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What is Autism?

 

“Which of these two children is Autistic?”

 

 Autism is a complex developmental disability that typically appears during the first three years of life. The result of a neurological disorder that affects the functioning of the brain, autism impacts the normal development of the brain in the areas of social interaction and communication skills. Children and adults with autism typically have difficulties in verbal and non-verbal communication, social interactions, and leisure or play activities.

Autism is one of five disorders coming under the umbrella of Pervasive Developmental Disorders (PDD), a category of neurological disorders characterized by "severe and pervasive impairment in several areas of development," including social interaction and communications skills (DSM-IV-TR). The five disorders under PDD are Autistic Disorder, Asperger's Disorder, Childhood Disintegrative Disorder (CDD), Rett's Disorder, and PDD-Not Otherwise Specified (PDD-NOS). Each of these disorders has specific diagnostic criteria as outlined by the American Psychiatric Association (APA) in its Diagnostic & Statistical Manual of Mental Disorders (DSM-IV-TR).

Autism is the most common of the Pervasive Developmental Disorders, affecting an estimated 2 to 6 per 1,000 individuals (Centers for Disease Control and Prevention, 2001). This means that as many as 1.5 million Americans today are believed to have some form of autism.

And that number is on the rise. Based on statistics from the U.S. Department of Education and other governmental agencies, autism is growing at a rate of 10-17 percent per year. At these rates, the ASA estimates that the prevalence of autism could reach 4 million Americans in the next decade.

The overall incidence of autism is consistent around the globe, but is four times more prevalent in boys than girls. Autism knows no racial, ethnic, or social boundaries, and family income, lifestyle, and educational levels do not affect the chance of autism's occurrence.


Characteristics

  • Inappropriate laughing or giggling

  • No real fear of dangers

  •  Apparent insensitivity to pain

  • May not want cuddling

  • Sustained unusual or repetitive play; uneven physical or verbal skills

  • May avoid eye contact

  • May prefer to be alone

  • Difficulty in expressing needs; may use gestures

  • Inappropriate attachments to objects

  • Insistence on sameness

  • Echoes words or phrases

  • Inappropriate response or no response to sound

  • Spins objects or self

  • Difficulty interacting with others

  • Tantrums - displays extreme distress for no apparent reason

  • Unresponsive to verbal cues; acts as if they were deaf

  • Uneven gross/fine motor skills (May not want to kick ball but can stack blocks)

 

Intervention Programs

  • Speech Therapy

  • Auditory Integration Therapy

  • Fast Forward  Training

  • Sensory Integration Training

  •  Applied Behavior Analysis (Lovaas)

  • Gluten/Casein Free Diet

  • Facilitated Communication (FC)

  • Picture Exchanges Communication Systems (PECS)

  • Herbal/Vitamins/”Natural”

  • Music Therapy

  • Medications


  Ó2003 CIC-ASA

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