When told of Kaylia's anxiety attacks, a common response is "what is making her worried?" .... assuming that there must be an external issue that is the source of the anxiety. For a normal person this is a valid question .... but for a person on the spectrum, I think that anxiety is the physical response to a set of emotional or physical triggers .... and many of the triggers are issues that don't register for a normal person .... such as changes in routine. Although repeated changes get to be wearing, we usually take them as not very important. But for Kaylia, a change in routine is a big problem and if it is not be a big source of anxiety, the change in routine must be managed very carefully.
...... or the trigger may be an internal one such as a tummy ache .... or a head ache. For most of us, such a trigger is "just an ache" but for Kaylia, it's a change in her universe that she can't handle .... anxiety!
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