Wednesday, May 6, 2020
Mental Illness Paper free essay sample
A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement. Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they canââ¬â¢t understand social cues, such as tone of voice or facial expressions, and donââ¬â¢t watch other peopleââ¬â¢s faces for clues about appropriate behavior. They lack empathy. Many children with an ASD engage in repetitive movements such as rocking and twirling, or in self-abusive behavior such as biting or head-banging. They also tend to start speaking later than other children and may refer to themselves by name instead of ââ¬Å"Iâ⬠or ââ¬Å"me. â⬠Children with an ASD donââ¬â¢t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favorite topics, with little regard for the interests of the person to whom they are speaking. Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood. ASD varies widely in severity and symptoms and may go unrecognized, especially in mildly affected children or when it is masked by more debilitating handicaps. Very early indicators that require evaluation by an expert include: * no babbling or pointing by age 1 * no single words by 16 months or two-word phrases by age 2 * no response to name * loss of language or social skills * poor eye contact * excessive lining up of toys or objects * no smiling or social responsiveness. Later indicators include: * impaired ability to make friends with peers * impaired ability to initiate or sustain a conversation with others * absence or impairment of imaginative and social play * stereotyped, repetitive, or unusual use of language * restricted patterns of interest that are abnormal in intensity or focus * preoccupation with certain objects or subjects * inflexible adherence to specific routines or rituals. Health care providers will often use a questionnaire or other screening instrument to gather information about a childââ¬â¢s development and behavior. Some screening instruments rely solely on parent observations, while others rely on a combination of parent and doctor observations. If screening instruments indicate the possibility of an ASD, a more comprehensive evaluation is usually indicated. A comprehensive evaluation requires a multidisciplinary team, including a psychologist, neurologist, psychiatrist, speech therapist, and other professionals who diagnose children with ASDs. The team members will conduct a thorough neurological assessment and in-depth cognitive and language testing. Because hearing problems can cause behaviors that could be mistaken for an ASD, children with delayed speech development should also have their hearing tested. Scientists arenââ¬â¢t certain about what causes ASD, but itââ¬â¢s likely that both genetics and environment play a role. Researchers have identified a number of genes associated with the disorder. Studies of people with ASD have found irregularities in several regions of the brain. Other studies suggest that people with ASD have abnormal levels of serotonin or other neurotransmitters in the brain. These abnormalities suggest that ASD could result from the disruption of normal brain development early in fetal development caused by defects in genes that control brain growth and that regulate how brain cells communicate with each other, possibly due to the influence of environmental factors on gene function. While these findings are intriguing, they are preliminary and require further study. The theory that parental practices are responsible for ASD has long been disproved. There is no cure for ASDs. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children. Most health care professionals agree that the earlier the intervention, the better. Educational/behavioral interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioral Analysis. Family counseling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD. Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioral problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity. Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their childââ¬â¢s nutritional status is carefully followed. Children with some symptoms of an ASD but not enough to be diagnosed with classical autism are often diagnosed with PDD-NOS. Children with autistic behaviors but well-developed language skills are often diagnosed with Asperger syndrome. Much rarer are children who may be diagnosed with childhood disintegrative disorder, in which they develop normally and then suddenly deteriorate between the ages of 3 to 10 years and show marked autistic behaviors. For many children, symptoms improve with treatment and with age. Children whose language skills regress early in lifeââ¬âbefore the age of 3ââ¬âappear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioral problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment. Autism affects children of all races and nationalities, but certain factors increase a childs risk. They include: Your childs sex. Boys are four to five times more likely to develop autism than girls are. Family history. Families who have one child with autism have an increased risk of having another child with the disorder. Its also not uncommon for the parents or relatives of an autistic child to have minor problems with social or communication skills themselves or to engage in certain autistic behaviors. Other disorders. Children with certain medical conditions have a higher than normal risk of having autism. These conditions include fragile X syndrome, an inherited disorder that causes intellectual problems; tuberous sclerosis, a condition in which benign tumors develop in the brain; the neurological disorder Tourette syndrome; and epilepsy, which causes seizures. Parents ages, there may also be a connection between children born to older parents and autism, but more research is necessary to establish this link. With today doctor check-ups and monitoring young children and adults that have autism, there are many things that can actually detect the problems that is going on early with the brain then what they was able to detect in the past. The reason many doctors were not able to do so because of poorly, technology that they had and not enough equipment to find out the results. Today there are many doctors that are able to solve many people problems with autism and are able to provide the proper medications that can give someone a life as a normal human being.
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