By Abbie Rix, M.A., BCBA., LABA
[The column was published in the
West Springfield Republican on March 26th, 2026.]
Serving as a caregiver is a rewarding and meaningful experience, but it can also be stressful and overwhelming at times. Meltdowns can be especially challenging, and parents and caregivers of autistic children may encounter them frequently along with other behaviors that disrupt family routines.
Autistic children may engage in more meltdowns than their peers due to communication challenges, sensory sensitivities like bright lights or strong smells, and difficulty with changes in routine or expectations. To prevent potential meltdowns, some caregivers may avoid taking their child to public places, arrange toys and furniture the way their child prefers, and maintain strict routines to avoid meltdown triggers. This can lead to feelings of isolation and emotional exhaustion. Fortunately, there are several strategies that caregivers can utilize to manage their own stress, which in turn can help them support and guide their child through difficult situations.
Having a reliable support system is essential for parents and caregivers of autistic children. Strong social support provides a safe space to process experiences and emotions. This support may come from a therapist, a family member, friend, other caregivers in online groups, or your child’s school or therapy team. A network of family, friends, and professionals can provide layered support and a community for you to lean on in times of need.
Identifying a hobby can be a helpful stress management tool. Reflect on what brings you joy and consider hobbies that may serve as an outlet during challenging times such as going on walks, reading, or cooking. As a caregiver of an autistic child, finding time to invest in yourself can be difficult. However, you can begin by setting small chunks of time aside to engage in a hobby, perhaps while your child is at school or in therapy, napping, receiving respite care, or engaging in an independent or play activity. Over time, as you notice when your child is most engaged in other activities or with other supports, you can gradually expand the time you dedicate to yourself.
While long-term support is essential, caregivers also need tools they can use in the moment during a meltdown. First, learn to recognize how stress affects you. Signs of stress may include a racing heart, rising body temperature, headaches, anxiety, or irritability. When you begin noticing signs of stress, strategies such as getting a glass of water, deep breathing, or walking away if it is safe to do so may help manage stress.
During a meltdown, caregivers should focus on what is in their control. Once a meltdown has begun, the original trigger is often no longer within your control. However, you can still follow your child’s provider’s recommendations and help meet your child’s immediate needs by guiding them to reach, point, or ask for what they want or need in that moment. If it is unclear what triggered your child, you can offer a bottle of water or a break from any activities at hand. Alternatively, if your child wants something that they cannot have, you can give them a choice between items or activities that they can use instead. For example, you could grab a toy and a snack, hold them in your child’s view, and ask them, “which one would you like?”
There may be times where you cannot identify what triggered a meltdown or how to stop it. During these times, focus on reducing your own stress to better support your child. Box breathing is an effective deep breathing strategy that you can practice anywhere, anytime. Take a deep breath in for four seconds, hold for four, release for four, and hold for four. This can be repeated until signs of stress you are experiencing decrease. If it is safe to do so, find a quiet space to practice box breaths.
Identifying practical stress management tools takes time, and learning to effectively use these strategies in times of need takes practice. Give yourself grace as you identify strategies that work best for you and continue to lean on your support system. When you care for yourself, you are not stepping away from your child’s needs; you are strengthening your ability to meet them.
Abigail Rix, M.A., BCBA, LABA is Senior Program Director of the May Center for Children & Families and the May Center for Early Intervention in West Springfield, Massachusetts. She can be contacted at arix@mayinstitute.org
May Institute is a national leader in applied behavior analysis and evidence-based interdisciplinary care for autistic individuals and those with developmental disabilities, brain injury, and neurobehavioral disorders. Founded over 70 years ago as a nonprofit organization, we provide exceptional educational, clinical, and habilitative services across the lifespan—unlocking potential and empowering individuals and families to thrive. As home to the National Autism Center, May advances the field through research that elevates practice globally. For more information, call 800.778.7601 or visit www.mayinstitute.org.