Understanding Ryan

Understanding Ryan

Ryan communicates in many ways – he can say some words, but not very clear.  Sometimes we give him a piece of paper and pen to write down what he wants to say, he would usually try to spell out a word.
Sometimes, we give him our phone or ipad to type it out.  
Ryan had used the Picture Exchange Communication System (PECS) when he was younger.  We now are teaching him to use the App TouchChat, but progress is slow.

Below are the gestures and some of the sounds he makes – and what it all might means:

When Ryan Says: “Gu-gu-gu” and using his index finger to point at you

We Think It Means: He is asking you to come with him, either because you are needed somewhere or he needs to show you something.

You Should Respond: “You want me to come?” Ryan might just repeat and say “come” and follow him.

When Ryan Says: Pointing

We Think It Means: He wants your attention to the area he is pointing at.

You Should Respond: If it's unclear what he wants, ask Ryan “What is it?” He may describe the object by color or shape.

When Ryan Says: Pulling your hand and putting it on a part of his body

We Think It Means: Ryan is telling you he is feeling pain or discomfort at that area.

You Should Respond:
  • “Painful? Painful here.”
  • Say “Ok, I will put cream (or give medicine)”
  • Give charcoal pill if it seems to be a stomach-ache.
When Ryan Says: Holds his head tight with his fingers

We Think It Means: Ryan is telling you he has a headache.

You Should Respond:
  • “You have a headache? Ok, I will give you medicine.”
  • You Should Respond:
  • Check for possible tooth decay if the headache persists.
When Ryan Says: Palm on cheeks, opening mouth in front of mirror to find source of pain

We Think It Means: Discomfort or pain in the mouth.

You Should Respond:
  • Check for ulcer; apply ulcer cream.
  • Ensure Ryan uses sensitive toothpaste if it seems to be teeth sensitivity.
When Ryan Says: “Yee-ya-yee-ya” in a high-pitched voice

We Think It Means: Protesting, a sign of distress.

You Should Respond:
  • Minimize talking and assess the situation.
  • Give him space and adjust demands or tasks if needed.
When Ryan Says: Hovers around you when you are eating

We Think It Means: He wants your food.

You Should Respond:
  • Ask, “What do you want?”
  • Offer a piece but ask him to “get a plate” and say "thank you."
When Ryan Says: Repeating the last word you said many times

We Think It Means: He is protesting; he does not like what you just said.

You Should Respond: Depends on the situation.

When Ryan Says: Repeating the last word you said once

We Think It Means: He is confirming and agreeing with what you just said.

You Should Respond: Depends on the situation.

FAQ on Communicating with Ryan

Ryan will take your hand and put it on where the pain is.

If he has a toothache or ulcer, he will use his fingers to point into the mouth. 

bad toothache – he might be slapping his own cheeks hard.

For ulcer, sometimes he will try to see it in front of the mirror


Headaches – he will grab and squeeze his own head, and sometimes other people’s head.


For sty (eye) – he will keep using finger to lift his eye lids

Ryan can sometimes come to you and say “help me”.

Sometimes he just points to the thing he needs help with. 

 If he knows the word, he will try to say it, but his articulation is not clear.  In such time, give him a pen and paper and see if he could write out the word, or type it out on a device.

We always assume he understands what we are saying.  

So do not talk over him, don’t talk bad about him in front of him.

Give him a pen and paper and he might be able to write it out, or 

Give me a device/phone to type it out.

That could mean he is frustrated with whatever is going on.  Or you could be talking too loud or too much.

No, Ryan does not know how to use the phone.

He does not engage video calls either.

Online learning or video modeling does not work for him.

Ryan probably knows hundred of words, but they are mostly nouns.

We are in the midst of teaching him to combine verbs to nouns to him to express himself.

He does understand verb-noun sentence when he sees them on his visual supports.

We have not figured this out.  He hates it when anyone tries to read his books to him.

Not that we know of.  But we are looking into developing circles of supports for him and also for his siblings.

Message to present and future caregivers
What I want for Ryan’s future

My promise to Ryan
that he will lead a life worth living.

A life that:
“Allows him the maximum level of Choice and Control
His days filled with genuine choices and interests
Has a balance of Work and Play
He is surrounded by people who loves him”

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