Autism is a brain disorder that often interferes with a
person's ability to communicate with and relate to others.
Signs of autism almost always develop before a child is 3 years
old, although the condition is sometimes not diagnosed until
later. Typically, parents first become concerned when they
notice that their toddler does not begin to talk or does not
respond and interact like other children of the same age.
Toddlers with autism do not usually develop speech normally and
may seem to be deaf although hearing tests are normal.
Autism also affects how a child perceives and processes sensory
information.
The severity of autism varies. Some individuals need assistance
in almost all aspects of their daily lives, while others are
able to function at a very high level and can even attend school
in a regular classroom. While this is a lifelong condition that
typically results in some degree of social isolation, treatment
can make a major difference in the lives of people with autism.
Early diagnosis and comprehensive treatment has resulted in
increasing numbers of people with autism being able to live
independently as adults..
What causes autism?
Autism tends to run in families, suggesting a genetic link.
Because people with autism can be vastly different, scientists
suspect a number of genes are responsible. Ongoing research is
targeted at pinpointing these genes. Some experts also believe
that environmental factors may play a part in causing autism,
although scientists have studied several factors, including
vaccines, and have yet to identify such a cause.
Brain scans of people with autism have shown abnormalities in
several areas of the brain, including those responsible for
emotion and social relations. Other studies suggest that people
with autism have high levels of the neurotransmitter serotonin,
a chemical that sends messages in the brain. However, these
findings are preliminary, and ongoing studies seek to explain
the brain and autism.
What are the symptoms?
All people with autism have difficulty with social interactions
and relationships. Parents often describe their child with
autism as preferring to play alone and making little eye contact
with other people. Other symptoms of autism include:
* Difficulties with verbal and nonverbal communication.
Language development in children with autism is almost always
delayed.
* Limited, repetitive, and overused (stereotyped) patterns
of behavior, interests, and play. Many typical behaviors—such as
repetitive body rocking, unusual attachments to objects, and
holding fast to routines and rituals—are driven by the need for
sameness and resistance to change.
There is no “typical” person with autism. Although autism is
defined by the above characteristics, people with autism can
have many different combinations of behaviors in mild to severe
forms.
Do any other conditions occur with autism?
Although it is difficult to determine, studies show that
below-normal intelligence occurs in about 70% of children with
autism. 2 Teenagers with autism often become depressed and have
increased anxiety, especially if they have average or
above-average intelligence. In addition, about a third of
children with autism develop a seizure disorder (such as
epilepsy) by their teen years.
How is autism diagnosed?
Your health professional will use diagnostic guidelines,
established by the American Academy of Child and Adolescent
Psychiatry (AACAP), to determine whether your child has core
symptoms. 4 A child may also have hearing and other tests to
make sure developmental delays aren't the result of another
condition with similar symptoms. Early diagnosis and treatment
of autism is important to make the most of the child's
potential.