Dr. Susan Diamond

Written by: Dr. Susan Diamond

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Dr. Susan A. Diamond is a nephrologist in San Antonio, Texas and is affiliated with multiple hospitals in the area, including Kindred Hospital-San Antonio and Methodist Hospital-San Antonio. She received her medical degree from University of New Mexico School of Medicine and has been in practice for more than 20 years.

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Routines to Ease Transitions in Your Austin Home

Transitions—moving from one activity or location to another—can be challenging for many children, and especially so for those with autism spectrum disorder (ASD). The unpredictability of these changes, the shift in sensory input, or the need to stop a preferred activity often leads to anxiety, resistance, and challenging behaviors. In Austin homes and beyond, implementing consistent routines and utilizing supportive strategies are effective proactive behavior management techniques to ease these transitions and bring calm to daily life.

The Power of Predictability

The core reason transitions are difficult is a lack of predictability. Children with ASD often rely heavily on routine to feel secure and understand their environment. When a change is unexpected or unclear, their anxiety increases, leading to a need for control or an escape from the situation, which often manifests as a behavioral challenge.

Establishing clear, consistent routines is not about being rigid; it’s about providing a framework that helps the child anticipate what comes next.

Key Strategies for Easing Transitions

  1. Visual Schedules: The Ultimate Predictability Tool

Visual schedules are arguably the most effective tool for making the day predictable. They use pictures, words, or objects to represent a sequence of activities. For a child who may have difficulty processing spoken language, a visual schedule provides a concrete, consistent reference point.

  • Implementation: Create a schedule using images relevant to your child (photos of their actual activities or standardized picture icons). A “first, then” board is a simple starting point, or a vertical strip for a sequence of morning or bedtime tasks.
  • Active Participation: Encourage the child to interact with the schedule—for example, by moving a “done” card to a finished pouch after completing a task. This builds a sense of control and accomplishment.
  • Focus on the Next Few Steps: A schedule for the entire day can be overwhelming. Focus on the immediate future. “Here are the next three things we are doing: breakfast, get dressed, brush teeth.”

2. Pre-Transition Warnings

Giving a warning before a transition is crucial. It provides the child time to process the upcoming change and disengage from their current activity.

  • Verbal Warnings: Start with multiple warnings. “In 10 minutes, we are leaving the park.” Follow up with “5 minutes left” and “1 minute left.”
  • Visual Timers: A visual timer is often more effective than verbal warnings. A sand timer or a clock that shows time visually (e.g., a pie chart that “disappears” as time runs out) makes the passage of time concrete and non-negotiable, removing the parent from being the “bad guy” who ends the fun.
  • Transition Objects/Cues: For younger children or those who are highly engaged in an activity, a physical cue can help. A small, specific object related to the next activity (e.g., bringing their shoes to the playroom 5 minutes before leaving) can signal the change.

3. The “First, Then” Principle and Reinforcement

The Premack principle, commonly known as “first, then,” uses a highly preferred activity as a reward for completing a less preferred one. This makes the transition itself reinforcing.

  • Implementation: “First, put your shoes on. Then, we can go to the library.” or “First, bath time. Then, bedtime story.”
  • Visual Aids: Pair the “first, then” language with visual cards showing the required task first, followed by the rewarding activity.
  • Consistency: Ensure the reward is delivered immediately upon completion of the required task. This consistency builds trust and makes future transitions smoother.

4. Building Positive Transition Routines

Transitions themselves can become a routine. Establishing a specific set of actions that occur every time a change is needed helps the child anticipate the process.

  • Transition Song or Phrase: A catchy song or a consistent phrase like “time to go, ready, set, go!” can signal the change in a predictable, even fun, way.
  • Clear Ending Signals: A clear ending to an activity is important. Saying “all done” while putting an item into a box or turning off a light signals completion before the next activity begins.

5. Making the Next Activity Appealing

If the upcoming activity is viewed as aversive, resistance will be high.

  • “Prime the Pump”: Talk enthusiastically about the next activity. “After we clean up the toys, we get to go get ice cream!”
  • Offer Choices: Giving limited choices provides a sense of control. “Do you want to get in the car now, or in 30 seconds?” or “Do you want to hold my hand or your toy while we walk to the door?”

Long-Term Benefits

Implementing these proactive strategies in Austin homes reduces daily conflict and improves the child’s independence and flexibility over time. By making the world more predictable and teaching the child how to anticipate and manage changes, parents are empowering their children with essential life skills that extend far beyond simply moving from one room to the next.

Medical Disclaimer

This content is for informational purposes only and does not replace professional clinical advice.