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2012年2月26日 星期日

Children With Autism - Recognizing the Signs


1. What is autism?

Autism is considered a spectrum disorder because symptoms and severity vary from individual to individual. Autistic children express differently from each other. Autism is characterized by failure of the child to develop communicative language or form proper social communication. But they show motor and other skills far beyond that of a mentally retarded child.

Autism is characterized by varying degrees of impairment to develop communicative language or form proper social communication. Some of them are obsessively pre occupied with inanimate objects such as lights, running water or spinning objects, and also by repetitive behaviors. Symptoms range from mild to severe. Some of them gradually develop extreme talents such as in mathematics and these are retained mostly throughout the life. Studies of people with autism have found abnormalities in several regions of the brain which suggest that autism results from a disruption of early fetal brain development

There is a milder form of the disorder known as Asperger's Syndrome. Other developmental disorders that fall under the Autism Spectrum Disorders are Rett's Syndrome, PDD-NOS (Pervasive Developmental Disorder, Not Otherwise Specified), and Childhood Disintegrative Disorder. If you have concerns about your child's development, don't wait: speak to your doctor about getting your child screened for autism.

2. What is meant by "On the spectrum"?

Autism is considered a spectrum disorder because symptoms and severity vary from individual to individual. Though the Autistic children show similar traits they are individual and express differently from each other. one child may have not developed speech and have difficulty in learning how to read and write, where as another child can easily read and write and can be attending normal school. Some children may display hypersensitivity to touch noise and other may have no sensory issues at all.

3. How common is autism?

According to the survey by Centers for Disease Control, autism affects as many as 1 in every 100 children and it is rising by 10-15% every year. It is the most prevalent developmental disorder in today's time. Boys are more susceptible than girls to develop Autism but it is seen that girls manifest a more severe form of the disorder that the boys.

4. How do I know my child is Autistic?

No two children with autism are alike, each one managing a different set of symptoms. But there are some signs and symptoms that are common and may be recognized as early as the toddler years, or even sooner. They usually do not have or do not sustain eye contact and have trouble communicating with other people or they may communicate in ways that others cannot easily understand. They may hardly speak and even if they speak it's just babbling and not coherent. They're also prone to repetitive behaviors like flapping their hands constantly or uttering the same phrase over and over again. They may also be over sensitive to sights, sounds and touch.

Criteria for Autism

A total Of 6 or more items of the following with at least 2 from [1], and one each from [2] and [3] are satisfied by the patient:

[1] Qualitative impairment in social interaction:

Marked impairment in facial expression

Failure to develop peer relationships

A lack of spontaneity in sharing interests

Lack of social or emotional reciprocity

[2] Qualitative impairment in communication:

Marked inability to initiate or sustain conversation with others.

[3] Restricted, repetitive and stereotyped pattern of behavior

Encompassing preoccupation with one stereotyped and restricted pattern.

5. How did my child develop autism?

No one is yet able to point to a probable cause. Though a disorder as common as autism would have a known cause, in many ways it's still quite mysteriously not known. Recent studies have suggested a strong genetic basis for autism. There are about 20 sets of genes that may play a part in the development of autism. Genes are not the only one responsible for all the cases; there are other triggers which are yet not discovered.

6. Does vaccination cause autism?

Many studies have been conducted to determine if a link exists between vaccination and increased prevalence of autism, with particular attention to the measles-mumps-rubella (MMR) vaccine and those containing thimerosal. These studies have not found a link between vaccines and autism It remains possible that, in cases, immunization might trigger the onset of autism symptoms in a child with an underlying medical or genetic condition.

As this is a sensitive topic it is best to discuss it with your healthcare provider who will guide you and ensure the optimal well-being of the child. Establishing open communication and trust with a physician who understands each child and his or her family is the best strategy for keeping a child healthy.

7. What help my child needs if He/She is Autistic?

Do not Panic first understand and learn about Autism from the right source that can be your doctor. You will need a good team of doctors, therapists, psychologists and teachers who understand and have experience with autism and can respond to his needs appropriately. Your healthcare provider can guide you toward various intervention programs and suggest complementary therapies. It also helps to associate with the existing network of parents facing the same challenges as you.

8. How to I deal with the diagnosis of Autism?

It is difficult to come to terms with the diagnosis that your child is having Autism but there is always a brighter side to every adversity. As we know the Autistic children have some special capabilities which the normal kids may not process. For e.g. some of the children we saw one was having an extraordinary power to memorize things only after reading once, one of them was brilliant in drawing and another in playing musical instrument. So do not blame your self or feel sad or hopeless. Take the right steps understand the disorder and if take care from your healthcare provider who will guide you with the exact nature of the disorder and how to deal with it. Keep the faith.

9. What therapies do I need for my child with Autism?

There are various therapies that are useful some of them are -

• Speech Language Therapy (SLT)

• Occupational Therapy (OT)

• Sensory Integration

• Physical Therapy (PT)

• Social Skills

• Picture Exchange Communication system

• Auditory Integration Therapy

10. What role Homeopathy plays in Autism?

Homeopathy is a holistic treatment and it plays a vital role in treatment of Autistic children. With the Constitutional Homeopathic treatment we can achieve increased level of concentration, decrease in hyperactivity and channeling of the energy in a constructive method. Homeopathic remedies act at the level of the Psycho Neuro endocrinal axis. Homeopathic treatment is safe and without side effects.

11. Can Autistic children become independent?

Yes Autistic children can become independent with the right intervention programs, therapy and proper care from the early stages once the child is detected with Autism. A sustained effort is needed to achieve the desired outcome from therapy and treatment. As Autistic children are having special capabilities which when nurtured properly can be a great asset in making the individual independent.




Dr Santosh Joshi graduated from the University of Pune India in the year 1999-2000.
With a firm grounding in classical homeopathy and the experience achieved by working with senior Homeopaths. He was an active participant in the seminars organized in Pune during his college years. He has also given case presentation on Homeopathy.He practices Homeopathy in the city of Mumbai India and he treats his global patients via the Online treatment procedure.

You can call him on: +919819155780
Email: tosh116@gmail.com

For more details visit us at: http://www.homeopathyclassical.blogspot.com





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2012年2月3日 星期五

Early Warning Signs of Childhood Apraxia of Speech


Childhood Apraxia of Speech (often abbreviated as CAS) is a somewhat rare speech disorder. It is estimated that 1 in 1,000 children will be diagnosed with apraxia. In comparison, 1 in 150 will be diagnosed with an Autism Spectrum Disorder. Many parents, and indeed doctors, are not aware of what apraxia is, and thus the early warning signs may go unnoticed. Like many other neurological disorders, early treatment is the key to helping your child overcome the difficulties this speech disorder can present.

In medical terms, Childhood Apraxia of Speech is a motor-planning disorder that is characterized by difficulty sequencing the speech movements necessary for volitional speech. In layman's terms, the messages sent by the brain to the muscles and nerves that control voluntary speech get scrambled and the muscles and nerves can't decode them to understand what to do. This is not a speech delay, but a true neurological disorder. It is unclear what causes apraxia, but it appears to be related to immature neurological development, rather than caused by an injury to the brain, such as is seen in stroke patients with apraxia. Though it has been named "childhood" apraxia of speech, it is not strictly a childhood disease. A child diagnosed with apraxia will struggle their entire lives with their speech, though it will probably get easier to speak as they get older.

Many children with Autism, Down Syndrome, and Cerebral Palsy have been diagnosed with CAS, though apraxia does appear in children who have no other disabilities. Common co-morbid conditions include hypotonia (low muscle tone), sensory integrations problems, and language delay. Many older children with apraxia have trouble with reading, writing, and spelling. Because of this, early intervention with speech therapy and occupational therapy is very important for a child's future at school.

While there are some warning signs that are commonly seen in apraxic children, many parents are told by well meaning friends, family, and even pediatricians to "just wait and see." If your child shows several of the warning signs listed below, don't take the wait it out approach. As your pediatrician to refer you to a speech-language pathologist for an evaluation. Early detection and intervention is key for a bright future for your apraxia child. If your child is older and has speech problems, it's never too late to get them evaluated.

Early warning signs:


little or no babbling during infancy
difficulty with nursing or feeding during infancy
few consonants
slow, effortful or halting speech
poor speech intelligibility
difficulty imitating sounds or words
late onset of first words (or "losing" words)
inconsistent or unpredictable speech errors
groping during speech attempts
high frequency of vowel and voicing errors
high receptive language, but low or no expressive language (child understand everything being said, but can't say anything back)
"soft" neurological signs, such as sensory problems, sensitivity to touch, fine motor problems
slow or no progress with traditional speech therapy (apraxic kids benefit from specialized, intensive therapy that isn't necessarily know by all speech-language pathologists)

As the mother of a severely apraxic child, I understand the fear that hearing such a diagnosis can bring. My son is not on the spectrum, nor does he have any other disability (well, he does have minor sensory issues and minor hypotonia). Unless you hear him talk, you would never know that he can't talk. My first thought upon hearing the diagnosis was "Will he ever speak?" You are probably wondering the same thing about your recently diagnosed child. The answer is yes, more than likely your child will speak, especially with early intervention. You child may not speak "normally," he may need to use ASL (as mine does) or a communication device, but he will be able to communicate and lead a pretty typical life. The most important thing a parent can do is recognize the early warnings signs, push your pediatrician or other professional for help, and get involved in your child's treatment. With hard work, and possibly years of therapy, most people will never even know that your child has childhood apraxia of speech.




When my son was diagnosed with Apraxia, he was also diagnosed with Sensory Processing Disorder. I found that having a variety of fidget toys on hand helps his attention and focus tremendously. I've reviewed a variety of sensory toys to help others pick the best fidgets for their kids.





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