Autism and Puberty: How to Support Your Child

Puberty is a challenging time for every child, but it can be especially difficult for children with autism spectrum disorder (ASD).

steven zauderer
Steven Zauderer
September 20, 2023
5
min read

Understanding Autism and Puberty

Puberty is a challenging time for every child, but it can be especially difficult for children with autism spectrum disorder (ASD). Puberty is a period of physical, emotional, and social changes that can be confusing and overwhelming for anyone.

For children with ASD, these changes can be even more challenging to navigate. In this article, we will explore the unique challenges that children with ASD face during puberty and offer some tips for parents and caregivers.

Physical Changes

During puberty, children experience a range of physical changes, including growth spurts, changes in body shape, and the onset of menstruation in girls.

These changes can be difficult for children with ASD to understand and cope with. They may struggle with body awareness and find it hard to adjust to their changing bodies. Additionally, children with ASD may have sensory issues that make certain physical changes, such as wearing a bra or using tampons, uncomfortable or overwhelming.

Parents and caregivers can help by providing clear and consistent information about puberty and the physical changes that come with it. It may be helpful to use visual aids, such as diagrams or videos, to explain these changes. Additionally, parents can help their children with ASD find comfortable clothing and hygiene products that meet their sensory needs.

Emotional Changes

Puberty is also a time of emotional changes, as children begin to experience new feelings and emotions. Children with ASD may struggle with identifying and expressing their emotions, which can make this period even more challenging.

They may also have difficulty understanding social cues and navigating social situations, which can lead to feelings of isolation and loneliness.

Parents and caregivers can support their children by helping them develop emotional awareness and communication skills. This may involve using visual aids or social stories to help children understand and express their emotions.

Additionally, parents can help their children with ASD develop social skills by providing opportunities for social interaction and modeling appropriate social behaviors.

Sexual Development

Puberty is also a time of sexual development, which can be particularly challenging for children with ASD. Children with ASD may have difficulty understanding social boundaries and appropriate behavior, which can put them at risk for sexual exploitation and abuse.

It is important for parents and caregivers to provide clear and consistent information about sexual development and safety.

Parents can help their children with ASD develop a sense of sexual identity and understand their own boundaries and preferences.

This may involve using visual aids or social stories to explain sexual development and appropriate behavior. Additionally, parents can help their children develop self-advocacy skills and teach them how to seek help if they feel uncomfortable or unsafe.

Coping Strategies for Sensory Issues During Puberty

For children with ASD, sensory issues can be especially challenging during puberty.

The physical changes that come with puberty, such as wearing new types of clothing or using hygiene products, can be overwhelming for children with sensory processing difficulties. Here are some coping strategies that parents and caregivers can use to help their children manage sensory issues during puberty:

  • Use a social story: Social stories are a great way to help children with ASD understand and prepare for new experiences. Parents and caregivers can create a social story that explains the sensations associated with wearing a bra or using tampons, for example.
  • Provide options: Children with ASD may have specific preferences when it comes to clothing or hygiene products. Parents and caregivers can provide options that meet their child's sensory needs, such as soft fabrics or unscented products.
  • Gradually introduce new experiences: It may be helpful to gradually introduce new experiences, such as wearing a bra or using tampons, over time. This allows the child to adjust at their own pace and reduces the likelihood of overwhelming sensory input.
  • Use calming techniques: If the child becomes overwhelmed by sensory input, calming techniques such as deep breathing or using a weighted blanket may be helpful.

By using these strategies, parents and caregivers can help their children with ASD navigate the challenges of puberty while managing their sensory issues.

Addressing Bullying and Social Exclusion during Puberty

Children with ASD may be at higher risk of social exclusion and bullying during puberty due to their difficulties with social communication and interaction. This can have a significant impact on their emotional well-being and self-esteem.

As a parent or caregiver, it is important to be aware of the signs of bullying and take steps to address it.

Signs of bullying may include changes in behavior, such as becoming withdrawn or avoiding certain situations, unexplained physical injuries, or a sudden loss of interest in activities they previously enjoyed. It is also important to talk openly with your child about bullying and encourage them to speak up if they experience it.

Parents and caregivers can help their children develop social skills that can reduce the likelihood of being bullied or excluded. This may involve teaching them how to read social cues, how to initiate conversations, or how to join groups.

Additionally, parents can work with teachers and other professionals to create a supportive environment for their child at school.

If your child is experiencing bullying or social exclusion, it is important to take action.

This may involve talking with school staff, seeking support from mental health professionals, or working with community resources. By addressing these issues early on, you can help your child feel more confident and empowered during this challenging time.

Strategies for managing anxiety and stress during puberty

Puberty can be a stressful time for any child, but it can be especially challenging for children with ASD. Children with ASD may struggle with anxiety and stress related to the physical, emotional, and social changes that come with puberty.

Here are some strategies that parents and caregivers can use to help their children manage anxiety and stress during this period:
  • Provide predictability: Children with ASD often thrive on routine and predictability. Parents can help reduce their child's anxiety by providing a predictable daily routine or schedule.
  • Encourage relaxation techniques: Relaxation techniques such as deep breathing or progressive muscle relaxation can be helpful in reducing feelings of anxiety or stress. Parents can teach their child these techniques, which they can then use whenever they feel overwhelmed.
  • Foster communication: It is important for parents to create an open and supportive environment where their child feels comfortable discussing their feelings. This may involve using visual aids or social stories to help the child understand and express their emotions.
  • Encourage physical activity: Exercise has been shown to reduce feelings of anxiety and stress in both children and adults. Parents can encourage their child to engage in physical activities that they enjoy, such as swimming or riding a bike.
  • Provide sensory input: Sensory input such as deep pressure or certain textures can be calming for children with ASD. Parents can provide sensory input through activities such as massage or using a weighted blanket.

By using these strategies, parents and caregivers can help their children with ASD manage the anxiety and stress that come with puberty while promoting emotional well-being.

Strategies for teaching personal hygiene and grooming skills to children with ASD during puberty

Personal hygiene and grooming skills are essential for any child's health and well-being. However, for children with ASD, these skills can be particularly challenging during puberty due to sensory issues or difficulty with executive functioning.

Here are some strategies that parents and caregivers can use to teach personal hygiene and grooming skills to children with ASD during puberty:

  • Use visual aids: Visual aids such as social stories or picture schedules can be helpful in breaking down complex tasks into smaller steps. This can make it easier for the child to understand what is expected of them.
  • Provide hands-on support: Children with ASD may require hands-on support when learning new skills. Parents and caregivers can model appropriate behavior or physically guide their child through the steps of a task until they feel comfortable doing it on their own.
  • Make it fun: Personal hygiene activities such as brushing teeth or washing hair may not be enjoyable for all children. Parents and caregivers can make these activities more enjoyable by incorporating fun elements such as music, games, or favorite toys.
  • Use positive reinforcement: Positive reinforcement such as praise, rewards, or a special activity after completing a task can motivate the child to continue practicing their personal hygiene and grooming skills.
  • Be patient: Learning new skills takes time and patience. Parents and caregivers should be patient with their child's progress and celebrate small successes along the way.

By using these strategies, parents and caregivers can help their children with ASD develop important personal hygiene and grooming skills that will promote their overall health and well-being during puberty.

Addressing Sleep Disturbances and Other Common Health Issues during Puberty

Children with ASD may experience sleep disturbances during puberty, which can affect their overall health and well-being.

Some common sleep issues that may arise include difficulty falling asleep, staying asleep, or waking up too early.

There are several strategies that parents and caregivers can use to address sleep disturbances in children with ASD during puberty:

  • Establish a bedtime routine: A consistent bedtime routine can help signal to the child's body that it is time to sleep. This may involve activities such as taking a bath, reading a book, or listening to calming music.
  • Create a calming environment: A quiet and dark environment can be helpful in promoting restful sleep. Parents can use blackout curtains, white noise machines, or other tools to create a calming bedroom environment.
  • Avoid stimulating activities before bed: Activities such as playing video games or watching TV can interfere with the child's ability to fall asleep. Parents should encourage their child to engage in calming activities before bed instead.
  • Limit caffeine intake: Caffeine is a stimulant that can interfere with sleep. Parents should limit their child's caffeine intake, especially in the afternoon and evening.
  • Consult with healthcare professionals: If sleep disturbances persist despite these strategies, parents should consult with healthcare professionals who specialize in treating children with ASD.

In addition to sleep disturbances, children with ASD may also experience other common health issues during puberty such as digestive problems or skin issues. It is important for parents and caregivers to monitor their child's health closely during this period and seek medical attention if needed.

By addressing these common health issues early on, parents and caregivers can help ensure that their children with ASD have the best possible physical health during puberty.

Conclusion

Puberty is a challenging time for every child, but it can be especially difficult for children with ASD. By providing clear and consistent information, developing emotional awareness and communication skills, and teaching appropriate social and sexual behavior, parents and caregivers can help their children with ASD navigate this period with confidence and resilience.

steven zauderer

CEO of CrossRiverTherapy - a national ABA therapy company based in the USA.

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