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Autism What is it and what do I do? Presented by Denise Dasinger Gadsden City Schools Autism Statistics 1980-1 in every 10,000 births 1990-1 in every 500 births 2000-1 in every 200 births (CDC 200 (CDC 2007) (CDC 2007) Today- 1 in every 150 births (CDC 2007) Autism Is the fastest-growing serious developmental disorder in the United States. Autism A child with autism may initially appear to develop normally. At some point they start showing signs of regression. What role does inheritance play? Recent studies strongly suggest that some people have a genetic predisposition to autism. Researchers are looking for clues about which genes contribute to this increased susceptibility. What role does inheritance play? Evidence also suggests that some emotional disorders, such as manic depression, occur more frequently than average in the families of people with autism. Autism Autism is more common in boys than girls. Basic Criteria for ASD: Early onset (before 3-5 years of age) Severe abnormality of reciprocal Social relatedness Severe abnormality of Communication development Restricted, repetitive and stereotyped patterns of Behavior, interests, activities, and imagination Abnormal responses to sensory stimuli Social Interaction Child spends time alone rather than with others Shows little interest in making friends Less responsive to social cues such as eye contact or smiles Social Interaction Doesn’t point to objects or show them to others Doesn’t make eye contact at appropriate times Doesn’t look at other people’s faces as much Doesn’t respond to facial expressions or body language Social Interaction Doesn’t smile back at others Lack of peer relationships appropriate to age level Less interest in other children Not motivated by praise or physical affection Doesn’t clearly demonstrate sympathy or empathy Play Lack of spontaneous or imaginative play Communication Language develops slowly or not at all Uses words without attaching meaning Communicates with gestures instead of words Short attention span Difficulty initiating conversation Echolalia (repeating words or phrases instead of using normal language) Doesn’t respond to name Doesn’t use or respond to gestures and other nonverbal cues Behaviors Engages in highly repetitive play Child may be overactive or very passive Throws tantrums for no apparent reason Doesn’t respond to name Doesn’t use or respond to gestures and other nonverbal cues Perseverates Lack of common sense May show aggression to others or self Often has difficulty with changes in routine Autism Signs and Symptoms Children with autism and other autism spectrum disorders typically display a range of identifiable symptoms. By being aware of these signs, parents can help spot the disorder at an earlier age, which greatly improves a child’s overall prognosis. The trademark attribute of autism is impaired social interaction. A child dealing with autism may not be able to respond to his or her own name and will in most instances avoid looking at other people altogether. How is autism diagnosed? Autism varies widely in its severity and symptoms and may go unrecognized, especially in mildly affected children or when it is masked by a more debilitating handicap. Doctors rely on a core group of behaviors to alert them to the possibility of a diagnosis of autism. Behaviors used to diagnose ASD Impaired ability to make friends with peers Impaired ability to initiate or sustain a conversation with others Absence or impairment of imaginative and social play Stereotyped, repetitive, or unusual use of language Behaviors used to diagnose ASD Patterns of interest that are abnormal in intensity or focus Preoccupation with certain objects or subjects Inflexible to specific routines or rituals Autism spectrum disorders are part of a category of conditions recognized by the American Psychiatric Association as pervasive developmental disorders (PDD). Autism Spectrum Disorders Asperger Syndrome Pervasive Developmental Disorder Not Otherwise Specified (PDDNOS) Asperger’s Children with autistic behaviors but well-developed language skills are often diagnosed with Asperger’s syndrome. Asperger’s Syndrome Children with Asperger’s Syndrome often have impressive vocabularies and sharp cognitive skills, but display serious difficulties with social interaction. The two hallmark clinical characteristics of Asperger’s Disorder are significant impairment of social interaction and development of restricted or obsessive patterns of interests, activities, and behaviors. No significant delay in language acquisition. Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) Also known as "atypical autism," PDDNOS is a diagnosis given to children who exhibit some symptoms of autism or other pervasive developmental disorder, but do not meet the specific diagnostic criteria for any one disorder in particular. How is autism treated? While there is currently no cure for autism, there are a wide variety of treatments. The ideal treatment plan coordinates therapies and interventions that target the core symptoms of autism. Autism Treatments Behavioral Analysis - ABA TEACCH – UNC Chapel Hill Floortime – Stanley Greenspan PRT-Pivotal Response Treatment RDI – Relationship Development Intervention Emphasizing the SPECTRUM Similar but Different People with ASD differ greatly. They are individuals with unique personalities. No two people with ASD will have the same symptoms. Symptoms will range from mild to severe across individuals. What should professionals in the field be thinking about? At four months, is your child… Following and reacting to bright colors, movement, and objects? Turning towards sound? Showing and interest in watching people’s faces? Smiling back when you smile? The cornerstone of healthy development is social reciprocity – that back and forth, continuous flow of gestures, communication, and play. Significant warning signs of autism. Lack of gestures: pointing, reaching, waving, showing Lack of sharing interest or enjoyment of others Repetitive movement with objects Lack of appropriate eye gaze Lack of response to name (something parents report very frequently) Lack of warm, joyful expressions Unusual prosody (rhythm and intonation of language) Repetitive movements or posturing of the body Source: http://www.medicinenet.com Is Early Intervention Effective? The difference can be dramatic. Today there is tremendous hope for progress. Recent studies suggest one year of early intervention, before the age of five, is equivalent to five years of elementary intervention. An early support system for the child and the family can make all of the difference. The puzzle piece shape is used in symbols relating to autism.