Table of contents for Girls growing up on the autism spectrum : what parents and professionals should know about the pre-teen and teenage years / Shana Nichols, Gina Marie Moravcik, Samara Pulver Tetenbaum.

Bibliographic record and links to related information available from the Library of Congress catalog.

Note: Contents data are machine generated based on pre-publication provided by the publisher. Contents may have variations from the printed book or be incomplete or contain other coding.

Foreword	13
Acknowledgements	14
Author¿s notes	16
Chapter 1 . What do we currently know about girls and women with autism spectrum disorders?	18
Asking the question¿	18
What families have shared	19
What we know and don¿t know about girls with autism spectrum disorders	20
Epidemiology and the puzzle of diagnostic rates	21
Same disorder, different faces? Sex differences in symptom presentation	22
Summary of differences in clinical presentation between girls and boys with ASDs	26
Diagnostic implications of sex differences	28
Interventions and supports	31
What causes sex differences in autism spectrum disorders?	33
Sex differences in other developmental disorders	37
The importance of understanding typical developmental sex differences	38
Clinical programs: Are they out there?	40
A window of knowledge: Personal stories by women with ASDs	41
Routes to a diagnosis for females and their families	44
I¿m still not sure what her diagnosis is¿	46
Resources	48
Chapter 2 . Approaching adolescence: Anticipation, anxiety, adaptation and¿ acceptance?	51
Adolescence: The wild ride	51
Developmental tasks	52
Physical development	53
Social development	55
Personal identity	56
Adolescence x Autism = A2?	60
Specific challenges of adolescence	61
Precocious puberty	61
Seizures	62
Depression	63
Anxiety	64
Body image and disordered eating	67
Hygiene problems	68
Behaviour problems	69
Sexuality and masturbation	71
Your ¿Teaching Toolkit¿: Guidelines and techniques	72
Lessons from Nemo	79
Resources	81
Chapter 3 . Puberty or ¿Do my parents know you¿re here?¿	86
Are you ready?	86
Mixed feelings about the start of puberty	87
Taking the plunge	88
ASDs and adjusting to puberty	89
When does puberty start?	90
Foundational skills	93
Wearing clothes in public places	94
Proper attire	96
Private topics	98
Private behaviours	100
Personal hygiene and grooming	100
Visuals, Visuals, Visuals: Supporting your daughter¿s hygiene and grooming skills	104
Teaching your daughter the ¿why¿ behind personal hygiene	106
Respecting privacy	108
Navigating pubertal change	109
Talking about change	112
Normalizing change	113
Finding teaching materials	114
Managing the locker room	116
Hormones and emotions	119
Resources	121
Chapter 4 . The red spot: Periods, pads and pelvic exams	126
Goal one: Finding your positive tone	127
Overcoming the cultural taboo	128
A happy period	128
How to throw a period party	129
Goal two: Providing accurate information	131
Learning about body parts	133
Explaining menstruation	135
Teaching tips for menstruation	137
Goal three: Practicing skills ahead of time	139
Being attuned to her body	141
Goal four: Preparing for the first period	143
Successful management of menstrual hygiene	144
Cycle awareness	144
Regular menstrual hygiene	146
Prepare yourself, and your daughter for (sigh) PMS	152
The great debate: Pads, tampons, or both?	156
The gynaecological exam	159
Aiming for independence	163
Resources	164
Chapter 5 . Feeling good inside and out: Self-perception and self-confidence	167
Part I: Your daughter¿s external sense of self	168
Body image and physical appearance	169
Issues with eating: From complications to disorders	172
Weight management	176
Fitness and exercise	177
Choosing the right activities: What kind of fitness is best for your daughter?	178
Building a healthy self-image	182
First bras and beyond: The world of intimate wear	183
Getting ready for the first bra	184
Choosing the right bra	185
Why do women have breasts and wear bras?	187
Fun with fashion and personal style	188
What are other girls her age wearing?	189
What does your daughter like to wear?	190
Developing a personal sense of style	196
Part II: Your daughter¿s internal sense of self	198
Creating success experiences	200
Developing independence, self-reliance, and responsibility	201
Promoting self-knowledge and self-awareness (¿Who am I?¿)	203
Developing and expanding your daughter¿s interests	205
Self-regulation and emotional understanding:	207
Fostering mental health	210
Depression	211
Anxiety	212
Self-injury	214
Mental health interventions	215
¿The talk¿: Teaching your daughter about her ASD	218
What having an ASD means to your daughter	221
Self-determination and self-advocacy	221
Disclosure	222
Identification with other girls	223
Parent modelling of self-esteem:	224
Resources	226
Chapter 6 . The social landscape of adolescence: Friendships and social status	231
The age of friendships	231
Encouraging friendships	232
Maintaining friendships	234
Friendships for less verbal girls	235
Understanding friendships and developing friendship skills	238
Standardized assessment of social skills	242
Stages of friendship	244
Sharing and turn taking	248
Be aware of your daughter¿s friendships	249
Emotional communication	250
Popularity and social status	251
Specific challenges for girls with ASDs	253
Relational aggression	253
Possessiveness	256
Talking on the telephone	258
Finding your daughter¿s social compass	261
Resources	263
Chapter 7 . Healthy sexuality for girls with ASDs	266
Defining sexuality: Finding a common meaning	266
Sexual attitudes and values	269
Sexual myths	270
Your roles as a parent	272
Bill of healthy sexuality rights for girls with ASDs	276
Why is sexuality education important for your daughter?	276
Sexuality education for girls with ASDs	278
Challenges faced by girls with ASDs	278
Social challenges	279
Communication challenges	280
Behavioural challenges	280
Sensory challenges	281
Cognitive challenges	282
Mental health challenges	282
What does sexuality look like for typically-developing girls?	283
What does healthy sexuality look like for females with ASDs?	287
Your daughter¿s sexual education plan	289
General guidelines for teaching sexuality	291
How do girls with ASDs learn about sexuality?	292
Creating a basic sexuality education plan	294
Boundaries: personal space, touch, and affection	297
Sexual arousal and masturbation: What¿s normal for your daughter?	303
Communicating with your daughter about arousal and masturbation	304
Difficulties that might arise	306
Romantic feelings and being ¿interested¿ in someone	307
From romantic interest to dating	311
Safe and supported dating	316
What about intercourse and intimate sexual activity?	320
Your school¿s sexuality education curriculum: To participate, or not?	324
Gender identity and sexual orientation	326
How can I support my daughter?	329
Providing reading materials for your daughter	330
Resources	332
Chapter 8 . Keeping girls safe: Promoting personal safety in the real world	338
Abuse and developmental disabilities	339
Abuse and autism spectrum disorders	340
How to keep your daughter safe: Abuse prevention strategies	344
Social skills	345
Social communication	345
Emotional awareness	346
Sexuality education	347
Privacy awareness	348
Personal space, touching rules, and boundaries	348
Permission and ability to say ¿No¿	350
Safety in the curriculum	354
Sexual harassment and bullying at school	355
Harassment prevention strategies for you and your daughter	358
What are the signs of abuse?	358
Building a safety circle	362
Steps to Safe Reporting	363
Reacting to abuse	364
Respecting others¿ boundaries: Keeping your daughter, and others, safe	365
Consent to sexual activity	369
Online safety: Protecting your daughter on the internet	371
Dealing with the dangers of being online	374
What you can do as a parent to keep your daughter safe	377
Resources	381
Chapter 9 . Our Journey: A Mother and her Daughter with Asperger's Syndrome	386
Our Journey ¿ B.D. (¿Before Diagnosis¿)	390
Our Journey ¿ A.D. (¿After Diagnosis¿)	404
Bullying ¿ The Nightmare that was Middle School	409
High School ¿ The Highs, the Lows and the In-Betweens	421
The ¿Here and Now¿	429
Thoughts on Being a Female Adolescent with Asperger¿s Syndrome	431
Thoughts on Being a Mother of an Adolescent Daughter with Asperger¿s Syndrome	432
Conclusion: Embracing change	434
References	437

Library of Congress Subject Headings for this publication:

Autism in children.
Autism in adolescence.
Girls -- Mental health.