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"My son is 5 years old, and his "stimming" is jumping up and down. Now that he's getting older, I wish to teach him that this behavior is best appropriate at our house and not in public where it draws so much attention. What can I do?" Joann

Answer: Kerry Hogan, Psychoeducational Therapist, Chapel Hill TEACCH Center

"Stimming" or other repetitive behaviors and interests are difficult to modify because people with autism seem so driven to pursue them. Your approach to teaching him the correct time and place for these behaviors is exactly what we would suggest. This is usually much more successful than trying to eliminate a behavior like his jumping. The way you communicate this to him will depend on his understanding of language or other cues at this time.

We find that even children with a lot of language respond most consistently to some type of visual reminder. For example, you might take a picture of him jumping, a picture of your home, and a picture of a place your family likes to go in the community. You can put the jumping picture in or next to the house and write "OK" or make a smiling face and then put another jumping picture next to the community photo and put a red X through it. Before you go out in the community show him your simple picture rule and keep it with you when you are out so that you can show it to him again if he needs reminding.

Another strategy might be to create a schedule for him and have a symbol next to the items on the schedule when it is OK to jump. For example, his after school schedule might have pictures of snack, TV, reading, play outside, bathroom, and dinner. You might put a little jumping photo or symbol next to TV and play outside so that he can anticipate that those are times when it is OK to jump. Knowing that jumping time will come later can help some children put off a preferred activity because they are able to see when it will happen.

Some parents I have worked with have also decided that there are only certain rooms where a behavior should occur. They then have made visual labels for those rooms. For example, you may not want a large teenager jumping on the upper floor of the house, but in his room or in the basement is just fine. Again some sort of jumping picture or symbol can represent the places where this (or any other repetitive behavior) is OK. As your son gets older and develops more academic skills, you may be able to change many of these things to written cues.

Finally, as children get older they are more ready to learn a little bit about social perspective-taking. Even for very able people with autism, it is best to teach these things in a concrete visual way. You might be able to make a simple social story with pictures that explain, "Jumping is fun. Sometimes it is good to jump. Sometimes it is not. Jumping all the time may make other children think that you don't know how to play the games they like. You will know when it's OK to jump because your schedule will have a jump picture. If there is no jump picture, then that is when you can play the games the other children play. This way you will get to jump and you will get to play other things too."

This story is probably a little bit ahead of where most 5-year-olds are developmentally, but it is an example of another way to help children understand why they should control some behaviors and what they should do instead.

As I said, you are absolutely right to think about ways to help your son engage in a behavior he seems to need but to do so at the right time. Learning how to use visual information to help him decide when the time is right will develop a skill that he will be able to use in many situations throughout his life. Good luck!

Additional Links:
Do2Learn links Making Schedules, 1" Jump picture card, 2" Jump picture card, full size Jump picture card