Reply to 15yo DD w/ASD – Meltdowns at Home and in Public

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[quote=Anonymous]
DD is 15, diagnosed at 7, also with Inattentive ADHD. She has significant meltdowns at home, sometimes in public, and now at school. The meltdowns involve yelling, screaming, and hitting. At home she may throw things. In public, she may yell, refuse to leave, stay seated, or sit on the floor and not move.

Example: we went to brunch last weekend. She loved the restaurant and wanted to stay longer. We gave reminders that we’d be leaving at closing and did stay until they were closing, cause she loved it so much, even she wasn’t happy about going there at first. When it was actually time to go, she refused to leave and it escalated while staff were trying to shut down. She remained sated and would not get up despite repeated prompts. Eventually she calmed down enough to walk out. Another time in a store, she refused to leave and we ended up staying an extra 30 minutes until she settled. It’s really disruptive when she refuses to leave public places — what can we do in these situations?

More concerning, she recently had a meltdown at school and damaged her chair at school. We preview plans, give countdowns, and practice coping tools, but in the moment she can’t access them. We’ve tried a lot over the years, including different medications, but none seem to help.

We’re looking for strategies that actually work for a teen with ASD1 who has meltdowns that can turn physical or disruptive.

For parents of kids with similar issues - 
*Did it improve with age?
*What actually helps (therapy type, meds, parent training, specific programs)?

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