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sounds to me like sensory issues also, like he can't handle the sensations of the carseat/car and the lack of control over his situation. You could try doing some preparation beforehand, talking over exactly where you're going, that he's going to be in the seat, so-and-so will be sitting next to him, so-and-so behind him, and you'll be driving... also if there are any smells in the car or if someone will be eating a snack tell him that ahead of time... anything to give him some mental plan which will coincide with actuality and therefore reduce his anxiety...

I've just been reading Judith Bluestone's book, so I'm sounding just like her I know - she thinks a lot of autism and austistic behaviours are sensory related...

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