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Meltdowns in autistic children and young people: what they are and how to help

Page last updated:
Written by: Lottie Storey
Mental health & addictions writer and therapist
Clinically reviewed by: Dr Catherine Rowlands
Consultant Child and Adolescent Psychiatrist at Priory Hospital Chelmsford

Meltdowns are a sign that an autistic child or young person is overwhelmed by stress or sensory input, dysregulated and has unmet needs. Meltdowns are different from tantrums and aren’t something a person chooses to do.

An autistic child or young person experiencing a meltdown isn’t in control of their response and may find it a frightening experience. It can also be challenging for those around them.

Understanding meltdowns and shutdowns will help you to know how to manage them when they happen and knowing the warning signs may help you provide support before a meltdown develops.

What is a meltdown?

A meltdown is an intense, involuntary response to overwhelming stress or sensory input.

Autistic children and young people may also respond to overwhelming stress or sensory input by shutting down.

Knowing the difference between a meltdown, a shutdown and a tantrum will help you understand what is happening, why it’s happening and what you can do to help.

Definitions of meltdowns, shutdowns and tantrums

Meltdown

An autistic meltdown is an outward expression of inner distress. Signs include shouting, crying or physical movement.

Shutdown

A shutdown is an inward response, which may make it harder to spot. Signs of an autistic shutdown include withdrawal, going quiet or becoming unresponsive.

Tantrums or "just being a child"

Children typically experience tantrums or frustration, often when they don’t get what they want or need but aren’t able to articulate their feelings. Tantrums usually stop soon after needs are met. This isn’t true of meltdowns or shutdowns.

They are all caused by an overwhelmed nervous system. While these may have once been categorised as ‘naughty’ behaviour, modern parenting approaches now view all such behaviour as a form of communication. Tuning into what your child is trying to communicate is key to understanding their needs.

How do I know if this is a meltdown?

There are several signs that can help you to identify a meltdown in the moment. These include physical, emotional and behavioural signs like:

  • Shaking, trying to run away, trying to hide, panting or holding the breath

  • Crying, screaming, shouting

  • Hitting, kicking, throwing things, self-harming behaviour

  • Stimming (rocking, flapping, making noises)

These signs all have loss of control in common and they may seem disproportionate to any external triggers. Meltdowns may not be related to any specific goals or demands, but if they are, the meltdown often may not immediately stop when the demands are met.

Signs of a shutdown are different to a meltdown and may include becoming quiet, withdrawn, numb or unresponsive.

Again, meltdowns are not tantrums. Tantrums are often linked to wanting or avoiding something, or expressing frustration, whereas meltdowns are an involuntary response to overwhelm.

Recognising the signs before a meltdown happens

Meltdowns may feel unpredictable but there are usually early warning signs that you can look out for before a full meltdown develops; this is known as the "rumble stage".

Signs could include pacing, repetitive questioning, becoming very still or increased stimming. Recognising the specific pattern for your child can be helpful as there may be an opportunity to help before things escalate into a full meltdown or shutdown.

Common triggers – and should you avoid them all?

Meltdown triggers vary massively from person to person and it’s usually not as simple as one trigger in isolation causing a meltdown. Instead, triggers often build up until a point of overwhelm.

Here are some of the common triggers to look out for:

Sensory overload

Autistic people may have sensory processing differences, making sounds, lights, smells, textures or touch feel overwhelming. Common triggers include crowded spaces, uncomfortable clothing, sudden noises, strong smells and bright lights. Where possible, reduce these triggers. Sensory aids such as ear defenders, sunglasses or a cap, comfortable clothing and regular breaks from busy environments may also help.

Changes in routine

Changes, transitions and unexpected disruptions can feel overwhelming. Social stories, clear explanations and giving plenty of notice can help make changes feel more predictable and manageable.

Anxiety

Anxiety when you’re autistic can be triggered by uncertainty, social situations or feeling out of control. Clear communication, planning ahead and having back-up plans can help.

Quiet time after social situations may also help reduce anxiety, particularly if someone has been masking.

Communication difficulties

Some autistic people may find it harder to express what they need or how they feel. Regular check-ins and support with emotional literacy can help.

Physically this may be the case too, making it harder to recognise hunger, thirst or other internal sensations. Gentle prompts may help reduce stress and overwhelm.

How to help during a meltdown

Knowing what to do during a meltdown might not be obvious. It’s easy to forget what’s worked before when you’re in the moment.

When things are calm, think back to previous meltdowns and think of practical tips you relied on to help calm the situation and make a note of these to use during the next meltdown. Keep this somewhere obvious and easily accessible, such as a pinned note on your phone.

Practical suggestions for things you can do to help – and what to avoid – include:

Do

  • Safety – keep the child safe by removing anything they might pick up and throw or use to hit themselves with. Remove other children from the vicinity

  • Space – create space around them and keep a little way away if it’s safe to do so

  • Sensory – reduce sensory input by lowering the lights and reducing the volume of any overwhelming sounds

  • Stay calm – keep your voice low and soft and make no sudden movements

  • Short and simple language – if you have to talk, keep it brief

  • Schedule recovery – allow plenty of time to recover. Don’t expect to continue with the day’s plans as usual and, if possible, remove all demands from both yourself and your child

Try not to

  • Talk about consequences in the moment – when the nervous system is overwhelmed, the thinking part of the brain shuts down. It is more useful to have the conversation when the situation has calmed down

  • Match their emotional intensity – this can cause further dysregulation

  • Restrain them, unless safety requires it – this could cause further overwhelm or dysregulation

  • Take it personally – you might be caught in the crossfire, but it’s not a personal attack on you

How long do meltdowns usually last?

Although it will vary according to the person and the situation, most meltdowns are relatively short-lived, lasting minutes rather than hours.

It’s normal for a person recovering from a meltdown to need plenty of quiet time and rest. This may take longer than the meltdown itself. If possible, give yourself some time to unwind and recover too once things have settled.

When a meltdown feels too much to manage

Most meltdowns don't require anything more beyond the suggestions already given.

However, you may wish to seek extra support if meltdowns are very frequent, very intense or you feel unable to keep yourself or the child safe.

If anyone is in immediate danger, contact:

  • Child Autism UK Helpline – dial 01344 882248

  • Your GP

  • Emergency services – dial 999

FAQs about meltdowns

Do autistic adults have meltdowns too?

Yes - autistic adults have meltdowns or shutdowns when they feel overwhelmed or their nervous system is dysregulated.

What's the difference between a meltdown and a shutdown?

A meltdown is an outward expression of distress so you may see some of the signs listed in this article.

A shutdown is an inward expression of distress so it may be less obvious to identify from the outside.

Is it my fault if my child has a meltdown?

No. A meltdown is when your child is managing their overwhelm in the only way they know how. It’s not your fault. There are ways you can support them through this – reading this article is good preparation for when meltdowns happen.

Can meltdowns happen without an obvious trigger?

Yes. A meltdown may happen after stress or overwhelm has built up over time, even when there isn’t an obvious trigger.

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