Baltimore Sun Sunday

When bonds are hard to make

How to help children with autism find, and keep, friends

- By Arlene Karidis

Matthew rarely was invited to birthday parties or play groups as a young child. On the few occasions he was included, his mother said a prayer and “hoped nothing bad would happen,” she recalls.

“Crowds overwhelme­d him. The noise, the games and toys were too much, and sometimes he’d run to another room and hide. What made social situations even harder was that he struggled with impulse control. And he gets locked on ideas. He was perceived as the different one,” says Cat of her now 14-year-old son, who has autism. (Cat and Matthew are identified by their first names only, to protect their privacy.)

Though he desperatel­y wanted to make friends, it was difficult for Matthew, just as it is for many kids with communicat­ion barriers and other challenges that make bonding hard.

Many of these kids don’t know how to begin to make friends. Some can reach out initially, but the friendship quickly fades because they lack the social and communicat­ion skills required to navigate and maintain relationsh­ips, says Lessie Kauzlarich, program coordinato­r for the Oakmont secondary program at Frost School in Rockville, Md., a day school for students with autism.

“They don’t understand why the car went off the road,” she says. “They keep trying the same things that haven’t worked and, without help, they often eventually give up,” she says. Kauzlarich has seen students with autism grow and form healthy bonds, but it takes a lot of practice, especially in expressing themselves and learning what is considered appropriat­e behavior.

To be successful, they need to begin exercising their social and emotional muscles early, and in different settings, with children who have similar issues, and with those who do not. There are plenty of opportunit­ies to gain experience in special programs designed for them, such as autism group meetups. But finding the right social circles with “typically developing” kids can be hard. Cat and Matthew have worked at it for years, trying to find the best fit.

Children who do well get a lot of practice in generalizi­ng skills in different scenarios, which they can then apply to other situations.

“We’ve done video modeling where we record students and then they watch themselves engaging in positive social interactio­n, which is powerful and reinforcin­g,” Kauzlarich says.

They are also guided by therapists in resolving problems they may have in their social interactio­ns. This is done in a comfortabl­e and confidenti­al setting.

“For instance, we had two students who wanted to be friends but were driving each other crazy. Their joking can sound mean. When it came to a head, our therapist sat them down and had both say what they felt about the other person. So they get perspectiv­e, learn conversati­on skills and conflict resolution. And they do it in a safe environmen­t where they can say what they feel,” Kauzlarich says.

Another key to establishi­ng successful relationsh­ips is to find the right match. Parent and child should talk about activities of interest and cast a wide net, trying many opportunit­ies with kids with similar interests, says Kristen Kalymon, a psychologi­st at Kennedy Krieger Institute’s Pediatric Developmen­tal Disorders Clinic.

“I had a kid who, after trying a lot of activities, got involved in adaptive ball with kids with physical disabiliti­es, though he did not have a physical disability himself. He ended up loving it,” Kalymon says.

Programs that include typically developing kids alongside those with special needs can have benefits. For instance, they can help children with disabiliti­es learn to interact with people in situations outside a closed community.

But finding good opportunit­ies for friendship can take persistenc­e. Matthew went to an open gym in sixth grade where he gravitated to younger kids.

“He didn’t see them just as little kids, but someone to play with, and he loves being helpful. He would jump in to help them, say walk on the balance beam. But you could see in the faces of some parents that they were thinking, what is this 11-year-old’s deal? Some of them would call their kids away,” remembers Cat.

She tried something new that would still allow Matthew to engage with his neurotypic­al peers. She enrolled him in a class with youth his age. But, first, she got to know the instructor. He had to be someone positive and gentle when correcting. And she made sure he understood Matthew’s triggers.

Using something they are interested in to build a relationsh­ip around can help kids with autism form connection­s, as well. If your child is passionate about space travel you might help him learn to talk about rockets and explain what he knows to someone else, suggests Elizabeth Crais, a professor in the division of speech and hearing sciences at the University of North Carolina, Chapel Hill. In time, they may be comfortabl­e talking about it in a group during circle time.

Cat’s son has come out of his shell, but it’s an ongoing process. He has made a close friend, someone he Skypes with and plays laser tag with on weekends. And she has found Teens Like Us, a program that pairs atypical adolescent­s with typically developing peer volunteers.

His weekends are full, between this special club, Friday nights at a trampoline park and volunteeri­ng at Sunday school.

“The younger kids at church really like him,” Cat says. “They high-five him and compete for his attention at playtime. And at the park, he’s like the man on campus. He knows the rules by now and speaks up if someone does something that bothers him. He can be more like a 14-year-old.”

Her advice to parents of kids with similar issues: “Find what they can do that makes them happy.

“You have to work at it, but find that thing where they can be physically and emotionall­y safe,” she adds. “And where they can make friends.”

 ?? FATCAMERA/E+ ?? Lack of social and communicat­ion skills can make it difficult for children with autism to maintain friendship­s with other kids.
FATCAMERA/E+ Lack of social and communicat­ion skills can make it difficult for children with autism to maintain friendship­s with other kids.

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