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Can Autism Develop Later In Childhood

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Children’s Autism Story: Meet Thallaich, Age 8

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What Are Some Early Signs Of Autism In Toddlers

When a baby becomes a toddler, various developmental differences, signs and symptoms may become more apparent with the growing age of the child.

During their first year, toddlers with autism spectrum disorder may not:

  • like seeing new faces,
  • may not be able to walk, or w__alk only on their toes__
  • may find certain sounds, tastes and smells upsetting,
  • may fall into repetitive movements, like flapping their hands.

These signs may be more noticeable compared to the signs presented early on. However, the majority of children with autism are not diagnosed before the age of two due to missed signs by caregivers, or lack of access to specialists.

Slow Onset May Explain Late Autism Diagnosis In Some Children

by Hannah Furfaro / 3 December 2018
Topics:

Subtle signs:

Some autistic children dont show traits of the condition until age 5 or later, new research suggests1. Others show a few mild features at age 3 but only later meet the criteria for diagnosis.

The findings suggest that autism traits are not always apparent by 24 months, the typical age for screening. As a result, efforts to bring down the average age of diagnosis, now at 4 years, can only go so far.

There are some children who do get evaluated, sometimes multiple times, only to get diagnosed later, says lead researcher Sally Ozonoff, endowed professor of psychiatry and behavioral sciences at the University of California, Davis. This research is explanatory for those children.

The results are based on following baby sibs, or younger siblings of children with autism, who are at increased risk for the condition. But they should remind clinicians not to rule out autism in older children, even among the general population, experts say.

We tend to think if didnt happen early on, its not there and this is saying thats not true, says Catherine Lord, distinguished professor in residence of psychiatry and education at the University of California, Los Angeles, who was not involved in the research. Its saying that we do need to continue to be vigilant and aware.

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Early Signs Of Autism In Babies Aged 0

Shortly after they are born, babies begin to smile and coo at people around them. By the time they turn 2 months old, they are able to pay attention to faces.

If the child has autism spectrum disorder, this may not be the case. If a child doesnt smile, or smile as big, and is not showing any warm expression, it may be a sign of autism spectrum disorder.

The following signs can also be seen by the time the baby turns 3 months old:

  • Doesnt respond to loud noises,
  • Doesnt grasp objects,
  • Doesnt follow objects with their eyes,
  • Doesnt babble,
  • Doesnt point to things,
  • Doesnt respond to their names,
  • Cant stand when supported,
  • Doesnt babble

Why Do Some Young People Get A Late Diagnosis

What Are Development Milestones?

It is common for a young person to get a late diagnosis if they are high functioning or academically able. This also occurs more in girls than in boys, as girls are generally more adept at copying neuro-typical behaviours, including verbal and non-verbal communication in order to mask their autism.

Late diagnosis can happen because there is some ambiguity which makes it difficult to be sure a young person has autism, or because other conditions have presented as being their primary need e.g. challenging behaviour or ADHD. Typically, children are also often able to cope in a primary school environment but find the increasing demand of secondary school very stressful, leading to their difficulties becoming more apparent.

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Restricted Or Repetitive Behaviors Or Interests

People with ASD have behaviors or interests that can seem unusual. These behaviors or interests set ASD apart from conditions defined by only problems with social communication and interaction.

Examples of restricted or repetitive interests and behaviors related to ASD can include:

  • Lines up toys or other objects and gets upset when order is changed
  • Repeats words or phrases over and over
  • Plays with toys the same way every time
  • Is focused on parts of objects
  • Gets upset by minor changes
  • Has obsessive interests
  • Flaps hands, rocks body, or spins self in circles
  • Has unusual reactions to the way things sound, smell, taste, look, or feel

What Parents Should Do

If you think your child has developmental delays and may be autistic, take action. Ask your pediatrician to screen your child for delays, with a special emphasis on social, communication, and emotional skills.

If your intuition was incorrect, you’ve lost nothing but an hour of time and a load of anxiety. If your child does, indeed, have developmental delays you’ve taken action promptly and can expect to quickly access resources and programs that can help him or her to overcome any challenges.

Bottom line, you have nothing to lose and everything to gain by taking prompt action!

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Signs In Boys Vs Girls

The symptoms of autism are generally the same for both boys and girls. However, because autism is diagnosed in boys far more often than girls , classic symptoms are often described in a skewed manor.

For example, an excessive interest in trains, the wheels on trucks, or strange dinosaur trivia is often very noticeable. A girl who doesnt play with trains, trucks, or dinosaurs might display less noticeable behaviors, like arranging or dressing dolls in a particular way.

High-functioning girls also have an easier time mimicking average social behaviors. Social skills may be more innate in girls, which can make impairments less noticeable.

Not Just For Children

What are the signs of autism and how does it affect the child?

There are currently about 700,000 people in the UK who have been diagnosed with autism, in some form or another. But of course, there may well be many more who meet the criteria of autism but have not been diagnosed.

For these people, they will not have received the care, benefits, support or advice that people with a diagnosis are given. Instead, the judgements made about their behaviour may well have led to marginalisation, anxiety and insecurity and self doubt about who they are and how they fit into society.

Mental illness can also be more common for people on the autism spectrum with higher rates of anxiety disorders and depression. These issues may well have developed from experiences of bullying, at home or the workplace, and from being seen as being a bit odd.

Then there is also the issue that since 2013, definitions of autism have changed. Now, Aspergers Syndrome one of several previously separate sub-types of autism is no longer diagnosed separately, but amalgamated into Autism Spectrum Disorders. This may make some adults feel alienated and unsure about what their diagnosis actually means as well as what support they may receive.

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What Is A Spectrum Disorder

Autism is a spectrum disorder, which means that people can experience a wide range of symptoms and of varying severities. For example, a person with autism who is towards the high functioning range of the spectrum will have a good grasp of language, but a person towards the low functioning range of the spectrum may not speak at all.

As such, it is important to note that a person with autism spectrum disorder will not display all symptoms and symptoms will vary in severity. However, a person with ASD will display several of these behaviors and signs.

Large Head Size Is A Red Flag

Recent findings published in the Journal of the American Medical Association suggest that the brains of children with autism develop differently from an early age. Researchers discovered that most infants who were later diagnosed with autism had small head circumferences at birth but had heads and brains much larger than normal by 6 to 14 months. “Some of them went all the way up to the 90th percentile in just a few months,” says study coauthor Natacha Akshoomoff, Ph.D., an assistant professor of psychiatry at the University of California, San Diego. Those who ended up with the most severe form of autism were found to have the most dramatic acceleration of brain growth during infancy.

Pediatricians don’t always measure head circumference at well-baby visits, so it’s wise to request it. However, don’t panic if your baby’s head size is above the norm. Some babies just have big heads. “Rapid head growth is not a way to diagnose autism,” Dr. Akshoomoff points out, “but it means that a child should be watched closely to be sure that she meets speech and behavioral milestones.”

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Signs Of Autism In Girls

The ratio of boys to girls diagnosed with autism spectrum disorder is 4:1. However, there is some evidence that autism is going undiagnosed in girls, particularly those who are at the higher functioning end of the spectrum.

There is discussion around whether girls and women with autism may display different symptoms to boys and men, and that the current diagnostic criteria may be biased towards boys and stereotypical male behavior. Girls and women may also be better able to mask difficulties with social interactions than boys, and this may delay a diagnosis. New diagnostic criteria may be needed to assess ASD in girls and women. Past theories, including controversies such as the extreme male brain, may have led to under-referral and under-diagnosis of autism spectrum disorder in girls and women.

Signs that a girl may have autism include:

  • Difficulties with social interactions however, differences from typical autism symptoms may include:
  • Better grasp of emotions and ability to make friends than boys
  • May mask lack of intuitive understanding of social situations by repeating role-plays seen in real life or film/television
  • May be able to make friends but find difficulty keeping them
  • Intense focus on particular topics differences in gender may be expressed as a focus on trains or dinosaurs for boys, and celebrities or animals for girls,
  • Fewer repetitive behaviors and gestures than boys, or may have different gestures than boys
  • Signs Of Autism In Older Children And Teens

    Autism screening: All Victorian infants will now be ...

    Although autism spectrum disorder can reliably be diagnosed from the age of two or three years old, many children do not receive a diagnosis until they are older. Milder symptoms in children with autism spectrum disorder who are higher functioning may not be recognized until they are in school.

    Autism is a spectrum condition, which means that children will have different experiences of day-to-day living. Children who are more than five years old and on into their teenage years, who have mild symptoms and are towards the higher functioning range of the autism spectrum, may:

    • Develop a narrow range of interests or obsessions with certain topics
    • Engage in repetitive behavior such as hand flapping, twirling or snapping a rubber band
    • Not make eye contact
    • Use formal language rather than the slang of their peers
    • Place great importance on routines and rules
    • Develop strong preferences for certain foods, clothes or objects

    Children who have more severe symptoms and are towards the lower functioning range of the autism spectrum may:

    • Not use speech at all
    • Become extremely distressed at changes to routine
    • Exhibit challenging behavior, such as being aggressive or banging head on wall
    • Need assistance with everyday living, such as bathing and dressing
    • Engage in repetitive behaviors, such as rocking
    • Insist on rules and routine
    • Develop rigid preferences for certain foods, clothes or objects
    • Need specialized diets

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    Should I Camouflage My Autism In Social Settings

    Research has shown that authenticity is an integral part of mental health and well-being. Yet many people with autism are taught, or teach themselves, to modify their behavior to conform to social norms and expectations.

    Identifying and unraveling deeply ingrained habits is difficultit requires courage and assertiveness. But doing soand perhaps finding a supportive neurodiverse communitycan eliminate shame and stress and help to cultivate dignity, connection, and self-acceptance.

    Inflexibility Signs Of Autism In Children

    Autistic children are often restricted in their behaviors and movements. They are inflexible, and even obsessive in terms of their activities, behaviors and interests.

    • Inflexibility, to an extent, can be an indication of ASD. The following are the signs of inflexibility
    • Strict routines – insisting on taking the same route to school every day
    • Limited topic of interest – memorizing the train schedules
    • Repeating the same actions – flapping hands, rocking back and forth these are also known as stimming, self stimulatory behavior
    • Unusual attachments to objects – obsessively lining the trucks or arranging them in a certain order
    • Difficulty in adapting to change – getting upset when their routines are interrupted

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    Can Symptoms Develop At A Later Age

    Kristys is right, BUT.

    In retrospect only, my dd had symptoms at ten months. HOWEVER, her symptoms were not frequent or pronounced enough to be diagnosed, unti lage six , when she joined a large, loud public kindergarten class, and was expected to process compelx auditory information for the first time.

    And the stress of the environment has brought out increased social and behavioral symptoms, as well. There has been a radical decrease in her eye contact, even at home, recently. She is more subject to meltdowns. Her play has become more idiosyncratic.

    I’m trying so hard to get help for my son, and like all of you here, I”m hitting brick wall after brick wall.

    My son developed normally/advanced as an infant/toddler. He was speaking in full sentences by 11 mos old. He is extremely intelligent. However…

    At around 3 years of age, we noticed little things. He was very hyperactive- whereas I don’t recall this being an issue when he was younger. Then I noticed that in preschool, he would want to be around other children, but would play alone amongst them.

    Different behaviors would crop up with him. In kindergarten, he was diagnosed as ADHD, although he seemed to be able to focus on what was being said in the classroom. He could recite back everything the teacher said, but the rest of the class could not, because he was so distracting. I would notice that when he became out of control, there was a blank look in his eye- like he wasn’t really there.

    NYMommyof3:

    gtto

    Signs And Symptoms Of Autism In Babies And Toddlers

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    If autism is caught in infancy, treatment can take full advantage of the young brains remarkable plasticity. Although autism is hard to diagnose before 24 months, symptoms often surface between 12 and 18 months. If signs are detected by 18 months of age, intensive treatment may help to rewire the brain and reverse the symptoms.

    The earliest signs of autism involve the absence of typical behaviorsnot the presence of atypical onesso they can be tough to spot. In some cases, the earliest symptoms of autism are even misinterpreted as signs of a good baby, since the infant may seem quiet, independent, and undemanding. However, you can catch warning signs early if you know what to look for.

    Some autistic infants dont respond to cuddling, reach out to be picked up, or look at their mothers when being fed.

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    When To Seek Medical Advice

    Early intervention is very important in children with autism spectrum disorder. Services such as speech therapy and behavioral and skills training are more effective if begun when a child is young.

    For this reason, it is helpful to receive a diagnosis as early as possible. However, many children remain undiagnosed until they are in school. Some people are not diagnosed until they are adults.

    If you suspect someone has autism, including yourself, contact a medical professional as soon as possible.

    Common Signs Of Autism

    Some of the more common signs that may indicate a person has autism include:

    • Avoiding eye contact
    • Delayed speech and communication skills
    • Reliance on rules and routines
    • Being upset by relatively minor changes
    • Unexpected reactions to sounds, tastes, sights, touch and smells
    • Difficulty understanding other peopleââ¬â¢s emotions
    • Focusing on or becoming obsessed by a narrow range of interests or objects
    • Engaging in repetitive behavior such as flapping hands or rocking
    • Children not responding to their name by 12 months
    • Children not pointing at distant objects by 14 months

    Worried you or someone you know might have some of the signs of autism? The Ada app can help you check symptoms. or find out more about how it works.

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    How Should People With Autism Pick A College

    People with autism have different educational paths. Some may not feel ready to move away to college at 18. A good solution, in that case, is to attend community college while living at home. Community colleges also tend to be practical and job-oriented, which people with autism may appreciate. The most important part of the decision is embarking on an academic path that they are confident they can complete.

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