Mental Health » Autism

WHAT IS AUTISM?

Autism Spectrum Disorder (ASD) is a complex disorder of very early brain development that is approximately four times more common in boys than girls. Different children can be affected in very different ways, ranging from mild to severe.  It is a condition that affects how a person thinks, feels, interacts with others, and experiences their environment.  Many children may have unusual sensory responses, and may shy away from bright lights or may not notice if their clothes are rough and twisted.  It is a lifelong disability that starts when a person is born and stays with them into old age.

CAUSES OF AUTISM

Both genes and environmental influences are important, and there is also evidence that the autistic brain is wired differently.

Autism can sometimes run in families, indicating that genetics plays a key role in the disorder. Early research into the genetics of autism began with studies of twins, both identical and non-identical. Scientists studied the concordance of autism in these sets of twins – the percentage chance that if one twin had autism, the other would too. They found a significantly higher concordance in identical twins, who have largely identical DNA, suggesting that autism has a genetic basis.

As with genetics, no single environmental factor definitively causes autism. Instead, a range of environmental influences seems to exist. A lack of Vitamin D is just one risk factor, but it can also interact with other environmental variables.  Another environmental risk is viral or bacterial infection of the pregnant mother during the first trimester.  After many thorough studies, vaccines have not been found to be a cause of Autism.

DIAGNOSIS

Diagnosis for Autism is a two-step process: 1) screening, and 2) a comprehensive diagnostic evaluation. A properly conducted screening will determine if a more thorough evaluation for autism is necessary. It will also help identify or rule out any other problems or conditions that may be present, and serves as the necessary first step toward helping your child receive the appropriate treatment. Examples of specialists who conduct developmental screening include neurologists, child psychologists, neuropsychologists, psychiatrists, developmental pediatricians, and speech-language pathologists (SLP).

TREATMENT

Autism is not a narrowly defined disorder. A person diagnosed with autism can be suffering from a variety of symptoms and affects. Due to the various specific types of autism, a single treatment method does not work for all victims. Treatment needs to be created and modified for each individual. Below are listed two of the methods used to treat autism.

Developmental

Providers have found that many children with autism learn best in an environment that builds on their skills and interests while accommodating their special needs. Programs employing a developmental approach provide consistency and structure along with appropriate levels of stimulation.

Behavioral

When people are rewarded for a certain behavior, they are more likely to repeat or continue that behavior. Behavioral training approaches are based on this principle. When children with autism are rewarded each time they attempt or perform a new skill, they are likely to perform it more often. With enough practice, they eventually acquire the skill.

SIGNS & SYMPTOMS OF AUTISM

Social Interaction and Communication

  • May appear not to hear you or fail to respond to their name

  • May have poor eye contact or few facial expressions

  • May not speak, or have delayed or limited speech

  • May have difficulty starting or maintaining a conversation

  • May speak in different tones or rhythms; may use a singsong voice or robot-like speech

  • May repeat words or phrases but have difficulty using them in context

  • May not appear to understand simple questions or directions

  • May have trouble expressing their feelings

  • May have trouble understanding the feelings of others and nonverbal cues, such as facial expressions, body language and tone of voice

Behavior patterns

Children with autism may show repetitive patterns of behavior, interests or activities. These may include:

  • Repetitive movements, such as hand flaps, spinning or rocking

  • Specific routines or rituals that develop over time and may show concern over small changes to these patterns

  • Clumsiness, walking on toes, stiff body language, lack of coordination or odd patterns of movement

  • Sensitivity to light, sound and/or touch but may be indifferent to temperature changes or pain

  • Food preferences, such as only eating certain foods or refusing foods with certain textures

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