Why the developmental lag is treated by a psychiatrist. How is autism diagnosed and what are the forms. Differences in the types of autism: Kanner's syndrome, Asperger's. What treatment is needed for autistics
Autism in children begins to manifest itselfEarly years of life, his development scenario can be very different and will depend on what experts are dealing with your problem and how you will be able to find an approach to a toddler with special needs. How to diagnose autism syndrome Kanner and Asperger, what are fraught with both diseases and what awaits your child in the future - read in our article.
Autism - a mental illness or a developmental feature
Despite the fact that for the entire period of the survey andYour child will be treated by a psychiatrist, strictly speaking his condition is not a psychotic illness. Autism is a backwardness in development, a disorder that is of a biological nature, at least as it is considered to date.
The symptoms of autism are easily identifiable due to the fact thatThe kid from early years is characterized by strange behavior: his spectrum of emotions is rather meager, he often gets hung up on certain actions and subjects, does not speak and goes badly at contact. Closedness in itself is not a sign of mental retardation, but when diagnosed, this indicator begins to come to the fore.
The severity of the disease includes a deep loss of personality with a noticeable mental retardation (Kanner) and a less noticeable emotional underdevelopment against the background of ordinary or high intelligence (Asperger).
The spectrum of disorders also includes such forms,As Rett syndrome with motor dysfunction (the inability to control not only the emotions, but also the motility of the body), the Savant syndrome (autism of gifted children) with the presence of a person's vent in some kind of art or the exact sciences.
Autism does not include another specific speciesDevelopmental disorders, although the name is preserved in the name - it is a highly functional autism. It is a question of the preserved ability to solve the everyday tasks of communication independently, while non-standard situations a person passes with difficulties or can not cope with them at all.
The productive psychotic symptomatology ofThere are no diseases of any kind: children do not degrade, do not suffer from dissociation of the personality, delusions or inability to distinguish reality from the fictional fantasy world.
However, due to the association of the disease with the neurobiological functions of the body and their influence on behavior, autism refers to the field of psychiatry, not neurology.
How Autism Is Determined in Children
The basis for checking will be the complaints of the parents onThe peculiarities of their child's behavior that can be seen at an age when other children are connected to conscious contacts with adults and peers. In the first years of life, autism also has its manifestations - in games, facial expressions, intelligibility of contacts with people, etc.
But while the child does not demonstrate speechLag, talk about having an autism syndrome early. Suspected disease, do not rush to lead your son or daughter to see a doctor because of singular oddities, but do not ignore them - early diagnosis will be carried out both in terms of communication and experiments, and with your words.
Later detection of the disease, as a rule, is notRepresents a real danger, so if your baby is still very small, stop by remembering (recording) the specific symptoms that you observe, as well as their frequency and circumstances.
Symptoms of Kanner's syndrome include the following conditions:
- The child is unable to maintain eye contact with people, parents and strangers;
- In his actions there is a certain ritual, the repetition of movements in a certain sequence;
- Inability to assess the situation and to realize the danger or threat;
- So-called echolalia - repeated repetition of "babbling" sounds, onomatopoeia instead of full speech;
- Outbreaks of aggression against relatives and strangers who come into contact with him;
- The need to alter the games to themselves, the strange rules of the game, the inability to play with other children due to ignoring the general rules and the appointment of one's own;
- Communication with objects and, at the same time, refusal to communicate with people;
- One of the main symptoms is mutism (stubborn silence and ignoring speech and appeals directed to him personally).
Mutism is observed throughout his life, hisSymptoms are characteristic for any age - from early childhood to adulthood. There is no special demonstration of silence, it can not be considered intentional, it does not belong to the kind of manipulation with a certain purpose, for example, to punish relatives or attract attention.
Refusal of speech is the result of immersion inA world of their own experiences and dreams. It is not connected with the inability to speak at all or with a limited set of words, it is not shyness, but a complete lack of motivation to communicate verbally.
To achieve reaction with the help of words from a child with Kanner's syndrome and Asperger's syndrome in most cases is impossible if his consciousness at this moment is slammed for external connections.
What is the difference between Kanner and Asperger syndromes?
In fact, this is not a question for diagnosis and therapy,But for the medical history, and different doctors may have different opinions on this matter. Experience shows that foreign doctors more often diagnose Asperger, ours, domestic - Kanner, and explain this selectivity can, perhaps, only the tradition of medicine in our country and in the West.
It is usually believed that with Asperger syndromeIntelligence is preserved, for Kanner is characterized by mental retardation. However, psychiatry is incorrectly considered an accurate and definitive medical science, some of its definitions and diagnoses are unstable and inconclusive.
It is important, what name appears in the cardChild? On the one hand, the diagnosis is important for registration of disability and in resolving issues of further care and education of such children (special school, boarding school, etc.).
On the other hand, the very tactics of treatment for childrenWith autism is the same for any diagnosis, and often the manifestations of the disease are so weak that when such an autistic person enters the educational institution, they can be safely ignored and arranged his life no worse than any other.
In this case, the presence of either of these twoDiagnoses will be a formal obstacle to identification in ordinary school classes. Thus, the need for accurate diagnosis is determined by the main factor - whether your child needs an autistic label or not.
Seeking a review and changing the diagnosis of Kanner to Asperger makes sense if you want to avoid isolation from the ordinary children's environment, and at the same time are sure that it will be better.
Basics of treatment: Kanner and Asperger syndrome
Therapy of autism will depend on how much the communicative abilities of the patient are affected and whether the affect is present (emotions disappear, withdrawal into oneself), catatonia, stupor.
From medicines apply disinhibitionMeans such as high doses of caffeine, to bring the autistic from a state of lethargy, isolation, help him begin to respond to others and speech directed to him.
On a continuous basis, nootropic drugs are used that help strengthen the cells and vessels of the brain, positively affect the nervous system of the whole organism.
Therapy also includes mandatory courses of psychological support and development that are conducted in the group and individually:
- Lessons with a speech therapist;
- Medical work;
The great importance is how much the familyThe autistic is involved in the process of his rehabilitation. Coldness and misunderstanding on the part of both or one of the parents negates the efforts of doctors and the achievement of the baby. Maternal and paternal care, love and warmth in many determine the course of rehabilitation itself.
The mental development of a retarded child shouldOccur in a supportive environment, with moderate emotional impressions, in the absence of stress. In addition, the regime of the day has the most positive effect on overcoming the disease.
Forecast of further condition can only be doneThe attending physician, besides the one who observed the small patient on a regular basis. A lot of cases from life show that it is quite possible to improve even serious cases of the disease, and weak manifestations make it virtually invisible.