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Transcript
Hidden Signs of Autism
INTRODUCTION TO AUTISM SPECTRUM
DISORDERS
COURTNEY M. THAMES, M.ED, BCBA
DIRECTOR OF APPLIED BEHAVIOR ANALYSIS
TRIDENT ACADEMY
Causes of Autism
 Current research links autism to biological or
neurological differences in the brain
 Scans such as the MRI (Magnetic Resonance
Imaging) and PET (Positron Emission Tomography)
show abnormalities in the structure of the brain,
with significant differences within the cerebellum
 In some families there appears to be a pattern of
autism or related disabilities. This suggests there is a
genetic influence.
Autism is NOT…
 A mental illness
 Caused by bad parenting
 Children with autism are not unruly kids who choose
not to behave
 Caused by psychological factors in a developing brain
Diagnosing Autism
 Typically, diagnosis occurs in two stages
 The first stage involves general developmental screening
during regular well-child checkups with a pediatrician.
Children who show some developmental problems during a
checkup are referred for additional evaluation.
 The second stage involves a thorough evaluation by a team of
doctors with a wide range of specialties.
 Children with ASD can typically be diagnosed by age 2,
though recent research suggests that some screening tests can
be helpful at as early as 18 months or younger.
 The earlier the disorder is diagnosed, the sooner specific
interventions may begin. Early intervention can reduce or
prevent the more severe disabilities associated with ASD.
Early intervention may also improve your child’s IQ,
language, and everyday functional skills.
Diagnosing Autism, Cont.
 Because ASD is a complex disorder that sometimes
coexists with other syndromes or learning disorders,
the comprehensive evaluation may include brain
imaging and gene tests, along with in-depth memory,
problem solving, and language testing. Children with
any delayed development should also get a hearing
test as part of the comprehensive evaluation.
 A team that includes a psychologist, a neurologist, a
psychiatrist, a speech therapist, or other
professionals experienced in diagnosing ASD may do
this evaluation.
Symptoms of Autism
 Children with autism may appear relatively normal in
their development until the age of 24 to 30 months, when
parents notice delays in language, play or social
interaction. The range of symptoms and degree of
severity will be different in each person.
 People with autism are more likely to have other
disorders that affect the functioning of the brain, such as
epilepsy, intellectual disability, or genetic disorders like
Fragile X syndrome. Approximately 25 to 30 percent may
develop seizures at some time during their lives. There is
no single seizure profile for individuals with autism.
Communication Skills
 Language develops slowly or not at all
 Use of words without attaching the usual meaning to
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them
Communicates with gestures instead of words
Short attention span
Echolalia (repeating words or phrases in place of
normal language)
Not responsive to verbal cues; acts as if deaf
Difficulty in expressing needs; uses gestures or
pointing instead of words
Social Interaction
 Spends time alone rather than with others
 Has little interest in making friends
 Less responsive to social cues such as eye contact or
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smiles
Difficulty in mixing with other children
Inappropriate laughing and giggling
Little or no eye contact
Seems to prefer to be alone; aloof manner
May not want cuddling or act cuddly
Sensory Impairment
 Unusual reactions to physical sensations, such as
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being overly sensitive to touch or less than normally
responsive to pain
Sight, hearing, touch, smell and taste may be affected
to lesser or greater degrees
May exhibit self-stimulating behaviors, such as hand
flapping or rocking
May avoid cuddling or may seek it
Apparent insensitivity to pain
Play
 Lack of spontaneous or imaginative play
 Does not imitate the actions of others
 Doesn’t initiate pretend games
 Sustained odd play
 May spin objects inappropriately
 Inappropriate attachment to objects
 Noticeable physical over-activity or extreme under-
activity
Behaviors
 May be overactive or very passive
 Throws frequent tantrums for no apparent reason
 May repeatedly focus on or use a single item, idea,
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person, phrase or word
Apparent lack of common sense
May show aggressive or violent behavior or injure self
Insistence on sameness; resists changes in routine
No real fear of dangers
Unresponsive to normal teaching methods
Uneven gross/fine motor skills (may not kick ball but can
stack blocks)
Myths about Autism
 Children with autism do not make eye contact or smile at

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you
Children with autism do not talk
Children with autism cannot show affection
Children with autism do not participate in physical
affection
People with autism do not want friends
Individuals with autism do not care about peers/adults
Autism can be outgrown
Children and adults with autism cannot learn social skills
Children with autism have no emotions
Autism is rare
Using person first language
 Speak of the person first, then the child’s disability (e.g., a
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child with Down syndrome, instead of the Down syndrome
child).
Emphasize abilities, not limitations (e.g., Cody is a wonderful
artist, instead of Cody uses crutches).
Do not label people as part of a disability group
(e.g., Dorlissa who likes dancing, instead of Dorlissa, the blind
teenager).
Remember that a person is not a condition (e.g., identify
Shelby as Shelby, the 8-year-old, instead of Shelby, the
epileptic).
Don’t give excessive praise or attention to a person with a
disability; don’t patronize them (e.g., Would you want to be
praised for something that you do every day, like go to work?).
Using person first language, cont.
 Avoid treating people with disabilities as if they want to be
the recipients of charity or pity. They want to participate
equally with the rest of the community (e.g., ask Jasper if
he wants to play, instead of saying how sad it is that Jasper
needs help with lots of things).
 Let the person do or speak for herself as much as possible
(e.g., if one child asks why another uses a wheelchair, let
her answer for herself, instead of answering for her).
 Don’t assume that an individual with a disability needs
help. Offer assistance, but wait until your offer is accepted
before you help (e.g., ask an individual with a disability if
he would like you to hold the door open for him, instead of
assuming that he needs you to do it for him).
Thank You!
 If you would like more information on ASD’s,
Behavior Interventions, or a copy of this
presentation, please contact Courtney Thames at
[email protected]