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Doctor insights on: Decreasing Autistic Self Talk

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My 20 year old autistic daughter does lot of self talking. Any suggestions to stop it?

My 20 year old autistic daughter does lot of self talking.  Any suggestions to stop it?

Why stop it?: This is her way of expressing herself. I would not want to stop her talking. ...Read more

Dr. Johanna Fricke
643 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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How long does it normally take for autistic children to begin talking?

How long does it normally take for autistic children to begin talking?

Highly variable: Some children are only minimally delayed, others never learn to talk. Autism is a highly variable disease. ...Read more

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My eight year old autistic brother talks to inanimate objects. Is this normal?

Talking to objects: Depending on the severity of your brother's autism, he may not relate to people in a social way. It is not uncommon to relate to inanimate objects and imaginary friends. ...Read more

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What exactly is the "autism stare" people keep talking about?

What exactly is the "autism stare" people keep talking about?

Stare not at you: Sometimes kids seem to zone out , stare but not at people, almost as though they are"snowed" . This is felt by some to be the effect of maldigested products of casein &/or gluten that behave like endogenous opiates-but this in controversial. ...Read more

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My autistic nonverbal girl age 7 screams every time my wife and I talk, how do we stop this?

Audiology: Evaluation by an audiologist with expertise in auditory integration therapy will determine if specific therapies addressing abnormal response to sounds would help. She may find certain frequencies of sounds to be painful . ...Read more

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My 7 year autistic son only talks when he wants something . He has very little social skills . Will he ever be able to live independently as adult ?

My 7 year autistic son only talks when he wants something . He has very little social skills . Will he ever be able to live independently as adult ?

Prognosis for kids: With autistic spectrum disorder depends on level of cognition, degree of ASD & early response to therapy. Studies show 14-44% favorable outcomes.(http://www.Ncbi.Nlm.Nih.Gov/pmc/articles/pmc3619174/). Having early communication & a full scale iq > 70 (stable from ~ age 7) are favorable. Social/adaptive skills remain. ...Read more

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When do signs of autism first appear? Passed MCHAT but was diagnosis with HFA at 3 years. Other than late talking, other signs didn't appear till 2.8 years.

First two years: Autism is a disorder, first diagnosed by leo kanner in the 1940's characterized by a lack of social and emotinal relatedness, there is no social smiling, no recognition of important people, ie mother. Often they have blank stares. Poor reaction to shange, prefer things to stay the same. Stereotypical and repetitive movements (finger flap) and repetitive vocalizations. Dsm5 may change things. ...Read more

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If my toddler won't potty train or talk, could he have autism?

Depends on age: Children vary a lot in when they develop these skills. Many toddlers don't do either for a long time. If the child is emotionally relating to you it probably is not autism but you should review his or her development with you pediatrician if you are worried. ...Read more

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3 years old son not talking yet only 15 single words not autistic understands everything and nothing wrong with his physical activities so inteligent?

Confusing statement: A 3 yo who only uses 15 single words is showing a delay in speech and language development. This can occur apart from other syndromes like autism. The receptive or understood words tend to progress much faster than spoken words. An evaluation by a speech and language professional is indicated so a plan of therapy can begin. This has been routine in the US for at least 4 decades. ...Read more

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I have notice I am becoming very sensitive to critism such as mum telling me I am talking too much. I have autism i feel low as I am getting senstive.

I don't know if you: Are in any form of treatment right now. There are psychoeducational groups for people who have high functioning autism - to allow them to build on social skills. If your believe that you are becoming overly sensitive - cognitive behavioral therapy may help. And if the relationship with your mum is strained - family therapy can also be beneficial. Take care. ...Read more

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Hi. I have an autism spectrum disorder. Please suggestwho should I could talk to regarding this.

DAN doctor: Ask your physician. Look for a dan (defeat autism now) physician. Look at handle program. Consult with a chinese medicine practitioner for help in treating it as well. In my area I have a fabulous psychiatry practice who is wonderful in diagnosing and helping patients. Look for one in your area...And ask your doc first for a referral. Good luck. ...Read more

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I've got a hard time talking to people due to my autism. What are some facial rules and gesture rules to remember?

I've got a hard time talking to people due to my autism. What are some facial rules and gesture rules to remember?

Speech Therapy: I would recommend that you consult with a speech and language pathologist who has experience in treating persons with autism. They can teach you some social skills by learning to ready the social cues in people's facial expression and their tone of voice, etc. There are even software programs to help with this as well. ...Read more

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My autistic 7 year old is in school . What can I do at home to help him? How do I get him to dress and bath , himself and talk more?

Autism: Complicated answer but best i can give you is to seek a therapist who provides aba or applied behavior analysis. This should help you a great deal! ...Read more

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Why do people keep talking about children suffering autism spectrum disorders? What about all the other kids?

Good point: Kids with autism have "spikes" in development, leading us to feel that if we could "unlock" the child's brain, he might function independently as an adult, whereas kids with other genetic & medical neurodevelopmental disorders tend to have less dramatic splits in their cognitive abilities. Also, many genetic & epigenetic causes are known, but no single known "trigger" that precipitates symptoms. ...Read more

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My son is 16 years old and is autistic. He has started staring blankly, staggering, stopped talking. Been examined at childrens hos. All tests neg.

My son is 16 years old and is autistic. He has started staring blankly, staggering, stopped talking.  Been examined at childrens hos. All tests neg.

Alarming!: You failed to mention if there'd been any change in your son's medications, any recent head injury or possible toxic exposure... These are signs of a neurologic decline and getting him in front of a neurologist... Or getting several opinions, is certainly warranted! mri's and eeg's don't always tell the whole story... You need a doctor/doctors that will keep looking for some way to explain this... ...Read more

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I feel low why? I am beginning to be too sensitive to critism and someone telling me ivan talking too much i get sad and anxious I have autism and ocd

I feel low why? I am beginning to be too sensitive to critism and someone telling me ivan talking too much i get sad and anxious I have autism and ocd

Maybe: You are just going through a lot right now. I know it's very hard. Then when you think people aren't accepting of you you get down on yourself and that makes you feel low and sad. But remember what a very special person you are! list your special talents and abilities so you can look at them objectively and not rely on your feelings! there is not another person like you in the the world! ...Read more

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My son was born at 28 weeks and has mild pvl.Cp global delay. He cannot talk at nearly 4yrs old. Could doctors be overlooking autism in favor of global delay?

My son was born at 28 weeks and has mild pvl.Cp global delay. He cannot talk at nearly 4yrs old. Could doctors be overlooking autism in favor of global delay?

Certainly Possible: There can be some degree of overlap between the two conditions. Many of the featured behaviors of both can be shared. I would look at other symptoms he has and try to address any GI problems, any adhd type symptoms, sleep issues, allergies. Look into the group: maps. Medical academy of pediatric special needs. Doesn't hurt to get more than one opinion. ...Read more

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My son is 3 he is not talking yet just few words saw 3 paediatricians and had assessment with speech therapists not autistic no one found reason ?

Early language : delays ^ risk for later Specific Learning Disorder in reading & written expression. The local school district's Child Find Team assesses kids at 3 forGlobal Developmental Delay, Receptive &/or Expressive Language Disorder & Autistic Spectrum Disorder to confer eligibility for Early Childhood Special Education. A Developmental/Behavioral Pediatrician assesses for genetic & other medical causes. ...Read more

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Should I talk to my family doctor about autism spectrum disorders symptoms?

Should I talk to my family doctor about autism spectrum disorders symptoms?

Yes: Your primary care physician may not be an expert, but he/she certainly has a working knowledge of the problem. In addition, he/she can provide referrals to experts if they are necessary. ...Read more

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I want to know if my daughter has autism shes almost 2 and she didn't talk well can't walk well didn't make eye contact when talked to?

Seek medical help: You should take your daughter in for an exam with her physician and discuss your concerns. There are some developmental screening exams that are age specific that can be done that are very effective when screening for autism. And at that time your can determine if further evaluation or work up is needed. ...Read more

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Ndrit is almost 5y and can say only 100 words. He uses both hands same. Not diagnosed with autism. Mentally and physically is ok without hearing problems. Plays with children and is very friendly. Why isnt he talking yet?

Ndrit is almost 5y and can say only 100 words. He uses both hands same. Not diagnosed with autism. Mentally and physically is ok without hearing problems. Plays with children and is very friendly. Why isnt he talking yet?

Hard to say: This is something that a developmental pediatrician and/or a speech and language specialist should evaluate. In the US this is routinely done as part of the "Chile Find" program operated by public schools for kids as young as 3. ...Read more

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My cousin is four years old he is not talking or giving eye contact he does not like kisses or hugs could this be autism?

It is more complex: While avoiding eye contact and poor social skills are tell tale signs within Autism Spectrum Disorders, your cousin needs a thorough check by a pediatrician for proper assessment and possible referral to a specialist for a potential diagnosis. ...Read more

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Help please! is ear infection responsible of the delay of talking and showing some autistic symptoms?

Help please! is ear infection responsible of the delay of talking and showing some autistic symptoms?

Possibly: Ear infections in a child can alter hearing resulting in delay language development resulting in delayed understanding and speaking. ...Read more

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What could cause pretty decreased appetite, abdominal bloating and vomiting for 3 months in 15 yr male? He has autism, he can talk but not reliable.

What could cause pretty decreased appetite, abdominal bloating and vomiting for 3 months in 15 yr male? He has autism, he can talk but not reliable.

Yeast possible: Depending on his diet and overall GI function , one possibility is over growth of yeast in GI tract. Poor digestion (poor enzyme function) can cause dysbiosis and yeast overgrowth. Is he on probiotics?Cfgf diet? ...Read more

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Is it true all autistic children do not make eye when you are speaking to them?

Is it true all autistic children do not make eye when you are speaking to them?

Not necessarily: Autistic children have problems with social interaction and understanding of usual social skills. They often stare at people and objects almost too much, but may not look when being talked to or when trying to talk. Part of behavioral therapy is to help them understand how to use looking and attention in a more appropriate manner. ...Read more

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Can i get prescribed Adderall or ritalin (methylphenidate) if I have autism? (more specifically speaking; asperger's syndrome?)

Yes, you can take: stimulant medication if diagnosed with ADHD-Primarily Inattentive Type. 40-70 % of people with Autistic Spectrum Disorder also have ADHD. Start at a lower dose than is used for adults who have ADHD but no ASD & increase the dose in smaller increments to its maximum effect. Stimulants can increase anxiety, common in ASD. You may need to add a an anti-anxiety medication or use a non-stimulant. ...Read more

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Why is my autistic 5 year old son (non-verbal), all of a sudden speaking, interacting and following simple commands? He has a cold, low grade fever.

Why is my autistic 5 year old son (non-verbal), all of a sudden speaking, interacting and following simple commands? He has a cold, low grade fever.

Multiple reasons: The best reason would be a developmental leap in functioning. That would be great, and you could keep doing what you're doing from a behavioral standpoint. Occasionally an alteration like casein removal can cause temporary advancement, but that disappears after a few months. This may hint at a metabolic issue if illness helps in advancement. Make sure you've seen a geneticist and metabolic expert. ...Read more

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Would a sensory integration disorder be a symptom of Asperger's syndrome? my now 11yr old daughter was diagnosed as having an autism spectrum disorder 1yr ago. however when I'm speaking to others about her symptoms the first comment I hear usually is 'oh

Hi, : Hi, concur with dr. Rinker. Aspergers syndrome is an autism spectrum disorder. Autism, is the most impairing of the autism spectrum disorders. Pervasive developmental disorder comes next and children with aspergers are usually the highest functioning of three. Children with autism spectrum disorder usually have sensory overload which includes tactile stimulation. I recommend talking directly with your daughter's psychiatrist about how best to deal with her tactile sensitivity. One quick option is the use of a camisole that is made of smooth or silky material as an undergarment. It is likely to create less friction against the nipples without highlighting just her nipples. Additionally, pulling bandaids off of skin repeatedly could be quite painful - especially in a child who is already sensitive. I hope this is helpful. Take care. ...Read more