There is considerable overlap among the different forms of autism. The wide variation in symptoms among children with autism, however, has led to the concept of autism spectrum disorder, or ASD.
ASDs affect one out of every 88 children in the U.S.
They occur more often among boys than girls. While autism appears to be
on the rise, it's unclear whether the growing number of diagnoses shows
a real increase or comes from improved detection.
Early diagnosis is important. That's because early
treatment can help a child with autism make significant gains in
language and social skills.
Signs of Autism Spectrum Disorder
Autism spectrum disorders affect three different areas of a child's life:
- Social interaction
- Communication -- both verbal and non verbal
- Behaviors and interests
Each child with an ASD will have his or her own pattern of autism.
Sometimes, a child's development is delayed from
birth. Some children seem to develop normally before they suddenly lose
social or language skills. Others show normal development until they
have enough language to demonstrate unusual thoughts and
preoccupations.
In some children, a loss of language is the major
impairment. In others, unusual behaviors (like spending hours lining up
toys) seem to to be the dominant factors.
Parents are usually the first to notice something is
wrong. But a diagnosis of autism is often delayed. Parents or a
physician may downplay early signs of autism,
suggesting the symptoms are "just a phase" or a sign of a minor delay
in development. Children with a possible autism spectrum disorder,
though, should be evaluated by a professional team with experience in diagnosing autism.
Until recently, the types of ASD have been
determined by guidelines in the diagnostic manual (DSM - IV) of the
American Psychiatric Association. According to the CDC, the three main
types of ASD are:
- Asperger's syndrome
- Pervasive developmental disorder, not otherwise specified (PDD-NOS)
- Autistic disorder
The DSM -IV also included two rare but severe autistic-like conditions -- Rett syndrome and childhood disintegrative disorder.
The new diagnostic manual has made some major
changes in this list of disorders. It's unclear, though, how these
changes will affect the way health professionals define exactly what is
an autistic spectrum disorder.
Asperger's Syndrome
The mildest form of autism, Asperger's syndrome (AS)
affects boys three times more often than girls. Children with AS become
obsessively interested in a single object or topic. They often learn
all about their preferred subject and discuss it nonstop. Their social
skills, however, are markedly impaired, and they are often awkward and
uncoordinated.
Asperger's syndrome is mild compared to other ASDs.
Also, children with AS frequently have normal to above average
intelligence. As a result, some doctors call it "high-functioning
autism." As children with AS enter adulthood, though, they are at high
risk for anxiety and depression.
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