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The original was posted on /r/autism by /u/retciga on 2023-08-11 13:51:09.
We've known about my brother (let's call him R) being on the spectrum since he was 5-6 years old and he has been to therapy in different places for long periods of time ever since, although not consistently. I'm not sure if he has mild or severe autism, but he's 16 with the understanding of a 1-2 year old and cannot form coherent sentences (he's not mute, just doesn't know how to speak clearly)
Last year during a visit by my uncle and his little children, R was playing a game on my uncle's iPad, when apparently he just got upset for no reason and threw a very violent fit. He hurt my mom and dad and also almost hit the kids. I wasn't present there but from what I know no one screamed at him nor was there any known trigger.
What we thought was one isolated incident became very frequent over the months to come.
There have been many such incidents since, at least 10, so instead of going into detail about each of them I'll just give some general background:
• Most of the incidents didn't have any obvious trigger. I was certain there will be something and insisted we should look for it. My initial theory was R doesn't like being told what to do, maybe if you call his name and tell him to do something like "come here/eat this" he might or might not get upset and throw a fit. My second theory was he doesn't like going to school (he recently started going to this special school after a year of staying at home) because 3-4 of his fits happened in school, and the teacher had to call us to pick him up. My mom's theory was he acts up because of loud noises, of any kind, they don't necessarily have to be directed towards him. It could be an argument or even a happy cheer.
• At this point we've both been proven wrong. Today R got violent at home again and there was absolutely no argument or loud noise, he hadn't gone to school, we hadn't ask him to do anything. 4-5 months ago we did go to a medical professional who prescribed some kind of syrup with a dose of 10 drops (I'll check which one and update). My parents felt that the medication was working because we went a month without any issues, but then it started again. Every incident is so random and different it's hard to pinpoint why it's happening.
• The fit itself is very, very violent. Although R is skinny, he's a young dude with a tall frame and has hit puberty, so he has abnormal strength which is difficult to control. The 3 of us try to overpower him but he still manages to hurt us in some way. Till now he has scratched us hard enough to make us bleed, twisted my finger so hard it almost broke, and when we immobilize his limbs he uses his head to hit us. He also makes loud noises, is clearly frustrated, and sometimes starts crying (especially when we stop him from hurting us). One time he started crying, and I thought I was hurting him so I let his arm go, but he started hitting us again. It's not hard to deduce that he's very overwhelmed by some emotional or sensory overload, but as a young person myself I've no idea what I can do to help or stop this.
We'll be taking him to a doctor again and try to get to the root of the problem, but I just wanted to share it here and get input from people who have experience dealing with this stuff or have similar stories to share.
P.S. - Sorry for the long read, I don't have a suitable TLDR to provide 😭