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Patient education: Autism spectrum disorder (The Basics)

Patient education: Autism spectrum disorder (The Basics)

What is autism spectrum disorder? — Autism spectrum disorder, often called just "autism," is a developmental disability that affects how a person interacts with the world. It often makes it hard for the person to communicate with or understand other people. It can also cause behaviors that are different from how people without autism act. The cause of autism is not known.

Not everyone with autism thinks and acts the same way. The word "spectrum" refers to the wide range of symptoms and behaviors a person might have. In some countries, the term "Asperger syndrome" is used to describe a mild type of autism.

Some people also use the word "neurodiversity" to describe the different ways people's brains can work. This can include autism as well as other conditions, like attention deficit disorder or a learning disability.

What are the symptoms of autism? — To be diagnosed with autism, a child must show certain signs in early childhood. In some cases, these signs are not noticed until the child is in school.

The signs of autism include problems in 2 main areas:

Social interaction and social communication – Children with autism have trouble relating to other people. This might include:

Trouble reading another person's facial expressions

Avoiding eye contact

Not wanting to be touched

Not wanting to play or interact with other people

Children with autism often take much longer than other children to learn to speak. Some never learn to speak. They also often do not use other forms of communication, like hand gestures, facial expressions, and different tones of voice.

Limited interests and repetitive behaviors – Children with autism tend to show intense interest in certain things. They also often repeat the same behaviors. This might include:

Being completely focused on things that spin or shine and ignoring other things

Being preoccupied with a specific topic or subject

Having rituals they must follow exactly, and getting upset if a routine changes

Reciting "scripts" from a movie, TV show, or conversation from the past

Repeating certain physical motions, like flapping the hands, rocking, or spinning

Every child with autism is unique, and children with autism do not all think or act exactly the same.

What other things are common in children with autism? — To learn about other signs of autism, see the table (table 1).

Should my child see a doctor or nurse? — Take your child to a doctor or nurse if you notice any of the signs of autism listed above or in the table (table 1). It's important to do this as soon as possible, so your child can get the help and support they need.

You might also want to request to have your child's hearing tested. If a child is having trouble hearing, they might show symptoms that are similar to those of autism, like not speaking or responding to other people.

Is there a test for autism? — Experts use different tests to figure out if a child has autism. If a doctor or nurse suspects that your child has it, they will probably refer you to a team of specialists who are experts in this area. These experts will:

Ask you lots of questions about your child and your family

Test your child's abilities in lots of ways

Make sure that your child's symptoms are not caused by another problem

If your child does have autism, it's important that they be diagnosed as soon as possible. This way, they can get help and support early.

How is autism treated? — Treatment for autism depends on the age of the child, what their symptoms are, and whether they have any other medical problems. Autism cannot be cured, but therapy can help children communicate and socialize. Having the right support in school can also help them become more independent. Your child's doctor or nurse can help with this.

If your child has autism, it can help to learn more about the condition to better understand how their brain works. Getting your child support or therapy can help them feel more comfortable interacting with the world. But you can also support them by making it clear that you accept who they are.

As your child gets older, they might also be able to learn to advocate for themselves. This might include explaining to other people that their brain works differently, or requesting certain types of support. If your child cannot advocate for themselves, you can be an advocate for them.

In some cases, doctors might prescribe medicines to treat other problems some people with autism have. These can include anxiety, depression, and problems paying attention. But medicines should only be used after therapy and education supports are in place.

More on this topic

Patient education: Autism spectrum disorder (Beyond the Basics)

This topic retrieved from UpToDate on: Feb 02, 2024.
Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms. 2024© UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.
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