Heal autism? A lot of the symptoms can clear …Here’s one story…

This is a true story with some information changed to protect privacy.

The boy, I will call him Mark, is nearly seven years old. He was diagnosed with Autistic Disorder a year ago.

The diagnosis was given after a thorough assessment by a licensed California psychologist up in the Bay Area. Mark and his parents live in the Monterey Bay area. Mark goes to a public school kindergarten.

In the course of just one year, Mark’s functional abilities have improved considerably. He no longer meets criteria for a diagnosis of Autistic Disorder.

Since the diagnosis , Father, a computer type, now spends much more time engaged with Mark has an Individual Education Plan (IEP) which provides a full time aide and public school speech services. Mother also takes him to private social learning classes and to horseback riding classes for children with disabilities. And there is a normally developing same age boy who lives close. The parents put in an outside hot tub and child oriented playground to encourage other children to come visit.

Of note: There was no Applied Behavioral Analysis (ABA) services in place. Mother appears to use a soft, developmentally oriented approach. And it IS working! So, YES, children can dramatically improve in one year. Instead of having 6 out of 9 functional areas quite low, now there are only three. What more improvements will happen over the next year? I expect more great, positive changes ….
written by Cameron Jackson DrCameronJackson@gmail.com

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Diagnosis of ….. autism… versus a diagnosis of cancer ….

Diagnosis
Medical Diagnosis: You go to a doctor. He/She says that you have a diagnosis of cancer. You say, what do I do …? The doctor suggests various treatments. Here, diagnosis is the flip side of treatment. Nobody BUYS or WANTS a diagnosis of cancer. If a person has cancer then treatment may involve radiation, surgery or chemotherapy or a combination of all three. All these treatments have significant medical side effects. None of these should be undertaken lightly.

Psychiatric/psychology diagnosis:
Parents are concerned about mental and emotional development of their child. They take their child to a doctor — this one is a psychologist and / or psychiatrist. The parents want maximum services to address the concerns they see in the development of their child. So long as the services don’t hurt the child why not maximize them? That is the parents point of view.

Does the doctor conservatively diagnose or? Most of the treatments offerred for children with a diagnosis of autism do not have substantial side effects as in cancer. No lose of hair or feeling lousy because of radiation. So why not maximize treatment to assist the child? Why not “err” and offer maximum kinds of treatment?

Ethics: I say that it is best to do as accurate a diagnosis as possible and not “err” in order to maximize services. Better to incrementally come back and add necessary services rather than overload at the beginning.

This is an ethical dilemma. Does the MD give out drugs that are not necessary but the patient came all that way, waited an hour and expects to get “something”? Does the psychologist diagnose Autistic Disorder 299.0 and not PDD-NOS knowing that one will probably maximize all possible services and the other may not?

Another issue is who pays. If the patient pays for it akin to buying groceries then he may decide that some services are crucial and others can wait. If the “government” is paying the tab — how does that affect decisions?

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Oxtocin is a hormone which improves social abilities for persons with autism

looking at eyes an important ability
Persons with autism often cannot make eye contact. They often will look at mouths rahter than focus on the eyes, Oxytocin increased the abilitiy of autistic persons to pick up non-verbal social clues.

“Autism is characterized by difficulties in communicating effectively with other people and developing social relationships. The team led by Angela Sirigu at the Centre de Neuroscience Cognitive (CNRS) has shown that the inhalation of oxytocin, a hormone known to promote mother-infant bonds and social relationships, significantly improved the abilities of autistic patients to interact with other individuals.

To achieve this, the researchers administered oxytocin to 13 autistic patients and then observed their social behavior during ball games and during visual tests designed to identify ability to recognize faces expressing different feelings. Their findings, published in PNAS on 15 February 2010, thus reveal the therapeutic potential of oxytocin to treat the social disorders from which autistic patients suffer.Oxytocin is a hormone that promotes delivery and lactation. It plays a crucial role in enhancing social and emotional behavior. Previous studies that measured the levels of this hormone in the blood of patients showed that it was deficient in those with autism.

The team led by Angela Sirigu at the Centre de Neuroscience Cognitive in Lyon thus advanced the hypothesis that a deficit in this hormone might be implicated in the social problems experienced by autistic subjects. The team, working in collaboration with Dr Marion Leboyer at Hôpital Chenevier in Créteil, examined whether the administration of oxytocin could improve the social behavior of 13 individuals with high-functioning autism (HFA) or Asperger syndrome (AS). In both these forms of autism, patients retain normal intellectual and linguistic skills but are unable to engage spontaneously in social situations. Thus, during a conversation, these patients turn their heads and avoid eye contact with other people.

First of all, the researchers observed the social behavior of the patients while they were interacting with three other people during a ball tossing game. Three profiles were represented: a player who always returned the ball to the patient, a player who did not return the ball, and finally a player who indiscriminately returned the ball to the patient or to other players. Each time the patient received the ball, he or she won a sum of money. The game was restarted ten times in order to allow the patient to identify the different profiles of his/her partners and act accordingly. Under a placebo, the patients returned the ball indiscriminately to the three partners. However, patients treated with oxytocin were able to discriminate between the different profiles and returned the ball to the most cooperative partner.

The scientists also measured the patients’ degree of attentiveness to social signals by asking them to look at series of photographs of faces. Under a placebo, the patients looked at the mouth or away from the photo. But after inhaling oxytocin, the patients displayed a higher level of attentiveness to facial stimuli: they looked at the faces, and indeed it was even possible to see an increase in the number of times they looked specifically at the eyes of the faces in the photographs.

During these tests, the scientists also verified these behavioral effects by measuring physiological plasma oxytocin levels before and after nasal inhalations. Prior to the inhalations, plasma oxytocin levels were very low, but they rose after an intake of the hormone.

The results of these tests thus showed that the administration of oxytocin allowed autistic patients to adjust to their social context by identifying the differing behaviors displayed by those around them and then acted accordingly, demonstrating more trust in the most socially cooperative individuals. Oxytocin also reduced their fear of others and promoted closer social relations.

This is one of the first studies to have demonstrated a potential therapeutic effect for oxytocin on social deficits in autism. Evidently, variations between individuals were observed in terms of their response to treatment, and the researchers acknowledged the importance and necessity to pursue this work. They will in particular be studying the long-term effects of oxytocin on improving the everyday living disorders of autistic patients, and its efficacy at an early stage of the disease.

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eligibility for regional center services for mental retardation, autism and other conditions

The regional centers in California assist persons who are substantially disabled in several areas and have a diagnosis of mental retardation, autism, cerebral palsy or seizure disorders. Licensed psychologists employed by the regional centers assess and make the diagnosis and the regional center clinical team determines substantial handicap and eligibility.

Is the applicant substantially handicapped in several areas? To determine substantial handicap there are various rating scales that can assist. Gathering rating information from both the family and also another source (such as a teacher or social worker) is typically done. The Adaptive Behavior Assessment System (ABAS) is one quite good rating scale that may be used.

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Treatment for autism in natural setting works best using both ABA and developmental approaches

There are 2 main approaches to treatment of autism:  the ABA camp (Applied Behavioral Analysis which is Skinner re-visited) and the developmental approaches (such as FloorTime).  Guess what!  Probably children will do best if both approaches are used…

See article below form American Medical News: 

“Children with autism would likely receive better treatment if supporters of the two major teaching methods stopped bickering over theory and focused on a combined approach, a Michigan State University psychologist argues in a new paper.

For years, the behavioral and developmental camps have argued over which theory is more effective in teaching communication and other skills to preschool-aged children with autism. Basically, behaviorists believe learning occurs through reinforcement or reward while developmental advocates stress learning through important interactions with caregivers.

But while the theories differ, the actual methods the two camps ultimately use to teach children can be strikingly similar, especially when the treatment is naturalistic, or unstructured, said Brooke Ingersoll, MSU assistant professor of psychology.

In the January issue of the Journal of Positive Behavior Interventions, Ingersoll contends that advocates of the behavioral and developmental approaches should set aside their differences and use the best practices from each to meet the needs of the student and the strengths of the parent or teacher.

“We need to stop getting so hung up on whether the behavioral approach is better than the developmental approach and vice versa,” Ingersoll said. “What we really need to start looking at is what are the actual intervention techniques being used and how are these effective.”

An estimated one out of every 110 children in the United States has autism and the number of diagnosed cases is growing, according to the Centers for Disease Control and Prevention. Symptoms typically surface by a child’s second birthday and the disorder is four to five times more likely to occur in boys than in girls.

Ingersoll said the behavioral and developmental treatment methods both can be effective on their own. But historically, advocates for each have rarely collaborated on treatment development for children with autism, meaning it’s unknown whether a combined approach is more effective.

Ingersoll expects it is. She is trained in both methods and has created a combined curriculum on social communication that she’s teaching to preschool instructors in Michigan’s Ottawa, Livingston and Clinton counties. Through the MSU-funded project, the instructors then teach the method to parents of autistic children.

Ingersoll said the combined method works, but it will probably take a few years of research to determine if it’s more effective than a singular approach.

“I’m not necessarily advocating for a new philosophical approach – the reality is that neither side is likely to change their philosophy,” Ingersoll said. “What I am advocating is more of a pragmatic approach that involves combining the interventions in different ways to meet the needs of the child or the caregiver. I think that will build better interventions.”

Source: Brooke Ingersoll
Michigan State University

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Aptos psychologist: How early assess for autism? by age one.

Children later diagnosed with autism look normal until about 6 months of age. Decreased social abilities appear in the 6 month to 12 month period. So, let’s screen earlier and provide earlier intervention. Continue reading “Aptos psychologist: How early assess for autism? by age one.”

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Aptos psychologist: Some children with autism FULLY recover

Go here for a amazing recovery of a boy diagnosed with autism at 18 months who was free of autism by age four. Continue reading “Aptos psychologist: Some children with autism FULLY recover”

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Aptos psychologist: great resource to publish on autism using Word Press at Dance Marathon, Univ. of Michigan

Dance Marathon is a student run blog, a great web site where anyone can publish articles on autism and many other subjects using Word Press. Continue reading “Aptos psychologist: great resource to publish on autism using Word Press at Dance Marathon, Univ. of Michigan”

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Autism List is exactly that — a list of blogs that deal with autism.

AutismList.com

Autism List says what it is — a list of blogs focused on autism.

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