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Saturday, February 10, 2018

Recognizing Early Signs of Autism and Planning the Right Support




A word like autism can be a scary prospect for parents. However, with approximately 1 in 68 children having an autism diagnosis, it’s important for parents to educate themselves. If you see the early signs in your child, don’t worry, a bit of planning can go a long way.

Defining Autism

The first thing you need to know about autism is what it is. According to the American Psychological Association, autism is a neurodevelopmental disorder that can be recognized by social communication impairments and repetitive and restrictive patterns concerning behavior, interests, or activities. 

This definition is broad by construction. This is because autism isn’t a singular diagnosis. Rather, the diagnosis is autism spectrum disorder (ASD). In other words, autism exists on a spectrum meaning that individuals with autisms may present very differently from one another.

Autism and Other Problems

Autism can come along with other emotional and behavioral problems that aren’t always at a diagnosable level but are a challenge to an autistic individual all the same. For instance, the same study on autism by the APA noted the following using parent report questionnaires;

     59% of 5-year-olds that place on the spectrum show signs of hyperactivity
     70% of individuals with ASD aged 5 to 17 struggle with emotional problems
     70% of individuals with ASD aged 5 to 17 meet criteria for one psychiatric disorder
     40% of individuals with ASD aged 5 to 17 meet criteria for more than one psychiatric disorder

Individuals with autism are also typically sensitive to sensory input and, as such, sensory overload anxiety is prevalent. While loud noises and bright lights might bother any individual, they will oftentimes affect individuals with ASD with a higher severity. Even smaller sensory inputs such as an itchy tag on a sweater can give someone with ASD severe discomfort and anxiety.

What Are Some of the Signs of Autism?

It’s important for parents to keep an eye out for signs of autism in their children. These include signs of social, cognitive, and communication impairments as well as repetitive behavior patterns. Autism Speaks notes the following as signs of autism;

At 6 months:

     Not many warm and engaging expressions (i.e. big smiles)
     Little to no eye contact.

At 9 months:

     No back-and-forth sounds or responsive expressions

At 12 months:

     Little to no babbling
     Little to no engaging gestures (i.e. waving, pointing, reaching, etc.)
     Little to no response when their name is said or called

At 16 months:

     A lack of one-word phrases used

At 24 months:

     A lack of original two-word phrases (repetition may be present)

There are also a number of signs that might present at any age, such as;

     Lack of eye contact
     Consistent choice of solitude rather than interaction with peers or others
     Trouble understanding others’ emotions
     Delayed development of language or social skills
     Echolalia (repetition of phrases or words)
     Struggle with even minor changes in routines, daily patterns, or surroundings
     A restriction of interests
     Stims (repetitive behaviors such as rocking, spinning, flapping arms, etc.)
     Strong or unusual reactions to sensory input
     Any regression of social or language skills

What Should a Parent Do If They Notice These Signs?

If a parent sees these signs showing up in their young child, they shouldn’t try to make a diagnosis themselves. Instead, they should discuss their concerns with their child’s pediatrician just like any other health issue.

While signs might appear as early as 6 months, most doctors won’t make a diagnosis until the child is at least 18 months to 2 years old.

What Causes Autism?

Right now, there isn’t a factor that can be isolated and pointed out as the cause of ASD. There are signs of a genetic link in autism. It isn’t unheard of or even uncommon for there to be multiple cases of ASD to exist in one family. In fact, if one sibling has ASD, it’s likely that the other one might place on the spectrum as well.

There is a persistent fear in many parents that the vaccinations that children need when they are young might lead to the development of autism. However, this fear is unfounded and even been proved wrong by many scientists.

How Do Parents Plan Going Forward?

After a child is diagnosed, it’s important to come up with a plan to help them have a fulfilling life. In day-to-day life, parents can do things such as communicating with teachers and other guardians as well as developing a routine for their child. There is plenty of research to be found that can help create a guideline and you can tailor these guidelines to your child in particular.

It’s also important to note that the day-to-day plan for your child will probably change over time. Just like any child, they will grow and change over the years and the plan will have to develop with that.

As a parent, there are also certain long-term plans you have to make in the best interest of your child.

First, you will want to consider guardianship which is crucial when your child is young as well as while they transition into adulthood at 18. In addition, though, you will want to name a guardian that can help your child in the case of your passing. If full guardianship isn’t what your adult child needs, having powers of attorney for them might be more appropriate which will allow you to make specific types of decisions for your child such as healthcare or financial decisions.

While it may be a little morbid, it is crucial to plan for your child in the case of your own passing. Choosing a guardian to help your child through this time is a good first step. You may also want to leave a letter of intent as a roadmap for this guardian as well as a will to provide for your child.