My Child's Health >> Autism
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Most parents of autistic children suspect that something is wrong by the time the child is 18 months old and seek help by the time the child is age 2. Children with autism typically have difficulties in:
Some children with autism appear normal before age 1 or 2 and then suddenly "regress" and lose language or social skills they had previously gained. This is called the regressive type of autism.
People with autism may:
Communication problems may include:
Response to sensory information:
Autism is a physical condition linked to abnormal biology and chemistry in the brain. The exact causes of these abnormalities remain unknown, but this is a very active area of research. Current research suggests there are probably a combination of factors that lead to Autistic spectrum disorder.
Genetic factors seem to be important. For example, identical twins are much more likely than fraternal twins or siblings to both have autism. Similarly, language abnormalities are more common in relatives of autistic children. Chromosomal abnormalities and other nervous system (neurological) problems are also more common in families with autism.
A number of other possible causes have been suspected, but not proven. They involve:
Autism And Vaccines
Many parents are worried that some vaccines are not safe and may harm their baby or young child. They may ask their doctor or nurse to wait, or even refuse to have the vaccine. However, it is important to also think about the risks of not having the vaccination.
Some people believe that the small amount of mercury (called thimerosal) that is a common preservative in multidose vaccines causes autism or ADHD. However, studies are inconclusive at this time.
The American Academy of Pediatrics, and The Institute of Medicine (IOM) agree that no vaccine or component of any vaccine is responsible for the number of children who are currently being diagnosed with autism. They conclude that the benefits of vaccines outweigh the risks. However, when challenged, they are not willing to take responsibility if an adverse event takes place in your child as a result of the vaccination. In fact, the current law on vaccinations is the manufacturer, the doctors and the nurses who administer the vaccine are not held responsible if an adverse event takes place as a result of the vaccine. Strongly consider this before vaccinating your child.
All of the routine childhood vaccines are available in single-dose forms that do not contain added mercury.
How Many Children Have Autism?
The Centers for Disease Control and Prevention website provides further information. The exact number of children with autism is not known. A report released by the U.S. Centers for Disease Control and Prevention (CDC) suggests that autism and related disorders are more common than previously thought. It is unclear whether this is due to an increasing rate of the illness or an increased ability to diagnose the illness.
Autism affects boys more often than girls. Family income, education, and lifestyle do not seem to affect the risk of autism. Some doctors believe the increased incidence in autism is due to newer definitions of autism. The term "autism" now includes a wider spectrum of children. For example, a child who is diagnosed with high-functioning autism today may have been thought to simply be odd or strange 30 years ago.
Other pervasive developmental disorders include:
Signs and tests
All children should have routine developmental exams done by their pediatrician. Further testing may be needed if the doctor or parents are concerned. This is particularly true if a child fails to meet any of the following language milestones:
These children might receive a hearing evaluation, blood lead test, and screening test for autism (such as the Checklist for Autism in Toddlers [CHAT] or the Autism Screening Questionnaire).
A health care provider experienced in diagnosing and treating autism is usually needed to make the actual diagnosis. Because there is no biological test for autism, the diagnosis will often be based on very specific criteria from a book called the Diagnostic and Statistical Manual IV.
An evaluation of autism will often include a complete physical and nervous system (neurologic) examination. It may also include a specific screening tool, such as:
Children with known or suspected autism will often have genetic testing (looking for chromosome abnormalities) and may have metabolic testing. Autism includes a broad spectrum of symptoms. Therefore, a single, brief evaluation cannot predict a child's true abilities. Ideally, a team of different specialists will evaluate the child. They might evaluate: Communication Language Motor skills Speech Success at school Thinking abilities
Sometimes people are reluctant to have a child diagnosed because of concerns about labeling the child. However, without a diagnosis the child may not get the necessary treatment and services.
An early, intensive, appropriate treatment program will greatly improve the outlook for most young children with autism. Most programs will build on the interests of the child in a highly structured schedule of constructive activities. Visual aids are often helpful.
Treatment is most successful when it is geared toward the child's particular needs. An experienced specialist or team should design the program for the individual child. A variety of therapies are available, including:
Sensory integration and vision therapy are also common, but there is little research supporting their effectiveness. The best treatment plan may use a combination of techniques.
Applied Behavioral Analysis (ABA)
This program is for younger children with an autism spectrum disorder. It can be effective in some cases. ABA uses a one-on-one teaching approach that reinforces the practice of various skills. The goal is to get the child close to normal developmental functioning.
ABA programs are usually done in a child's home under the supervision of a behavioral psychologist. These programs can be very expensive and have not been widely adopted by school systems. Parents often must seek funding and staffing from other sources, which can be hard to find in many communities.
Another program is called the Treatment and Education of Autistic and Related Communication Handicapped Children (TEACCH). TEACCH was developed as a statewide program in North Carolina. It uses picture schedules and other visual cues that help the child work independently and organize and structure their environments.
Though TEACCH tries to improve a child's adaptation and skills, it also accepts the problems associated with autism spectrum disorders. Unlike ABA programs, TEACCH programs do not expect children to achieve typical development with treatment.
Medicines are often used to treat behavior or emotional problems that people with autism may have, including:
Currently, only risperidone is approved to treat children ages 5 - 16 for the irritability and aggression that can occur with autism. Other medicines that may also be used include SSRIs, divalproex sodium and other mood stabilizers, and possibly stimulants such as methylphenidate. There is no medicine that treats the underlying problem of autism.
Some children with autism appear to respond very well to a gluten free and/or casein-free diet. Gluten is found in foods containing wheat, rye, and barley. Casein is found in milk, cheese, and other dairy products. Not all experts agree that dietary changes will make a difference, and not all studies of this method have shown positive results.
If you are considering these or other dietary changes, talk to both a doctor who specializes in the digestive system (gastroenterologist), your Holisitc Chiropractor or a registered dietitian. You want to be sure that the child is still receiving enough calories, nutrients, and a balanced diet.
Beware that there are widely publicized treatments for autism that do not have scientific support, and reports of "miracle cures" that do not live up to expectations. If your child has autism, it may be helpful to talk with other parents of children with autism and autism specialists. Follow the progress of research in this area, which is rapidly developing.
At one time, there was enormous excitement about using secretin infusions. Now, after many studies have been conducted in many laboratories, it's possible that secretin is not effective after all. However, research continues.
For organizations that can provide additional information and help on autism, see Autism Support
Autism remains a challenging condition for children and their families, but the outlook today is much better than it was a generation ago. At that time, most people with autism were placed in institutions.
Today, with the right therapy, many of the symptoms of autism can be improved, though most people will have some symptoms throughout their lives. Most people with autism are able to live with their families or in the community.
The outlook depends on the severity of the autism and the level of therapy the person receives.
Medicines Two Choices for You
Working with a Holistic Chiropractor who is well versed in autism is important. Working in conjunction with your medical doctor, your Holistic Chiropractor can help you develop a well-rounded, multifaceted approach to addressing all the components associated with your child. Help developing a proper diet specific for your child’s needs is vital when supporting your child to get well.
Although autism is different for every child, working with a Holistic Chiropractor who is well versed in autism is important. Working in conjunction with your medical doctor, your Holistic Chiropractor can help you develop a well-rounded, multifaceted approach to addressing all the components associated with your child. Help developing a proper diet specific for your child’s needs is vital when supporting your child to get well.
Autism can be associated with other disorders that affect the brain, such as:
The stresses of dealing with autism can lead to social and emotional complications for family and caregivers, as well as the person with autism.
Calling your health care provider
Parents usually suspect that there is a developmental problem long before a diagnosis is made. Call your health care provider with any concerns about autism or if you think that your child is not developing normally.
The underlying cause of Autistic Spectrum Disorders is still being studied. Currently there are no environmental factors that have been shown to directly cause autism. During pregnancy it is vital to eat a proper diet, minimize exposure to air pollution and other toxic chemicals, and be careful what medications you take. If you are pregnant, or thinking of getting pregnant you should review your medications with your doctor to avoid any side effects.
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Advanced Alternative Medicine Center
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Dr. Richard A. Huntoon