Jck Emojis & Text

The following link https://www.nature.com/articles/d41586-018-05112-1 if read it shows Hans Asperger’s involvement w/ Nasi propaganda promoting problematic ideals calling autistics as psychopaths and deemed unfit in

😷 Treatments should be appropriately adapted for autistic people and their individual needs. (Rumball et al. 2020) and Kerns et al. (2022) suggest a number of other events that autistic people found traumatic: abandonment by/loss of a loved one (for example a family member, pet or support staff) sensory experiences (for example fire alarms) transitions and change (for example school transitions, routine changes with the seasons, unpredictability in day to day life) social difficulties and confusion (for example difficulties interpreting social cues, misunderstandings and conflicts) events related to one’s own mental health difficulties (for example psychotic experiences). Autistic people may also be more likely to find these experiences traumatic due to autistic characteristics such as: sensory sensitivities communication and social interaction differences distress around changes to routines distress if prevented from taking part in repetitive and restricted behaviours such as stimming. Some theories suggest that other factors associated with being autistic, may mean an increased risk of developing or maintaining PTSD symptoms But just because symptoms aren’t crippling doesn’t mean you're not affected. 😷

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nickgram.com/special-needs

https://nickgram.com/mechanical-arm 🦿🦾😅 https://nickgram.com/mechanical-leg

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⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿

💙 Most kids with ASD are either hypersensitive or hyposensitive to stimuli like noises, lights, touch, etc. If someone has Autism and/or PTSD, he/she may be more prone to sensory overload and startle more easily. That means there’s not much information about how typical treatment methods can or should be adjusted for patients with ASD. According to this article, a nurse could… Offer home-based services Use more visual aids, such as gradient scales to describe degrees of emotion Keep appointment times regular and predictable as much as possible Provide sensory toys or allow children to bring their own Emphasize the possibility of a “happy ending” after trauma―​“this correlates well with the documented effectiveness of social stories, narratives and role-playing in therapy involving individuals with ASD” Be mindful of how often society dismisses the emotions of autistic people Involve other trusted caregivers …and more. Essentially, the therapist should keep the child’s unique strengths and limitations in mind at each step and be open to flexibility. Remember to… Not take behavior personally Be willing to listen without pressuring him/her to talk Identify possible triggers and help him/her avoid them Remain calm and understanding when he/she is emotional Let him/her make age-appropriate choices so he/she feels in control of his/her life Be patient 💙

Exercise List: 1. 2-Way Stretch 2. Forward Folds 3. Extended Lift & Hold 4. Cobra Pose 5. Side Bends 6. Skipping/Jogging In Place 7. Inverting/Hanging

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😷 Before beginning trauma-focused therapy it is important to stabilise the individual with emotional coping strategies and creating feelings of safety. Support strategies that have been found to be helpful in the general population include: mindfulness and grounding in the present moment creating feelings of safety (for example an object/picture that symbolises safety) sensory soothing Autistic people may require: a greater number of sessions a longer or shorter duration to each session regular breaks. 😷

😷 https://about.kaiserpermanente.org/health-and-wellness/our-care/exploring-the-promise-of-at-home-cervical-cancer-screening 😷

😷 https://neurodivergentinsights.com/misdiagnosis-monday/ptsd-and-autism 😷

𝑇ℎ𝑒 𝑏𝑒𝑠𝑡 𝑎𝑛𝑑 𝑚𝑜𝑠𝑡 𝑏𝑒𝑎𝑢𝑡𝑖𝑓𝑢𝑙 𝑡ℎ𝑖𝑛𝑔𝑠 𝑖𝑛 𝑡ℎ𝑒 𝑤𝑜𝑟𝑙𝑑 𝑐𝑎𝑛𝑛𝑜𝑡 𝑏𝑒 𝑠𝑒𝑒𝑛 𝑜𝑟 𝑒𝑣𝑒𝑛 𝑡𝑜𝑢𝑐ℎ𝑒𝑑 — 𝑡ℎ𝑒𝑦 𝑚𝑢𝑠𝑡 𝑏𝑒 𝑓𝑒𝑙𝑡 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 ℎ𝑒𝑎𝑟𝑡. -𝐻𝑒𝑙𝑒𝑛 𝐾𝑒𝑙𝑙𝑒𝑟

💙 https://neurodivergentinsights.com/misdiagnosis-monday/ptsd-and-autism 💙

sirenomelia sympodia (one fused foot) In sympus dipus (symmelia), both the feet are seen separately. In sympus monopus (uromelia), a single foot is present. In sympus apus (sirenomelia,) the foot is absent Discussion "Symelia" is the fusion of the lower extremities,2 and it has been classified into three types: 1) Apus- no feet, only one tibia and one femur, 2) Unipus- one foot, two femora, two tibiae, two fibulae, and 3) Dipus- two feet and two fused legs (giving the appearance of a flipper). Symmelia is basically classified according to the number of feet present. Tripodial symmelia contains three feet, dipodal symmelia have two feet, monopodal symmelia consist of one foot and apodal symmelia or sirenomelia which contain no feet and more severe form and closely related to a mermaid.

𝑇ℎ𝑒 𝑏𝑒𝑠𝑡 𝑎𝑛𝑑 𝑚𝑜𝑠𝑡 𝑏𝑒𝑎𝑢𝑡𝑖𝑓𝑢𝑙 𝑡ℎ𝑖𝑛𝑔𝑠 𝑖𝑛 𝑡ℎ𝑒 𝑤𝑜𝑟𝑙𝑑 𝑐𝑎𝑛𝑛𝑜𝑡 𝑏𝑒 𝑠𝑒𝑒𝑛 𝑜𝑟 𝑒𝑣𝑒𝑛 𝑡𝑜𝑢𝑐ℎ𝑒𝑑 - 𝑡ℎ𝑒𝑦 𝑚𝑢𝑠𝑡 𝑏𝑒 𝑓𝑒𝑙𝑡 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 ℎ𝑒𝑎𝑟𝑡. — 𝐻𝑒𝑙𝑒𝑛 𝐾𝑒𝑙𝑙𝑒𝑟

→ Conservative Treatment Philosophy ←

┈┈┈┈┈┈▕▔╲┈┈┈┈┈┈ ┈┈┈┈┈┈┈▏▕┈ⓈⓊⓅⒺⓇ ┈┈┈┈┈┈┈▏▕▂▂▂┈┈┈ ▂▂▂▂▂▂╱┈▕▂▂▂▏┈┈ ▉▉▉▉▉┈┈┈▕▂▂▂▏┈┈ ▉▉▉▉▉┈┈┈▕▂▂▂▏┈┈ ▉▉▉▉▉┈┈┈▕▂▂▂▏┈┈ ▔▔▔▔▔▔╲▂▕▂▂▂▏┈┈

😷 https://www.psychologytoday.com/us/blog/autism-and-anxiety/201904/medical-visits-and-autism-better-way 😷

😷 https://www.findatopdoc.com/Parenting/When-a-Child-with-Autism-Refuses-Treatment 😷

💉 https://news.vanderbilt.edu/2011/09/21/bloodwork-toolkit/ 💉

💙 An Autism Specific Care Plan helps families give hospital staff important information. It tells them how to communicate and interact with the child and keep them safe. Families who use Autism Specific Care Plans feel happier with their care and feel that health care providers are better at working with their child or teen with autism. Hospitals and emergency rooms can also think about making changes to help patients with autism. Small changes can all help lower anxiety for kids and adults with autism. Some of these changes include keeping wait times short, creating a calm space, and playing a movie in the waiting area. Making sure parents are part of all medical care and treated as experts on their child can help both families and staff. Finally, hospital staff can try communicating in the way the patient prefers (talking vs. typing, etc.). 💙

https://nonutsmomsgroup.weebly.com/blog/remembering-those-we-have-lost-to-food-allergies

⃝߸

🖤💙💛 / ⚡⚡⚡ / 🤍❤️💚

https://ktdb.me/list-of-ectomies

🎗️

♥ღ¸.•✿✿•.¸ღ♥

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💟 WHAT MIGHT BE EASIER FOR YOU MIGHT NOT BE SO EASY FOR ME 💟

When my sister was younger she came home from school one day and demanded I take her to the library so she could get books on sign language. I asked why? She told me there was a new kid at school who was deaf and she wanted to befriend him. Today I stood beside her at their wedding watching her sign “I DO”. GMH Feb 1st, 2010

┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌ ┌┘┌┘┌┘┌┘┌┘┌███┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘ ┘┌┘┌┘┌┘┌┘┌█████┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌ ┌┘┌┘┌┘┌┘┌██┘┌┘█┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘███┘┌┘┌┘ ┘┌┘┌┘┌┘┌██┘┌┘┌█┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌█████┌┘┌┘┌ ┌┘┌┘┌┘┌┘█┘┌┘┌┘██┌┘┌┘┌┘┌┘┌┘┌┘┌██┘┌┘██┌┘┌┘ ┘┌┘┌┘┌┘┌█┌┘┌┘┌██┘┌┘┌┘┌┘┌┘┌┘┌┘█┘┌┘┌┘█┘┌┘┌ ┌┘┌┘┌┘┌██┘┌┘┌┘██┌┘┌┘┌┘┌┘┌┘┌┘██┌┘┌┘┌█┌┘┌┘ ┘┌┘┌┘┌┘██┌┘┌┘┌██┘┌┘┌┘┌┘┌┘┌┘┌█┌┘┌┘┌██┘┌┘┌ ┌┘┌┘┌┘┌┘█┘┌┘┌██┘┌┘┌┘┌┘┌┘┌┘┌┘█┘┌┘┌┘██┌┘┌┘ ┘┌┘┌┘┌┘┌██┘┌███┌┘┌┘┌┘┌┘┌┘┌┘┌██┘┌┘┌█┌┘┌┘┌ ┌┘┌┘┌┘┌┘┌█████┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌██┘███┘┌┘┌┘ ┘┌┘┌┘┌┘┌████┘┌┘┌┘┌┘┌┘┌┘███████████┘┌┘┌┘┌ ┌┘┌┘┌┘┌██████┘┌┘┌┘┌██████████████┘┌┘┌┘┌┘ ┘┌┘┌┘████┌███┌┘┌┘███████┘┌┘██████┌┘┌┘┌┘┌ ┌┘┌┘████┌┘███┘┌┘████┌┘┌┘┌┘┌┘┌█████┌┘┌┘┌┘ ┘┌┘████┌┘┌████┘███┘┌┘┌┘┌┘┌┘┌███┌███┌┘┌┘┌ ┌┘███┘┌┘┌████████┘┌┘┌┘┌┘┌┘┌┘██┌┘┌███┌┘┌┘ ┘┌███┌┘┌┘██┌████┘┌┘┌┘┌┘┌┘┌┘┌██┘┌┘┌██┘┌┘┌ ┌┘┌███┌┘┌██┘┌██┘┌┘┌┘┌┘┌┘┌┘┌███┌┘┌┘███┘┌┘ ┘┌┘┌██┘┌┘██┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌███┌┘┌┘┌┘███┘┌ ┌┘┌┘███┘┌██┘┌┘┌┘┌┘┌┘┌┘┌┘┌█████┌┘┌┘┌┘██┌┘ ┘┌┘┌┘██┌┘██┌┘┌┘┌┘┌┘┌┘┌┘┌██████┘┌┘┌┘┌┘┌┘┌ ┌┘┌┘┌██┘┌███┌┘┌┘┌┘┌┘┌┘████┌┘██┌┘┌┘┌┘┌┘┌┘ ┘┌┘┌┘┌┘┌┘████┌┘┌┘┌┘┌┘███┘┌┘┌███┌┘┌┘┌┘┌┘┌ ┌┘┌┘┌┘┌┘┌█████┌┘┌┘┌┘███┘┌┘┌┘┌██┘┌┘┌┘┌┘┌┘ ┘┌┘┌┘┌┘┌┘██┌███┌┘┌█████┌┘┌┘┌┘██┌┘┌┘┌┘┌┘┌ ┌┘┌┘┌┘┌┘┌┘██┌██┘┌┘██████████┌┘██┌┘┌┘┌┘┌┘ ┘┌┘┌┘┌┘┌┘┌█████┌┘┌┘┌┘┌██████████┘┌┘┌┘┌┘┌ ┌┘┌┘┌┘┌┘┌┘████┌┘┌┘┌┘┌┘███┘┌██████┘┌┘┌┘┌┘ ┘┌┘┌┘┌┘┌┘████┌┘┌┘┌┘┌┘┌███┌┘┌┘┌┘┌┘┌┘┌┘┌┘ ┌┘┌┘┌┘┌█████┌┘┌┘┌┘┌┘┌┘███┌┘┌┘┌┘┌┘┌┘┌┘┌┘ ┘┌┘┌┘┌██┘┌███┌┘┌┘┌┘┌┘███┌┘┌┘┌┘┌┘┌┘┌ ┌┘┌┘┌┘┌┘┌┘┌███┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘ ┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌┘┌

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SOCIAL NETWORK PROFILE NAME Facebook specialolympicstx Twitter @SOTexas Instagram @specialolympicstx YouTube www.youtube.com/specialolympicstexas

⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯ ⣯⣇⣇⣇⣇⣇⣇⣇⣯⠁⠀⠀⠀⠀⢻⣧⣏⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣏⣧⣇⣇⣇⣇⣇⣇⣯⠀⠀⠀⠀⠀⢠⣇⣧⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣯ ⣧⣏⣇⣇⣇⣧⣧⣯⣯⡀⠀⠀⣤⣶⣿⣧⣏⣏⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣯⣯⣇⣧⣯⠛⠉⣿⣇⣇⠀⠀⣯⣏⣇⣇⣧⣧⣇⣧⣇⣇⣇⣇⣇⣇⣇⣇⣇⣏ ⣯⣯⠟⠁⠀⠀⣤⣿⣧⣧⠀⠀⠀⠀⠀⠀⠀⠀⠀⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣯⠋⠀⠀⣴⣿⣇⣧⣯⣯⠀⠀⢰⣶⣶⣶⣶⣶⣶⣇⣏⣏⣧⣇⣇⣇⣇⣇⣇⣇ ⡏⠀⠀⣾⣯⣯⣏⣧⣏⣯⠀⠀⠈⠋⠋⠋⠋⠋⠋⠋⠋⠋⣯⣧⣧⣇⣇⣇⣧⣇ ⡂⠀⠀⣇⣧⣯⣧⣇⣇⣯⣤⣤⣤⣤⣤⣤⣤⣤⣤⣤⣄⠀⠀⢫⣧⣏⣇⣇⣧⣇ ⣧⠀⠀⣿⣇⣯⣏⣯⣇⣇⣧⣏⣏⣇⣧⣧⣏⡏⠙⣧⣏⣦⠀⠀⠻⣧⣇⣇⣏⣇ ⣏⣄⠀⠈⢿⣧⣇⣇⣇⣇⣧⣏⣏⣏⣏⣯⠋⠀⠀⣼⣧⣯⣷⠀⠀⠙⣯⠏⢻⣏ ⣯⣏⣦⠀⠀⠈⠛⢿⣇⣧⣇⣧⣇⠟⠋⠀⠀⢀⣾⣇⣧⣇⣯⣿⡀⠀⠀⠀⣠⣿ ⣇⣇⣇⣏⣶⣤⣀⠀⠀⠀⠀⠀⠀⠀⣀⣤⣾⣯⣯⣯⣧⣧⣧⣇⣏⣦⣮⣮⣮⣮

🍑 ‘Pap smears’ can be replaced by do-it-yourself cervical cancer tests From today, women who need to get a cervical screening test will be able to choose to self-collect a sample themselves. The self-collect option is a game changer in cervical screening – with Australia is one of the first countries in the world to offer it as a choice for all screening participants. Being able to do the test yourself is also expected to increase the rates of cervical cancer screening for women from culturally and linguistically diverse backgrounds, who may have experienced cultural barriers and taboos around traditional ‘pap smears’. It will also make a world of difference for the gender diverse community who also face access barriers. Today’s change to the National Cervical Screening Program means that anyone aged 25-74 with a cervix, who has ever been sexuallly active will be able to choose to have a Cervical Screening Test either by: taking their own sample from, using a simple swab, or having a health care provider collect the sample using a speculum. Some test options are free under Medicare – so if your healthcare provider bulk bills for consultations, the whole thing is free. They are accessed through a healthcare provider and are accurate and safe ways to collect a sample for a Cervical Screening Test. Self-collection is also available as an option for follow-up HPV testing after an intermediate risk result and cervical screening during pregnancy. More information on self-collection and the National Cervical Screening Program can be found at www.health.gov.au/ncsp. 🍑

💙 https://www.verywellhealth.com/guardianship-for-adults-with-autism-4165687 💙

💙 https://www.spectrumnews.org/features/deep-dive/unseen-agony-dismantling-autisms-house-of-pain/ 💙

If feasible, other tests the patient fears might be performed while the patient is sedated. For example, before or after dental work, vaccines could be administered, blood could be drawn, and gynaecology or other physical exams could be done. This practise requires coordination and communication among providers. 💙 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708482/

💙 https://www.legalzoom.com/articles/what-is-medical-power-of-attorney 💙

💙 PFA TIPS: PAIN MANAGEMENT AND AUTISM By Alizah Patterson, MD, Pediatric Resident, PL-3 , The Herman & Walter Samuelson Children’s Hospital at Sinai Download a printable version of “Pain Management and Autism “ Sensory stimulation can be perceived very differently in people with autism spectrum disorder. It is common for children to be averse to certain types of taste, texture, and flavors. How they perceive pain, however, is not very well understood. Some people believe that people with autism may have a decreased sense of pain, but pain can manifest in different ways. Identifying and managing pain can be challenging for both healthcare providers and parents. Methods to assess pain Assessing pain in children can often be a challenge for providers and parents. For older children, the number pain scale is typically used with 0 representing no pain and 10 being the worst pain imaginable. The faces pain scale allows children to choose a face – images range from happy to crying – that shows how their pain is making them feel. For children who are nonverbal, the FLACC score is often utilized. This method looks at Facial expression, Leg positioning, Activity level, Crying and Consolability. This pain scale requires more time but can reliably assess pain responses in neurotypical individuals. People with ASD or intellectual disability, or any type of cognitive impairment may express pain in other ways and may require a customized FLACC scale. This would incorporate individualized pain behaviors which is more reliable in detecting pain in individuals with cognitive impairment. Again, this would require additional time and understanding of the scale. Research on autism and pain Not much research has been done on the topic of autism and pain, partly due to the challenges of assessing pain in children with communication difficulty and partly due to the common belief that people with autism have decreased sensitivity to pain or a high pain threshold. Studies conducted with people with high-functioning ASD tend to use a pain scale of 0-10. On this scale, patients tend to respond with lower numbers, but other methods of rating pain have shown varying results. Some studies have used observations of providers or parents, which also tended to show decreased sensitivity to pain in children with autism. Other studies have challenged the idea that people with autism experience less pain. These studies found that pain is expressed differently among those with autism. One study comparing children with autism, children with intellectual disabilities, and neurotypical children showed that both behavioral changes and physiologic changes (i.e. heart rate) were higher with pain, but face scores did not vary among the groups. Some case studies have found that when asked their pain score, verbal individuals with ASD respond with low scores, but when asked how much discomfort they have, the score tends to be higher. How does pain manifest in children with autism? Children with ASD may not express pain in typical ways – crying, moaning, or withdrawing from a painful stimulus – and therefore may often be labeled as less sensitive to pain. Several case studies have shown that though children may not show these typical signs or may not react to pain in the moment, they still have physiologic reactions and behavioral reactions. Even with no obvious reaction to a painful stimulus, they may start breathing fast or their heart rate may increase. They may have increased stimming behaviors, aggression, or anxiety after the painful incident. Individuals with ASD also tend to show behavior changes for longer after the painful incident than neurotypical children or children with intellectual disabilities. When assessing for pain in a nonverbal child with ASD, close attention should be paid to increased aggression, self-injurious behaviors, stimming, or any behavior that is not typical for that child. If they are acting unlike themselves, look for a possible source of discomfort or pain that may be present or was present in the near past. In a more verbal child, asking if they have pain or if something hurts may not accurately reflect what they are feeling. Using words such as “discomfort”, “uncomfortable”, or “anxiety” may better approximate the level of pain they are in. What can I do about my child’s pain? If a source of pain can be identified, treating that pain is of utmost importance. Treatment would be the same as for any other child—analgesics such as Tylenol or ibuprofen, ice, or heat (if tolerated), and rest. Parents and providers should be wary of hidden injuries that the patient may not be able to communicate about, such as a fracture or insect bite. If the source of pain cannot be identified or you are unsure of the severity of the injury/illness, always err on the side of caution and have a physician assess your child. They should do a full skin exam to look for scratches, bites, rashes, or other injuries. If an injury is suspected to a limb, x-rays may be needed to rule out a fracture. If no clear injury or illness can be identified, parents and providers should look for other possible medical causes for the behavior changes, like abdominal pain, headache, or urinary tract infection. For pain management during painful or stress-inducing medical procedures, like a blood draw, there are several techniques that can be used. Non-pharmacologic (medication) methods are preferred. Every child may respond differently to these techniques, so some trial and error may be necessary to determine the best method for your child. • Distraction: If your child has a preferred activity, engaging them in this activity during the procedure may significantly reduce their focus on pain. This could include watching a show, blowing bubbles, deep breaths, playing with a toy, or calming movements such as a parent rocking them. • Sensory distractions: There are several items that can be used to distract a child’s senses from the painful stimulus. A vibrating device or ice placed on the area of a blood draw or lumbar puncture can reduce the pain signal sent to the brain. • Topical pain control: There are a few topical medications that can be used to reduce pain sensation. A cooling spray at the site of the procedure is quick and easy. A numbing gel or cream can also be applied 20-30 minutes prior to the procedure, which has been shown to be an effective way to manage pain during IV sticks. However, this has not been shown to reduce anxiety or fear during procedures. • Deep pressure: Firm pressure, through squeezing or a tight hug, has been shown to significantly decrease anxiety and stress in individuals with autism. This method can also be used during medical procedures to decrease discomfort. Every child is different though, so deep pressure may be too much sensory stimulation for some. Medications can also be used to control pain, as well as anxiety, during medical procedures. Pre-medication with acetaminophen or ibuprofen may be helpful in reducing pain. For extremely painful procedures, an opioid may also be reasonable, per a physician’s assessment. Anti-anxiety medications may be helpful in reducing not only anxiety but also pain as they are typically slightly sedating. If you feel it is right for your child, discuss these options with your physician. When it comes to pain management in autism, remember these key points: • Always rule out pain when atypical behaviors occur or when certain behaviors increase. • Children are all different, whether in how their pain manifests or in what strategies work best to control their pain. • There are lots of non-medication options to help manage pain and anxiety during medical procedures. 💙

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🖤💙💛🤍❤️💚

https://www.spectrumnews.org/features/deep-dive/unseen-agony-dismantling-autisms-house-of-pain/

💙 https://www.aucd.org/template/news.cfm?news_id=14472&id=17 💙

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⚾ Go to TwoSentenceHorror 7 yr. ago LapizVGC I was wondering why the baseball kept getting bigger. Then it hit me.

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I saw a mother and daughter studying for a big test, and the daughter has a disablitity. A man at the restraunt paid for their dinner and said, " God bless you for taking the time and working with YOUR daughter, and not paying someone else to do it". Loving families like this GMH ! Mar 22, 2011 at 3:00am by Morgan E, Nashville, TN

Petnochlab ~ Seeing the horrible mistreatment of residents in care facilities, I promised never to let my disabled son end up in one. So when the doctors told me I had 4 weeks to live, I put my son in the car and headed toward the lake, ready to keep my promise.

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https://www.mayoclinic.org/stool-color/expert-answers/faq-20058080

https://www.womenshealthmag.com/health/a42448461/why-is-my-pee-green/

https://www.jostrust.org.uk/information/cervical-screening/cervical-screening-learning-disability

https://www.medicalnewstoday.com/articles/ableism

https://psychcentral.com/autism/conditions-associated-with-autism

.--- / # o \,__> .o-'-'--._ / |\_ '. | | \ -, \ \ / \__| ) | '|_____[)) |,/ |===H=|\ >> \ __,| \_\ \/ \ \_\ |\ | \/ | \ \ \\ | \ | \\ |__|\ ,-ooD \\ |--\_(\.-' \o '-.__)

🧂 Salt can be used in treating cavities because of its antibacterial and antiseptic properties. It reduces the inflammation, prevent the growth of bacteria in the mouth, draw out infections and ease the pain. -Take on tsp. of salt and dissolve it in one glass of warm water. Swish around in the mouth for one minute (concentrate on the tooth that is affected). Do the treatment three times daily until the symptoms subside. -Mix half tsp. of salt and lemon juice or mustard oil to make a paste and massage the gums with it for few minutes. After that, gargle with warm water. Do this treatment two times a day for few days in order to eliminate bacteria.

.--- / # o \,__> .o-'-'--._ / |\_ '. | | \ -, \ \ / \__| ) | '|_____[)) |,/ |===H=|\ >> \ __,| \_\ \/ \ \_\ |\ | \/ | \ \ \\ | \ | \\ |__|\ ,-ooD \\ |--\_(\.-' \o snd '-.__)

🍑 https://www.walgreens.com/store/c/walgreens-screening-kit-for-vaginal-health/ID=300424229-product 🍑

https://www.sheknows.com/health-and-wellness/articles/2148908/study-unnecessary-pap-smears-teens/

💙 https://www.cancer.gov/news-events/cancer-currents-blog/2020/cervical-cancer-screening-hpv-test-guideline 💙

💙 ASD affects each person differently meaning that people with ASD have unique strengths and challenges and different treatment needs. Therefore, treatment plans usually involve multiple professionals and are catered toward the individual. 💙

😷 https://theconversation.com/if-your-child-is-afraid-of-or-refusing-a-medical-procedure-heres-how-to-help-170923 😷

| | | | o o | | > | | \_/ | \___/ __| |__ / \ | | | | _________________| | | |_____________---__ / | |_____| | / / / /| mga / /_| _ |_\ / / / / | / / / / / / /__/ / /| /____________________/ / / /__________/___\_/_/ / | |____________________| |_| |__________________|/ | |____________________| |_| |__________________| / ____| | | | | | || | / | o o | o o || o o | / |______________|_____________||_______________|/ _______________________________________________________

🍑 what has been said about self collected samples for pap ‘After I made the choice, the only thing that worried me was that I wouldn’t do it properly,’ she recalls. ‘But the instructions were very clear and easy to follow, so that made me feel better about it. I’d say it was much quicker and more comfortable than doing the old Pap test, and I liked that I could do it in private.’ -Patient The Department of Health and Aged Care : (HPV) – a common infection that causes almost all cervical cancers. If you are eligible and want to collect your own sample, your healthcare provider can give you a swab and instructions. A self-collected sample is taken from there so you don’t need to worry about reaching the cervix or ‘getting the right spot’. All you need to do is insert a swab a few centimetres into and rotate it for 20 to 30 seconds. Yes, it’s accurate Evidence shows a Cervical Screening Test using a self-collected sample from there is just as accurate at detecting abnormalities such as HPV as a clinician-collected sample taken from there during a speculum examination. ‘Because my doctor was so reassuring about my ability to self-collect, and the quality of the results that will come back, I found the whole experience really positive. I will definitely choose to self-collect again.’ -patient 🍑

FIVE Senses to ground yourself 5 things you See (eyesight) 4 things you Hear (listening) 3 things you Feel (touch) 2 things you Smell (scent) 1 thing you can Taste

ʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞ ꔛ ۫ ✿ (๑`^´๑)🎀⭐️もっと♥ ＧＯ！ＧＯ！🎀⭐️ ʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞ

Best Practices for Encouraging Special Interests in Children with Autism What Helps • Encouraging conversation about interest • Paying attention to non-verbal cues • Engaging in activity about interest • Allowing children to keep objects related to interest • Taking note of circumstances that promote calmness • Using interest as motivation for desired behaviors What Hurts • Treating the interest like it's boring • Ignoring non-verbal cues or gestures • Disengaging from the conversation • Forcing a discussion unrelated to the interest • Demanding that children think about other subjects • Leveraging interest as punishment

. ✧ 　 ˚　 . i will face whatever comes today with a positive attitude ♡ 　　˚ 　 . ✧　　 .

🌟 Understanding Retinoblastoma 🌟 Did you know? Retinoblastoma is a rare (but can be treatable) eye cancer that affects people usually under age 5. Early detection is key! Here’s what you need to know: 👁 Symptoms to Watch For: 👉A white glow in the pupil 👉Eye redness or swelling 👉 Vision problems 🏥 Treatment Options: 👉Chemotherapy 👉Laser or cryotherapy 👉Surgery /enucleation: removal of eye (usually in severe cases) 👶 Importance of Early Detection: With prompt treatment, many can recover fully and even preserve their vision. If you notice any unusual signs in your child’s eyes, consult a doctor immediately!

Why autistic people are like cats: - We are highly sensitive. - We don't like loud or sudden noises. - We are easily spooked and startled. - Especially because we are zoning out, like, all the time. - We love to be held and touched and petted and cuddled bUT ONLY IF IT WAS OUR IDEA! - We're picky eaters. - Easily distracted. - Solitary creatures. - Takes us a while to warm up to people and be comfortable around them. - Our idea of being "social" is just hanging around the vicinity or in the same room as other people but not necessarily interacting with them. - We are finicky, particular, meticulous creatures of habit and we have a comfort zone we will defend with our lives. - If we deem you worthy, you will be allowed into our comfort zone. - Gaining our love and trust is super rewarding because it is not easily done. Be flattered. - If you touch us unexpectedly we will flinch or jump. - We are awesome predators and get super intense about stuff one nickname for the ADHD gene is "the hunter gene") - We are cute and lovable and have a lot of personality. - Many autistic children love to feel enclosed and secure and so love secret hiding places and cubby holes (i.e., "if I fits, I sits") - We sometimes appear to freak out at nothing and scamper away for no reason but really it's because we can hear things you can't and some sounds bother us. - Because we have such hyper-sensitive senses, any snuggles you give us will be a million times more rewarding for you because you'll know and appreciate just how intensely we're enjoying them. - Please give us food or we will boop your nose in your sleep.

♡ ⋆ ° .˚ 𖧷 · ° .♡ ⋆ ♡ ⋆ ° .˚ 𖧷 · ♡ wishing you less pain wishing you less stress wishing you less depression sending you love sending you positive vibes sending you healing energy ͏ ͏please accept ♡ ⋆ ° .˚ 𖧷 · ° .♡ ⋆ ♡ ⋆ ° .˚ 𖧷 · ♡

FRIDAY, NOVEMBER 2, 2012 To those of you newly embarking on surgery these are my MUST HAVES for surgery: SURGERY SUPPLIES: Whiteboard Notebook and pen baby toothbrushes alcohol free mouthwash q-tips wet wipes travel neck pillow lots of pillows humidifier mirrors baby spoons syringes of different shapes and sizes pill crusher wrap around hot and cold packs lots of liquids (juices, ensure, water) chapstick a lot of tissues HAND BLENDER (I wouldn't have survived without this) towels power flosser Posted by Incognita at 10:49 PM

Types Deltacism (from the Greek letter Δ) is a difficulty in producing /d/ sound. Etacism is a difficulty in producing e sound Gamacism is a difficulty in producing /ɡ/ sound Hitism is a difficulty in producing /h/ sound. Iotacism is a difficulty in producing /j/ sound. Kapacism is a difficulty in producing /k/ sound. Lambdacism (from the Greek letter λ) is the difficulty in pronouncing lateral consonants. Rhotacism is a difficulty producing rhotic consonants sounds in the respective language's standard pronunciation. In Czech there is a specific type of rhotacism called rotacismus bohemicus which is an inability to pronounce the specific sound ⟨ř⟩ /r̝/. Sigmatism is a difficulty of producing /s/, /z/ and similar sounds. Tetacism is a difficulty of producing /t/ sound. Tetism is replacement of /s/, /k/ and similar sounds with /t/ and of /z/ and similar sounds with /d/.

Sleep When You're in Pain (Chronic or Acute) Sleep on your back if you have lower back pain. Some individuals may benefit from placing a pillow under their knees while in this position. Elevating the knees can take pressure off the lower back. Sleep on your side if you have neck pain. Sleep on your left side to improve your digestion. People who find side sleeping helpful during their period may benefit from placing a pillow between their knees. Experimenting with different pillow positions can help. If you have stomach cramps, try drawing your knees up to your chest in the foetal position, which may help. This position involves lying on the side and tucking the legs toward the chest. You can also sleep on your back propped up with pillows to relieve heartburn. If you have pain due to gas, try laying on your back to relieve some of the pressure off of your stomach. https://www.wikihow.health/Sleep-when-You%27re-in-Pain

Common Experiences How has the semester been going for you? Do you understand the assignment that Professor gave us in class? .. . .. What did you do over break? What sort of plans do you have for break? What did you do over the weekend? Anything interesting happen this week? How has work been? What did you think about the school team's last game? Do you know who's going to s party on day? Interests • What sort of movies have you seen lately? Have any goad boak recommendations? Have you been to any great concerts lately? Have you seen any good plays? What did you think about the ball game on day? Non-Question Topics Your surroundings: the weather, an interesting painting or decoration, a peculiar scenic detail Interesting or humorous Current events or news • officials, shared neighbors, new attractions that have recently opened Compliments on appearance changes: hairstyle, clothing, shoes, accessories Recent experiences with friends or family • Humorous story about something that happened earlier in the day or week CONVO.. Common Experiences How has the semester been going for you? Do you understand the assignment that Professor gave us in class? .. . .. What did you do over break? What sort of plans do you have for break? What did you do over the weekend? Anything interesting happen this week? How has work been? What did you think about the school team's last game? Do you know who's going to s party on day? Interests • What sort of movies have you seen lately? Have any goad book recommendations? Have you been to any great concerts lately? Have you seen any good plays? What did you think about the ball game on day? Non-Question Topics Your surroundings: the weather, an interesting painting or decoration, a peculiar scenic detail Interesting or humorous Current events or news • officials, shared neighbors, new attractions that have recently opened Compliments on appearance changes: hairstyle, clothing, shoes, accessories Recent experiences with friends or family • Humor about something that happened earier in the day or week

"disabilities aren't aesthetic" Yes, but you don't need to say this under the posts of disabled people showing off cute mobility aids, decorated med organisers, a cute bed set up, the art piece that represents their disabilities, etc. Whether theyre your fellow disabled folk or especially so if you're able-bodied/neurotypical, allow disabled people freedom of expression and the little joys they can. People cope with their disabilites in diverse ways, and sometimes that means you will see a disabled person romanticizing their life, or making their aids aesthetic. Someone existing and expressing themselves, making their lives more comfortable and enjoyable, should not be seen as ”glorifying” anything. I’m not telling anyone to go make themselves disabled, nobody should take their health for granted.

Info tips for practitioners w/ autism and/or sensitivities First, thank you for caring. Not trying to question your expertise in health. Now, Autism is a spectrum. It’s not something one can turn off. It’s not a choice. Most of us are not trying to be demanding. If any thing, we’re afraid of being seen as childish, picky, high maintenance, bossy, rude, etc. We can easily get overwhelmed. We want to compromise with you. If we ask for another nurse to do something or if we know we cannot handle a procedure without certain accommodations, it’s not personally attacking against you. You have the power to provide the care and provide us any options; individuals know their own personal tolerance and needs. We do not ever want to start arguments. We do not want to inconvenience you over something, as we do not feel entitled. Having sensitivities not by choice, as it is more than inconvenience but also painful. We always feel when you do your best. We’re both human, autistic or not. It is not a choice.

|￣￣￣￣￣￣￣￣￣￣￣| | I love my friends a lot, | | I just suck at talking | | to them regularly | |＿＿＿＿＿＿＿＿＿＿＿| (\__/) || (•ㅅ•) || / 　 づ

✨️ ᴮᵉ ᵗʰᵉ ᶜʰᵃⁿᵍᵉ ʸᵒᵘ ʷⁱˢʰ ᵗᵒ ˢᵉᵉ ⁱⁿ ᵗʰᵉ ʷᵒʳˡᵈ✨️.

ℑ𝔪 𝔧𝔲𝔰𝔱 𝔟𝔢𝔦𝔫𝔤 𝔪𝔶 𝔞𝔲𝔱𝔦𝔰𝔱𝔦𝔠 𝔰𝔢𝔩𝔣. 💀

Hi, friends! I like emojicombos.com because it’s easy for me to use, being public domain. I also like to express myself through writing, as an author with Autism. So thank you Emoji combos and keep it up!

Emotional Distress Scale 0 - I feel great! This is the best I’ve felt in a long time! 1 - I’m feeling really good! There’s no distress to address. 2 - I’m feeling good. If I start feeling bothered, I can be easily distracted or cheered up. 3 - I’m okay, but there are some things bothering me. I can easily cope with them, though. 4 - I could be better. There are a few things distressing me right now. It’s not exactly easy to deal with, but I still have the skills to get through it. 5 - I’m not okay. It’s getting harder to do the things I want to do, but I can do them. My coping skills aren’t working as well anymore, but enough of them work to get me through the day. I need some support. 6 - I’m feeling bad, and it’s very hard to do the things I need or want to do. Most of my coping skills aren’t effective right now, and it’s taking a lot of energy to stay stable. I need help. 7 - I’m feeling awful. It’s hard to focus on anything but my emotions, and/or I’m avoiding things that distress me. I can’t do much but try to take care of myself, which is already hard in itself. I’m running low on, or have run out of, effective coping skills. I need a lot of help right now. 8 - I’m feeling awful, and I can’t escape it anymore. How I feel is affecting every part of my day, and I’m reaching the point where I can’t function. It’s hard to sleep, eat, socialize, etc. I need help before I can’t handle anything. 9 - This is approaching the worst I could feel. I can’t function anymore. My emotions have totally consumed me. I may be a danger to myself or others, or I may be neglecting myself. I need urgent help. 10 - This is the worst I’ve felt ever/since [last time]. I can’t care for myself at all. My emotions are so intense, I’m at imminent risk of dangerously acting on them. I need crisis support immediately. 11 - I have acted on my emotions and hurt myself or someone else. Everything else in my life is impossible to comprehend. I need medicinal and/or crisis support immediately.

Sensory inputs can be any stimuli entering through one of the sensory modalities: sight, sound, gustation, olfaction, and tactile sensations. Tactile sensations include responses to pressure and temperature. Over stimulation is the product of sensory overload. Overstimulation (OS) occurs when there is “to much” of some external stimulus or stimuli for a person's brain to process and integrate effectively. Sensory overload can be triggered by a singular event or a build up thereof. When the brain has to put all of its resources into sensory processing, it can shut off other functions, like speech, decision making and information processing. Using noise-cancelling headphones to vastly reduce external sound, which can help to stop sensory over load. Weighted sensory products, such as blankets or vests, to provide pressure and soothing proprioceptive input. Avoiding open questions – if you need their input on something, aim to use closed yes/no questions. It causes feelings of discomfort and being overwhelmed. Moving away from sources of sensory input, such as loud sounds or strong smells, can reduce these feelings. However, it is a core characteristic of autism, where individuals often experience heightened sensitivity to stimuli. It's important to note that not all autistic individuals experience overstimulation in the same way or to the same degree. Some may have a higher threshold for sensory input and be less easily overwhelmed, while others may become overstimulated even in relatively calm environments. Stimming, short for self-stimulating behaviors, is a repetitive movement or action that can include body movements, vocal noises, or sensory stimulation. It can be a way to manage excess energy, self-soothe, or cope with emotions. Stimming can also help regulate sensory input, either increasing stimulation or decreasing sensory overload. Stimming behaviors can consist of tactile, visual, auditory, vocal, proprioceptive (which pertains to limb sensing), olfactory, and vestibular stimming (which pertains to balance).

Please don't touch me or stand too close. I have an Autistic Spectrum Condition. I process sensations differently. Sometimes I Can't cope with touch or physical contact. 4 ways to manage autism, anxiety and sensory overload Choose sensory-friendly events and places Choose sensory- friendly features • Fewer lights • Less background music • Noise blocking headphones • Calming rooms • Weighted blanket Make sensory experience shorter Reduce sensory experience • Take breaks from busy, noisy and bright places • Noise blocking headphones • Sunglasses For example, a child who has difficulty with the feeling of clothing and thus has difficulty getting dressed shows hypersensitivity. As a result, that child can experience sensory overload from clothing. It is also important to know that a toddler refusing to get dressed because they are exerting their independence or would rather play or do something else is not a child experiencing sensory overload. That is not hypersensitivity. That is normal for toddlers. So choose sensory-friendly providers or products. In particular, that helps people whose anxiety is made worse by what they experience from their senses. Hollander, E., & Burchi, E. (2018). Anxiety in Autism Spectrum Disorder. Anxiety & Depression Association of America

For Employers w/ disabled workers If a person who has a disability wants to work they might have difficulty getting jobs. There are different types of disabilities to varying degrees. First, inform them the expectations of the job. Make sure they know how to do the job as you train. Give warnings (and explain why behind the warning) before resorting to termination, as some people might not under stand what they did wrong. Even if the disability is confidential, explain to coworkers not to give the employee a hard time, without divulging. Don’t touch the employee or their belongings (including any mobility aids) without asking them first. Allow the employee extra time if necessary so as to not overwhelm them. Monitor the surroundings to make sure no harassment takes place, possible barriers to accessibility, etc. Try not to get frustrated if they do something differently than what others might do, such as note reminders, etc.

What’s disabilities? Being disabled can have various meanings. Physical disabilities are usually more visible. Even so, it might not be readily apparent. One individual can have more than one disability. But it’s not by choice, even in an elective amputation, mental disorders, ptsd vía warfare, etc. Some disabilities are more invisible, if internal or having to do with mentality. No matter what disability, it’s important to not have unreachable standards whilst at the same time not be patronising. Some disabilities are from congenital, meaning they were born with it or had their whole life. Some disabilities are acquired later in life such as an external injury they got.

Autistic and Being Startled Easily... @neurodivergent_lou Autistic people may struggle with being startled easily, whether that be by a sudden phone call or someone walking into a room. This is something that autistic may experience more intensely than non-autistic people for a variety of different reasons. Autistic people may be 'startled' easily due to hyper-sensitivity to sensory input. For example, for autistic people noise may feel increasingly amplified. The sound of someone coming into a room can be incredibly startling and sudden. Sensory overwhelm isn't necessarily just about the noise itself but can also be related to the layers of sound or unpredictability of it, As autistic people, we may struggle with feeling on edge a lot of the time and being in 'fight or flight mode'. For example, the world can generally feel unpredictable and we may have repeated past experiences of being misunderstood (e.g. due to autistic communication differences). This feeling of being on edge can contribute to being easily startled. It also feels related to how autistic people experience focus and attention. Autistic people may have a tendency toward hyper-focus and getting almost lost into a subject of interest. We may also end up deep in thought or dissociate. This can mean that someone coming into the room can feel particularly disruptive. The shift in attention can be difficult too. One minute your attention is absorbed in a certain thing and then suddenly a person walks in, makes you jump and shifts your attention completely. The theory of monotropism suggests that autistic minds tend to have their focus pulled more intensely towards a smaller number of interests at any given time, leaving less processing resources for other things. Another part of this is waiting to potentially be startled and the stress of waiting for this. For example, if we are waiting for a phone call, it can be stressful anticipating a sudden loud noise. It can make us feel on edge and unable to do anything else.

GAS or APPENDICITIS? https://www.medicalnewstoday.com/articles/what-does-appendicitis-feel-like Most people recover well if they receive a diagnosis and treatment early enough. Most people with temporary mild-to- moderate abdominal pain have gas or symptoms of indigestion. If the pain is mild to moderate, improves over time, and feels as if it is moving through the intestines, it could instead be signs of gas. Typically, appendicitis will start with pain that may come and go in the middle of the tummy. Within hours, the pain will travel to the lower right side of the abdomen and become constant and severe. However, the risk of rupture is relatively rare after 36 hours. If a person has severe pain in the lower right of their abdomen, pain that worsens when moving or touching the abdomen, as well as other symptoms such as fever and nausea, it could indicate appendicitis. Risk factors for appendicitis include: Age: Most people get appendicitis at 10–20 years of age. Sex: Evidence notes that those assigned male at birth (AMAB) are slightly more likelyTrusted Source to develop appendicitis than those assigned female at birth (AFAB). Low fiber diet: A low fiber diet can potentially cause fats, undigested fiber, and inorganic salts to build up in the appendix and cause inflammation or obstruction. Genes: Some studies suggest that genetics can play a role in appendicitis. A 2018 population study notes that individuals with a family history of appendicitis have a higher risk of appendicitis. A surgeon will usually perform appendectomy using one of two procedures: open surgery or laparoscopic surgery. To address complications, healthcare professionals may also use other treatments, such as: antibiotics removing infected abdominal tissue draining pus from the abscess or infection site blood transfusions intravenous electrolyte or fluid therapy Some individuals with appendicitis may haveTrusted Source an inability to pass gas, which is the source of discomfort when a person has gas. With gas, people may have the sensation that gas is moving through the intestines, they may feel mild-to-moderate pain anywhere in the abdomen, and discomfort will usually resolve quickly after passing gas. However, with appendicitis, pain typically starts in the middle of the abdomen, then travels to the lower right-hand side of the abdomen, where it becomes severe and constant. Warning signs typically progress in the following order: sudden pain that begins near the belly button pain that intensifies over time and moves to the lower right of the abdomen lack of energy and loss of appetite worsening symptoms, which can include nausea, constipation, inability to pass gas, and diarrhea fever The most common symptom of appendicitis is abdominal pain. Other possible symptoms of appendicitis can includeTrusted Source: loss of appetite nausea and vomiting diarrhea constipation unexplained exhaustion excessive gas or inability to pass gas swelling in the abdomen fever increased urinary frequency and urgency pain while extending the right leg or the right hip https://www.medicalnewstoday.com/articles/what-does-appendicitis-feel-like

❝ʰᵃᵗᵉ ᵗʰᵉ ˢᶤᶰ ˡᵒᵛᵉ ᵗʰᵉ ˢᶤᶰᶰᵉʳ❞

CHIP OFF THE OLD TALKS ii (Autistic Author) Chip's eyes fill with tears, and he looks away, trying to hide his emotions. "I just want to understand," he says, his voice small. "I don't need to explain myself to you," he snaps, his eye cold and distant. But Chip is undeterred. He's seen his mother's gentle touch work wonders on his father during his seizures, so he decides to try it. He reaches out and places a small hand on Plankton's shoulder. "It's ok, Dad," he whispers. "You can tell me." Plankton flinches at the touch, his antennae stiffening. "I said it's not your business," he repeats, his voice a low growl. Karen can see the internal struggle playing out on his face, the effort it takes to maintain his anger when all he really wants is to retreat into safety. "Plankton," Karen says softly, placing her hand over Chip's. "It's ok." Her voice is a gentle reminder of the love that exists between them all, a love that has grown and adapted to Plankton's condition over the years. But anger in Plankton's eye doesn't fade. He stares at his son, his jaw tight, his antennae quivering with barely restrained frustration. Karen can feel the tension in his arm, the way his muscles are taut under her touch. "It's ok," she repeats, her voice a soothing balm. "Chip just wants to understand." But Plankton's anger doesn't dissipate. He sits there, his eye still cold and distant, his body rigid with tension. "I don't need to justify myself," he says, his voice a knife slicing through the air. Karen's heart sinks further. This was not how she had hoped the conversation would go. "Dad," Chip starts, his voice trembling. "I just want to know why-" "I SAID it's not your business," Plankton barks, his eye flashing. Plankton's anger is a storm that needs to pass before they can talk it out, and Karen doesn't want to force the issue here. Karen nods at Chip, signaling for him to give his father space. With a sad smile, she stands up and takes the frisbee from his hand. "Why don't you go play for a little while?" she suggests, her voice gentle. "Give Dad and me some time to talk." Chip nods, his eyes brimming with unshed tears. He takes a few steps away before turning back to look at his dad. "I'm here if you need me," he says, trying to keep the quiver out of his voice. Then he runs off, the frisbee clutched tightly in his hand. Plankton's anger lingers like a fog around him, thick and heavy. Karen can see it in the way he sits, his shoulders hunched and his antennae flat against his head. She knows he needs a moment to compose himself, to come down from overstimulation. The silence stretches between them, taut with unspoken words and fear. Plankton's gaze follows Chip as he disappears into the playground, the frisbee a small beacon of hope in his hand. Karen waits, her heart aching for the pain she knows her son is feeling, the pain she feels herself. When Plankton's breathing finally starts to slow, she decides to break the silence. "It's okay, Plankton," she says softly. "Chip just doesn't understand." Karen sighs, her eyes filled with a mix of love and sadness. "You're just wired differently. And Chip loves you for who you are." Plankton shakes his head, his antennae still flat against his skull. "He doesn't know like." Karen's eyes never leave his face, her expression a mask of patience and love. "You're right," she says. "He doesn't know. But that doesn't mean he doesn't love you. He's just scared. And confused. We all are sometimes." Plankton's jaw tightens, and he looks away, not meeting her gaze. "I don't need his pity party," he mutters. Karen sits next to him, her hand resting on his knee. "It's not pity, Plankton. It's just love and curiosity. He wants to know so he can help, so he can be there for you." Plankton stays silent, his eye on the distant playground where Chip is trying to fit in with the other kids. The anger is still there, a palpable presence that makes the air around them feel charged. "I know you're mad," Karen says, her voice calm and soothing. "But you know we can't keep this from him forever. He's growing up, and he needs to understand." Plankton's eye still on Chip, but the anger is slowly fading, replaced by a heavy sadness. "I don't want him to tell I'm a monster," he murmurs, his voice barely audible over the rustling leaves. Karen's heart breaks a little more. "You're not a monster," she says firmly. "You're a wonderful father, Plankton. And Chip loves you. He just doesn't understand." Plankton's gaze finally shifts to her, his eye glistening. "I don't know how to handle this," he admits, his voice strained. "I don't know how to explain it to him. I don't even understand it half the time." Karen reaches up and places a hand on his cheek, turning his face to hers. "You don't have to explain it all at once," she says gently. "We'll do it together, ok?" Plankton nods, his expression still taut with tension. He takes a deep breath and finally relaxes a bit, his antennae rising slightly. "Ok," he murmurs. Karen stands up, her hand still on his shoulder, and together, they walk over to the playground to collect Chip. His eyes light up when he sees them approaching, and he runs over, the frisbee abandoned in his excitement. "Dad, are you ok?" he asks, throwing his arms around Plankton. Plankton stiffens and gasps as Chip embraces him in a hug. Karen's heart clenches at the sight, knowing how much her husband despises sudden physical contact. "Come on, let's go home," she says gently, her hand on Chip's shoulder guiding him away from Plankton. The walk home is quiet, each step punctuated by the thump of Chip's sneakers against the pavement. Karen's on her husband, his shoulders slumped and his gaze cast downward. As they enter the house, the familiar creaks and groans of the floorboards welcome them home. Plankton heads straight for his workshop, the place where he finds solace in the chaos of the world. Chip trails behind, his eyes glued to his father's retreating back. "Dad?" he calls out tentatively. Plankton pauses, his antennae drooping slightly, but doesn't turn around. Karen can see the turmoil in her son's eyes, the unanswered questions weighing him down. "Why don't you go to your room, Chip?" she suggests softly. "I'll talk to Dad." With a nod, Chip heads upstairs, his footsteps echoing through the house. Karen watches him go before turning to Plankton. "Let's go sit down," she says, leading him into the living room. She knows he'll need some time to recover from the onslaught of emotions that come with it. In the dim light of the room, Plankton slumps into the worn armchair, his eye avoiding hers. Karen takes a seat on the couch opposite him, her hands folded in her lap. "We need to talk about this," she says gently. "You can't just push Chip away when something like this happens." He's silent for a long moment, his antennae twitching nervously. "I know," he says finally, his voice gruff. "It's just... I don't know how to deal with it. With him seeing me like that." Karen's heart goes out to him. She knows the fear that comes with the unknown, the fear of being judged, of losing the ones you love because they don't understand. She takes a deep breath and speaks softly. "You don't have to deal with it alone, Plankton. We're a family. We're in this together." Plankton doesn't respond immediately, his gaze still fixed on the floor. But slowly, his antennae start to rise, a sign that he's listening, that he's starting to come out of his shell. Karen waits, giving him the space he needs. Finally, he looks up, his eye meeting hers. "I've always tried to be a good father," he says, his voice barely above a whisper. "You are," Karen reassures. "You're the best father Chip could ask for." Plankton nods, his antennae relaxing slightly. "But I don't know how to explain it to him," he says, his voice tight. "I don't want him to..." "To what?" Karen prompts, her tone gentle. "I don't want him to think of me as... less than," Plankton murmurs, his gaze flickering towards the stairs where Chip had disappeared. "To gawk, nor to prompt.." Karen crosses the room and takes his hand, her touch a comforting presence. "He doesn't think that," she says firmly. "He just wants to know so he can help. And so he doesn't have to be scared." Plankton sighs, his shoulders slumping further. "I know," he admits. "But it's hard, Karen." Karen nods, her grip on his hand tightening. "I know it is, but we can't keep this from him forever. He's going to have questions, and he deserves answers. I’ll let him back now." With a deep breath, Plankton nods.

abled people: can you do the thing?? disabled people: … technically yes BUT it would hurt l/ruin my day/trigger a flare/exhaust me/be a fall risk/make me more sick AND THEN I would have to spend a day in bed/increase my dosage/cancel all my other plans/spend a week recovering afterwards abled people: … but you CAN do it

Shared decision-making Shared decision-making ensures that individuals are supported to make decisions that are right for them. It is a collaborative process through which a clinician supports a patient to reach a decision about their treatment. The conversation brings together: the clinician’s expertise, such as treatment options, evidence, risks and benefits what the patient knows best: their preferences, personal circumstances, goals, values and beliefs.

Is Wednesday Addams Autistic? The question of Wednesday Addams neurotypicality has been going around the internet since the series was released. I have gathered some points asto whether she is actually autistic. To begin, she shows ahypersen sitivity towards colour as her mother says, "she is allergic to colour" and Wednesday's response to being asked what happens she says, "I break out into hives and then the flesh peels off my bones*". She also dislikes touch (like hugging), which is very usual for autistic people, either because of sen sory reasons or discomfort. It did take the whole season for her to be okay with hugging Enid. Hyper/hypo sensitivity - the over or under-responsiveness towards certain sensory stimuli is very common in autism and most autistic people experience both - in extreme cases being overwhelmed due to sensory differences or overstimulation can lead to meltdowns; what Wednesday explained happens to her may not be the typical behaviour of an autistic meltdown (rocking, crying, hitting etc.) so can we still consider this autistic? She is afictional character after all but let us continue to analyse her and figure it out. The next thing she does which may be considered autistic is dedicating one hour a day to her novel. Now, why is this autistic? A strict adherence to rules and being set in patterns is atypical trait of ASD, often people on the spectrum prefer to have routines so that they know what is going to happen. There is a comfort in doing things in a fixed pattern. Individuals with ASD even show reduced cognitive flexibility which is whythere is such difficultyin changing patterns, as well as it being overwhelming. To move on, Wednesday has very fixed interests and knows them with great depth, she showsthis with her knowledge in foren sie pathology and plants - she masters her skills - and as she says about herself, "I know I'm stubborn, single minded and obsessive", sheis stubborn so gets a task complete, she is single minded so very set in her ways and obsessive which in autistic people, obsessions can be a way to cope and feel less stressed about one's surroundings Most autistic people have fixated interests of abnormal intensity, is this the case with Wednesday Addams or is she just smart? As we all know, a level of social awkwardness comes with having autism, let us talk about Wednesday's social behaviour. Firstly, she doesn't show much body language when talking to anyone and has somewhat abnormalities of eye contact; she doesn't blink for long periods and or doesn't have much emotion in her eyes which can make it hard for other peopleto interpret her emotions, along with alack of facial expressions and speaking in a monotonous tone -which is usual of typical autistics. Secondly, when she does feel emotion while talking to someone (upset or other) she seems to mask in that moment while trying to compute her emotions, she has a difficulty

CHIP OFF THE OLD TALKS i (Autistic Author) Karen went to the park. Her husband, Plankton, sat by her. Karen glanced over and saw the soft smile on his face, a smile that had greeted her every morning for the past twenty-five or so years. The park was alive with laughter, the distant sound of a ball bouncing off the pavement and the occasional squawk from a seagull. Plankton's eye were closed, his breathing slow and steady. He was enjoying the warmth of the afternoon sun on his face. Suddenly, their adopted son Chip burst into their peaceful scene, his cheeks flushed from running. He was holding a frisbee that had strayed from its intended path, and he called out to them with the enthusiasm of a young boy who had discovered something wonderful. "Look what I found!" he exclaimed, oblivious to the delicate moment he was interrupting. Plankton jolts. Karen's notices her husband's sudden movement. His eye open wide, and he stares into the distance unseeing, unblinking. She knows the signs all too well. Plankton is having one of his shutdowns. But Chip's dart between the frisbee and his parents, sensing something amiss. "Dad?" Chip says, tentatively. Karen jumps up and grabs Plankton's arm, gently squeezing to bring him back. "It's ok, honey," she whispers, her voice steady. Chip's smile fades as he sees his father's unresponsive state. He drops the frisbee, forgotten in his grip, and takes a cautious step closer. "What's happening?" he asks, his voice cracking. Plankton's body remains eerily still, like a statue. The only indication that he's alive is the faint rise and fall of his chest as he breathes. Karen's eyes dart around the area, checking if anyone has noticed. She doesn't want to draw unwanted attention. "It's ok, Dad's just taking a little break," she murmurs, setting the frisbee aside. He's never seen these before, nor knows the drill. Chip takes in Plankton's unblinking gaze. Karen feels a pang of guilt for keeping this part of Plankton's condition hidden from their kid. But it's a dance they've been performing for years, trying to maintain a sense of normalcy amidst Plankton's condition. Karen focuses solely on Plankton, willing him to come back to her. She feels the warmth of his hand under hers, but there's no response, no squeeze, no recognition of her touch. Karen's gaze is fixed on her husband's face, searching for any hint of life, any flicker of consciousness. She whispers his name, a soft mantra, trying to anchor him to reality. But Chip doesn't understand. His eyes are wide, full of fear and confusion as he watches his dad frozen in place. "What's a 'little break'?" he asks, voice trembling. Karen's heart tightens; she's always shielded Chip, hoping to spare him the worry and fear. "It's like when you zone out," she explains gently, hoping to relate it to something he might have experienced. "Remember when you were playing video games and I had to call you for dinner three times before you heard me?" Chip nods slowly, still glued to Plankton's unmoving form. "It's like that," Karen continues, "But for Dad, it happens without warning." Chip nods again, trying to process this new information. He's always known his dad was different, but seeing him like this is something he's never had to face before. He takes a deep breath and tries to hold back his tears, not wanting to scare Plankton when he wakes up. "What do we do?" he whispers, his voice shaky. Karen squeezes Plankton's hand gently, never leaving his face. "Just wait," she instructs Chip calmly. "These usually don't last long. But if you need to, you can tell anyone who asks that he's okay, just deep in thought." Chip nods, trying to mimic his mother's calm demeanor, but his eyes betray his anxiety. He's never seen his dad like this, never knew that these moments of stillness were a part of him. Plankton's condition, a form of autism, can leave him with anger issues and overload. Karen feels the weight of the secret they've kept from Chip all these years. Plankton's autistic neurodivergence had always been a part of their lives, but they had shielded their son from the full extent of it. They had hoped he would understand when he was older, but now the moment had come unplanned, and she wasn't sure if ready. "Why does Dad zone out?" Chip asks, his voice small. Karen sighs, deciding it's time for the truth. She sits down next to Plankton, keeping her hand on his arm. "Dad has something called 'neurodivergence', Chip. It's like his brain works differently than ours. Sometimes it helps him see the world in amazing ways, but it can also be hard for him. These little breaks are his brain's way of processing." Chip stares at her, trying to grasp the concept. "So, he's not just ignoring us?" "No, sweetie," Karen says. "He's not ignoring us. It's like his brain needs a time-out, like when you play for to long and your phone heats up and/or dies, but will still work eventually." The wind picks up, rustling through the leaves above them, and a chill runs down Chip's spine. He nods slowly, watching his dad's chest rise and fall in the silence. It's strange to see someone so still, so quiet, yet so obviously alive. "But why haven't you told me before?" he asks, his voice barely above a whisper. Karen's eyes well up with tears she quickly blinks away. "We wanted to protect you," she admits. "I didn't want you to be scared and he doesn’t want you to think of him differently." "But it's okay to think differently," Chip argues, his voice growing stronger. "Dad's always been there for me, even if he doesn't hug me a lot." Karen smiles sadly, stroking Plankton's arm. "It's not just about thinking differently, Chip. It's about how his brain processes things. Sometimes, too much sensory input can overwhelm him. That's why he might seem distant or not as affectionate as other dads. It's not because he doesn't like you," she reassures him. "It's because hugging or loud noises can be really intense for him." Chip's eyes widen with understanding. "So, that's why he doesn't like it when I jump on him?" "Yes," Karen nods. "But it doesn't mean he loves you any less. He just shows it in his own way. Like when he spends hours helping you build that Lego castle, or when he makes those amazing sea creature sculptures that you love so much." Chip's shoulders slump, and he sits down on the bench beside his mother, staring at his dad with a newfound curiosity. "Does he know I know now?" "I don't think so, honey," Karen says, her voice still low and soothing. "These episodes usually last just a few minutes. It's like he's somewhere else, but he'll come back to us." The park's sounds swirl around them, muffled by the tension that has settled in the air. Karen watches Plankton's expression, waiting for the telltale twitch of his antennae that signals his return to the present. Finally, Plankton blinks and looks at Karen, his gaze momentarily unfocused before recognition floods back into his eye. He looks around, startled by his surroundings, and then at Chip, who is staring at him. "What happened?" Plankton asks, his voice groggy. Karen releases a breath she didn't realize she'd been holding. "You had one of your zoning-out moments," she says, her voice calm and gentle. Plankton looks at her, then at Chip, who is watching him with a mix of curiosity and fear. "I did?" Plankton's antennae twitch, and he rubs his head. "Yes," Karen says, her hand still on his arm. "Chip found a frisbee, remember?" Plankton's gaze shifts to the frisbee lying forgotten on the ground, then back to his son. He nods slowly, piecing the moments before together. "Ah," he murmurs, a hint of embarrassment crossing his face. Chip's curiosity outweighs his fear as he looks at his father. "Can I ask?" he asks tentatively. Karen nods, her heart swelling with pride at his bravery. "Of course, Chip." Chip looks at his dad, filled with questions. "Why’d you zone out?" he asks, his voice still hushed. "It's none of your business Chip," Plankton snaps, his eye flashing with a sudden fury that takes both Karen and Chip aback. His voice is harsh, the words cutting through the stillness of the park. Karen's heart sinks as she sees the hurt on Chip's face. Plankton's anger, a common side effect of his overload, surfaces without warning. She knows he doesn't mean it, but the sting is real for their son.

See both the person and the disability. On one hand, not seeing the person may lead you to introduce them as "my autistic friend," stereotype them, or treat them like a child. On the other, refusing to acknowledge the disability and not accommodating their needs is also unhelpful. Strike a balance by treating their differences as natural, and overall unremarkable. Be clear about how you feel and what you want. Autistic people may not pick up hints or cues, so it's best to directly state your feelings. This helps eliminate confusion on both ends, and that way if the autistic person has upset you, they have the opportunity to make amends and learn from it. Warning: In most cases, people with autism are unable to cope when under pressure, so don't pressure them. Ask questions about how you can be accommodating and helpful. Get insight on how to relate to this person by talking with them about what it is like for them in particular to live as an autistic person. You may find that they want to share and can tell you lots of useful information that will help you to relate to them better. When applying this information, be sure to consider your autistic loved one as an individual, and remember that each step won't always apply to each person.

There is no one-size-fits-all approach for autism Understand that every autistic person is different. Tailor treatment to the individual's needs. For example, one autistic person may have excellent self-care skills and above-average school performance, but need sensory integration therapy and social skills training. Another might be highly social but unable to care for herself and in need of counseling for depression.