Autism Lesson: Early Signs, Treatment, and Awareness

Reviewed by Jenni Jacobsen
Jenni Jacobsen, PhD (Psychology) |
Clinical Psychologist
Review Board Member
Jenni Jacobsen is an Associate Professor and Program Director at Ashland University, possessing a PhD in Clinical Psychology from Northcentral University and an MSW from The Ohio State University. With five years of teaching experience in subjects such as human behavior and abnormal psychology, she brings a wealth of knowledge and expertise to her role.
, PhD (Psychology)
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Lesson Overview

What Is Autism?

Autism, or Autism Spectrum Disorder (ASD), is a complex developmental condition that involves persistent challenges in social interaction, speech, and nonverbal communication, along with restricted/repetitive behaviors. The effects of autism and the severity of symptoms can vary widely across individuals, which is why it is described as a spectrum.

Types of Autism Spectrum Disorders
The term "spectrum" in autism spectrum disorder reflects the wide variation in challenges and strengths possessed by each person with autism.

The types of autism were previously classified as:

  1. Autistic Disorder
    Often called classic autism, this is what most people think of when hearing the word "autism." It includes engagement in repetitive activities and struggles with social interactions and communication.
  2. Asperger Syndrome
    Individuals with Asperger Syndrome typically exhibit milder symptoms that do not affect language or intellectual development. However, they may have difficulties in social interaction and often engage in repetitive routines.
  3. Pervasive Developmental Disorder - Not Otherwise Specified (PDD-NOS)
    Also known as atypical autism, this subtype is diagnosed when the full set of criteria for autistic disorder or Asperger syndrome is not met.

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What Are the Early Signs and Symptoms of Autism?

Autism Spectrum Disorder (ASD) encompasses a range of neurodevelopmental conditions characterized by challenges in social interaction, and communication skills, and a tendency towards repetitive behaviors and restricted interests. Early detection and intervention are critical, as they can significantly improve the child's development and overall quality of life.

Here are detailed descriptions of the early signs and symptoms of autism, organized into three primary categories:

Social Communication and Interaction Challenges

  1. Eye Contact
    Children with autism often struggle with eye contact. They may avoid looking directly at others or fail to maintain eye contact during interactions, which can hinder nonverbal communication.
  2. Speech Development
    Delays in speech development are common. This may manifest as not babbling by the age of 12 months and using few or no words by 16 months. In some cases, children may develop language skills but lose them suddenly (regression).
  3. Understanding Emotions
    Children with ASD may have difficulty recognizing and responding to social cues such as facial expressions and tone of voice. This extends to challenges in understanding other people's emotions and expressing their own, making social interactions more complex.
  4. Response to Social Cues
    There may be apparent indifference to attempts to engage them by others, such as not responding to their name by the age of 12 months or appearing not to hear even though hearing tests are normal.
  5. Gestural Communication
    The use of gestures, such as pointing or waving, is often reduced or absent. These gestures are crucial in non-verbal communication and their absence can signal early stages of autism.

Repetitive Behaviors and Restricted Interests

  1. Repetitive Movements
    Repetitive behaviors such as rocking, spinning, or hand-flapping are indicative of autism. These behaviors might serve as self-stimulation or a way to calm themselves in stressful situations.
  2. Routines and Rituals: Children with autism may require consistent routines and may show significant distress if these routines are altered. This insistence on sameness can affect every aspect of their daily life.
  3. Focused Interests
    Intense preoccupation with specific topics, activities, or objects is common. This might include an unusual focus on parts of objects (like the wheels of a toy car) or extensive knowledge about a particular subject.
  4. Sensory Sensitivity
    Children might exhibit unusual responses to sensory stimuli. This includes over-sensitivity or under-reactivity to sounds, lights, textures, or temperatures. They may also show fascination with lights or spinning objects.

Other Early Signs

  1. Social Imitation
    There is often a noticeable lack of mimicking others' behaviors or engaging in imaginative play. This includes activities like feeding a doll or pretending to be a character, which are typically developed by 18 months.
  2. Communication Nuances
    The tone of voice may lack variation and might sound monotonous or sing-song, which can make their speech patterns distinctive.
  3. Behavioral Challenges
    Some children may exhibit extreme behavior difficulties, such as severe tantrums, aggression, or even self-injurious behavior, which are responses to their heightened frustration or sensory overload.

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Causes and Diagnosis of Autism

The causes of Autism Spectrum Disorder (ASD) are not fully understood, but research indicates that a combination of genetic, biological, and environmental factors contributes to its development.

Here are some of the key factors believed to influence the likelihood of developing autism

  1. Genetic Factors
    Numerous studies suggest that genetics play a significant role in autism. Variations and mutations in several genes have been linked to the development of ASD. These genetic changes may affect brain development or the way brain cells communicate. In some cases, these genetic factors are inherited, while in others, they occur spontaneously.
  2. Environmental Factors: Various prenatal and perinatal environmental factors may also increase the risk of autism. These can include parental age at conception, complications during birth, and exposures to certain drugs or chemicals during pregnancy. Research is ongoing into how certain environmental exposures, combined with genetic predispositions, might affect the development of ASD.
  3. Neurological Factors: Differences in certain areas of the brain may contribute to the symptoms of autism. Imaging studies have shown variations in brain structure and function, particularly in areas related to communication, emotion regulation, and social behavior.
  4. Biological Factors: Other biological factors, including complications during pregnancy and delivery, prenatal nutrition, and the prenatal environment, can also play roles in the development of ASD. For instance, advanced parental age, low birth weight, and neonatal anemia have all been associated with a higher ASD risk.

Diagnosis of Autism
Diagnosing autism is complex and involves multiple stages of assessment since there is no single test that can diagnose ASD definitively. The diagnosis is typically made based on observed behavior and developmental history.

Here are the steps commonly involved in the diagnostic process

  1. Developmental Screening
    During regular well-child check-ups, doctors might use specific screening tools to assess a child's development. These tools are designed to identify children who might have developmental delays, including autism. If a screening suggests a potential for ASD, a more comprehensive evaluation is recommended.
  2. Comprehensive Diagnostic Evaluation
    This may include a thorough neurological assessment, genetic testing, hearing and vision screening, and other medical testing to rule out other causes of symptoms. It typically involves a team of specialists, which may include a psychologist, neurologist, psychiatrist, speech therapist, and other professionals experienced in diagnosing ASD.
  3. Behavioral Evaluation
    Core to the diagnosis are observations of the child's behavior. This is often conducted using standardized tools that assess a range of developmental areas, including language, social interaction, and behavior patterns typical of autism.
  4. Parental Input
    Interviews with parents or caregivers are crucial to understand the child's developmental history, behavior at home, and family medical history. Parents' observations provide essential insights into how the child interacts in familiar environments.
  5. Continuous Monitoring
    Since ASD symptoms can change over time, ongoing assessment and monitoring are often necessary to adjust educational and behavioral interventions to meet the child's evolving needs.

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What Are the Treatment and Therapy Options for Autism?

Treatment and therapy for Autism Spectrum Disorder (ASD) are tailored to meet the individual needs of each child and often involve a combination of strategies. Early intervention is considered crucial for effective treatment, as it can significantly enhance the child's development and quality of life.

Here is an overview of the primary treatment and therapy options available for autism

Behavioral and Communication Approaches

  1. Applied Behavior Analysis (ABA)
    ABA is one of the most widely used therapies for ASD. It focuses on teaching specific skills and behaviors through reinforcement strategies. Techniques vary but can include Discrete Trial Training (DTT), Pivotal Response Training (PRT), and Early Intensive Behavioral Intervention (EIBI).
  2. Developmental, Individual Differences, Relationship-Based Approach (DIR/Floortime)
    This approach involves meeting children at their developmental level and building upon their strengths. Therapists and parents engage children through play to promote emotional and relational development, which in turn encourages communication and complex thought.
  3. Speech Therapy
    To improve communication skills, speech therapists work to develop the ability to form sounds and construct meaningful language. They also help with using language in more functional and practical ways.
  4. Occupational Therapy
    This therapy helps to solve the issues that interfere with sensory integration or organizational skills. It is aimed at improving sensory-motor skills, and coordination, and helping children perform daily activities independently.

Educational Therapies

  • Specialized Educational Programs
    These programs offer structured educational settings where children with ASD can thrive. Teaching strategies are often tailored to the child's individual learning style, focusing on maximizing their strengths and addressing their challenges.
  • Social Skills Training
    This training is essential for children with autism as it helps them develop the ability to interact more effectively with others. It often involves role-playing or peer-based instructional strategies to enhance social understanding and competence.

Family Therapies

  • Parental Training
    Parents receive training to help them understand their child's condition better, learn strategies to interact, manage behaviors, and teach daily living skills effectively at home.
  • Family Therapy
    Helps family members cope with the challenges of living with a child who has ASD and to build a supportive family environment.

Medications

  • Pharmacological Interventions
    While there are no medications to cure ASD, certain medications can help control symptoms. For example, antipsychotic drugs are used to treat severe behavioral problems; antidepressants may be prescribed for anxiety.

Complementary and Alternative Therapies

  • Dietary Approaches
    Some families choose interventions like gluten-free or casein-free diets in an attempt to reduce symptoms of ASD. The effectiveness of such diets is still a matter of ongoing research and debate.
  • Sensory Integration Therapy
    This therapy can help children with ASD who experience sensory sensitivities cope more effectively with their sensory environment.
  • Animal Therapy
    Activities involving animals, like horseback riding, can sometimes assist in developing coordination and communication skills.

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How Can We Enhance Autism Awareness in Our Community

Here are a few steps by which we can enhance autism awareness in our community

  1. Organize community workshops and seminars to educate people about autism, its symptoms, and the importance of early diagnosis.
  2. Partner with local schools to incorporate autism education into their curriculum, helping students understand and empathize with peers who have autism.
  3. Distribute informational brochures and materials in public libraries, community centers, and clinics to raise awareness and provide valuable resources.
  4. Launch social media campaigns that share facts, stories, and support information related to autism to reach a wider audience.
  5. Host inclusive events, such as autism-friendly movie screenings or quiet hours in museums, that cater to individuals with autism and promote community understanding.
  6. Collaborate with local businesses to create employment opportunities for individuals with autism, highlighting their skills and contributions to society.
  7. Implement sensory-friendly environments in public spaces to make community areas more accessible and comfortable for those with sensory sensitivities.
  8. Encourage local media outlets to feature stories about individuals with autism and their families to increase visibility and reduce stigma.
  9. Provide training for emergency responders and public service workers on how to interact effectively and compassionately with individuals who have autism.
  10. Establish support groups for families affected by autism to share experiences, and resources, and foster a supportive community network.

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Conclusion

In our lesson about autism, we discovered that it's not just a condition, but a different way of being that deserves our understanding and acceptance. Autism is a complex and unique experience, and autistic individuals can bring a lot of creativity and innovation to the world.

As students, it's important to remember that everyone deserves respect and kindness, no matter how they learn or communicate. By learning about autism and embracing diversity, you can be part of making our world a better and more inclusive place for everyone.

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