The Reality
You can have the best therapists in the world, but most of your child's life happens at home. This module is about the day-to-day: routines, sensory needs, meltdowns, sleep, eating, and siblings.
Routines and Structure
Most autistic children thrive with predictability. When they know what's coming, anxiety decreases.
Visual Schedules
Use pictures or icons to show the day's activities:
- Wake up → Breakfast → Get dressed → School → ...
- Use velcro strips so completed items can be moved to "done"
- Keep it simple — 5–8 items maximum
- Review it together each morning
Transition Warnings
Transitions are hard. Give advance notice:
- "In 5 minutes, we're turning off the TV."
- "Two more turns on the slide, then we go to the car."
- Use visual timers they can see counting down
First-Then Boards
• First shoes, then iPad
• First dinner, then dessert
• First teeth, then story
Understanding Meltdowns
A meltdown is NOT a tantrum. It's a neurological response to overwhelm.
| Tantrum | Meltdown |
|---|---|
| Goal-directed (wants something) | Not goal-directed |
| Child is in control | Child has lost control |
| Stops when they get what they want | Doesn't stop on command |
| Aware of audience | Unaware of surroundings |
| Behaviour strategy works | Needs regulation support |
During a Meltdown
- Stay calm (your regulation helps them regulate)
- Reduce sensory input (dim lights, quiet voice)
- Ensure safety (move dangerous objects)
- Don't reason or lecture — they can't process it
- Wait it out with calm presence
- Offer comfort when they're ready
After a Meltdown
- Don't punish or shame
- Reconnect gently
- Reflect later: what triggered it? How can we prevent next time?
Sensory Strategies
Many autistic children are over- or under-sensitive to sensory input.
Signs of Sensory Overload
- Covering ears or eyes
- Avoiding certain textures or foods
- Meltdowns in loud or crowded places
- Difficulty with clothing tags, seams, or textures
Sensory Supports
- Noise-cancelling headphones
- Sunglasses for bright environments
- Fidgets and sensory toys
- Weighted blankets
- Chewable jewellery
- Movement breaks (jumping, swinging, spinning)
Sleep
Sleep issues are extremely common in autistic children.
Sleep Hygiene Basics
- Consistent bedtime and wake time (even weekends)
- Dark, cool, quiet room
- No screens 1 hour before bed
- Calming bedtime routine (bath, book, bed)
- Consider weighted blankets
- White noise or soft music
If sleep remains a major issue, talk to your paediatrician about melatonin or a sleep study.
Eating
Picky eating in autism often goes beyond typical preferences — it can involve sensory aversions, rigidity, and anxiety.
Strategies
- Don't force new foods — exposure over time works better
- Offer preferred foods alongside new ones
- Make mealtimes low-pressure
- Consider feeding therapy if nutrition is a concern
- Rule out GI issues (common in autism)
Siblings
What Siblings Need
- Age-appropriate explanations of autism
- One-on-one time with each parent
- Permission to feel frustrated, embarrassed, or sad
- To not be the "helper" all the time
- Connection with other sibs (Sibshops, sibling groups)
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