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Help! My high functioning autistic son is afraid of stairs. We never really encountered many stairs before because we lived in a trailer and his first elementary school was one story. When the district switched him to a three story school in 3rd grade (age eight) he was scared and made them use the elevator. (he is now homeschooled) We purposely bought a one story home because of this. He was doing alright for the most part at age 10. That is until he broke his arm in May age 11 by falling down the stairs at the library. It's been 8 months now and he has meltdowns from this. Saying he feels like he is going to fall through the floor. He refuses to go back upstairs at the library. We've missed out on an earthquake seminar due to his phobia. I tried to use the elevator but it didn't have a railing. I told him this will impact him as an adult if he doesn't figure it out. He said daddy's job doesn't have stairs! He turned 12 in August and I don't see an end in sight.

ALSO: He has been staying overnight at his grandma's every other weekend for 5+ years and this weekend he came home (for the first time ever) saying he is terrified her house is going to slide away.

Recently he will start crying for no reason and says he is sad but doesn't know why. Puberty? Depression? Anxiety? Something else?

Has anyone else dealt with this?

soulless 7 Jan 15
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I would also encourage you to seek the help of a BCBA or related therapist who has a specialization working with individuals with ASD. Seeking advice from non-professionals online about types of interventions that may have worked for other children can be ineffectual or even harmful when tried with your son, especially with improper treatment adherence. If he does not already have a therapist with experience working with children on the spectrum, I would start there.

If you want to do your own research on effective treatments regarding fears and phobias for young people with autism spectrum disorders, there are a number of peer reviewed articles from professional journals that have effective interventions. You can do some reading and become better informed when discussing with his therapist about what would work best for him. I looked up two articles myself to get you started. These are for discussion only.

Research in Autism Spectrum Disorders, Vol 59, pg 58-67 - discusses an effective intervention using flat screen computer-delivered virtual reality and cognitive behavior therapy.

Journal of Applied Behavior Analysis, 2006 Winter, 39(4), pg 445-448 - evaluated contact desenstization as intervention for specific phobias where the treatment made access to preferred objects contingent on gradually increasing approach responses to phobic stimuli.

If you are also looking for parental support groups, there may be one in your area and I would look this up. Parental support groups for children with ASD can be very beneficial in seeing you through this.

hugh Level 5 Jan 15, 2019
1

I can't offer a specific solution the any of the above but it may be helpful to try and understand the underlying reason for the fear or phobia. I have put in a link to the National Autistic Society, based in the UK, which has a terrific array of strategies and suggestions to try and deal with all aspects of sutism. It may give you some ideas and is a great resource generally

[autism.org.uk]

ipdg77 Level 8 Jan 15, 2019

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