What is the DSM-V? The Diagnostic and Statistical Manual of Mental Disorders (fifth edition) which was just revised in 2013 and written by the American Psychiatric Association. The diagnostic criteria for Autism Spectrum Disorder (ASD) has been modified based on the research literature and clinical experience in the 19 years since the DSM-IV was published in 1994. It is important for teachers to know this because the DSM-5 is used in part, to determine ASD diagnosis and eligibility.
Here is a quote from the DSM-5 to further describe what the DSM-5 is:
“The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) is a classification of mental disorders with associated criteria designed to facilitate more reliable diagnoses of these disorders….
DSM is intended to serve as a practical, functional, and flexible guide for organizing information that can aid in the accurate diagnosis and treatment of mental disorders. It is a tool for clinicians, an essential educational resource for students and practitioners, and a reference for researchers in the field.”
Here are the major changes from DSM 4 to DSM 5 in the area of autism:
The APA has gotten rid of the sub-categories Pervasive Developmental Disorder (PDD), Rett’s Syndrome and Childhood disintegrative disorder and replaced it with Autism Spectrum Disorder (ASD).
Another huge difference is that Asperger’s Syndrome has been removed from the DSM-5. It has been replaced with the term ASD level 1 without language or intellectual impairment. Most professionals are still referring to Asperger’s Syndrome in describing the disability because the term is widely used and understood in the general public.
The new diagnostic criteria for ASD have been rearranged into two areas: 1) social communication/interaction, and 2) restricted and repetitive behaviors. The diagnosis will be based on symptoms, currently or by history, in these two areas.
DSM-5 has also added a category under restricted, repetitive patterns of behavior, interest or activities called hyper or hypo-reactivity to sensory input or unusual interest in sensory aspects of the environment.
Symptoms must be present in early childhood but may not become fully manifest until social demands exceed capacities. Symptoms need to be functionally impairing and not better described by another DSM-5 diagnosis.
Symptom severity for each of the two areas of diagnostic criteria is now defined. It is based on the level of support required for those symptoms and reflects the impact of co-occurring specifier such as intellectual disabilities, language impairment, medical diagnoses and other behavioral health diagnoses.
The DSM-5 includes a new diagnostic category of Social Communication Disorder that describes children with social difficulty and pragmatic language differences that impact comprehension, production and awareness in conversation that is not caused by delayed cognition or other language delays. This diagnosis looks a lot like Asperger’s Syndrome to most professionals.
Hopefully this brief overview of the changes was helpful for teachers and parents who are on the diagnois journey.
Building resilience for children who are experiencing bullying or have Adverse Childhood Experiences (ACES): When students are being bullied, they are more likely to experience:
Depression and anxiety. Signs of these include increased feelings of sadness and loneliness, changes in sleep and eating patterns, and loss of interest in activities they used to enjoy. These issues may persist into adulthood.
Creating Resilience– Focusing on gratitude Cultivate Gratitude For Students With ACES for what you have in your life has been proven to support students with ACES. Educators and parents can help young children focus on the support they already have in their lives. Here are two ideas to promote resilience in the home and in the classroom:
At home support: Heart Garland of Love and Support:
Hang a heart garland showing the names of people who care about the child where they can see it every day. We created it together and I allowed him to brainstorm the people in his life who care about him. He came up with 4 close family members and one teacher from his school. Every day when we wakes up and before he goes to bed, the garland acts as a visual reminder to focus on the people who have his back and care about him.
Alternative Ideas: For children who can’t read yet, you can put small pictures of the people. Gratitude: Each heart can contain one word signifying what the child is grateful for or positive core qualities the person possesses.
In School Support: Lace Up Your Best Personal Qualities Art Activity
One of my students at SOU created this fun classroom art activity for students to identify 5 things they notice about their peers that are great or positive. Each student in class has a shoe and the “laces” have a word or something positive about each student in class. Some examples of positive words include “reliable, kind, outgoing and good friend”
What are some ways you provide emotional support for students who are bullied or have ACES?
Transitions are when a student moves from one activity to another in the classroom. Going from small group work time to large group work, lining up for lunch, going home and going to P.E. are all examples of transitions.
Transitions are commonly a time when children who experience autism struggle. Wait time, uncertainty, and needing to go from preferred to non-preferred activities all contribute to this breakdown. Staying one step ahead of the curve and supporting the student with autism will help the school day go smoothly. Here are some tips for creating success with transitions during the school day.
Minimize wait time during transitions Hurry up and wait should not be the motto for your transitions. Waiting in line for example can exacerbate anxiety, frustration and uncertainty for students with autism. Continue reading →
All students who experience autism are unique and have their own strengths and needs. Here are 5 common supports for students with autism in the mainstream classroom:
1. Read, understand and implement the student’s accommodations page of their IEP.
As a classroom teacher you will be given a copy of the accommodations page of the IEP. To review what an IEP is please read What is an IEP?. You are responsible for knowing and implementing any and all accommodations on this page in your classroom. Written directions, an outline of the schedule, and short breaks are examples of accommodations. If for some reason you were not given the accommodations page, make sure to reach out to the student’s case manager (special education teacher) to get a copy of this before school starts.
2. Work closely with specialists to provide support for the student
Something I love about working in special education is that you always have a team of people working to support the student. You are never alone! Reach out to any and all of the specialists who are on your student’s team. The student’s IEP will outline which specialist he or she has on their IEP team. Examples of specialist include Speech Language Pathologists (SLP), Occupational Therapists (OT) and Physical Therapists (PT).
It’s finally summer break and now it is time to turn the attention back to ourselves as teachers. Summer break is a time to rest, recuperate and re-charge our batteries. If you just graduated, and will have your first teaching job in the fall, the summer is also a good time to prepare and start getting to know your teaching team.
Physically write down your goals and intentions. Huffington Post has an article that backs up the importance of writing down goals.
“You become 42% more likely to achieve your goals and dreams, simply by writing them down on a regular basis.”
I created a downloadable summer re-charge worksheet to write down your summer intentions so you can balance self-care, preperation and summer learning to get you started in your summer re-charge. Continue reading →
I wanted to share some examples of classroom job charts I have seen out in the field. If you have a great job chart, take a picture and post in the comments. Having examples will help you for when you set up your classroom in the fall. Take pictures of everything now so you will the examples later 5 Things To-Do Before Student Teaching Is Done
This is a 6th grade classroom job board which include the following jobs: Lunch Manager, Custodial, Desk Doctor, Pet Patrol, Materials Manager, Teacher Assistant and Secretary.
What are the benefits of having classroom jobs?
Provides structure for students who benefit from knowing what their role is in class
Creates a sense of community where all learners are committed to the good of the classroom
Encourages students to give back and become helpers
This job chart is from a second grade classroom. Jobs include paper passer, line leader, door holder, flag salute, lunch tub monitor, chair monitor, librarian