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Doctor insights on: Diagnosing Autism In Adults

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Dr. Johanna Fricke
532 doctors shared insights

Autism Spectrum Disorder (Definition)

ASD are a spectrum of disorders of varying degrees that are characterized by difficulties in social interaction, verbal and nonverbal communication and repetitive behaviors. Autism statistics from the U.S. Centers for Disease Control and Prevention (CDC) identify around 1 in 68 American children as ...Read more


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How many families in the us have children with learning disabilities/developmental disabilities?

How many families in the us have children with learning disabilities/developmental disabilities?

US Dept of Education: From dr. Mark batshaw's book, children with disabilities, the national center for education services in 2011 reported that over 6. 6 million students received special education sevices in 2007-08, of which 2.5 million were classified as having specific learning disabilities. And that's just school-aged children. ...Read more

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Assessments for autism spectrum disorders? Which places in the u.S. Don't over-diagnose or under-diagnose?

Assessments for autism spectrum disorders?  Which places in the u.S. Don't over-diagnose or under-diagnose?

See below.: If there are concerns regarding any developmental issue, first stop is at the pediatrician's for a full exam and history (including development). If the pediatrician agrees with your concern, the next step is with either a pediatric neurologist or developmental-behavioral specialist for further evaluation and management. As long as a complete eveluation is done, there's no need to travel elsewhere. ...Read more

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Are auditory distractibility and ADHD common in adults?

Are auditory distractibility and ADHD common in adults?

In some ways.: Add was thought to be a disorder of children and adolescents. Now we realize it doesn't magically disappear when you turn 18. So there may be many untreated adults out there with add that they have had for years. ...Read more

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What are some early indicators of autism in infants, for people who have an autistic child?

What are some early indicators of autism in infants, for people who have an autistic child?

Watch the child: Red flags: lack of or regression of language development, lack of pointing to objects, lack of eye contact, doesn't play with toys in a 'typical fashion'. More obsessed with the parts of toys (eg wheels) than the toy itself. Intense interest in certain objects. Repetative movements, toe walking, lack or normal bowel movements (either too loose or too hard, or alternating). None for sure, . ...Read more

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Latest findings on when brain development--especially executive skills--is thought to be complete in most young adults?

Latest findings on when brain development--especially executive skills--is thought to be complete in most young adults?

see below: Most studies indicate by age 25 or 26, in males, the final frontal lobe development is in place, especially orbital frontal areas. Does occur a few years earlier in females. ...Read more

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Depression in children common?

Depression in children common?

No But Not Rare: Depression in childhood, at least of a severity that requires treatment, is not common (maybe 3-5% of the population). At the same time, this becomes a pretty large numbr when you start looking at groups of children. Also, depression is much more common among certain groups of kids - those with chronic medical illness, or children who have been abused. ...Read more

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Is anything suspected to cause autism spectrum disorder in children?

Is anything suspected to cause autism spectrum disorder in children?

Yes...suspected: Not proven. There is a gene on chromosome 16 that may contribute. Heavy metal toxicity may contribute. Demyelination of nerves in the central nervous system can lead to it as can brain inflammation. There is no causal link to vaccines, but they are still suspect in the clinical experience of many parents and practitioners. ...Read more

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How is bipolar disorder different in teens and children compared to adults?

How is bipolar disorder different in teens and children compared to adults?

Good Question: The whole issue of bipolar disorder in children is controversial, mostly because what we call bipolar disorder in children tends to look different than with adults. Chidlren with bipolar disorder tend to be more irritable, and their moods tend to be more fluctuating or mixed. There are not usually the clear cycles of mania and depression that occur more with teens and adults. ...Read more

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In what ways are ADHD symptoms different in adults than in children?

In what ways are ADHD symptoms different in adults than in children?

ADHD: Symptoms of hyperactivity diminsh & become more of a restlessness. In many mpulsivity decreases somewhat as the person matures & develops internal controls. Inattention & distractibility diminish less & tend to be the major issue. People can develop skills to compensate to an extent including career choices that fit their symptoms better. 2/3 continue to have symptoms in adulthood. ...Read more

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What age is oppositional defiant disorder diagnosed in children?

What age is oppositional defiant disorder diagnosed in children?

Almost any age: Odd is typically more common among teenagers but can be diagnosed in school aged children. There is no age criteria for the diagnosis but diagnosing a toddler with odd would likely be inappropriate. Once a child understands what adults are looking for and intentionally engages in behavior that defies authority figures (this goes beyond parental defiance) then the child might be odd. ...Read more

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Is bipolar disorder in children possible? Most of what I've read says bipolar disorder develops in adults.

Is bipolar disorder in children possible? Most of what I've read says bipolar disorder develops in adults.

Bipolar disorder in children is possible: It's most often diagnosed in older children and teenagers, but bipolar disorder can occur in children of any age. As in adults, bipolar disorder in children can cause mood swings from the highs of hyperactivity or euphoria (mania) to the lows of serious depression. Emotional upheaval and unruly behaviors are a normal part of childhood and the teen years, and in most cases they aren't a sign of a mental health problem that requires treatment. All kids have rough periods — it's normal to feel down, irritable, angry, hyperactive or rebellious at times. However, if your child's symptoms are severe, ongoing or causing significant problems, it may be more than just a phase. Here are some signs and symptoms of bipolar disorder in children: Severe mood swings that are different from their usual mood swings, Hyperactive, impulsive, aggressive or socially inappropriate behavior, Risky and reckless behaviors that are out of character, such as having frequent casual sex with many different partners (sexual promiscuity), alcohol or drug abuse, or wild spending sprees, Insomnia or significantly decreased need for sleep, Depressed or irritable mood most of the day, nearly every day during a depressive episode, Grandiose and inflated view of own capabilities, Suicidal thoughts or behaviors in older children and teens. Children with bipolar disorder experience symptoms in distinct episodes. Between these episodes, children return to their usual behavior and mood. Keep in mind, a number of other childhood disorders cause bipolar-like symptoms, including attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder, conduct disorder, anxiety disorders and major depression. Diagnosis can be challenging because these and other mental health conditions often occur along with bipolar disorder. If your child has serious mood swings, depression or behavior problems, consult a mental health provider who specializes in working with children and teens. Mood and behavior issues caused by bipolar disorder or other mental health conditions can lead to major difficulties. Early treatment can help prevent serious consequences and decrease the impact of mental health problems on your child as he or she gets older. . ...Read more

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What is autism disorder in children or the spectrum?

What is autism disorder in children or the spectrum?

DSM-V changes: In dsm-iv, the current classification system, autism refers to a severe disorder usually evident in early childhood, whereas autism spectrum disorder involves an evolution of a range fo disorders autism, aspergers, and pdd as well as a less frequent disorder into a concepr of varying severrity of autism spectrum disorder in dsm-v. See http://cpancf.Com/autismspectrumdisorder.Asp i. ...Read more

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Is hyperactivity found in all people with adhd?

Is hyperactivity found in all people with adhd?

Nope : Add is a neurobiologic condition that impacts executive control. Management of brain activities is under executive control. So hyperactivity is physical movement that isn't properly controlled. Underactivity is the same as over activity from neurologic perspective. Some add people are overactive, some are underactjve. Hyperactivity is not necessary for an add diagnosis. ...Read more

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Do non autistic siblings of autism kids mirror symptoms of autism?

Do non autistic siblings of autism kids mirror symptoms of autism?

Possibly: Newer studies show that ~ 30% of younger siblings of a child with autism display autistic behaviors early on. Of these ~ 40% are eventually diagnosed with autism, but many of the others have developmental language disorders. It is worth getting the little one evaluated & into early intervention services to re-direct that developmental path as much as possible. ...Read more

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Is neuroblastoma stage 4 deadly in teenagers and children in general?

Is neuroblastoma stage 4 deadly in teenagers and children in general?

Improving: We are constantly trying to improve therapy for children with high-risk neuroblastoma (stage 4). Within the last couple of years, the addition of immunotherapy to standard of care therapy greatly improved overall survival from 46% to 66%. Thus, immunotherapy should now be standard of care. ...Read more

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Should gps be testing for learning disabilities in adults.?

Should gps be testing for learning disabilities in adults.?

Yes: Among many other government mandated suggestions, your general physician has been asked to screen his older patients for early signs of cognitive decline. ...Read more

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How are kids vs adults diagnosed with autism?

How are kids vs adults diagnosed with autism?

Same way: The autism diagnostic observation scales are geared at different age levels, pre-verbal & verbal. Cognition ( intellect), processing of verbal & non/verbal information, language comprehension & expressive non-verbal & verbal social communication, reciprocal social interaction, & presence of stereotypies or narrow, restricted areas of interest are all tested. Social understanding @ 6 & >up by tops. ...Read more

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Is the diagnose of autism always accurate in a child, or do many other disorders cause autism behaviors?

Is the diagnose of autism always accurate in a child, or do many other disorders cause autism behaviors?

Requires expertise: Autism can present in many forms, and other disorders can have elements that can be mistaken for it. Age also is important: 2 or 3 yo children present much differently than older ones or adolescents. No behaviors associated with autism occur only with autism. Experts look at the total picture, both how development is going and what impairments are present. So, far no biological tests. ...Read more

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What two pervasive developmental disorders occur most commonly in males?

What two pervasive developmental disorders occur most commonly in males?

All but Rett's Dis: All pdd's occur about 4 times more commonly in boys than in girls. Rett's disorder occurs almost exclusively in girls. Autism, pdd-nos, and asperger's syndrome are all now categorized as one; autism spectrum disorder. ...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