Practical advice on handling Menstruation in a severely autistic female.

Hi,

I'm step mum to Eve, she's 13 and severely autistic with a mental age of 2/3 years.  She had her first period today. She won't allow me to put pads in her pants, tampons not an option.  Any advice?  She's seems generally unaffected, although stood in the bath, naked from the waist down, pointing at the taps after being to the toilet today.  I got a traumatised phone call from her dad - home with her at the time.

She doesn't understand the need for the sanitary pads, or the hygiene required, plus we have the risk of blood smeared walls, door handles, bedding etc since her hands are down there regularly......

Any help gratefully received!

Thanks!

Parents
  • It might be worth trying something that works well with toileting issues. I.E characterise & catroonise the matters to appeal to sense of wonderment and put in place a topography. For instance with toileting the poo becomes the train & the bowl the station. Thus if you can invent the reason why the pad needs to be looked after in 'bed' and kept warm etc until X time and so on. Its a remodelling of the circumstance that puts the process into a framework that gains the type of attention an adaptation required. Therefore your scaffold merely appeals to a sense of a place you know gets a reliable response. When these things work, the sense of play used seems to just obsolete itself & the habits formed just remain. Anyway good luck whatever you find is the solution.

Reply
  • It might be worth trying something that works well with toileting issues. I.E characterise & catroonise the matters to appeal to sense of wonderment and put in place a topography. For instance with toileting the poo becomes the train & the bowl the station. Thus if you can invent the reason why the pad needs to be looked after in 'bed' and kept warm etc until X time and so on. Its a remodelling of the circumstance that puts the process into a framework that gains the type of attention an adaptation required. Therefore your scaffold merely appeals to a sense of a place you know gets a reliable response. When these things work, the sense of play used seems to just obsolete itself & the habits formed just remain. Anyway good luck whatever you find is the solution.

Children
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