanting to sleep all day. Instead of eating whenever I got stressed or anxious, I wasn't hungry, something I wouldn't realize until early afternoon, when the dizzy spells kicked in. For the first time in who knows how long, I found myself doing things like getting up at the same time every day and eating breakfast. Weird. Other things stuck around. The nervous coughing fits I developed with my firing continued, but a friend noted that they seemed to vanish when something held my attention. When they happened again, I'd find something to focus on, like a song or a TV show or something to read. Eventually they vanished, and when I would cough nervously about something I found I could overcome it right away. Little things became easier, too. Arguments with other people didn't stay in my head months after the issue had been resolved, reminders that I could push other people away. I started dating more, and if it didn't work out, I was able to move on with some new understanding. Errands were done. Garbage got taken out. Annoying forms were filled out, instead of lingering on my desk for months. If I had a weekend with some downtime, I felt an actual compulsion to leave the house or call a friend, instead of simply sitting around. Within a few months, I realized that while I still didn't feel the excitement I could with no medication, I could still enjoy things. I could follow the plots of movies and TV more easily, and when other people spoke, I could listen without feeling an absolute, overwhelmingĀ needĀ to blurt something out. I asked Dr. P. what this feeling was. She said I was "content." I kind of liked that. The strangest part of all this has been that being honest about my autism has left other people unfazed. It'd come up, probably because I found some excuse in the conversation to mention it ("Oh, I know what you mean about hating small talk. I'm a little on the spectrum, so..."), and there'd barely be a reaction. I'd watch people's faces. No surprise. No discomfort. And the conversation would go on. Admitting that there were things I didn't understand somehow created a new common ground. No one fully understands everyone else, or the world around them. Many people try to do what I did and "power through" this with false confidence and assertiveness. Sometimes it works. But to know you have a weakness, to acknowledge it, and to treat it as a "what the hell" thing āthat's almost more powerful. For most of my life, I'd been afraid discovering I was on the spectrum meant I was cut off from being able to maintain friendships, professional contacts, a romantic connection. It was the wall I was always afraid I was headed toward. But the real wall was my fear, of facing not what I was butĀ whoĀ I was. And my parents had been right ā IĀ wasĀ doing well before. I just needed to find a way to let myself enjoy my successes and build upon them, instead of feeling like defeat was inevitable. In the end, 2015 was perhaps the best year of my life. It wasn't the major stuff ā the new job I got teaching, getting accepted full time into the graduate program ā it was just that I was able to feel a sense of momentum, of moving forward. Part of me wishes I'd had this happen a decade before. But the experiences I had without therapy and medication helped prepare me for the setbacks I faced, and granted me the maturity to face them. My story isn't typical. The autism spectrum is a broad and constantly redefined place, a frontier of the mind that's still mostly wilderness. The revised definitions of it in theĀ DSM-5just a few years agoĀ are still controversial ā it's both easier to diagnose aspects of the spectrum in people and more difficult to determine if a formal diagnosis is necessary, if it's even a "problem." In my experiences I had the benefit of privilege, and of personal choice. No one forced me to get diagnosed or to take medication. I simply reached a point in my life where I felt like I could become a better version of myself if I confronted the areas of my life that seemed to hold me back. I can't say that my life is perfect. I have a great deal I need to accomplish in terms of better dieting, regular exercise, and being more productive in my writing. Some anxieties still hijack my brain, and dating and relationships remain, as they do for most single people, confusing. But I feel like I've learned. And I'm still learning. Learning is all about realizing possibilities in the world around you, and right now those possibilities seem extraordinary. In August 2015, Dr. P explained, slowly and with caution, that she was moving out of state to join a new practice and to be closer to family, so I'd need to change therapists, and that she'd help with the transition. She was relieved when my main reaction was to tell her I understood and congratulate her on the new opportunity. She called me a "success story." "A few months ago, you might have felt ... destroyed by upheaval," she said. "Things change," I replied, and I meant it.
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Cocaine Detox Drink
Contents
Relapse prevention skills
Kits detox kits
Afternoon prior ā¦
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Nostalgia Glasses: Canaan - Part 1 (Background + Eps. 1-3)
This was one of the series that really got me into anime back when I was around 14 years old. It introduced me to the action genre of anime and got me into scenes of fluid animation for the sake of making the fights look really cool. And honestly, as far as the first few episodes go this series still holds up really well. I mean we all like things that arenāt good when weāre 14 but this was the first real time when I liked something that was really well done.
So much so in fact that two characters from this series, Santana and Hako, were major inspirations for Kali and Aria from my writing, which isnāt currently published or available for reading. I actually had to change Ariaās character to having her black as well as only having a weaponized voice when she sings because she was a bit too much like Hako. Kaliās death scene was also originally a shot for shot remake of Santanaās death scene. The death scene has been removed now that Iāve rewritten a few characters.
My first published work was in a school magazine that was sold to people outside of the school that we wrote in collaboration with the school paper. it was a Canaan fan fiction centering around Hako and her own inner monologue. it got a couple of my classmates to watch the series but was otherwise shitty, thatās actually up on my fanfiction.net account currently here:
https://www.fanfiction.net/s/9212506/1/Tormented-ThoughtsĀ
It was also the anime I introduced my younger brother into anime with. So it holds a special place in my heart because of that.
I also got a copy of the series on bluray for by birthday yesterday, so thatās a good reason to jump into doing this now.
Episode 1: Evil, Flood-Colored City
Going into this series Iām remind of how well it sets up itās tone. Itās an action series and it starts off with a series of shots introducing us briefly to both Canaan (one of the two protagonists) and Alphard (the antagonist). Canaan is shooting balloons with real bullets, which serves to show that she doesnāt really have a concept of value or currency. Sheās a mercenary and thatās all sheās really know. Her professionalism is shown off with the fact that sheās wearing a military cap to keep the sun out of her eyes while she shoots and by the fact that she doesnāt miss a single shot. Alphard is being taken into custody by the military, this establishes that sheās not on the good side of the law and insinuates that sheās either grown sloppy or got captured on purpose to gain a strategic advantage against the government.
We also get a monologue spoken by Andrew Love, as his character in this series. About how Canaan and Alphard came from two very different worlds and that Canaan shouldnāt be using her negative emotion to move her forward when Alphard is doing the same thing. So without even giving us an inciting incident in the first 10 minutes of the series theyāve already given us Canaanās inner conflict; the fact that she has to defeat Alphard through compassionate means rather than hateful ones.
So enough on literally the first two minutes of the series.
On to the main characters of the first couple of episodes. Maria Osawa (which has to be a reference to the porn star Maria Ozama) and how Mino. I honestly like both of their characters. Maria is both naive and optimistic yet it doesnāt come off as overly annoying, like a lot of other overly happy anime characters come off as. Mino is a more stereotypical male character but at the same time heās quite likable. Heās a down on his luck journalist just trying to get a good story for his paper while on a trip to China. Heās pulled into all this stuff against his will. He follows up on any lead he can and shows a great dedication to his job. And heās doesnāt come off as a pretentious jerk like Frank West from Dead Rising.
Throughout the latter half of the episode weāre introduced to the relationship between Canaan and Maria. Whereas Canaan is merciless when fighting she shows a really soft side toward Maria because of their history together. She comes off as socially inept.
Iād actually venture to say that Canaan has high functioning level 1 autism. Sheās completely capable of functioning as a part of society but doesnāt like being a part of society. It could be the fact that whenever she goes outside she gets a literal sensory overload, which is common for people with autism. Though the sensory overload is caused by her synesthesia, rather than a disability. Itās just interesting to bring up those similarities between how her synesthesia affects her and how autism affects a lot of high functioning individuals.
This is coming from an individual with autism whoās done quite a bit of research into his own disability.
Episode 2: Worthless Games
The second episode gives us a lot more information about the world this series takes place in. Alphard leading a terrorist group named Snake. The nature of Maria and Canaanās relationship. And much more.
Throughout this episode you start to get this feeling that a lot of the terrorist attacks are linked through a common group, though you still donāt know who they are. You know Liang Qi has something to do with it but itās not completely clear if Alphard has any knowledge about it. You also find out a lot about Mariaās past, her amnesia that doesnāt turn her completely stupid like it seems to do for every other character that falls under this trope and her relations to synesthesia and the Ua virus, a virus with a 100% mortality rate that sheās the only person to survive, due to the valiant efforts of her Doctor father.
This episode mostly serves to give us exposition and develop the characters a bit more before sending us further into the plot. it also serves to set up later events and give Alphard a reason to let herself get captured by the Chinese government. She mentions something about an anti-terrorism conference, what better place to commit an act of terrorism. Security will also be relatively lax if thereās a lesser threat of terrorism, what with Alphard being olut of the picture and her organization being without proper leadership.
Liang Qi shows that she canāt take rejection from Alphard by taking her anger out on her coworker... Well, Iād more so call Cummings her submissive even if she does act as his assistant. itās made very obvious by that fact that he drops an important call when Liang Qi needs to take out her anger on somebody and just takes the abuse. Alphard seems to share a mutual respect with Cummings at this point and Liang Qi probably hates this.
This was also the episode where I was kind of struck by the fact that this anime still looks really good 8 years after it started airing. Anime today all kind of looks the same, and thatās not me being some grumpy old man, Iām only 22. A-1 Pictures created this face template thatās used in all of their series. That make most of the anime in Japan right now so that same facial template is in more series than it isnāt in. Seeing a stylized series that looks like it could have been hand drawn with amazing fight animation is really refreshing. Style-wise this is probably my favorite series of the last decade.
We also get to hear Mariaās inner monologue, and experience how depressed and self conscious she really is. Itās a really nice contrast between her outward and inward personalities.
Episode 3:Ā Trivialities
So we see a more sarcastic side of Mariaās personality in this episode when they go to a cosplay bar. Yes Hako is extremely sexualized in this part of the series, but she works at a cosplay bar. We also get a comic relief scene of Mino trying to get information from Hako but failing due to being nervous, because sheās a gorgeous woman with her breasts outside of the shirt. At this point you do start to get this feeling that maybe the Japanese writers are portraying Chinese people as a bit too aggressive and going into a bunch of Japanese taboos. Though the joke about Chinese cab drivers in the last episode was actually pretty funny because of how true it is.
And then we get a scene of Canaan doing a cats cradle with copper wire. Showing her immense, yet still human, physical strength. Itās interesting to note how sheās designed as a teenage girl because she hasnāt yet gone through puberty even though sheās in her twenties, her synesthesia stops her from having a period so she canāt go throughĀ
Liang Qi continues to show her hatred for Canaan and an obsession with Alphard. In fact, much like how Cummings acts as her submissive and takes her abuse (which isnāt good by the way), Liang Qi takes the insults from Alphard and continues to show complete devotion to her, being submissive to her while still taking her repressed anger out on Cummings.
Going further into this episode thereās a noticeable difference between the sound mixing int he prior episodes of the dub (suck it up) and the 3rd on.
And, just through her conversations with Maria I think my theory that she has autism stands a bit more ground. The lines for the other characters are written relatively normally, you can picture a normie talking like Alphard, Maria, or Mino. But Canaanās dialogue is written strangely when compared to the other characters. Sheās socially awkward, doesnāt understand more advanced social situations, and gets really excited when going out with friends. Most people wouldnāt outright say that itās their first time having fun with a friend or rudely interrupt other people to repeat something sheād said before. I know it could be argued that sheās just weird and with good reason, but in what situation could she get a diagnosis. So she may not be diagnosed by I think she might be an autistic character. Sheās sociopathic, a lot of people with autism are sociopaths, which are commonly mistaken for psychopaths (sociopaths can still feel compassion and empathy but only for a select few people). I myself an not a sociopath, as not all people with autism are, but a good portion of us are. The way she walks away from Maria at the end of the episode speak volumes about how sheās still capable of becoming emotionally hurt by another personās actions, and her lack of understand of Mariaās own moral compass also shows that she doesnāt fully understand other people or societal norms, as most people view murder as wrong.
So thatās the first part of my Canaan retrospective, I hope you didnāt get triggered when I talked about autism and I hope you enjoyed the rest of the analysis of the first three episodes of the series. So far this series really does stand out.
#canaan#maria osawa#alphard alshua#anime#review#good#mino#action#aniplex#sentai filmworks#hako#santana#showgate#428: shibuya scramble#masahiro ando#nostalgia glasses#sentditt reviews
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For the first time, Shaun encounters another autistic person and with that comes mixed feelings. Meanwhile, Jared opens up about his life and Claire is forced to show vulnerability in a rather uncomfortable way.
Previous Recap: Episode 6 āNot Fakeā
Network ABC Director(s) David Straiton Writer(s) Johanna Lee Characters Introduced Liam Coby Bird Glen Paul Dooley Dr. Mohan Catherine Lough Haggquist
Someone To Lean On: Claire, Dr. Glassman
After accidentally killing a patient, Claire is staying strong but now has a bit of a shaky hand. Something Dr. Glassman doesnāt see but is aware can happen. With that in mind, he grounds her until she gets cleared by Dr. Mohan. Someone who specializes in what Claire is going through. And while it is noted Claire is strong, there is still this worry that what she is going through will eat her up inside.
So, she decides to lean on Jared more. Perhaps open up to him and maybe go beyond being some form of friends with benefits.
It Hasnāt Been All Caviar and Yachts: Jared
For quite some time, Jared has tried to be your traditional doctor. Someone stern, a bit cold, but good at his job. However, with Claire continually pushing for him to have a better bedside manner, it has cracked open this shell of his. Something that gets ripped open by his patient Glen. A man with no family alive, is divorced, and is 73 with a failing heart. At this point, he just wants to die and Jared tries to fight him on that. Tries to push him to live but while the kind words exist now, what happens when Glen is alone after he leaves the hospital? What then?
Plus, what does Jared know of misery, huh? He is this 28-year-old kid, good-looking, and he is rich? Well, he just now got back to being some form of rich. Though he grew up in a wealthy family, he was in boarding school most of his life and only saw his parents at Christmas. Usually to be shown off. Then, at 18, he was basically abandoned and homeless. Making it so only an ex-marine and crazy artist were any kind of support system that led him to where he is today.
But, even with opening up, it doesnāt change Glenās mind. So, Jared just sits with him as he dies. A weight which will not easily be taken off.
Someone Like Me: Shaun
This is a rather difficult episode for Shaun. Not just because of Dr. Glassman still babying him, but also because he is confronted with someone with autism. Someone who isnāt as high functioning or a savant. Then, to really dig into an old scar, he has two parents which love him deeply. This combination makes for a difficult patient to deal with.
Not the boy, Liam, himself, but the constant comparisons going on in Shaunās head. There seems to be envy, perhaps a bit of shame and it isnāt 100% clear which. Is it because he and Liam share the same diagnosis or shame in how Shaun is an exception? That he doesnāt have tics and other things which would limit what he is capable, or what others see him as capable, of doing? It isnāt really clear.
However, with Claire assisting, he is able to get through diagnosis rather easy. After all, part of Claireās strengths are her adaptability and with Shaun recognizing how good she is with him, he sees her as an asset when it comes to Liam. Reminding you how little of an ego Shaun has despite him often pointing out when someone is wrong.
But, when it comes to the surgery, there is a roadblock. Liamās parents donāt necessarily trust Shaun for they know he is autistic. However, Dr. Melendez goes to bat for Shaun and, after a talk with Dr. Glassman, pretty much says either he is helping or you can get it done elsewhere. However, with Liam wanting Shaun to do it, the surgery happens and ends up a success.
Leaving one last thing to mention: Shaun reveals, in front of Dr. Melendez, how he didnāt have parents like Liam has, and there comes the question of how that may affect how Dr. Melendez deals with Shaun in the future.
Other Noteworthy Facts & Moments
Jared is 28
Question(s) Left Unanswered
(General Question): Anyone else hate when they donāt make it clear who the episodic actors are? Especially when their characterās names throughout the episode? I mean, during the end credits to make it simple.
Highlights
The Trauma of Being a Doctor
More often than not, when we see doctors in real life, or hear about them, there is something negative said. Especially those in a hospital environment. They were cold, money hungry, and etc. But of course, the nurse was great!
Now, one of the things I like about The Good Doctor is instead of having us dive deeply into the off work lives of the doctorās, they just integrate that into their work. Jared and Claireās relationship, you see it off and on but donāt see them really outside of work. Dr. Melendez and his fiancĆ©? Again, pretty much only at work and only occasionally. You get just enough to be reminded it exists.
For really, that is not what this show is about. Itās about these young doctors, featuring Shaun, learning. Of which, one of the things they have to learn is stress and emotional management. A task which isnāt being shown as easy to pick up. People dying because of your mistake, you not being able to help them, working with kids, the elderly, high-risk pregnancies and all that, can you imagine doing so daily? Heck, maybe within one 24 hour period?
Add on they are working inhumane shifts, likely to save the hospital money, and dealing with all this. Plus, they are young. There has to be this desire to have relationships, someone to vent or lean on, and this be something outside of work. I mean, granted I have never been much for medical shows, but Iād be surprised if many of them didnāt contain a Dr. Mohan somewhere in there. After all, with so many lives in your hands, how can you not either become dead inside or else have a mental breakdown?
The Father/Son Relationship Shaun Never Had
Shaunās storyline left me with trembling lip kind of tears. For an autistic boy to have an abusive father, whose mom more worried about him than her kids to see a loving family? One with a boy worse off than him, you know that had to mess Shaun up. For while Dr. Glassman maybe there, and they have a cute moment towards the end watching football, it just isnāt the same.
Shaun has no family but this one man who isnāt a spring chicken. His brother is long dead; who knows if he may see his doppelganger again, who only has a few months to live; and as for his parents? Where are they? Are they alive? Also, is Shaun capable of forgiving them?
Catch Up or Follow Along: Here [External]
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#TheGoodDoctor: Season 1/ Episode 7 "22 Steps" - Recap/ Review (with Spoilers) For the first time, Shaun encounters another autistic person and with that comes mixed feelings. Meanwhile, Jared opens up about his life and Claire is forced to show vulnerability in a rather uncomfortable way.
#22 Steps#ABC#Catherine Lough Haggquist#Coby Bird#David Straiton#Johanna Lee#Paul Dooley#The Good Doctor:#The Good Doctor: Claire#The Good Doctor: Dr. Glassman#The Good Doctor: Jared#The Good Doctor: Season 1#The Good Doctor: Shaun
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How Science Is Solving Health Issues at All Stages of Life
Health editions thumped us in different ways at different ages. Here are some big ones science and tech are helping to solve. Age 0 ā 12 Allergies Roughly 8 percent of girls in the US suffer from meat allergiesāoften from peanuts. Epicutaneous immunotherapy were gonna help. Itās a skin spot with a stratum of peanut protein that triggers immune cells that travel to the lymph nodes( which facilitate restrain allergic reply) without registering the bloodstream. The patch is still in tribulations, but the hope is the fact that it promoting the development of forbearance without prompting a nuts reaction. Autism Studies been demonstrated that involvements before age 4 result in significant gains in cognition, communication, and adaptive action, but autism is difficult to foresee early enough. Scientists have employed neural networks to create a procedure for analyzing mentality connectivity in babiesā fMRIs; it was able to predict with greater than 96 percent accuracy whether a 6-month-old would develop autism by age 2. See more from the Life Issue. April 2018. Subscribe to WIRED. Nik Mirus Hearing By around 6 months old, a babyās mentality snips itself to specialize in the language and sounds it has been hearing since delivery. Deaf newborns are likely to missing this crucial turning point in development, even after receiving cochlear implants. Scientists have created a machine-learning algorithm that parses babiesā MRIs to predict language development and determine if theyāll involve additional help. Vision Amblyopia, or lazy seeing, is the most common visual defect in US babes. Early contemplates have shown virtual-reality plays can be more effective than the traditional eye-patch management( yarrr !). VR plans beam different portraits to each seeing to establish the apparition of 3-D, so video games can be designed to deliver all-important information( running asteroids, for example) in the persona depicted to the weaker gaze. This develops the intelligence and both eyes to work togetherāand might open a head start to future e-athletes. Age 13 ā 26 Concussion Nearly a one-tenth of senior high school sports traumata are concussions, but itās notoriously difficult to determine their severity. One recent examine found that the level of tau protein in the blood of students who had suffered a concussion corresponded with the duration of epoch the young athlete needed to recover. A simple blood test that they are able reliably predict retrieval era might not be far off. Depression Some 3.1 million teenages in the US suffered at least one major depressive escapade in 2016. They might want to talk to a new chatbot thatās schooled in cognitive behavioral therapy. it asks about climate daily and studies the user to reframe negative thinking( āLife runs at you pretty fast. A wise man identified Ferris Bueller said that.ā) and adjusted manageable goals. Diabetes Type 1 diabetes often rises in the early teen years, when managing the diseaseāmeasuring blood glucose ranks and inserting insulin multiple times a dayācan be tough. To facilitate additional burdens, an insulin pump organisation for cases 14 and up, āve called theā MiniMed 670 G, automatically observes glucose degrees and uses an algorithm to ascertain when to dispense precise insulin infusions. HIV More than 4 million young person now live with HIV worldwide. Treatment has moved big stridesāthe illness is greater necessarily a death penalty. But controlling the disease asks cases to follow a complicated daily regimen of pills. To ease that, scientists have designed a six-pronged capsule that patients take just once a week: The prongs are composed of different polymers that dissolve at different rates, delivering doses over several days. Age 27 ā 54 Cancer Most cancers donāt touched until later in life, but physicians recommend some cases in their thirties and forties get screened for colon, prostate, breast, and cervical cancers. Scientists are now developing so-called liquid biopsies to see molecules molted by tumors in blood or urineāa less invasive, little unpleasant, and more readily recited process than a material biopsy. Infertility For women under 35, the chance of one cycle of IVF ($ 12,000 and up !) making is exclusively about 50 percentage. Researchers have developed a small microfluidics invention to assistance select which sperm to use for IVF: The cadres swim through a sort of constraints and obstacles that screens for the healthiest, fastest, most normal-shaped sperm. The hope is that the overachievers will develop the the possibility of IVF success. Influenza Scientists are getting closer to creating a universal vaccine that would be effective against multiple influenza strainings( extinguishing yearly shotsāyay !). One strategy is to target a protein on the virusās outer skin-deep announced hemagglutinin, which the imperfection uses to invade cells. The proteinās intelligence mutates often, but its stanch frequently stands the same across strainsāmaking it a promising Achillesā heel for antibodies. Suicide In 2015, people age 35 to 54 made up more than a third of all suicides. Investigates are inquiring using data from smartphone sensors to monitor mental health. Depressed beings, for example, move around less, which can be tracked with a phoneās GPS and accelerometer. Sleep motifs are often disrupted, which investigates can see via the hours when someone uses their telephone. All this allows doctors to captivate data beyond what patients self-report. Age 55 ā Infinity Alzheimerās Earlier diagnosis of Alzheimerās would allow for managements who are able to reversal evidences and slow cognitive decline. In 2017, scientists composed an Alzheimerās test by sieving through data regarding 70,000 elderlies and zooming in on 31 genetic markers associated with the disease. It accurately determines oneās danger of developing Alzheimerāsāand how the health risks changes as you grow older.( Spoiler alert: It get higher .) Kidneys Kidney disease alters 14 percentage of US adults, and the vast majority of them are older than 60. The therapy alternatives are less than awesome: Dialysis is a short-term, expensive solution, and donor organs are scarce. Now a group of researchers and doctors are developing an implantable artificial kidney that filters blood through silicon membranes and ranges on the bodyās own blood pressure. Lymphoma The median age of a lymphoma diagnosis is 67, and chemotherapy doesnāt ever work to treat it. Scientists are inquiring a new weapon called CAR T cadre care. They compile a patientās own T cadres from their blood, affix receptors engineered to lock onto cancerous cells, and secrete them back into the patient to carry out search and destroy missions. Metabolism Mitochondria, the organelles that render power your cells keep going, meet mutations as you ageāand started to malfunction. Scientists believe they play a crucial role in aging, perhaps because theyāre involved with metabolic processes, which slow-going as people get older. A molecule called nicotinamide adenine dinucleotide could juice the system. It acts as fuel for a protein that helps grow mitochondria, and scientists think it could be used as a supplement to consider metabolic decline. Read More Age 0 ā 12: How to Reverse Infertility* Tools for Fetal Surgery* Save the Preemies* The Yearās Best Tech Playthings* Cashing in on Kiddie YouTube* The #MiniMilah Effect* Rethinking Screen Time* A Brief History of Digital Worries : How to Reverse Infertility* Tools for Fetal Surgery* Save the Preemies* The Yearās Best Tech Playthings* Cashing in on Kiddie YouTube* The #MiniMilah Effect* Rethinking Screen Time* A Brief History of Digital Worries Age 13 ā 26: Inside Oracle High* Call Me, Maybe* The New Cyber Troops* Comp Sci Diversity* Paths to Early Stardom* Why Teens Donāt Drive* In Love on Strava* Death of Middle School Romance : Inside Oracle High* Call Me, Maybe* The New Cyber Troops* Comp Sci Diversity* Paths to Early Stardom* Why Teens Donāt Drive* In Love on Strava* Death of Middle School Romance Age 27 ā 54: Real Wedding, Virtual Space* The Pursuit of Youth* The Digital Vision Problem* The True Screen Addicts* Gamers Age Out* Rebooting Reproduction* Silicon Valleyās Brotox Boom* The Next Steve Jobs : Real Wedding, Virtual Space* The Pursuit of Youth* The Digital Vision Problem* The True Screen Addicts* Gamers Age Out* Rebooting Reproduction* Silicon Valleyās Brotox Boom* The Next Steve Jobs Age 55 ā Infinity: How Old Are We, Really ?* Wii Bowlingās Golden Years* The Testosterone Myth* How to Live Forever* Designing the Future* Aging on Demand* The Liquefied Burial The post How Science Is Solving Health Issues at All Stages of Life appeared first on Anti Aging Tips. http://selfhelpantiagingtips.com/how-science-is-solving-health-issues-at-all-stages-of-life/
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Attitude Adjustment:Tantrums, Biting, Crying
New Story has been published on https://enzaime.com/attitude-adjustmenttantrums-biting-crying/
Attitude Adjustment:Tantrums, Biting, Crying
Tantrums, Biting, Crying ā Every Parent Struggles with Them from Time to Time, But When Misbehavior Intensifies, It Can Traumatize the Entire Family.
Sixteen-year-old Travis Smith canāt wait to try out for his Baltimore City high schoolās football team next fall. Heās a lot like most boys his age: non-stop energy. Today, that energy is channeled positively, a big change from when he first started school. Back then, his mother Natasha Lewis was at her wits end, receiving phone calls practically on a daily basis telling her to come pick him up from school. The reasons varied: Travis had hit another child. Travis had lashed out at a teacher or an aide. Travis was threatening to jump from the roof of the school. No matter the cause, Travis was suspended more often than not, threatening Ms. Lewisā job security, a perilous situation for a single mom with two kids to support.
Kids will be kids, and every parent knows that even the best-behaved child can, at times, be a handful. Itās natural for a child to test his limits; tantrums, crying and refusal to comply with reasonable requests are all part of growing up. But for an estimated three to six percent of children, behavior problems can become so severe they actually threaten the health and stability of the family, not to mention the childās success in school and adult life.
At some point, any child can engage in extremely inappropriate behavior biting, hitting, running away, throwing things, hurting him or herself. The distinction between ānormalā misbehavior and a behavior problem has to do with frequency and intensity. Some children engage in these problem behaviors many times a day. Their tantrums donāt fade in minutes they can go on for hours. Behavior problems like these are even more common as high as 50 percent in children with cognitive impairments, learning disabilities, ADHD and many developmental disorders. Parents often have tried every disciplinary technique in the book and consulted with pediatricians, school counselors and others, to no avail. For them, conquering some behavior problems requires assistance from an expert. Kennedy Kriegerās Behavioral Psychology Department has offered behavior management services for children for 30 years and is considered a leader in the field.
Psychologists specializing in behavior management work to help families reduce the problematic behaviors by attacking them at their root causes and then working with parents on ways to keep behavior problems at bay. āOur patients typically come to us after the problem has started to affect many aspects of their lives, and several different caregivers have experienced the problem as well,ā says Susan Perkins-Parks, Ph.D., director of the Behavior Management Clinic at Kennedy Krieger. āBy the time they get to us, they have usually exhausted other options.ā
The Behavior Management Clinic serves children aged two to 12 years and their families. Most of the children are developing fairly typically, except for their behavioral difficulties. While parent behavior and attitudes alone are certainly not the sole cause of a childās problems, impatience, insecurity and inconsistency in enforcing consequences can greatly aggravate the situation. As a result, the Clinicās treatment program emphasizes parent training. Parents play an active and critical role in the process by role-playing, modeling and rehearsing new skills for the psychologists as they develop them.
Following an initial evaluation, direct observation of parent-child interaction and sometimes interviews with the children themselves, Dr. Perkins-Parks and her colleagues begin training and coaching parents on the most effective means of managing their childrenās behavior. āOur strategies rely heavily on positive reinforcement increasing the rate of parental attention to appropriate behavior, ignoring disruptive behavior that is not unsafe, and using negative consequences such as restrictions only as a last resort,ā she says. āThe goal is to have the parent demonstrate mastery of the new skills both in the clinic and in other settings. When a family isnāt progressing outside the clinic, sometimes weāll make home and/or community visits to learn which aspects there might be preventing improvement in the childās behavior.ā Treating the whole family
In some cases, the home environment and family dynamic can contribute to a childās problematic behavior. Issues such as a parentās job loss, relocation, financial strain, divorce or death of a loved one can be hard for many children to process, prompting some to act out. The stress surrounding one childās behavior can affect every member of a family, making it more difficult for other children in the household to perform successfully in school and other settings. Kennedy Kriegerās Child and Family Therapy Clinic was established to help families in these situations work past behavioral challenges. āAlthough one childās behavior might be the crisis issue that pushes a family to come see us, we take the attitude that the whole family is our patient, not just a single child,ā says Gina Richman, Ph.D., director of the Clinic.
Dr. Richman finds that many of the parents she works with have limited control over the problems in their households. Caught up in dealing with financial crises, tragedies, health problems and other immediate issues, the issues of maintaining a consistent and structured environment becomes more challenging, and children sometimes lose sight of who is in charge and how to behave appropriately. āThatās why itās so important for us to pull the whole family into the therapy room,ā she says. āWe have to re-establish that hierarchy and put that parent back on top.ā This scenario is particularly common in families headed by single women, whose children might create romanticized notions of absentee fathers, but show little respect for the mother who holds their family unit together. In families where one childās behavior has become a source of stress for everyone, other children in the household may begin to feel like the sibling who is acting inappropriately has control over the family. The clinicās approach supports the idea that one childās behavior really isnāt the issue the important thing is to alter the family dynamic so that everyone interacts in a more healthy way.
Most of the families served by the Child and Family Therapy Clinic are seen for a few months, others for longer. āFamilies who stay with us for a longer period of time do so because their needs change,ā says Dr. Richman. āA few years down the line, new challenges arise. For example, another child may be causing concern.ā
Dr. Richman has worked with Travis Smith since 1998. Although Travis has been diagnosed with Oppositional Defiant Disorder, Disruptive Behavior Disorder and Reactive Attachment Disorder all behavior disorders that frequently lead to the types of difficulties in school and home life he encountered when he was young, Dr. Richman says many of Travisā difficulties were aggravated by his environment. āOutside of his mom, Travisā doesnāt have a lot of positive role models,ā she says. āHe lives in a pretty tough neighborhood, and heās attended only struggling inner-city public schools.ā
In addition to counseling Ms. Lewis on the best ways to respond to Travisā behavior, Dr. Richman advised his school system on the most appropriate academic placement for Travis, collaborated with his psychiatrist on the effects of his medications and kept track of his involvement with a Big Brother. āNo matter what was going on in Travisā life, I made sure I knew any time something changed, so Iād understand why his behavior might be different,ā she says.
In time, Ms. Lewis developed much more authority over Travis. āIt was an uphill battle, but she worked so hard,ā says Dr. Richman. āShe demonstrated to Travis that there were consequences for inappropriate behavior. Sheās demanded drug tests, barred him from hanging out with certain kids, kept close track of his extracurricular activities. It would have been easier at many times to give up hope, especially with the other stressors in her life, but sheās so dedicated. She never misses an appointment, she never lets Travis think heās more in control than she is.ā
Now, as he approaches adulthood, Travis has grown into a wonderful young man. There havenāt been any violent incidents at home, and Dr. Richman can recall just two fights at school in the past five years. āHe pulls away from bad influences on his own now and has developed skills that assist him in problem-solving without resorting to anger. He has developed wonderful friendships, as well as relationships with teachers who like him and want to help him succeed.ā Special challenges for children with developmental disabilities
While Dr. Richman estimates that 80 percent of the families in her practice have a child with ADHD, depression or a specific behavioral diagnosis such as oppositional defiant disorder, few of them are severely disabled. Addressing behavior problems in children with significant developmental disabilities can be an even greater challenge. The Pediatric Developmental Disorders Clinic, another part of the Kennedy Krieger Behavioral Psychology program, has developed a staff of individuals with expertise in the issues facing children with these conditions. For instance, children with intellectual disabilities and autism spectrum disorders often have limited communication skills. Out of sheer frustration, the majority of children with these disorders demonstrate some degree of aggression, self-injury, destruction of property and elopement, or wandering. āBecause children with developmental disorders have fewer resources to convey their feelings, they tend to be more prone to tantrums, which are often longer and more intense then those of a typically developing child,ā says Steven Lindauer, Ph.D., a case manager in the Pediatric Developmental Disorders Clinic. This clinic, which serves children with autism, intellectual disabilities and other developmental disorders, focuses on behavior management in children under age seven.
The first step in treatment is often developing an alternative means of communication between parent and child, such as sign language. Nancy Grace, Ph.D., the programās director, stresses that parents donāt need to become fluent in sign language to use it with their children they just need to focus on signs for their childās most urgent concerns: āhungry,ā ātired,ā āsick,ā ātoyā and such.
Once therapists have helped parents work around some of the communication barriers that exist between them and their children, the real work of managing behavior begins. Even though the childās frustration level over not being able to communicate has been reduced, some inappropriate behaviors may have become established. Although about half of the patients seen in the Pediatric Developmental Disorders Clinic are on medications, medication alone rarely works without changes in the parentsā style of behavior management. Here, the rules stay the same as for typically developing children, specifically, the focus on positive reinforcement. āPay attention to the behavior you want to keep,ā says Dr. Grace. āUnfortunately, most parents ignore it when their child does something right.ā
Dr. Lindauer agrees. āThe problem with just telling a child noā is that all that does is tell them they canāt do what theyāre doing,ā he says. āIt doesnāt help them find a more appropriate way to behave.ā
Too often, says Dr. Grace, parents expect children disabled or not to simply behave as expected without any sort of encouragement. But appropriate behavior is a learned skill, and some children have more trouble mastering it than others. āThis is hard for some kids they need an incentive to put forth that extra effort,ā she says. āParents should not be afraid to use tangible rewards like candy or toys to encourage a child. As the childās own management of their behavior gets stronger, parents can begin to fade out the rewards.ā
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New Post has been published on http://holistichealingnatural.com/autism-spectrum-disorder/
Autism spectrum disorder - Symptoms and causes and Treatment
Autism Spectrum Disorder
The Autism spectrum disorder (ASD) is the name for a special group of people who are having developmental disorders in their lives. The Autism meaning includes a wide range which can be due to several reasons like different skills, level of disability, symptoms, etc. They can easily be categorized into different branches like lack of social skillset, repetitive speech problems, and problems in nonverbal communication, etc. No certain reason can be extracted of solving this problem but maybe it is caused due to complex combination of various genetic and environmental influential disorders. The early signs of Autismtends to appear between approximately in 2 to 3 years of age and even sometimes it is diagnosed as early as in age of 18 months old.
What are the characteristics of people having ASD?
The Progressing social issues that incorporate trouble in conveying and communicating with others are one of the easiest and early signs of autism.
Repeated and same practices without any valid reason and in addition to this the restricted interests or exercises
Side effects that normally are perceived in the initial period of a childās life like signs of autism in babies.
Side effects that hurt the personās capacity to work socially, at any place.
A few people are somewhat debilitated by their side effects, while others are extremely crippled. Medications and administrations can enhance a manās capacity to work as effectively as normal people do. Families with concerns should converse with their pediatrician about what they have watched in the ASD screening for the sake early signs of autism. As per the research of Centers for Disease Control and Prevention (CDC) around 1 of every 68 youngsters has been related to some type of ASD.
What are the signs and symptoms of ASD?
The parents or specialists may first recognize early signs of autism means ASD practices in babies and little children. School staff may perceive these practices in more of the established kids. Not all individuals with ASD will demonstrate these practices, however most will demonstrate a few and it would be really easy to investigate and cure in them. There are two fundamental sorts of practices:
Monotonous practices
Collaboration practices
The first type monotonous practices which includeshaving someearly signs of autism such as unordinary practices and some excessively centered interests, for example, with moving items or parts of articles.
The second type collaboration practice have variousAspergerās symptoms in adultslike getting agitated with a slight change in a routine or being put in excessively invigorating setting. Tending to make an eye contact but itās difficult for them. Similarly, seldom sharing pleasure in items or exercises by indicating or demonstrating things others. Reacting in an irregular way when others indicate outrage, misery, or friendship. Neglecting to, or being moderate to, react to somebody calling their name or other verbal endeavors to pick up consideration. Experiencing issues with the forward and backward of discussions. Frequently speaking finally about a most loved subject without seeing that others are not intrigued or without allowing others to react. Having outward appearances, developments, and signals that donāt coordinate what is being said. Having an irregular manner of speaking that may sound like melody or robot-like.Experiencing difficulty understanding someone elseās perspective or being not able anticipate. So, these are some of the various reasons and symptoms to get aware of it.
The individuals having early signs of autismmay have different troubles, for example, being exceptionally touchy to light, garments, or temperature. They may likewise encounter rest issues, processing issues, and touchiness.
How to diagnose ASD?
Specialists analyze autism meaningby taking a full systematic conduct and advancement. Youthful youngsters with ASD apply as a rule be dependably analyzed by age two. More established kids and young people ought to be assessed for ASD when a parent or instructor raises concerns in view of viewing the tyke mingle, impart, and play. Diagnosing ASD in grown-ups isnāt simple because it requires to identify early signs of autism. In grown-ups, some ASD side effects can cover with indications of other psychological wellness issue, for example, schizophrenia or consideration shortfall hyperactivity issue (ADHD). In any case, getting a right conclusion of ASD as a grown-up can enable a man to comprehend past troubles, recognize his or her qualities, and get the correct sort of assistance.
Ā Diagnosis in children
More youngsters tend to have Aspergerās symptoms in adultsmanifestations are seen in the wake of beginning school are regularly first perceived and assessed by the schoolās custom curriculum group. The schoolās group may allude these kids to a social insurance proficient. Parents may chat with a pediatrician about their kidās social troubles incorporating issues with unpretentious correspondence. Similarly, the children having early signs of autism who tend to have problem in speech and identifying different physical patterns are more applicable to have risk of autism in them. In most of the cases, children can easily be identified regarding this problem and should be treated immediately after that. These inconspicuous correspondence issues may incorporate understanding manner of speaking, outward appearances, or non-verbal communication. More youngsters may experience difficulty understanding more interesting methods of expression, amusingness, or mockery. Parents may likewise find that their tyke experiences difficulty shaping companionships with peers. The pediatrician can allude them for encouraging more assessment and treatment.
Diagnosis in elders
Grown-ups who see the signs and side effects in early signs of autism of ASD should converse with a specialist and request a referral for an ASD assessment. While testing for ASD in grown-ups is as yet being refined, grown-ups can be alluded to a clinician or specialist with ASD ability. The master will get some information about concerns, for example, social connection and correspondence challenges, tactile issues, monotonous practices, and confined interests. Data about the grown-upās formative history will help in making an exact conclusion on the basis of disgnosis, so an ASD assessment may incorporate chatting with guardians or other relatives.
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How Regulation is Preventing Adults with Autism to Get The Care They Need
The Centers for Disease Control and Prevention has been tracking the prevalence of autism spectrum disorder (ASD) since 2000. As the chart shows, the identified prevalence of ASD among American children ā especially boys ā has been rising steadily. No one seems to know how much of the increase is due to greater prevalence of the disorder itself, or greater awareness and better diagnosis. It probably is a little of both. In any case, the number of people who were diagnosed with ASD in childhood and who now are entering adulthood is rising and will continue to increase.
Unfortunately, too many of those now entering adulthood with ASD are running into regulatory barriers that prevent them from getting the kind of care they need. This post explains the nature of those barriers and outlines changes that would help ensure appropriate care for all adults with ASD.
Origins: Deinstitutionalization
The widespread deinstitutionalization of people with mental illnesses has been one of the most dramatic changes in social policy in the United States since World War II. According to Ā Dominic Sisti, Ph.D., an assistant professor of medical ethics and human policy at the University of Pennsylvania, the number of patients in state psychiatric facilities decreased from 560,000 in 1955 to just 45,000 in 2014, a 95 percent decrease in the per-capita institutionalization rate. (The linked article by Sisti and colleagues is behind a paywall, but a summary is available here.)
The deinstitutionalization movement was driven, in part, by new therapies that could be delivered outside an institutional setting and also by well-publicized abuse in mental institutions. There is no doubt that many people benefited, but for others, deinstitutionalization brought unintended consequences. For some, it resulted in ātransinstitutionalizationā to prisons, homeless shelters, and emergency rooms. For others, it has meant living on the street.
Needless to say, appropriate treatment is unavailable in most such situations, leading observers such as Sisti to argue for bringing back asylums. He uses the term in its original meaning as a place that is a safe sanctuary ā facilities not simply for confinement but for the delivery of effective modern therapies. However, others, including RenĆ©e Binder, past president of the American Psychiatric Association, vehemently disagree ā seeing care in settings that are closely integrated into communities as the only appropriate alternative.
The situation of people with ASD is somewhat different, because their transition typically begins not from an institution, but from their families. Still, as we will see, they, together with their parents and guardians, find the same challenges in finding an appropriate community or institutional setting for treatment. Understanding why will require a brief discursion into the law of mental health care.
The Olmstead decision and its divergent interpretations
In 1990, after the process of deinstitutionalization was well under way, Congress passed the Americans with Disabilities Act (ADA), which recognized routine institutionalization as an impermissible form of discrimination. In 1995, two women tested the ADA, Lois Curtis and Elaine Wilson, who sued the state of Georgia for release from the state-run Georgia Regional Hospital. After the women were voluntarily admitted for a period to be treated for mental illness and developmental disabilities, mental health professionals had judged the women ready to move to a community-based program. However, they remained confined in the institution for several years.
The case eventually made it to the Supreme Court. In 1999, in Olmstead v. L.C., 527 U.S. 581, the Court ruled in favor the two women, holding that Title II of the ADA prohibits the unjustified segregation of individuals with disabilities. The court explained that āinstitutional placement of persons who can handle and benefit from community settings perpetuates unwarranted assumptions that persons so isolated are incapable or unworthy of participating in community life,ā and that āconfinement in an institution severely diminishes the everyday life activities of individuals, including family relations, social contacts, work options, economic independence, educational advancement, and cultural enrichment.ā
That was all well and good as far as Curtis and Elaine were concerned, and Olmstead was liberating for thousands of others as well. From that date, institutional care would no longer be the one-size-fits all solution for the care of people with intellectual disabilities. In the years since, however, the federal government ā acting through the Department of Justice (DOJ), the Administration on Intellectual and Developmental Disabilities, the Centers for Medicare & Medicaid Services (CMS), and the National Council on Disability Ā ā has interpreted Olmstead in a way that many think has turned the decision on its head.
More specifically, the controversy concerns the balance between treatment in settings that are fully integrated into the community and settings that are more asylum-like, in the benign sense of that term. DOJ, which places the headline āCommunity Integration for Everyoneā on its page explaining Olmstead, explicitly refers to its policy as an integration mandate, not an integration option. The integration mandate is spelled out by the CMS in detailed regulatory language in Final Rule 2249-F and 2296-F, issued in 2014. The rules allow for a five-year transition period to full compliance, ending in 2019.
But the Supreme Court never intended to mandate community integration, as an analysis of the Olmstead case by VOR ā a national advocacy group for people with ASD and other intellectual disabilities ā makes clear. In particular, the decision specifies that institutional treatment is unjustified only when
[a] the Stateās treatment professionals have determined that community placement is appropriate, [b] the transfer from institutional care to a less restrictive setting is not opposed by the affected individual, and [c] the placement can be reasonably accommodated, taking into account the resources available to the State and the needs of others with mental disabilities. (Olmstead, 527 U.S. at 587.)
The decision goes on to state:
We emphasize that nothing in the ADA or its implementing regulations condones termination of institutional settings for persons unable to handle or benefit from community settings. . . Nor is there any federal requirement that community-based treatment be imposed on patients who do not desire it. (Olmstead at 601-602).
Finally, it says:
Unjustified isolation, we hold, is properly regarded as discrimination based on disability. But we recognize, as well, the Statesā need to maintain a range of facilities for the care and treatment of persons with diverse mental disabilities, and the Statesā obligation to administer services with an even hand (Olmstead at 597).
In a concurring opinion, Justice Anthony Kennedy was even more explicit:
It would be unreasonable, it would be a tragic event, then, were the American with Disabilities Act of 1990 (ADA) to be interpreted so that States had some incentive, for fear of litigation, to drive those in need of medical care and treatment out of appropriate care and into settings with too little assistance and supervision. ā¦ In light of these concerns, if the principle of liability announced by the Court is not applied with caution and circumspection, States may be pressured into attempting compliance on the cheap, placing marginal patients into integrated settings devoid of the services and attention necessary for their condition.ā (Olmstead at 610).
The trouble with āintegration for everyoneā
The trouble with ācommunity integration for everyoneā is that the autism spectrum ā the āSā in ASD ā is a very broad one. Some adults with ASD live normal lives in their communities with no ongoing supervision at all. Others thrive in the atmosphere of small group homes where four or five people live together, often working at suitable jobs, with the aid of one supporting staff member. But, there are more difficult cases. Here are some examples, taken from comments regarding the integration mandate submitted to the DOJ by VOR:
A profoundly intellectually disabled young man in a wheelchair who has no concept of hazards cannot maneuver his wheelchair independently in the community, but can [do so] on his own in a large intermediate care facility (ICF) with long, wide hallways, no stairs to fall down, lots of areas to visit, and plenty of caregivers, visiting family members, and volunteers to keep a watchful eye on him. In a small community setting, this young man would find himself bumping into walls and furniture with his wheelchair.
A severely autistic man prone to violent behaviors and elopement may be a danger to himself and others in a small setting. But he may find more freedom and independence in a large facility with more staff on hand to support his behaviors, more places to visit and activities to engage in, and in many cases, large grounds on which to take recreation where he cannot harm others.
A severely intellectually disabled woman with quadriplegia and a ventilator likely will not have sufficient staff to take her on outings if she lives in a four-person group home with the typical 1:4 staffing ratio. She requires 1:1 supervision in the community and possibly nursing support.
A severely autistic young lady with maladaptive behaviors may find a full work-day of supported employment daily in a sheltered workshop. She might be too costly to employ in a community business and her behaviors too hazardous to herself and others, which may severely limit the number of hours she is employable in the private sector.
The ICFs to which VORās comments refer are much larger and better-staffed than the community-based group homes favored by CMS regulations. Group homes typically house four or five residents in an ordinary residential home with one staff member on duty. ICFs are larger, campus-like facilities in urban or rural settings. Several such facilities are described in detail in this article from The Atlantic.
Unfortunately, CMS final rules establish āmandatory requirements for the qualities of home and community-based settingsā that explicitly classify āintermediate care facility for individuals with intellectual disabilitiesā as āsettings that are NOT community basedā (caps in original). Theoretically, states can petition the CMS for exceptions if they can prove that specific ICFs ādo not have the qualities of an institution,ā but such requests are subject to a degree of āheightened scrutinyā that approaches outright prohibition.
As a result, it is increasingly difficult for providers to establish ICFs and for patients to obtain the Medicaid waivers to pay for them. Many ICFs have long waiting lists, and some states have no such facilities at all. Some supporters fear that existing ICFs will be forced to close as the 2019 deadline for full compliance with the CMS rules approaches.
If it were a close call as to whether community-based group homes or ICFs were the better treatment option, feelings might not run so high. Unfortunately, small group homes are completely unsuitable for some adults with ASD, especially for those with severe physical as well as intellectual disabilities and for those with tendencies to aggressive or self-destructive behaviors.
What actually happens to such people, as adults, under the integration mandate? Sorry to say, they all do not live happily ever after, bagging groceries during the day, watching TV at night, and visiting the zoo with their group-home pals on the weekend. In reality, they often cannot find small group homes that will admit them. If they do get admitted, they risk being thrown out due to inappropriate and sometimes violent behavior, or because of the inability of staff to see to their needs while also keeping up with those of other residents under a 1:4 staffing ratio.
Where then? Some cost-conscious government agencies think autistic adults should live at home with parents. However, in the words of Jill Escher, founder of the Escher Fund for Autism, āsitting in your room at home doing nothing or in your own apartment without on-site staffā is not real ācommunity integration.ā
And what happens if Mom canāt deal with the frustrated and angry outbursts of 180-pound, 20-year-old Jimmy as easily as she did when he was a toddler? What if she is injured while trying to do so? What if Jimmy accidentally hurts a stranger while he and Mom are out shopping? Situations like that trigger 911 calls. Those, in turn, as Escher points out, often degenerate into a cycle of emergency room visits due to aggressive outbursts, hospitalizations under restraint or sedation, incarceration, crisis care placement, and nursing homes. Such measures can cost much more than appropriately staffed intermediate care options and do nothing to improve the patientās welfare.
Broadening the coalition
As the number of adults with ASD rises and the 2019 deadline for full compliance with CMS rules approaches, advocates for a broader range of treatment options, such as the Escher Fund and VOR, are increasingly frustrated, as are thousands of parents of children with severe forms of ASD. If these advocates are to be heard, they need to broaden their coalition.
It should not be hard to do so. After all, adult autism care is not an inherently partisan issue. ASD strikes without regard to parentsā political views. But drawing attention to the problems posed by regulatorsā narrow interpretations of Olmstead may require changing the narrative.
Backers of current policy have seized the rhetorical high ground with their slogan of ācommunity integration for all.ā Liberals are drawn in by the words ācommunityā and āintegration,ā while (as Justice Kennedy warned) conservatives are easily sold on small group homes and parental custody as ways of providing care āon the cheap.ā But there are other ways to frame the policy debate.
Liberals need to see that ācommunity integration for allā is a false promise, which, in practice, means care for those ASD adults who can thrive in small-group homes but neglect for those who cannot. Those who really want care for all might do better to shift the rhetorical focus to appropriate care and diversity of options. The goal should be to make it clear, to people who do not have close personal experience with ASD, that the breadth of the autism spectrum defies a one-size-fits-all solution.
At the same time, there should be a natural conservative constituency for a broader range of adult ASD care options. Surely, given all the conservative flame-throwing that has been directed at the individual and employer mandates of the Affordable Care Act, some of the heat could be directed toward the DOJ/CMS integration mandate.
Equally, conservatives who champion school choice (a policy that the parents of some ASD children have been able to use to their advantage) should readily embrace choice in care options for those same children when they reach adulthood. Finally, conservatives who advocate the elimination of costly and ineffective federal regulations in other areas of the economy should easily see the sense of lifting counterproductive restrictions on the allowable range of adult autism care.
Above all, the campaign for appropriate care and diverse options for adults with ASD should emphasize that such is the law, now. ASD advocates are not asking Congress to pass new legislation. They are not asking the Supreme Court to issue new interpretations of existing law. The Olmstead decision already explicitly recognizes the āneed to maintain a range of facilities for the care and treatment of persons from nicholemhearn digest https://niskanencenter.org/blog/regulation-preventing-adults-autism-get-care-need/
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Tips for Setting Up a Special Education Classroom
New Post has been published on https://frettboard.com/tips-for-setting-up-a-special-education-classroom/
Tips for Setting Up a Special Education Classroom
When dealing with unique needs youngsters, putting in the classroom can be one of the maximum vital things you could do to make your 12 months successful. Much special EducationĀ needs kids irrespective of their diagnosis have similar matters they find tough. Below are many ideas to assist the trainer set up and get the study room geared up for the yr to start.
1. Make a visible schedule for college students to follow each day.
2. Put tennis balls on the bottom of the chairs to lower the sound within the room.
Three. Be very privy to sensory issues. If a toddler is beaten with the aid of sensory stimuli within the study room that is going to distract them making it impossible for them to pay attention.
4. Prompt college students when they get off an assignment. Sometimes this may be just on foot over to the student and placing a hand on their back.
5. Use things like visual supports, however, ensure the visual supports arenāt so cluttered the kid turns into beaten by means of it.
6. Teach agency. This may be a notebook with all their data in one region.
7. Have open communication with mother and father with a purpose to observe through and there is a regular way of doing things.
Eight. Model appropriate behaviors.
9. Many youngsters have troubles with reminiscence, assist make flashcards with a view to locate what they may be looking for and assist them to examine.
10. Seek out and recognize achievement as lots as feasible.
Eleven. Break responsibilities into smaller responsibilities. Donāt deliver them a huge undertaking or a listing of assignments and assume them to comply with thru. They are tons more successful whilst its damaged down.
12. Go for nice in preference to quantity with classwork and homework. Keep in mind, many children with unique desires take a medicinal drug and keep in mind that the medications are sporting off via the quiet of the day. Before assigning homework is it really important?
Thirteen. Make consequences logical and praise frequently. Come up with a reward system so the youngsters are getting tremendous reinforcement on a continuous basis.
14. Use privateness forums whilst there are matters happening across the room.
15. Move studentās table to wherein there are fewer distractions. Most of the time in order to be beside the instructor, up the front or beside a pretty child.
16. Many times it is higher to apply rows for seating if viable. Group seating is just an excessive amount of stimuli for them.
17. Keep a portion of the room unfastened from visible stimuli, noise, and windows.
18. Use headphones to play whilst noise or gentle song to help block out what goes on in the lecture room.
19. State instructions, write them down, speak them and repeat. Special wishes kids want statistics extra than as soon as and in a couple of formats.
20. Be positive to get eye contact. They once in a while arenāt ācapableā to pay interest. Reward or reward them once they do have eye touch. This may be very difficult for them.
21. Allow break out if a child cannot deal with a hassle. Allow them to go to the assigned place inside the study room in which they can cross and loosen up.
See how those tips assist. Please go away me a comment and let me know if they have been helpful.
Kerry Johnson Mom to a 14 12 months antique unique needs toddler. Special desires classroom. Special Needs Childrenās Education
school classrooms
Itās almost as even though homeschooling became invented for a unique needs childrenās education. Kids bothered with ADHD, autism, dyslexia or Aspergerās among other learning difficulties can all advantage from being taught at domestic by using their dad and mom. Some public school structures can manage to pay for to lease skilled therapists for these fields, but the greater interest and time afforded a student at domestic by way of a loved you may make a large difference in a toddlerās capacity to research. Itās just herbal for a determine with a view to train their personal baby more effectively. Theyāve been doing it for the pupilās entire existence and understand a way to first-class approach new matters with them. They will likely be more patient than a public college instructor and offer the more time itād take to examine. A school room would likely no longer be as capable of providing the only-on-one time itād take until a pupil āgets itā.
Itās probably a parent might also know better than a public college trainer what manner of teaching might exceptional suit their child. Some study better with visible aids, a few with the aid of repetition and a few via seeing it completed for them and copying what theyāre taught. Itās very likely a discern might already recognize this from their own enjoy. Theyāll also recognize what to search for while a special wishes infant is getting annoyed and ready to behave up or give up, thereby warding off a bad studying revel in for the child.
If you are thinking what type of curriculum would excellent healthy your special needs kidās education, there are numerous avenues to get commenced.
We could first look at the Internet. Non-income corporations who assist your childās ailment will probably have a presence there and must have true information about getting to know difficulties and the way to triumph over them. They will in all likelihood make guidelines or direct you to different appropriate sources. They may additionally even list case studies of numerous techniques of learning and their achievement rates.
We might also try to find support organizations at the Internet on your specific sickness. There will probably be numerous forums on the Web wherein you could examine othersā posts and ask questions without delay. Parents on these websites are regularly very willing to share their stories and will offer help when they can. Although your child is a person, frequently there can be common practices so one can assist nearly all kids stricken by a common sickness.
There also are many books to be had approximately homeschooling your unique wishes youngsters. Some are written mainly for particular issues and provide coaching recommendations as well as curriculum selection guides. Most are written by human beings who have been homeschooling their own special wishes youngsters, in order that they communicate with revel in and write in the everyday language, in preference to from concept with clinical-babble-talk.
If you start with these pointers, you must quickly be on the road to solving a way to first-class get your special needs children educated. It can be as worthwhile for you as it may be in your infant in view that youāll have contributed without delay to his schooling and properly-being.
AJ Adams has had an eager interest in domestic training for some of the years. With numerous public school instructors in his family, he has had many discussions regarding contemporary college problems. Heās heard many hints, one among which changed into the developing quantity of youngsters being home schooled. After an intensive duration of studies, he decided to put in writing an article approximately special desires children training [http://www.Elementary-home-schools.Com/special-needs-homeschooling.Html]. He may be filling extra in future articles. Mr. Adams additionally owns and continues a website with his spouse at [http://www.Elementary-home-schools.Com] where you may get a unfastened 10-component mini-direction on homeschooling and watch a touching video made through a young man to thank his mother for her a few years of homeschooling him.
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Dual Diagnosis Treatment Centers Nyc
Contents
Include syringe service
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