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RIDE FOR AUTISM |
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About
Autism |
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What is Autism?
Autism is a developmental
disorder that appears in the first 3 years of life, and affects the
brain's normal development of social and communication skills.
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,
although it is unclear if this is due to
an increasing rate of the illness or an
increased ability to diagnose the
illness.
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What are the causes?
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. There are probably a combination of
factors that lead to autism.
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:
- Diet
- Digestive tract changes
- Mercury poisoning
- The body's inability to
properly use vitamins and minerals
- Vaccine sensitivity
Some parents have
heard that the
MMR vaccine
that children receive may cause
autism. This theory was based,
in part, on two facts. First, the
incidence of
autism has increased steadily
since around the same time the MMR
vaccine was introduced. Second, children
with the regressive form of
autism (a type of
autism that develops after a
period of normal development) tend to
start to show symptoms around the time
the MMR vaccine is given. This is likely
a coincidence due to the age of children
at the time they receive this vaccine.
Several major studies have found NO
connection between the vaccine and
autism. The American Academy of
Pediatrics and the Center for Disease
Control and Prevention report that there
is no proven link between
autism and the MMR vaccine, or
any other vaccine.
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.
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Are there different types
of Autism?
Other
pervasive developmental disorders
include:
-
Asperger syndrome
(like autism, but with normal
language development)
-
Rett syndrome
(very different from autism, and
only occurs in females)
-
Childhood disintegrative disorder
(rare condition where a child learns
skills, then loses them by age 10)
-
Pervasive developmental disorder -
not otherwise specified (PDD-NOS),
also called atypical autism.
Symptoms
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 2.
Children with
autism typically have
difficulties in:
-
Pretend play
-
Social interactions
-
Verbal and nonverbal communication
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:
-
Be overly sensitive in sight,
hearing, touch, smell, or taste (for
example, they may refuse to wear
"itchy" clothes and become
distressed if they are forced to
wear the clothes)
-
Have unusual distress when routines
are changed
-
Perform repeated body movements
-
Show unusual attachments to objects
The symptoms may vary from moderate to
severe.
Communication:
-
Cannot start or maintain a social
conversation
-
Communicates with gestures instead
of words
-
Develops language slowly or not at
all
-
Does not adjust gaze to look at
objects that others are looking at
-
Does not refer to self correctly
(for example, says "you want water"
when the child means "I want water")
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Does not point to direct others'
attention to objects (occurs in the
first 14 months of life)
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Repeats words or memorized passages,
such as commercials
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Uses nonsense rhyming
Social interaction:
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Does not make friends
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Does not play interactive games
-
Is withdrawn
-
May not respond to eye contact or
smiles, or may avoid eye contact
-
May treat others as if they are
objects
-
Prefers to spend time alone, rather
than with others
-
Shows a lack of empathy
Response to sensory information:
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Does not startle at loud noises
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Has heightened or low senses of
sight, hearing, touch, smell, or
taste
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May find normal noises painful and
hold hands over ears
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May withdraw from physical contact
because it is overstimulating or
overwhelming
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Rubs surfaces, mouths or licks
objects
-
Seems to have a heightened or low
response to pain
Play:
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Doesn't imitate the actions of
others
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Prefers solitary or ritualistic play
-
Shows little pretend or imaginative
play
Behaviors:
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"Acts up" with intense tantrums
-
Gets stuck on a single topic or task
(perseveration)
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Has a short attention span
-
Has very narrow interests
-
Is overactive or very passive
-
Shows aggression to others or self
-
Shows a strong need for sameness
-
Uses repetitive body movements
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Can Autism be prevented?
Unfortunately, no, it
cannot be prevented or cured. Early diagnosis is critical and may help
maximize an autistic child's ability to speak, learn and function.
Regular visits to a pediatrician can help with early signs and
detection. The earlier treatments can begin, the more effective they
will be. |
Can Autism be treated?
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 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 conducted
within a child's home, under the
supervision of a behavioral
psychologist. Unfortunately, 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.
TEACCH
Another program is called the Treatment
and Education of Autistic and Related
Communication Handicapped Children (TEACCH).
TEACCH, developed as a statewide program
in North Carolina, uses picture
schedules and other visual cues. These
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.
MEDICINE
Medicines are often used to treat
behavior or emotional problems that
people with
autism may have, including:
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Aggression
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Anxiety
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Attention problems
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Extreme compulsions that the child
find impossible to stop
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Hyperactivity
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Impulsiveness
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Irritability
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Mood swings
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Outbursts
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Sleep difficulty
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Tantrums
Currently, only risperidone is approved
for the treatment of children ages 5 -
16 with irritability and aggression
associated with
autism. There is no medicine
that treats the underlying problem of
autism.
DIET
Some children with
autism appear to respond to a
gluten-free 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 reports studying
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) and a registered
dietitian. You want to be sure that the
child is still receiving enough
calories, nutrients, and a balanced
diet.
OTHER APPROACHES
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, and 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, but
research is ongoing.
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What research is being done?
One of the best resources
we've found for autism research would be through Nationwide Children's
Hosptial and IAN (Interactive Autism Network).
Every day
thousands of people from across the country are
coming together through IAN Research, an innovative
online initiative connecting researchers with
individuals and families affected by autism spectrum
disorders (ASD). The information being shared by
those living with an ASD is already helping
researchers discover new insights about the disorder
and is assisting community leaders advocating for
improved services. This dynamic exchange is the
nation’s largest online autism research study and is
making remarkable strides to improve the lives of
individuals and families affected by ASDs. This
collaborative effort strives to accelerate important
breakthroughs about causes, diagnosis, and
treatments which may lead to the discovery of a
possible cure.
Why
participate in IAN Research?
Each year,
many important ASD studies are significantly delayed
or not completed because researchers can not find
enough qualified participants. As a result, valuable
opportunities to learn about ASDs are lost. In the
first year and a half, more than 25,000 people
signed up to participate in IAN Research, and the
results have been dramatic. During this same time
period more than 100 research studies have been able
to move forward using IAN Research.
By providing
basic information on the diagnosis, family
background, home environment, and services received,
you can help researchers, educators, policy makers,
and others better understand the impact of this
puzzling group of disorders. It takes approximately
one to two hours to complete the secure, online
questionnaires, and you can do it as your schedule
allows, without ever leaving home.
We all have
questions. Together we’ll find answers.
Who is
eligible to participate in IAN Research?
All children
(under the age of 18) in the US who have been
diagnosed with an ASD by a professional are eligible
to participate.
- The child
must be enrolled in IAN Research by a biological
or an adoptive parent who is legally authorized
to provide consent. Once a research profile is
created, other eligible family members may
participate, including other biological/adoptive
parents and any full or half-siblings (under the
age of 18).
All adults in
the US who have been diagnosed with an ASD by a
professional are eligible to participate.
- Adults
with an ASD who are able to provide consent for
themselves may create their own research profile
and then add additional eligible family members,
including any biological/adoptive children
(under the age of 18) and any other parents of
these children.
- Adults
with an ASD who are NOT able to provide consent
must be enrolled in IAN Research by a Legally
Authorized Representative. Once a research
profile is created, other eligible family
members may participate, including biological
and/or adoptive parents of the individual with
an ASD.
Which
ASD diagnoses are included in IAN Research?
- Autism or
Autistic Disorder
- Asperger
Syndrome
- Childhood
Disintegrative Disorder (CDD)
- Pervasive
Developmental Disorder-Not Otherwise Specified (PDD-NOS)
- Pervasive
Developmental Disorder (PDD)
- Autism
Spectrum Disorder (ASD)
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