autism and routines

Understanding Routine in Autism

  • Routine does not merely mean a strict schedule or fixed habits; it embodies the concepts of:

    • Predictability: The need for expected and consistent situations.

    • Familiarity: The comfort derived from known routines and habits.

DSM-5 Criteria and Routine

  • According to DSM-5 criteria, a central aspect of autism includes a need for repetition.

  • Examples illustrating routine include:

    • Consistent Meal Choices: Ordering the same Pad Thai at a favorite restaurant demonstrates routine.

    • Music Preferences: Repeatedly playing a beloved song.

    • Study Habits: Sitting in the same library seat when studying.

    • Paths Taken: Walking the same route on daily walks.

    • Breakfast Choices: Eating the same breakfast every day.

    • Regular Activities: Participating in the same weekly events, like a Saturday morning visit to a particular location.

    • Comfort Shows: Watching the same TV shows repeatedly for comfort.

    • Shopping Habits: Buying the same clothes that evoke familiarity.

    • Sensory Preferences: Consistently using the same cup due to sensory comfort.

Discomfort in Unfamiliar Situations

  • Discomfort when faced with unfamiliar activities can also categorize under routine, including:

    • Discontent with Seating Changes: Feeling uneasy when sitting in a different spot.

    • Surprise Parties: Dreading unexpected social gatherings.

    • New Food Variations: Anxiety over changes in favorite food products.

    • Changes in Routine: Feeling upset when usual routines are interrupted.

    • New Experiences: Anxiety before visiting a new restaurant or a medical practice.

The Misconception about Autism and Routine

  • Individuals may erroneously believe:

    • They are not autistic if they do not have rigid routines.

    • Routines must be inflexible to meet diagnostic criteria.

  • It's important to recognize that:

    • Autism is associated with the degree of comfort and predictability rather than strict adherence to routine.

Coping with Unpredictability

  • Reflect on personal responses to unpredictability:

    • Seeking Familiarity: Consider how often you rely on familiar activities, meals, or places.

    • Comfort Levels: Note that the comfort derived from familiar routines may be significantly heightened for autistic individuals compared to neurotypical people.

Conclusion

  • Recognizing the nuances in routine and predictability can help clarify misunderstandings regarding autism.

  • Be aware of the DSM-5 criteria, especially criterion b2, which addresses routine and rigidity issues.

  • Continuous dialogue about the complexity of autism assessment is necessary, as current definitions can be inadequate.