Understanding Autism
Autism is not a single disorder, but a spectrum of closely related disorders with a shared core of symptoms. Autism spectrum disorders appear in infancy and early childhood, causing delays in many basic areas of development such as learning to talk, play, and interact with others.
The signs and symptoms of autism vary widely, as do its effects. Some autistic children have only mild impairments, while others have more obstacles to overcome. However, every child on the autism spectrum has problems, at least to some degree, in the following three areas:
Communicating verbally and non-verbally
Relating to others and the world around them
Thinking and behaving flexibly
There are different opinions among doctors, parents, and experts about what causes autism and how best to treat it, and much that we still don’t know. But on one fact, everyone agrees: early and intensive intervention works. For children at risk, it can make all the difference.
Signs and symptoms of Autism
If autism is caught in infancy, treatment can take full advantage of the young brain’s remarkable plasticity. If detected by 18 months of age or even earlier, intensive treatment may even be able to rewire the brain and reverse the symptoms.
The earliest signs of autism involve the absence of normal behaviors—not the presence of abnormal ones—so they can be tough to spot. In some cases, the earliest symptoms of autism are even misinterpreted as signs of a “good baby,” since the infant may be very quiet and undemanding. However, you can catch warning signs early if you know what to look for.
Some autistic infants don't respond to cuddling, reach out to be picked up, or look at their mothers when being fed.
Early signs of autism in babies and toddlers
Doesn’t make eye contact (e.g. look at you when being fed).
Doesn't smile when smiled at.
Doesn't respond to his or her name or to the sound of a familiar voice.
Doesn’t follow objects visually.
Doesn't point or wave goodbye or use other gestures to communicate.
Doesn’t make noises to get your attention.
Doesn’t respond to cuddling.
Doesn’t imitate your movements and facial expressions.
Doesn’t reach out to be picked up.
Doesn’t play with other people or share interest and enjoyment.
The following delays warrant an immediate evaluation by your child’s pediatrician.
By 6 months: No big smiles or other warm, joyful expressions.
By 9 months: No back-and-forth sharing of sounds, smiles, or other facial expressions.
By 12 months: Lack of response to name.
By 12 months: No babbling or “baby talk.”
By 12 months: No back-and-forth gestures, such as pointing, showing, reaching, or waving.
By 16 months: No spoken words.
By 24 months: No meaningful two-word phrases that don’t involve imitating or repeating.
Signs and symptoms of autism in older children
As children get older, the red flags for autism become more diverse. There are many warning signs and symptoms, but they typically revolve around impaired social skills, speech and language difficulties, non-verbal communication difficulties, and inflexible behavior.
Signs and symptoms of social difficulties in autism
Basic social interaction can be difficult for children with autism spectrum disorders. Many kids on the autism spectrum seem to prefer to live in their own little world, aloof and detached from others.
Appears disinterested or unaware of other people or what’s going on around them.
Doesn’t know how to connect with others, play, or make friends.
Prefers not to be touched, held, or cuddled.
Doesn’t play "pretend" games, engage in group games, imitate others, or use toys in creative ways.
Has trouble understanding or talking about feelings.
Doesn’t seem to hear when others talk to him or her.
Doesn't share interests or achievements with others (
drawings, toys).
Signs and symptoms of speech and language difficulties in autism
Children with autism spectrum disorders have difficulty with speech and language. Often, they start talking late.
Speaks in an abnormal tone of voice, or with an odd rhythm or pitch (e.g. ends every sentence as if asking a question).
Repeats the same words or phrases over and over.
Responds to a question by repeating it, rather than answering it.
Refers to themselves in the third person.
Uses language incorrectly (grammatical errors, wrong words).
Has difficulty communicating needs or desires.
Doesn’t understand simple directions, statements, or questions.
Takes what is said too literally (misses undertones of humor, irony, and sarcasm).
Signs and symptoms of nonverbal communication difficulties in autism
Children with autism spectrum disorders have trouble picking up on subtle nonverbal cues and using body language. This makes the "give-and-take" of social interaction very difficult.
Avoids eye contact.
Uses facial expressions that don't match what he or she is saying.
Doesn’t pick up on other people’s facial expressions, tone of voice, and gestures.
Makes very few gestures (such as pointing). May come across as cold or “robot-like.”
Reacts unusually to sights, smells, textures, and sounds.
Abnormal posture, clumsiness, or eccentric ways of moving (e.g. walking exclusively on tiptoe).
Signs and symptoms of inflexibility in autism
Children with autism spectrum disorders are often restricted, inflexible, and even obsessive in their behaviors, activities, and interests.
Follows a rigid routine (e.g. insists on taking a specific route to school)
Has difficulty adapting to any changes in schedule or environment (e.g. throws a tantrum if the furniture is rearranged or bedtime is at a different time than usual).
Unusual attachments to toys or strange objects such as keys, light switches, or rubber bands.
Obsessively lines things up or arranges them in a certain order.
Preoccupation with a narrow topic of interest, often involving numbers or symbols (e.g. memorizing and reciting facts about maps, train schedules, or sports statistics).
Spends hours arranging toys in specific ways, watching moving objects such as a ceiling fan, or focusing on one specific part of an object.
Repeats the same actions or movements over and over again, such as flapping hands, rocking, or twirling (known as self-stimulatory behavior, or “stimming”).
Common self-stimulatory behaviors:
- Hand flapping
- Rocking back and forth
- Spinning in a circle
- Finger flicking
- Head banging
- Staring at lights
- Moving fingers in front of the eyes
- Snapping fingers
- Taping ears
- Scratching
- Lining up toys
- Spinning objects
- Wheel spinning
- Watching moving objects
- Flicking light switches on and off
- Repeating words or noises
No comments:
Post a Comment