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What I Think Every Neurotypical Therapist, Teacher, Or Paraprofessional Should Know

photo by Ariana

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Seeing The Potential Versus The Problems

A fully clothed Tony sitting on his Aunt Randi’s lap while she watched him a couple weeks ago for my surgery, selfie by Randi, she’s cropped from the picture out of respect to her wishes.
Impulse control is an area that’s been more impacted for our son with his combination of conditions, and he has to be given practice controlling the urge to do things he wants to do, like turn lights off when he shouldn’t, as part of his therapy programming so that his brain can develop that control. Photo by Ariana.
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More Than A Backdrop Or A Therapy Prop

Getting ready for a school day, photos by Ariana
A recent therapy session during another family member’s doctor’s visit, where the goal was to not rip the paper off the exam table. Mission accomplished (left it on for over an hour), and it’s the first time he’s been able to control his impulse to do that. Almost every moment with him can turn into a therapy moment.
And sometimes, not even the makeup application can hide that…
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Can We See All The Sides?

Screenshot, group e-mail sent 12/28/2016, photos by Ariana
Tony, 2018, in underwear at our house. Been in them for 2 years at that point even, and I assure you I don’t want to clean my home up from frequent potty accidents anymore than I would a public location.
Tony getting a drink before using a public bathroom in 2019, he always tells us in public when he needs to use the bathroom on his speech device.
Tony, October 2023.
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Some Halloween Gratitude

On our way home from trick-or-treating this past Tuesday, photos by Ariana

My friends, family, and loved ones: I have so many things I need to do still tonight and for the remainder of the week. My eloquence is toast, my desire to create artistically pleasing phrases to describe our circumstances is worn to silence by hand-wringing over the to-do list.

So briefly: I am grateful for our second truly fabulous Halloween trick-or-treating experience. We went to houses we didn’t practice getting used to the displays for, he happily stayed out 10 minutes longer than last year (which is a huge success given that he spent 2 hours and 5 minutes at school earlier in the day with a different from his usual set of school activities and routine). For Tony, the school transition is a massive change by itself in his life and to tackle both in one day is a lot for his nervous system, but he handled it well. He independently said “trick or treat” and “thank you” to a higher percentage of people we interacted with. He even has a chewelry item he recently began to tolerate wearing and he uses that when we are at school or in other public locations, and he took it with us on Halloween also.

People have asked me what I went as and I told them as myself: a tired mom. We started out with an empty bucket, and returned home with one full enough I had to carry the box of popcorn we got at one of the houses we stopped at for him. This past Tuesday was a beautiful evening and that is all I have time to share for this week.

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Hidden Costs & Some Dental Prep Strategies

Just finishing work with an electric blood pressure device in habilitation therapy, photos by Ariana

Sometimes on this blog I have used my October posts to delve into some of the darker aspects of what a family of a loved one with significant disability-related challenges can experience. And, I thought about it this year too. I was thinking something about playing on the words of an older LeAnn Rimes song, “Can’t Fight The…” except, just a slight word change where I replaced “moonlight” with “trauma.” I was relishing the discordant feel of the music with the modified title and lyrics and how I could fit a description or two of memories or experiences that would really twist that point home how deep the emotional impact from some of these experiences can be for the family or primary caregiver.

And then I just couldn’t. Though it may be apt, it may be real, and I may live it like I feel it sometimes, my preference is to focus on something more proactive right now because it just emotionally feels less traumatizing to my right now. So, I would like to share a brief moment that broke yet another piece of my heart off and then flesh out my therapy strategies to glue it back in place and keep it there in the future.

Perhaps it has been clear from what I have written about, but I have focused a significant amount of my therapy efforts in the past couple of years on school readiness goals. Because of the pandemic, I needed to devote a significant portion of the programming for tolerance of medical materials to N95 masks. Yes, I worked on some other medical stuff and we’ve managed to get our little man to the point where he can tolerate most portions of a primary care medical exam, there wasn’t time for me to work on everything so I focused the least on dental tools.

When our son went in for his general anesthesia dental procedure earlier this month, 4 people had to hold him down for the gas mask portion while he was put to sleep. And it was just like shards of glass to my emotions to see how scared he was, to know that was necessary.

So, I decided we were going to do something about it as his therapy hours no longer need to be focused as intensely on school readiness. I ordered two types of facial masks for distributing gases. I ordered some dental xray clips. Because I don’t have enough money for actual sensors, I decided I was going to use Laffy Taffy on the clips because they are roughly the same size and already covered in a plastic casing that might approximate the sensation of a sensor cover.

For the masks, a couple of weeks ago I started out with him sitting in a chair and just touching the mask to his face and then I would pull it right back off. Then I advanced to a few seconds when he was tolerating that well. Then I asked him to lay down in a specific area before applying the mask. Once he was tolerating it for about 15 seconds, I started rubbing lavender oil in the top portion of the mask to acclimate him to the presence of smells with these masks. For the x-ray clips, because those just arrived recently, we’re at just tolerating a couple seconds in his mouth. I’ll need to work on him not moving his head with those. And I’ve increased the frequency we do dental tool work and have added a bright light above him component. And, when we go in for his next 6 month visual check up, I am going to bring my masks from home so that we can practice in the dental exam chair because I am certainly not going to expect them to dirty their own, since it will certainly be beneficial to have him practice in the dentist’s office itself.

This is often an invisible cost of trying to help an individual with profound sensory differences adjust to common medical or dental procedures, the supplies needed to practice and increase tolerance with. Insurance doesn’t pay for it. The company who makes sure I’m compliant with DDD regulations in my habilitation therapy doesn’t pay for it. So if I want to help my son (and therefore me) be less traumatized by future dental experiences involving anesthesia and maybe some day no longer need that even, we have to find a way to pay for anything that might be necessary to do so.

And then of course there’s the time spent doing this. It’s taken years for me to get our son to the point where he can sit through an electric blood pressure reading. Years. But now he can and he’s no longer terrified by it.

So, I think it’s worth it. For every little thing that no longer brings him trauma to experience, that’s one less piece of my heart that needs to be found and glued back together. One less scary memory or experience for him. And a future of medical moments that are easier for everybody involved. So I spend the time and I spend the money because I have hope next time he won’t need to be held down if I do all of this, because I have seen what hope has done and what hope can do.

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It Takes A Team

Practicing walking in a line with his dad as the line leader during habilitation therapy, the ace bandage was part of a therapy tolerance of stimuli task, no injury present. Photos by Ariana.

Even though I am working with Tony on his tolerance of the school environment and the behavioral skills requisite directly during the two hours he’s currently at the school itself, I am also needing to do other things outside of school to promote the best outcomes.

As his habilitative therapist, we are practicing skills such as walking in a line and answering attendance questions. As his mom, I recognize the school budgets are limited and that if my kiddo needs a body sock in that environment to help support his sensory needs, I have to make sure one we have paid for goes in with him so that it’s available.

For a kiddo whose needs require a level of support akin to what is being given with Tony, it takes a team to support a transition into the school environment. I personally am filling three of those team roles: mom, habilitative therapist, and one-to-one instructional aide. So, that means that by default I talk the most about what I am doing. But there are other team players involved, and the successes Tony is having are built upon the actions and supports of all of them.

Tony putting a lid on the Play-do nearing 10 minutes calmly participating in art class after spending the first 24 minutes of specials in PE.

His teacher Ms. L has been phenomenally supportive, and though I am not naming her directly on this blog, I want to give a shout out to the level of support she has given. When we discussed that Tony was confused by the rotating weekly specials schedule and that he had a strong preference for PE, she offered to obtain approval for him to attend PE every week as his special. Initially, I had declined that offer because I wanted him to work on maintaining the same schedule we had introduced. But in reflecting about it, I realized I had been given a choice to choose my specials in middle school and so many choices get taken away from individuals like Tony that I felt it was best to ask him what he wanted. So after talking to Tony about it and hearing the response he gave on his speech device (PE all the way), I shared that with her and she got PE for each special approved for him, though Tony often wants to still spend a few minutes in the other specials his class is going to because he’s become accustomed to going to them.

His BCBA, Ms. K, has also given so much assistance and feedback. She was an active participant in the IEP process, and she goes to his school to observe him monthly to provide me with input on how I can provide the best support possible for any behavioral concerns that pop up. Just this week she recommended some stress squeeze toys for Tony to give his hands something else to do that competes with a stimming behavior he has been doing for years that was harmless until he developed the flexibility recently to strike with enough force to bruise his shoulders. The reduction in his attempts to do this was immediate with the introduction of the stress squish toys, and that input from her is going to be especially beneficial in the school environment, where he’s currently more likely to engage in that stim because of all of the additional sensory processing he’s having to do.

Tony himself is part of this team, because he has to make choices to be brave and try new things, to do the tasks that are asked of him, and he gave his feedback certainly about what he wanted to do about his specials (he was so happy when Ms. L said she was going to get approval for him to do so that he gave her a side hug).

And then all of these pieces come back to me again. As his mom, I have to make sure Tony shows up to school and I talk to him about what will be happening in that environment. I have to make sure stress squish toys are purchased and available, and I support their teaching and use in all therapy environments (not just my hab sessions).

But as a team, we are doing it. Tony is doing it, and it is such a joy for me watching him grow into this environment.

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Sight Word Show & Tell

Some day, my son is definitely going to be able to read. He can do a little bit of spelling now using apps, some sight word memory games (where the sight words are turned over and he creates matches from memory). Lately I have been practicing his scanning with him by giving him fields of sight words varying in number (last two sessions were 12-13), putting them on the table in different orders each trial and giving his stack to sort that are arranged in different orders from what is on the table. His average accuracy is around 88% with fields that high, 100% with fields half that size. I switch the words each day, and he’s usually hitting 100% accuracy for even the larger fields by the last trial each day. Sometimes I ask him to give me a certain word when we are cleaning up the cards, and his accuracy goes down to about 70% for that. I’ll still take it, because what it tells me is that he recognizes those words and it’s more than just luck.

As I see it, Tony’s primary motivation for learning how to read is going to be so that he can be more specific in telling us about things he wants because then he’ll be able to select from larger lists of words on his speech device. For the learning part, there still needs to be time with his kindle or candy at the end of any task before he’s willing to do the tasks he needs to learn. He’s still not thrilled to be doing this sort of thing, and we have to start out slow and build up just like everything else or even then he won’t want to cooperate because it feels harder for him to focus for longer periods of time.

But, someday we won’t need that because he will see how it can benefit him more directly, and that is going to be a beautiful day. I put some video clips of recent matching sessions below for those of you who are viewing this on the web page.

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Some Gratitude & Reading

Us, several minutes after we arrived for Tony’s general anesthesia dental procedure, sending Andy a text that we made it safely, photo by Ariana

A Heartfelt Moment Of Gratitude

These are just very heavy times. By the very nature of some of the things a family such as ours can experience, this is not generally a light-hearted blog, the kind that a person would turn to for distractions when the headlines are detailing the stark horrors of wars and death. I promise each of you no drama this week, but rather I will start off with something I am grateful for even in a not so easy circumstance.

Once, several years ago, I wrote in one of my product reviews about the special circle in hell that can await a parent of a disabled kiddo who needs general anesthesia for their dental cleanings or fillings. This is the circle reserved for parents of kiddos with limited impulse control, heavily limited risk assessment, the ability to strategize, and the urge to self-harm when they don’t get their way, who are told they can’t eat or drink for the first 4-5 hours they are awake while they await their check in time and procedure. For Tony, who still needs that type of dental intervention, while thankfully he no longer hits his head, tantrums and attempts to create diversions or push his way to food could still be a very real possibility in that type of scenario, and his overall mood could be either hysterical or combative by the time we arrived under those conditions.

This last Thursday when I showed up to our little man’s pre-anesthesia clearance at his dentist’s, I was over the moon elated to hear that his check-in time was scheduled for 5:40am. And profoundly grateful. Deeply grateful. To our son’s dental team, a million thank you’s for giving us an absolutely heavenly check in time under the circumstances.

Some Thoughts On What I Have Been Reading

Y’all, my will to write any sort of credible and comprehensive review of anything I’ve been reading is more on fall break than I am. I personally still need to do hab therapy this week, but the reviews? Uh-uh. Mentally they are frolicking away in the contemplation of spending time watching some Netflix with my honey and some more Nailed It with Hannah.

So. As brief as I possibly can, some of what I have been enjoying lately is a more lengthy visual stroll through more of the books written by Chloe Liese. Thankfully, our local e-library has quite a few of them. What I appreciate is the way she represents neurodivergent characters as romantic leads when she writes about them. I also think by writing about the mental health needs of her leads, it creates this space that tells readers “you are worthy of being seen as a romantic lead and having those needs doesn’t make you less so.” I very much love that! Recently from her, I have finished “Only When It’s Us” and “Always Only You,” and I thought they were both good reads. Quick heads up for my more conservative loved ones, there is possibly a higher level of description as regards to intimate moments than you may be comfortable with, so just heads up, maybe skip the bedroom scenes if you have an interest in trying one of these books.

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To Dream To Find More Of Me

Me, today, Oct 1, 2023. P.S. No poem poaching please. Thanks!

There is so much rushing, so much. My thoughts have always whirled in a rapid-fire dance across my mental stage, but life has become busier even than that. So many appointments, so many therapy sessions, so much school transition work, so much of everything. Sometimes I feel like I am hurled forward so fast I can’t even find myself on my own schedule or in my own life. Even when it’s an appointment for myself (like the OB appointment where we discussed alternate treatment options for my uterine lesion and landed on a different treatment plan that was something less invasive than a hysterectomy).

Sometimes I wish I could find the version of myself that gets to do something fun, playful, luxuriously ignorant of a to-do list as I gluttonously squander time on a regular basis.

So yesterday I did that. Mostly. I read. But I still needed to support Emily’s therapy session in terms of being her blocker for the community safety portion (no blocking needed however, our little man was on his very best and most fabulous behavior). And I did some cleaning. I cleaned and straightened a little (maybe way too little), played a little piano. Remembered that I hadn’t come up with a title for my latest poem.

Yeah, it’s still as I’m typing this currently an “untitled by Ariana” poem.

It is the hush, the pale

the frosted heart’s cry.

And in the silence a seed

that grows to only dream

to breath, to live,

to break upon the fire.

To the loneliness self-wed

a veil of ashes hones

the desires that screaming conspire

to fit the ring to bone.

I still don’t have time to title it. There it sits, as I type this feeling the urgency of getting out to our next therapy task that is currently tapping on my mental schedule, reminding me it’s filled the next slot on that dance card. And on it goes, on and on. But I still did my make up, had to ignore some other pressing thing to be done just to take that little bit of time for me, to dream and to believe that soon I can find more of me inked into my schedule for more than just medical appointments or makeup.