So here goes, this blog is about the developmental therapy my son has been receiving, or ‘brushing’ as we call it. A family friend who was aware of our struggles with our son’s autism and his challenging behaviour asked if we had heard of ‘Retained Primitive Reflexes’? She gave us a brief explanation which sounded confusing, so I started researching it on the internet.
The friend said you need to look up and get in contact with
Bob Allen, a neuro-developmental therapist who works with children and adults with ‘retained primitive reflexes’ who are showing signs of developmental delay. So we looked up his website. https://www.accesspotential.net/. It really was a revelation and things clicked into place for us.
There are other therapists who offer this therapy and there is the INPP (The Institute for Neuro Physiological Psychology in Chester) they use an exercise programme, but Bob Allen uses skin stimulation/brushing which worked so well for us, as our son was so young he would not have followed instructions and done the exercises.
The friend also said watch this video trailer – ‘Attention Please’, made by a mum who’s child is on the spectrum and was treated by Bob Allen. Its only a trailer not the whole film so might not make total sense. https://atworkfilms.com/attention-please-1 . It was like hearing our own story, we could totally relate.
So here is our story and our journey.
At the time it was a shock to hear about retained primitive reflexes, literally never heard anything about it. Now it seems to make total sense and I can’t believe its not more widely know about. We went with our gut instincts and contacted Bob Allen at Access Potential to enquire about our child and whether it could help. He said it sounded like our child had the pysche (mental age) of an 18 month old, maybe even a 6 month old, based on the behaviours we described over the phone. Although that might have sounded depressing, I was actually so glad that somebody was genuinely getting my son and where he was at. He wasn’t labeling my son. Bob Allen was fully booked so we got an appointment with his colleague Sarah Baker. We had our first appointment 2nd November 2018, when our son was nearly 5 and a half years old. And the therapy and the results have been astounding.
Primitive Reflexes and Retained Reflexes
What are Primitive Reflexes? So as I understand, as babies we are all born with reflexes to help us survive. We should loose or drop these baby/primitive reflexes between 2 months and 2 years old approximately as they have done their job. However if we don’t drop these reflexes, if they are retained they can cause issues with development. If primitive reflexes remain the brain doesn’t seem to develop neurologically as it should, there is developmental delay. And these delays cause challenges, struggles and behaviours that often look like the traits that a lot of children with ASD and ADHD have. Dyslexia, Anxiety, Meltdowns, controlling behaviour, issues reading, poor balance, bed wetting, issues with food, the list goes….
As soon as I read and understood about retained primitive reflexes and the effect they can have neurologically, it made total sense to me about why my child was acting the way he was. He was struggling, stuck in a baby phase. My child had been what I describe as a high needs baby initially, but he had seemed to be developing ok up to about the age of 2 and half years old. He reached all his expected milestones, sat up, crawled, walked and could talk. But then its like he had got a bit stuck, he wasn’t progressing like other children his age, it was subtle at first, some things seemed a bit odd, a bit of struggle but I couldn’t put my finger on it.
When he started pre-school age 3, they raised concerns, I was in denial at first, I didn’t want to label my child. But the subtle signs became more pronounced and obvious as he got older and his behaviours became more challenging. In many ways he seemed so young and immature, we were encouraged by school to try and get a diagnosis for Autism. We started the referal process when he was age 4 and got an ASD diagnosis when he was nearly 6 years old. But mothers instinct,I felt there was more to it than that.
At four years old my son started school, in short he stood out as finding it very challenging, he showed no interest in engaging with his peers or the curriculum. He had issues with settling, communication, interaction, cognition, learning, social interaction, emotions and sensory challenges. In reception the school managed to give him some extra 1-1 support and because it was more play based, he got by. He didn’t display too much challenging behaviour or outbursts, although he only managed part time till lunchtime. But in Y1 things took a turn for the worse. Maybe we rushed him back to quickly after the summer break. But after 3 days he started hitting and kicking teachers and class mates daily and us at home. We reduced his timetable to an hour a day and slowly slowly built it back up over weeks and months. But he still dysregulated and showed physical outbursts everyday. It was very stressful for him and us, it was very draining. He was also hitting us at home and we felt we couldn’t take him out anywhere as it affected every minute of the day, transitions were terrible and he had lots of massive meltdowns. I cannot stress enough how much it took over our lives, it was so dramatic, it was like our beautiful calm happy boy had turned into a ballastic angry scared frustrated wild animal. We tried all sorts of techniques to try to help and calm him but we felt broken and lost and confused, stressed and isolated.
I’m not saying my son isn’t autistic, and to be clear the developmental therapy is not a cure for Autism. My child has various issues, challenges and struggles that the therapy aims to help alleviate. And the therapy has helped alleviate alot of the behaviours that my child was struggling with, the behaviours that went to giving a diagnosis of autism.
But below is a list of behaviours I noticed in my child, that were subtle to start with and then became more obvious.
Concerns/struggles we noticed
- Speech & Communication….
- Early talker – but didn’t develop into having conversations
- Never asked why questions
- Just saying repetitive statements and funny sounds/noises (Echolalia)
- Seemed to be locked in his own world
- Never seemed to notice or comment on the world around him
- Not reading, writing or learning phonics
- Not engaging…
- at school at all
- not playing with toys
- not interested in messy play, crafts or puzzles
- struggling with interaction and being social
- unable to play with other children or make friends
- not sitting still to eat food, messy eater, not using utensils
- Didn’t give affection or say I love you
- Couldn’t cope when he hurt himself – aggressive and physical
- Difficulties expressing, releasing and understanding emotions
- Controlling behaviour
- Hungry alot
- Bad sleeper
- Transitions very difficult and challenging
- Frequent meltdowns – angry and physical behaviour
- Mouthing and licking objects constantly
- Sensitive to noise and busy environments
- Got tired alot, floppy
- Delayed fine motor skills
- Issues with gross motor skills – can’t ride a bike or swim
Starting Therapy
We started the therapy in November 2018, when he was age 5 and 1/4. And now we are in August 2019, our son has just turned 6, he’s had 9 months of therapy so far. We have an appointment every 6 weeks at their office in Windsor. Each appointment costs £110. Sarah tested his reflexes, it was tricky as he was so young and couldn’t really follow instructions. She tested him for the 3 earliest baby reflexes to start with as she didn’t want to overwhelm him, the rooting reflex, the sucking reflex, the moro reflex and said he was showing signs of retaining all 3 of them very strongly. This explains why he was such a dribbly baby for sooooo long and why he still put everything in his mouth all the time!
Brushing exercises
Sarah gave us a set of brushing exercises (skin stimulation exercises) we were told to do on our son morning and night. Brushing gently with a fine paintbrush. First of all down his spine, start at 10 brushes and over the 6 weeks try and build up to 40 brushes. So the brushing is quite a manageable task to do and fit into a daily routine. The brushing does have an affect on the child that we his parents can’t understand. We were told things might flare up and keep her informed if we were concerned. I suppose its like when you have a bad neck and go to the physio, it might get worse or aggravate it before it gets better.
Within the first 6 weeks we noticed a change in our son’s communication. I remember we’d been to a Christmas market, on the way home we went past another market and our son said, “is that the market we were just at?” I can’t tell you what a breakthrough moment that was. He had observed and noticed something and then communicated it to us. First of all he knew and understood we’d been at a market, and secondly he’d seen something similar and linked the two, and thirdly, he was able to communicate this to us. This really was groundbreaking, as normally we would have driven past with no comment. But this dramatic change was evidence the brushing was having an instant effect, it was glaringly obvious to us his parents. Over the following weeks there were many more demonstrations of improving communication. It was like the key to the communication door in our sons brain had been found and unlocked and there was no stopping him now.
I will go into more detail and list entries from my diary below. But below is a list of the overall improvements we have seen in the 9 months. Literally most issues have resolved themselves, the main ones still very noticeable and problematic are, controlling behaviour and social interaction/making friends.
Improvements after 9 months of Therapy
- Communication improved
- Having conversations
- Commenting on the world around him
- Asking questions
- Asking lots and lots of WHY questions!!
- Asking about death
- Drawing a circle
- Drawing a stick man
- Playing with toys and experimenting, role playing, playing by himself up in his bedroom
- Meltdowns greatly reduced
- Transitions nearly 100% better
- Reduction in hitting, kicking & biting
- Not mouthing objects
- Improved eating skills
- Improved fine motor skills, getting dressed, spreading butter on bread, opening bottles
- Starting to be able to express emotions
- Cried tears for first time
- Better able to control himself and his physical outbursts
- Calming down quicker
- Riding a bike (still early stages – but peddled for 20 seconds)
- Learning to swim
- Sat on carpet with class for 5 minutes for first time in 2 years
- Starting to do phonics and learn his letters
- Gone from school not being able to engage him at all, now he can do 20 minutes of phonics
- Completed his first ever task in class, focusing for 5 minutes
If you want to read more about the developments we have seen that I recorded in my journal in more detail please click on the next Therapy Post here
