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[quote=Anonymous]Do you have a behavioral therapist that you work with?  Putting aside the insurance issue, it seems like a behavioral therapist would be best suited to helping you.
My immediate thoughts are:
 (1) prevent him from making the contact, to the extent possible (e.g., fold your arms up around your chest, turn your back etc.) just to protect yourself from injury; 
(2) divert the hands -- hand him a fidget toy or something else to hold onto; 
(3) give him a different outlet -- he's pinching because he can't do what most kids do, which is to really irritatingly say "Moooooooooommmmmmmm, I want to leeeeeeeeeeeeeeave noooooooooooow."  Is there something else he can do that will express his frustration without hurting you?  Maybe something with his communication device?  
(4) Use the same techniques that parents of verbal kids use when their kids are doing the "Mooooooooooommmmmmmmmm!!!!" trick -- one trick that sometimes works is to say something like:   "I need 2 minutes to talk to your therapist.  Let's set this timer on your watch for 2 minutes, and I promise we will leave when that timer goes off.  If you can be quiet for those 2 minutes, you can pick the music for the ride home."

And just sending lots of sympathy. I think having a child that hurts you physically is one of the toughest things -- we're so conditioned not to put up with physical abuse from anyone, but when it's your kid and they are doing it because of a disability, there's no easy answer.  [/quote]

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