Regular physical aggression, out of the blue

Hi Everyone,

New here. I wondered if anyone out there was as frustrated and worried about this.

My son is 27 and has 'out of the blue' rages for no apparent reason, he becomes very violent, upset and loud. This usually lasts for around 5 - 10 minutes , he cannot explain why or what triggered the behaviours. He is Autistic with moderate learning disability. he is echolalic. His Echolalia and physical aggression have esculated severely over the past few years. We have had tests to rule out any epileptic activity and I am now wondering if Bi Polar or Schizophrenia is an issue for him or any other Autistic adults? I have mentioned Bi Polar to my sons LD Phsychiatrist but this has not been taken any further. My son has had various medications to try to help with the aggressive attacks and is on Sodium Valproate and Risperidone which do not appear to have any effect. It is very upsetting to see him during these ongoing 'attacks' and i do not know of anyone in the same situation. Any advise greatly appreciated.Frown

Parents
  • Just as a matter of personal theory (rather than anything official) look for cumulative factors.

    People look for immediate causes of a meltdown, but apart from his not being able to identify a cause, he may be under long term stress above which quite small things trigger a meltdown ("last straw" - but that's just my theory).

    There may be things he has misunderstood a while back or a sense of grievance at something that he cannot resolve, and he may be going over and over things trying to work it out. There may be multiple long term issues like this. So he ends up using a lot of mental energy trying to sort out problems that NTs might have sorted quickly, or just forgotten about.

    Bear in mind there are people around who, knowing someone is on the spectrum and could get anxious, will feed him misunderstandings just to see his reaction. And he may not appreciate figurative references like "I'll kill you if you don't stop doing that" or "ten years off your life if you tell a tale about someone" (which an irish lady said to me once and it worried me for a decade).

    Lots of little things that an NT would get over quickly can really affect people on the spectrum long term.

    It may be worth making a few gentle enquiries about whether any things are causing him concern that he'd feel he wanted to talk over, or if he won't with you, someone else who he is more likely to open up to. Just telling it to someone may sort out a lot.

Reply
  • Just as a matter of personal theory (rather than anything official) look for cumulative factors.

    People look for immediate causes of a meltdown, but apart from his not being able to identify a cause, he may be under long term stress above which quite small things trigger a meltdown ("last straw" - but that's just my theory).

    There may be things he has misunderstood a while back or a sense of grievance at something that he cannot resolve, and he may be going over and over things trying to work it out. There may be multiple long term issues like this. So he ends up using a lot of mental energy trying to sort out problems that NTs might have sorted quickly, or just forgotten about.

    Bear in mind there are people around who, knowing someone is on the spectrum and could get anxious, will feed him misunderstandings just to see his reaction. And he may not appreciate figurative references like "I'll kill you if you don't stop doing that" or "ten years off your life if you tell a tale about someone" (which an irish lady said to me once and it worried me for a decade).

    Lots of little things that an NT would get over quickly can really affect people on the spectrum long term.

    It may be worth making a few gentle enquiries about whether any things are causing him concern that he'd feel he wanted to talk over, or if he won't with you, someone else who he is more likely to open up to. Just telling it to someone may sort out a lot.

Children
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