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Doctor insights on: Writing Progress Notes On Autistic Children

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Do autistic children get easily excitable?

Do autistic children get easily excitable?

Most definitely: Spend a day with one. It has been estimated that the stress of raising an autistic child is equal to that of a tour of duty in iraq or afganistan. ...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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Why are autistic children so sensitive to stimuli?

Why are autistic children so sensitive to stimuli?

Structure & function: Of the autistic vs. Neurotypical (NT) brain differ. Activation on fMRI of frontal & temporal cortex in teens with ASD vs. NT's exposed to 2 slightly noxious stimuli showed = initial sensations but over-reactivity in processing & interpretating them in those with ASD, consistent with anatomical findings of small patches of disorganized neurons in the layers of the frontal & temporal cortex in ASD ...Read more

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What are some tips to caring for autistic children?

What are some tips to caring for autistic children?

Evidence-based: Intensive, repetitive behavioral & educational therapy (aba, the denver model) 25-40 hours/wk works best. A child with autism won't understand why he should follow your agenda; ignore non-compliance & protests. Say, "sit down. Look at me, " tapping your temple, before teaching. Focus on joint attention, a precursor for communication. Ipad autism apps may be useful, but face -to-face time is best. ...Read more

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My niece is autistic, is this a risk for my children?

My niece is autistic, is this a risk for my children?

That depends on the: Results of her Chromosonal Microarray & DNA Probe for Fragile X, whether she is your sister's or brother's child & your 3-generation family medical &/or psychiatric history of Autistic Spectrum Disorder (ASD) & illnesses in which the incidence of ASD is increased. It also depends on your taking. 4mg. Of Folic Acid daily starting 3 mos. Before & having a flu vaccine 2 mos. Before conception. ...Read more

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Can autistic children grow up living like normal people?

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 had early communication & iq > 70 (stable from ~ age 7) are good signs. Social/adaptive skills remain. ...Read more

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Which symptoms do autistic children have, say at the age of 2?

The M-CHAT screen: (firstsigns. Org) captures qualitative impairments in social reciprocity: joint attention, gaze monitoring, pointing at items to share interest. Atypical social communication may be absent language, words mixed with bizarre jargon (e.g., "digga-digga") or deviant (saying the alphabet before "mama, dada, & bye-bye). Stereotypies, repetitive non-functional movements, may be hard to spot before 3. ...Read more

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Which type of careers are available to work with autistic children?

Many: Children with autism spectrum disorders often require the help of many different professionals. Some are teachers, teacher assistants, pediatricians, psychiatrists, neurologists, nurses, nutritionists, physical therapists, occupational therapists, speech therapists, behavioral therapists, and many more. ...Read more

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What medications are used to treat hyper activity in autistic children?

Varies: It depends on the cause of hyperactivity. There are many reasons for an ad child to be hyperactive. You, behavioral assistant, speech therapists, pt, teachers, and doctors need to figure out why. If child is chronically ill, frustrated, anxious, in pain, obsessing, he could be hyperactive. There is no one medication to use in a recipe fashion. ...Read more

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Can you tell me how are "sensory rooms" used to teach autistic children?

Can you tell me how are "sensory rooms" used to teach autistic children?

Sensory Rooms: "A sensory room is a place where children can use multi-sensory experiences to explore, to calm themselves, and to practice important social skills. There are many types of sensory rooms. Some multi-sensory rooms have bright lights, loud sounds, popping colors and fragrances. These rooms are designed to encourage language skills and emotions." ...Read more

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What can cause autism in children?

What can cause autism in children?

Antenatal factors: Some syndromes cause autistic spectrum disorder & intellectual disability. Chromosomal microarrays find genetic errors in ~15% of kids with ASD. Maternal low folate (folic acid) levels at conception, rubella, "flu", obesity, advanced age & alcohol/drug use from 3 wks. Post-conception-term are some epigenetic factors that alter function, but not structure or sequence, of fetal genes & increase risk of ASD. ...Read more

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Can autistic children often wander off by themselves?

Can autistic children often wander off by themselves?

Not uncommon: Many children with autism, especially when younger and with fewer communication and social skills, are at risk for elopement. There may not experience a sense of danger at leaving or recognize the need to notify others of desire. For some it is such a problem that they need to keep some type of tracking device on. Luckily this will become less an issue for most as they are older. Aba can help. ...Read more

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What are the causes of autism or how is it diagnosed to young children?

No known cause: There is currently no known cause. A diagnosis is usually made after a psychiatrist or physician obtains a complete history and physical and bases the diagnosis on specific criteria. Often a test called the ados can provide further information in making the diagnosis. ...Read more

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Can you tell me how are sensory rooms used to teach autistic children in the united kingdom?

Can you tell me how are sensory rooms used to teach autistic children in the united kingdom?

Sensory Rooms: A sensory room is a place where children use multi-sensory experiences to explore, to calm themselves, and to practice important social skills. There are many types of sensory rooms. Some multi-sensory rooms have bright lights, loud sounds, popping colors and fragrances. These rooms are designed to encourage language skills and emotions. Other rooms offer a calming environment." ...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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Why is elevated B12 serum found in autistic children?

Why is elevated B12 serum found in autistic children?

Not always seen: More often I will see low or normal levels of B12 unless there is supplementation. This vitamin has a fairly complicated absorption process and is not efficient in some. If there is gut inflammation or infection or if there is an autoimmune process oral intake is not effective and you have to move to sublingual or injections. B12 works closely with folate (folic acid) and b6 and very often all need to be used. ...Read more

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Which tested treatment for autistic children is the best?

Depends: Both age and behaviors may dictate what testing in necessary. Not all kids with developmental and social problems are autistic and not all autistic spectrum disorders need hours and hours of testing to clinch the diagnosis. Assuming you're talking about a child, start with a pediatrician with expertise in behavioral disorders and follow her/his advice. ...Read more

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Are autistic children able to speak?

Historically, 50% of: children with classical Autism are non-verbal, meaning they have a functional vocabulary of 50 or fewer words at or after age 6. With the lumping of PDD-NOS, Asperger Syndrome & Autism into a single diagnosis in the DSM-V of Autistic Spectrum Disorder Levels 1, 2 &3, 30% of children with ASD are non-verbal. Finding other ways for them to communicate is important, if their cognitive level allows. ...Read more

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Is there any cure for autistic children?

Is there any cure for autistic children?

Good question.: The only proven method to help youngsters overcome autisms challenges is science based intensive individualized intervention using an applied behavior analysis model. As a healthcare provider and father if child with autism, I regret to report there is no quick fix, however, we know more about autism today than ever. Feel free to message me if you would like more specific information. ...Read more

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How often are autistic children selective mutes?

How often are autistic children selective mutes?

Not really: Selective mutism implies normal speech and language in certain "safe" settings, and a voluntary resistance to speaking in other "frightening" settings or venues. Autistic children don't speak well because of their neurological deficiency. Some higher functioning autism patients may refuse to speak (in their normal way) in certain settings or with certain people, but this is not mutism. ...Read more

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What is the likelihood of my children having autism?

What is the likelihood of my children having autism?

See below: 1-2% incidence in the US for autism. 6% incidence for the full spectrum of PDD. Check my health tips on PDD. See http://www. Nimh. Nih. Gov/health/topics/autism-spectrum-disorders-pervasive-developmental-disorders/index. Shtml or http://www. Nimh. Nih. Gov/health/publications/a-parents-guide-to-autism-spectrum-disorder/what-are-the-symptoms-of-asd. Shtml. ...Read more

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How does Biobita supposedly help children with Autism?

How does Biobita supposedly help children with Autism?

Not a cure: Biobita is a combination of probiotics and vitamins. While it can help the GI tract, there is no definitive evidence that it will help autism. The claims are testimonials without research back up other than describing research that was not autism specific. With that said if your child has problems with pain, chronic constipation or diarrhea, making him irritable, Biobita may help that and his mood ...Read more

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Do children who are bilingual have behaviors like autism?

Do children who are bilingual have behaviors like autism?

No: There is no reason for a child learning more han one language to have autistic beahviors unless they are autistic. ...Read more

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Are there any special schools just for autistic children?

Are there any special schools just for autistic children?

There are private: Schools for kids with Autistic Spectrum Disorder (ASD). The U.S. Individuals with Disabilities Education Act grants every child a free & appropriate education in the least restrictive setting. Placement of a child with ASD depends on degree of autism + presence or absence & severity of Intellectual Disability & disruptive behaviors. Special public schools exist for more impaired students. ...Read more

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Please explain what food to give to children with autism?

Please explain what food to give to children with autism?

It depends,,,: First of all kids need to eat and grow so they need to consume food. But autistic kids have very restricted diets, and often crave the very food that is not good for them. The restricted diets are often not nutritionally complete. Different diets: gluten free, casein free, soy free, gaps, and feingold, have all been reported to help some, but not all. I would find a maps doctor to help you sort. ...Read more

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Please explain which food to give to children with autism?

Please explain which food to give to children with autism?

Green and organic: Any child can be sensitive to artificial ingredients. I think the biggest offenders are artificial colors, flavors, and preservatives. So as organic as you can reasonably find is good. Other than that, unless they have an allergy to a food, give them whatever they will eat. The gfcf diet usually does not improve autism unless there are gastrointestinal problems. ...Read more

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I'm wondering why are so many children being diagnosed with autism?

I'm wondering why are so many children being diagnosed with autism?

Better screens: One of the reasons is for sure the increasing awareness of it (thanks to the media mainly) and improvement of the diagnostic screenings in schools, hospitals etc. So, at least in part, is about finding it more effectively which gives us the impression that it became more prevalent. ...Read more

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What are effective ways to correct bad behavior in autistic children?

What are effective ways to correct bad behavior in autistic children?

No one simple answer: Due to the extremes in variability in ability to communicate in this multifaceted disorder, there is no one correct way to achieve the teaching you desire to correct bad behavior. Even the premise "bad behavior" is often in the eye of the beholder. Generally one must use the most effective communication form and direct the child away from the undesirable action. There can be many strategies. ...Read more

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Can you tell me what is autism and why do so many children have it now?

Good question: And it cannot be effectively answered here..." autism spectrum disorder (ASD) and autism are both general terms for a group of complex disorders of brain development. These disorders are characterized, in varying degrees, by difficulties in social interaction, verbal and nonverbal communication and repetitive behaviors."
great website for more info: http://www. Autismspeaks. Org/what-autism. ...Read more

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If my partner and I both have autism, could we pass it on to our children?

If my partner and I both have autism, could we pass it on to our children?

Geneticist: If available to you, consultation with a geneticist would be very helpful. They can evaluate the two of you with regard to potential genetic conditions and give you a reasonable estimate of your chances of having a child affected with autism. ...Read more

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Is anyone finding good info on natural ways to help autism in our children?

Yes: I am and so are other physicians I know. I have had good experiences with chinese medicine, homeopathy, gluten free/casein free diet, supplements and of course therapies. I have had patients experience significant improvement. I actually have two patients (who were high functioning to begin with) have their diagnosis of autism removed. While that is unusual, it shows it can happen. ...Read more

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What's a good way for us to better help the children diagnosed with autism?

What's a good way for us to better help the children diagnosed with autism?

Early Intervention: The earlier a child is diagnosed and started with therapies the better the outcomes. The plan needs to be multifactorial and may include biomedical, st, pt, ot as well as behavioral. All those who work with the child should be educated on what to expect and how best to respond to certain behaviors. Support groups for parents and respite care are key to allow them time to recharge. ...Read more

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Is there any difference between autism and an autistic disorder in children?

Same: Autism & autistic disorder are the same. As of may 2013, the new diagnostic manual is changing things, getting rid of asperger's disorder and pervasive developmental disorder & creating an umbrella term of autism spectrum disorder (ASD) to include individuals with lifelong problems in social interactions & unusual interests or bizarre behaviors. Exact changes are not yet public but will be soon. ...Read more

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Which careers are out there that work with autistic and Down syndrome children?

Many: Teachers, speech, physical and occupational therapists as well as medical providers and psychologists are some of the career paths that would allow you to work with special needs children. If your goal is to work with these children you just need to decide in what capacity. Do you want to be hands on providing services or have more indirect role. The possibilities are endless. ...Read more

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What are the beginning signs of autism? What are things to look for in young children?

Discuss with your dr: Autism may begin to show signs as early as 6 months; it's characterized by:
-impaired social interaction (less cuddly, less eye contact, harder to soothe)
-delayed communication (delayed speech, unusual gestures)
-restricted interests/repetitive behavior (echolalia, ritualistic behavior, unusual movements)
it's worth mentioning your concern to your child's dr, as early intervention may help. ...Read more

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I love special needs kids! ...What doctors specialize in autistic & special needs a children?

Child Psychiatrists: The best overall education and training for special needs children is the route offered by the training curricula for child psychiatrists. It takes an interest in biological, psychological and socialogical components to get the wholistic picture of the challenges facing special needs children. Down's syndrome, autism, tbi, as well as the more typical psychiatric disorders have come through my door. ...Read more

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What is autism, who suffers from it and does it affect children. What is the aspeger syndrome?

What is autism, who suffers from it and does it affect children. What is the aspeger syndrome?

Autistic Disorder is: A categorical diagnosis given when a person's set of observable behaviors meet criteria in the diagnostic & statistical manual used by mental health professionals & developmental/behavioral pediatricians. Because it's the quality of social reciprocity & communication + repetitive movements/narrow, restricted areas of interest, not just a delay, it requires a thorough team evaluation for diagnosis. ...Read more

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What careers are out there that work with autistic and Down syndrome children (and still have fun at it)?

What careers are out there that work with autistic and Down syndrome children (and still have fun at it)?

Lots: There are quite a few fields, including nutrition, childhood development, child and adolescent psychology, child and adolescent psychiatry (physicians) and developmental and behavioral health pediatrics (physicians), or general pediatrics (physicians). As to whether any of these jobs are fun. . . That's up to each individual. ...Read more

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If I have one child with autism what is the likelihood of my other two children having a mental development disorder?

No clear data.: Autism does not have a clear genetic basis.
It is a spectrum type disorder with a range of severities.
Hence there is no clear incidence rate in sblings or future offsprings.
If there is a known chromosomal diagnosis and ASD is an add on co morbidity, then a geneticist, could come up with the odds. ...Read more

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On the spectrum children and autism?

On the spectrum children and autism?

PDD-NOS: The diagnostic and statistical manual iv-text revision defines pervasive developmental disorder as having some, but not all, of the criteria for autism. The dsm-v will combine pdd-nos, asperger's syndrome and autism into autistic disorder, so that all children " on the spectrum" may receive funding and services. Autistic disorders are neurodevelopmental, but still defined as psychiatric disorders. ...Read more

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Do children with autism have bigger heads?

Do children with autism have bigger heads?

Sometimes: Children who go on to develop autism can experience an acceleration in the growth of head circumference around 6 to 12 months of age. Not that their head was large to start with, but that it grows faster than expected. However, the overlap between this and normal head growth is so large that it is not useful information as far as diagnosing a particular person. ...Read more