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Doctor insights on: Autistic Numerology Man

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Autistic 8 year old boy has brother (5 years) with speech impairment, their cousin (6 years) is hyperlexic. Do you recommend any genetic testing?

Autistic 8 year old boy has brother (5 years) with speech impairment, their cousin (6 years) is hyperlexic. Do you recommend any genetic testing?

No: There are probably genetic factors in all of these, but these are polygenic. Hyperlexic kids often do very well in life. You won't find a single locus mutated that will inform a decision about preventing more children like this from being born. Genetic testing is for major, catastrophic illnesses like cystic fibrosis or muscular dystrophy -- single-gene diseases. ...Read more

Dr. Johanna Fricke
641 doctors shared insights

Autism (Definition)

A neurodevelopmental disorder affecting three areas: abnormal socialization, communication, and restricted interests with repetitive patterns of behavior. It is usually detected in the first two years of life. Cause is unknown but strong evidence points to an interplay between ...Read more


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Isnt language development good in someone who has aspergers syndrome?

Isnt language development good in someone who has aspergers syndrome?

Yes: Asperger is in the autistic spectrum where language delay is a foremost symptom. Since it is a relatively mild form of the condition it is not too surprising that speech is developing. ...Read more

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Aspergers signs? Son 7 was tested for dyslexia at scottish rite and research has lead me to aspergers. Repetative behaviors, rigid thinking, few frien

Aspergers signs? Son 7 was tested for dyslexia at scottish rite and research has lead me to aspergers. Repetative behaviors, rigid thinking, few frien

To find out if it is: You & his teacher can fill out the australian scale for aspergers in children for your pediatrician ( see tony attwood & o.A.S.I.S.Org, ) but it's not specific for asperger's. He needs evaluations by a neuropsychologist, developmental/behavioral pediatrician, et al in a specialty clinic to diagnose an autistic disorder. They'll need all reports from doctors, schools, slt & extensive history. ...Read more

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Aptitude vs intelligence test?

Aptitude vs intelligence test?

IQ is broader: An IQ test is a broad measure of knowledge is many areas, whereas aptitude is the ability in a more focused area. A standard IQ test, the weschler IQ measures the average IQ at 100 with a standard deviation of 15. This means than an IQ below 70 falls into the range of mental retardation and an IQ above 130 is in the "superior" range. An aptitude test measures things like an aptitude to build. ...Read more

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Is it possible for someone to graduate HS & college & have asperger's without ever being diagnosed? Any resources for adults w/ asperger's?

Is it possible for someone to graduate HS & college & have asperger's without ever being diagnosed?  Any resources for adults w/ asperger's?

Absolutely: Many aspees do very well in academic settings and excel in technical and scientific areas. Deficits may go unnoticed or be compensated for in ways that dont show up until enter workforce or adult relationships. Resources and support are more available but not easy to find. Start with an individual counseling ...Read more

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What percentage of adults who experienced sibling physical and psychological abuse as children have PTSD?

What percentage of adults who experienced sibling physical and psychological abuse as children have PTSD?

PTSD: I feel empathy for those going through sibling physical and psychological abuse as children It causes intense fear, panic and helplessness Frequent and intense episodes of abuse with injury; and lack of love and support from the parents can lead to PTSD. There are no scientific studies to show the percentage of adults with PTSD due to abuse as children See a Psychiatrist for Therapy and Medication ...Read more

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Learning disabilities diagnostic clinic for preemies. Anyone tried this?

Learning disabilities diagnostic clinic for preemies. Anyone tried this?

Yes: premature infants are at risk for learning disabilities. Many academic programs have follow up programs which include developmental pediatricians, pediatric neurologists and developmental psychologists, who can evaluate and help manage former premies who have learning problems. ...Read more

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Weird question. But medically relevant.Can fairly low IQ people have normal intelligence children? Not autistic/downs just lower IQ. Regularsmartkids?

Weird question. But medically relevant.Can fairly low IQ people have normal intelligence children? Not autistic/downs just lower IQ. Regularsmartkids?

Varies with cause: In some cases reduced mental function is caused by brain injury before or after pregnancy, alcohol exposure during brain development and or other issues which are not inherited. Some with low IQ's have genetic conditions that can be inherited. Down syndrome girls are fertile, and could have a normal infant (but also could produce one with Down syndrome with their expected limitations). ...Read more

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Please suggest a positive (work?)book to help: born w/adhd, years of physical/emotion/sexual abuse by parent, now has c ptsd, bipolar 2, & borderline.

Please suggest a positive (work?)book to help: born w/adhd, years of physical/emotion/sexual abuse by parent, now has c ptsd, bipolar 2, & borderline.

Possibility: This sounds like an extremely complex situation that would benefit more from working individually with an experienced psychologist or psychiatrist. However, the mind-body workbook for ptsd by block(s) may be a nice accompaniment to your own more individualized therapy. Good luck to you. ...Read more

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Where do researchers get subjects for child abuse research? Who consents? What child agrees to be abused while research is conducted?

Where do researchers get subjects for child abuse research? Who consents? What child agrees to be abused while research is conducted?

Misconceptions: Research often falls into 2 separate types.In forward looking studies, you study a control group and one under the study conditions. In rear looking research, you compare a control group to those who underwent the conditions in the past. Most child abuse research is done as rear looking (retrospective) studies. Your confusion is valid, no review board would allow a kid to be put in such conditions. ...Read more

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Anyone explain cognitive results please in 6 year old full scale composite score 50 thankyou ?

Anyone explain cognitive results please in 6 year old full scale composite score 50 thankyou ?

Part of the exam: Providing a clear explanation of the results of any exam or tests is an important part of the service. Until you have that, you, they are still under the responsibility to provide it to you. Each test in each battery of tests is scored differently and they know what was done. Scoring is unique to each. For example, an IQ of 100 is not like 100% on a school exam. It's just average. Ask them. ...Read more

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What percentage of individuals with autism or Asperger syndrome get married? Who do they marry?

What percentage of individuals with autism or Asperger syndrome get married?  Who do they marry?

Unknown: As far as i'm aware, those statistics are not known. The percentage for autism would be much lower than for both asperger's and for the general population. I wouldn't be surprised if the percentage for asperger's was similar or only slightly lower than the general population. ...Read more

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Ever seen a schizoid fibromyalgic, anxious and depress man with ptsd. Husband, father of an addh girl. Teacher with dermatillomania and gynecomastia?

Ever seen a schizoid fibromyalgic, anxious and depress man with ptsd. Husband, father of an addh girl. Teacher with dermatillomania and gynecomastia?

Well, no not exactly: Sounds like a lot going on. But, it is actually common to have multiple psychiatric conditions at the same time. So don't fear that you are terminally unique in this matter. You are on Cymbalta (duloxetine) - but are you receiving psychotherapy? Cognitive processing therapy or the more generalized cognitive behavioral therapy may be helpful for you. Take care. ...Read more

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What are possible genotypes for a child who has sickle cell disease but their parents don't?

What are possible genotypes for a child who has sickle cell disease but their parents don't?

Most likely....: The parents are both carriers of the sickle cell mutation on one of their two beta globin genes. Their other gene is normal. This condition is called sickle cell trait. These people are usually asymptomatic with normal red cell indices. The child could have two copies of the mutant beta globin gene, one from each parent. Their is a 25% chance of this. More rarely, thalassemia combines with beta-s. ...Read more

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Are there many housing facilities for autistic young adults who work?

Are there many housing facilities for autistic young adults who work?

Depends: Adult resources for those with autism are often hard to find and vary widely depending where you live. They certainly exist and can be invaluable for some individuals, but funding is typically a chronic problem, so they tend to come and go, even where they are well established. ...Read more

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Is an Asperger patient self-aware enough to know he has Asperger syndrome?

Is an Asperger patient self-aware enough to know he has Asperger syndrome?

Depends on age: Many with asperger disorder know they are different from others, although it may be hard to them to pin down exactly what the dfiference is. Especially among teenagers, anxiety and depression can become quite common because of the awareness of the differences with peers without knowing what to do about it. Others are quite content with their lives & see themselves as different but in good ways. ...Read more

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3 of 4 of my children have Low Hemoglobin, Hematocrit, MCV, MCVH....High RDW. I believe that affect their education performance and behavior.

3 of 4 of my children have Low Hemoglobin, Hematocrit, MCV, MCVH....High RDW.   I believe that affect their education performance and behavior.

Maybe,maybe not: The levels needed to interfere with performance vary with the skill set being reviewed. Many with minor hemoglobin defects have lower values than the norm for their lifetime and function quite well.Lead poisoning can also cause lower values, but it is the lead, not the blood cells that cause impairments.In short, your statement provides nonspecific data so a more specific answer is not possible. ...Read more

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Why does my 9y/o girl w/severe autism eat her feces? Aggressive, non-verbal but sweet/affectionate. She digs in pants. SIB/tantrums/sensory/no MR/meds

Why does my 9y/o girl w/severe autism eat her feces? Aggressive, non-verbal but sweet/affectionate. She digs in pants. SIB/tantrums/sensory/no MR/meds

Bizzarre behavior: This may be a self soothing mechanism like rocking, other consoling mechanisms. Her severe autism leaves her without the normal social negative reinforcement of neurotypcal kids, meaning, she doesn't have the social awareness to remind her to stop the behavior. You may have some degree of success with social skills training with a therapist. Never spank her. Positive reinforcement works best! ...Read more

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16yo male healthy male with c/o inattention and anger issues, labs-ammonia 94(nlup to 32) alkphos185(33-136)other labs all nml- ?Workup and rx

16yo male healthy  male with c/o inattention and  anger issues, labs-ammonia 94(nlup to 32) alkphos185(33-136)other labs all nml- ?Workup and rx

May be lab : I will at times see elevated ammonia levels if the specimen is not handled properly and i always repeat those. You can fractionate the alkphos for bone vs biliary system to get better idea if issue or not. If all normal and no cardiac issues and meets criteria for adhd can do low dose stimulant to see if anger issues worsen. May need second med for anger if therapy not helpful. ...Read more

Male (Definition)

Male refers to the masculine gender, those people ...Read more