AUTISM

Autism, also called autism spectrum disorder (ASD), is a complicated condition that includes problems with communication and behavior.

People with autism have trouble with communication. They have trouble understanding what other people think and feel. This makes it hard for them to express themselves, either with words or through gestures, facial expressions, and touch.

SIGNS AND SYMPTOMS

Many people with ASD also have different ways of learning, paying attention, or reacting to things. Signs of ASD begin during early childhood and typically last throughout a person’s life.

Children or adults with ASD might:

• not point at objects to show interest (for example, not point at an airplane flying over)
• not look at objects when another person points at them
• have trouble relating to others or not have an interest in other people at all
• avoid eye contact and want to be alone
• have trouble understanding other people’s feelings or talking about their own feelings.

• prefer not to be held or cuddled, or might cuddle only when they want to
• appear to be unaware when people talk to them, but respond to other sounds

• be very interested in people, but not know how to talk, play, or relate to them
• repeat or echo words or phrases said to them, or repeat words or phrases in place of normal language
• have trouble expressing their needs using typical words or motions
• not play “pretend” games (for example, not pretend to “feed” a doll)
• repeat actions over and over again
• have trouble adapting when a routine changes
• have unusual reactions to the way things smell, taste, look, feel, or sound
• lose skills they once had (for example, stop saying words they were using)

CAUSES

The exact cause of ASD is unknown. The most current research demonstrates there’s no single cause.

RISK FACTORS

• Having an immediate family member who’s autistic
• Genetic mutations
• Fragile X syndrome and other genetic disorders
• Being born to older parents
• Low birth weight
• Metabolic imbalances
• Exposure to heavy metals and environmental toxins
• A history of viral infections
• fetal exposure to the medications valproic acid or thalidomide (Thalomid)

MANAGEMENT

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