There are generally three stages to a meltdown; the build up, the meltdown/shutdown and recovery. This is also known as the anxiety and defensive stage. It usually consists of physical, verbal and behavioural signs. This is the best stage to intervene.
Tantrums, rage and meltdowns can mean different things for different individuals but they usually occur in three stages which are rumble, rage and recovery (diagram below).
Tantrums, rage, and meltdowns (these terms will be used interchangeably) typically occur in three stages that can be of variable length. These stages are (a) the rumbling stage, (b) the rage stage, and (c) the recovery stage (Albert, 1989; Beck, 1987; Myles & Southwick, 2005).
Many autistic people will show signs of distress before having a meltdown, which is sometimes referred to as the “rumble stage”. They may start to exhibit signs of anxiety such as pacing, seek reassurance through repetitive questioning or physical signs such as rocking or becoming very still.
Two types of reaction are typical of autism meltdowns – an explosive reaction or a withdrawal. Explosive reactions may involve screaming, shouting, aggressive behaviour or crying. On the other hand, less explosive reactions may include refusing to communicate or interact, withdrawing themselves or shutting down.
Sensory meltdowns are what I consider to be extreme temper tantrums that have a sensory trigger to them. These typically involve extreme aggressive behaviors (head banging, hand biting, scratching or pushing others), and require a lot of assistance to recover.
They might fall down, act out, cry, swear, scream, throw things, hit themselves or others, run away from you, or bite. Meltdowns can last from minutes to hours. Meltdowns are not your child's way of manipulating you: Meltdowns are emotional explosions. Your child is overloaded and is incapable of rational thinking.
Tantrums may happen in any situation if the child is tired or hungry or bored, but at any situation there is goal for the tantrum! An autistic meltdown, however, is not related to a specific goal but rather caused by too much overload. It shows that the child is not able to handle the situation.
Meltdowns can look like any of these actions: withdrawal (where the person zones out, stares into space, and/or has body parts do repetitive movements) or outward distress (crying uncontrollably, screaming, stomping, curling up into a ball, growling, etc.).
During meltdowns, the emotional part of the brain takes over, and it may be difficult for the individual to listen while they are experiencing it since explanations and logic may not be clearly understood and may add to sensory overload. In these cases, it is best for an individual to self-regulate.
The come down from a meltdown can be very draining. It feels like your body went into fight or flight but it chose both and you just ran for miles beating yourself up along the way. A lot of autistic people are aware their meltdowns may not be so “typical” for most people. They might feel embarrassed at their reaction.
Meltdowns are preceded by signs of distress.
Autistic meltdowns generally begin with warning signals called "rumblings." Rumblings are outward signs of distress that can either be obvious or subtle. Rumblings might start with a verbal plea to "go now" or visually obvious signs of distress such as hands over the ears.
Autistic children and teenagers need support to recognise overwhelmed feelings and know what to do. Help autistic children and teenagers avoid meltdowns by stepping in when they start to get agitated. During a meltdown, stay calm, give children space, avoid saying too much, and wait.
''Autistic burnout is a state of physical and mental fatigue, heightened stress, and diminished capacity to manage life skills, sensory input, and/or social interactions, which comes from years of being severely overtaxed by the strain of trying to live up to demands that are out of sync with our needs.''
Understanding Autistic Overstimulation
This can manifest in a variety of ways, including physical discomfort, anxiety, irritability, or even physical pain. Some common signs of autistic overstimulation include: Covering ears or eyes. Rocking back and forth or other repetitive behaviors.
Young kids, autistic or not, deserve to see that they are loved and cared for even when they are falling apart. Not all kids are able or willing to take comfort in the middle of a meltdown, but staying nearby, acknowledging their feelings, and showing that you care nurtures emotional connection and security.
Autistic burnout vs autistic shutdown
Burnout is related to both shutdowns and meltdowns, but it is different. A meltdown or shutdown is an immediate reaction to stimuli, while burnout is more of an ongoing state.
The silent treatment
When an autistic person goes into shutdown mode, there are a few common signs. These are: Being completely silent. Not being able to communicate in any way.
In fact, research has shown that autism symptoms tend to peak around the ages of 2-3 years old. During this time, children with autism may struggle with language development, social interaction, and behavior. They may have difficulty communicating their needs and understanding the needs of others.
It is the complete loss of emotional control experienced by an autistic person. It doesn't last long but once triggered, there's no stopping it. Meltdowns are emotional avalanches that run their course whether you or the autistic person having it likes it or not.
Nonetheless, medicines such as risperidone and aripiprazole can be beneficial in ways that can ease these core symptoms, because relieving irritability often improves sociability while reducing tantrums, aggressive outbursts and self-injurious behaviors.
Meltdowns can come in the form of physical flailing, withdrawing from spaces and events where their peers are present, yelling, crying, kicking and more. Sensory overload can occur just about anywhere, but especially in newer environments where your child is most sensitive to the sensory information they're receiving.
Sensory sensitivity to noise, lights, crowds, or touch can cause children and adults who have sensory processing disorders to become confused and frightened. The overloaded senses may lead to reactions that parents perceive as behavior problems when they are really just signs of sensory overload.