Anderson Frequently Asked Questions

Frequently Asked Questions

What is autism?
Autism, part of a group of disorders known as Autism Spectrum Disorders (ASD), is a complex neurobiological disorder that typically lasts throughout a person's lifetime. The disorder is characterized by varying degrees of impairment in communication skills and social abilities, and also by repetitive behaviors. Symptoms range from mild to severe. One milder form of the disorder is known as Asperger Syndrome. Other developmental disorders that fall under the Autism Spectrum Disorders are Rett Syndrome, PDD NOS (Pervasive Developmental Disorder), and Childhood Disintegrative Disorder. Parents are usually the first to notice unusual behaviors in their child or their child's failure to reach appropriate developmental milestones. Some parents describe a child that seemed different from birth, while others describe a child who was developing normally and then lost skills. If you have concerns about your child's development, don't wait: speak to your pediatrician about getting your child screened for autism.

What does it mean to be "on the spectrum"?
Autism is a spectrum disorder, which means it manifests itself in many different forms. A diagnosis can range from mild to severe, and though children who have it (i.e. are on the spectrum) are likely to exhibit similar traits, they're also as individual as the colors of a rainbow, each one managing a grab bag of symptoms. While one child may rarely speak and have difficulty learning how to read and write, another can be so high-functioning he's able to attend classes in a mainstream school. Yet another child may be so sensitive to the feel of fabric that all tags must be cut off before he wears a piece of clothing, while his friend who's also autistic may not have any sensory issues at all.

What are the most common characteristics of autism?
Every person with autism is an individual, and like all individuals, has a unique personality and combination of characteristics. Some individuals mildly affected may exhibit only slight delays in language and greater challenges with social interactions. They may have difficulty initiating and/or maintaining a conversation. Their communication is often described as talking at others instead of to them. (For example, a monologue on a favorite subject that continues despite attempts by others to interject comments).

People with autism also process and respond to information in unique ways. In some cases, aggressive and/or self-injurious behavior may be present. Persons with autism may also exhibit some of the following traits:

Insistence on sameness; resistance to change
Difficulty in expressing needs, using gestures or pointing instead of words
Repeating words or phrases in place of normal, responsive language
Laughing (and/or crying) for no apparent reason; showing distress for reasons not apparent to others
Preference to being alone; aloof manner
Tantrums
Difficulty in mixing with others
Not wanting to cuddle or be cuddled
Little or no eye contact
Unresponsive to normal teaching methods
Sustained odd play
Spinning objects
Obsessive attachment to objects
Apparent over-sensitivity or under-sensitivity to pain
No real fears of danger
Noticeable physical over-activity or extreme under-activity
Uneven gross/fine motor skills
Non-responsive to verbal cues; acts as if deaf, although hearing tests in normal range

How common is autism?
According to the Centers for Disease Control, autism affects as many as 1 in every 150 children in the United States. Therefore, it is estimated that 1.5 million Americans may be affected with autism. Also, government statistics suggest the rate of autism is rising 10-17 percent annually. Unfortunately, the numbers appear to be continuing their upward climb. In fact, it is the most prevalent developmental disorder to date; according to the Centers for Disease Control, of the approximately 4 million babies born every year, 24,000 of them will eventually be identified as autistic. Also, recent studies suggest boys are more susceptible than girls to developing autism. In the United States alone, 1 out of 94 boys are suspected of being on the spectrum, with perhaps more going undiagnosed to this day. That said, girls appear to manifest a more severe form of the disorder than their male counterparts.

Is there a cure for autism?
Unfortunately, experts have been unable thus far to come up with a cure for autism. Many treatments and therapies have surfaced since the disorder has grown more visible in the mainstream press, but reputable doctors have yet to agree on any that will reverse the diagnosis. But there's hope: Scientists are hard at work every day finding a solution for this growing problem. While advocacy groups have said for years that lack of funding for research is to blame for the dearth of definitive answers, a bill known as the Combating Autism Act, which would funnel millions of dollars to developing a cure, was passed through Congress and signed by the President ensuring that $162 million has been appropriated to fund autism research, services and treatment. Until such cure is discovered, parents have been relying on early intervention programs such as applied behavior analysis, or ABA, and play therapy to mitigate the behaviors associated with autism. For some, these treatments have proven to be very successful, helping kids on the spectrum lead a full and active life.

How can I tell if a child has autism?
No two children with autism are alike, but there are some signs that many of them share and that experts agree may be as recognizable as early as the toddler years, or even sooner. Children on the spectrum generally have difficulty relating to others; they may hardly speak, and if they do, they may not communicate in ways that other people can easily understand (they may screech loudly when they're upset, for example, instead of crying). They don't usually sustain eye contact – it's too intense -- and have trouble reading social cues. They're also prone to repetitive behaviors, flapping their hands constantly or uttering the same phrase over and over again. They may also be more sensitive than typically developing children, or dramatically less so, to sights, sounds and touch.

What should I do if I suspect something is wrong with my child?
Don't wait--talk to your doctor about getting child screened for autism. New research shows that children as young as one may exhibit signs of autism, so recognizing early signs and knowing developmental milestones is important. Early intervention is key.

How do I get my child the help he needs?
You can start by making sure he has a reputable healthcare team by his side. That means finding doctors, therapists, psychologists and teachers who understand and have experience with autism and can respond to his shifting needs appropriately. Ask your child's pediatrician to recommend a developmental pediatrician with whom you can consult about the next step. They, in turn, can guide you toward various intervention programs and suggest complementary therapies. It also helps to plug into an already existing network of parents facing the same challenges as you.

How do I deal with this diagnosis?
First, be kind to yourself. It's not easy to recover from the shock of learning your child has a developmental disorder that has no known cause or cure. Accept any and all feelings the diagnosis may elicit, and try not to blame yourself: It would've been impossible for you to figure out a way to shield your child from autism completely. The next step is to arm yourself with all the facts about the disorder. Knowledge is power, and the more you know, the more capable you'll feel about navigating the daunting autism gauntlet. That said, it's also important to give yourself a "break" from autism when it becomes too overwhelming. And if you find that the diagnosis has been so crippling that you've been unable to get past it, consider talking to a counselor or therapist. You can't — and aren't expected to — weather this storm alone.

Will my child be able to attend school?
Most likely, yes. Much depends on where your child falls on the spectrum, but with your support, as well as that of doctors, therapists and teachers, your child should be able to attend school. In fact, it's his right: According to the Individuals with Disabilities Act of 1990, which mentions autistic children specifically, your child deserves access to a "free and appropriate" education funded by the government, whether it be in a mainstream or special education classroom.

Insistence on sameness; resistance to change
Difficulty in expressing needs, using gestures or pointing instead of words
Repeating words or phrases in place of normal, responsive language
Laughing (and/or crying) for no apparent reason; showing distress for reasons not apparent to others
Preference to being alone; aloof manner
Tantrums
Difficulty in mixing with others
Not wanting to cuddle or be cuddled
Little or no eye contact
Unresponsive to normal teaching methods
Sustained odd play
Spinning objects
Obsessive attachment to objects
Apparent over-sensitivity or under-sensitivity to pain
No real fears of danger
Noticeable physical over-activity or extreme under-activity
Uneven gross/fine motor skills
Non-responsive to verbal cues; acts as if deaf, although hearing tests in normal range

What is Asperger's Syndrome?
What distinguishes Asperger's Syndrome from autism is the severity of the symptoms and the absence of language delays. Children with Asperger's may be only mildly affected and frequently have good language and cognitive skills. To the untrained observer, a child with Asperger's may seem just like a normal child behaving differently. They may be socially awkward, not understanding of conventional social rules, or show a lack of empathy. They may make limited eye contact, seem to be unengaged in a conversation, and not understand the use of gestures.

One of the major differences between Asperger's Syndrome and autism is that, by definition, there is no speech delay in Asperger's. In fact, children with Asperger's frequently have good language skills; they simply use language in different ways. Speech patterns may be unusual, lack inflection, or have a rhythmic nature or it may be formal, but too loud or high pitched. Children with Asperger's may not understand the subtleties of language, such as irony and humor, or they may not recognize the give-and-take nature of a conversation.

Another distinction between Asperger's Syndrome and autism concerns cognitive ability. While some individuals with autism experience mental retardation, by definition a person with Asperger's cannot possess a "clinically significant" cognitive delay, and most possess average to above-average intelligence.

Why is early intervention important?
Early intervention is defined as services delivered to children from birth to age 3, and research shows that it has a dramatic impact on reducing the symptoms of autism spectrum disorders. Studies in early childhood development have shown that the youngest brains are the most flexible. In autism, we see that intensive early intervention yields a tremendous amount of progress in children by the time they enter kindergarten, often reducing the need for intensive supports.

What will my child be like growing up with autism?
Although the person will always be on the spectrum, the supports that they will need will change as they change. Visual supports for example, typically become smaller and more discrete as the person is more able to manage and self regulate. People with autism can go through difficult times like anyone else, giving people on the spectrum tools to cope with life’s stressors can make a marked difference in the long term.

Please Note: These Frequently Asked Questions have been compiled from a number of credible, autism-related sources. They are provided as an overall reference point and are for informational purposes only.