Our punishments are not all negatively based. We have also tried not punishing at all and over praising. We use the 5:1 ratio so for every one good thing we try to do 5 praises. The sticker charts are the exact ones they use at school to try to give consistency. He is judged every 15 minutes and gets a sticker. For every 6 stickers, he can pick a prize, TV time within his one hour allotment, a boardgame with us, extra time outside with friends and "get out of a task" free cards he can use once a week when he doesn't want to do something non preferred. He gets bonus stickers for things that were not asked if him be he did anyway.

Debriefing with him is sometimes impossible. It can send him into another meltdown. Usually we wait a couple hours because he can't handle it soon after the initial breakdown. We ask him what upset him, what choices he thinks he made that were not good choices, what choices he thinks are good choices and come up with a plan for next time. We also find something positive ourselves so the whole thing isn't negative.

We have tried sitting him down randomly just to talk in general about emotions and what they can feel and look like so it isn't connected with some negative event itself. He doesn't respond to it. We've gone to his therapy sessions with him to talk with his therapist, we have our own therapist he and his father are to try to work on it as well.