Getting a shot can be tough for any child, and for kids with Autism Spectrum Disorder (ASD), it can feel even more overwhelming. Sensory sensitivities, unfamiliar settings, and new routines make medical procedures especially challenging. But using some simple ABA (Applied Behavior Analysis) strategies can help ease the process and lower anxiety.
Here are some tips based on ABA principles to help make the experience a little smoother before and during the appointment:
Before the Appointment: Prepare with Preventive Strategies
- Gradual Exposure: Start preparing in advance. Practice simple steps at home, like pretending to sit still or touching the arm with a soft object, slowly working up to something that resembles the doctor’s tools, like a cotton swab.
- Visual Schedules: Create a simple, step-by-step schedule or social story explaining what will happen at the doctor’s office. Include pictures to show the order of events, like “first we sit, then the doctor checks, then a quick poke, and we’re done.”
- Modeling: Use videos or have a stuffed animal “get a shot” to show that staying calm is possible. Making the experience feel familiar can go a long way in lowering anxiety.
Build Motivation with Rewards
- Positive Reinforcement: Before the visit, decide on a reward for cooperating through the shot, like a favorite snack or activity. Be clear that they’ll get it once they’re done.
- Token System: You can also use tokens or stickers for each small step, like getting in the car or sitting on the table. When they’ve collected enough tokens, they earn their big reward.
- Practice Coping Skills: Teach relaxation skills like deep breathing or let them hold onto a favorite item. Practice these at home so they’re ready when they feel nervous.
During the Appointment: Keep Calm and Focused
- Immediate Rewards: Right after the shot, give the reward or offer lots of praise to reinforce their bravery. For example, say, “You did it! Here’s your [reward item]!”
- Ignore Minor Behaviors: If they whine or fuss, try to stay calm and avoid giving too much attention to those behaviors. Gently redirect to positive things, like reminding them of their reward or talking about something they like.
- Praise Calm Actions: Celebrate any sign of cooperation, no matter how small. A quick “good job sitting still” encourages more of the same behavior.
Extra Tips for Success
- Practice Patience: It might take a few visits before your child feels comfortable with shots. Start small and build up gradually.
- Stay Consistent: Use the same strategies for each visit, so the process becomes predictable.
- Talk with the Doctor: Let the staff know your child’s needs. Some doctors may allow a little extra time to help your child feel at ease.
ABA strategies can really help reduce stress around shots. But remember, every child is unique, and it may take time to find what works best for your child. For personalized guidance, reach out to your BCBA or ALON Behavior Consulting to tailor techniques for your child’s specific needs.
