AUTISM1..............................pptx

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1. AUTISM (Autism Spectrum Disorder) DR V R BHAGAT (MD. PAEDIATRICS) ( State Master Trainer - RBSK, RI & CCH, IMNCI, F-IMNCI, IYCF, FBm -SAM CG.) CHILD SPECIALIST & DISTRICT CHILD HEALTH OFFICER DISTRICT-RAIPUR Prepared & Presented BY

2. Autism spectrum disorders (ASD) What are Autism Spectrum Disorders? A range of complex neuro -developmental disorders caused by a problem with the brain. Disorders are c haracterized by - S ocial impairments, C ommunication difficulties, and Restricted, Repetitive, and Stereotyped patterns of Behavior  

3. Definition of Autism Restricted & Repetitive Behavior Impairment in Socialization Impairment in Communication

4. 4 Social Communication Motor Sensory Profound Intellectual Disabilities Gifted Self-Absorbed Quirky Non-Verbal Highly Verbal Awkward Agile Hyposensitive Hypersensitive Measured I.Q. Behavior Aggressive, Destructive Odd Spectrum of Autism

5. Social Communication & Interaction Persistent deficits in social communication and social interaction across contexts, not accounted for by general developmental delays, and manifest by all 3 of the following: Deficits in social-emotional reciprocity ; ranging from abnormal social approach and failure of normal back and forth conversation through reduced sharing of interests, emotions, and affect and response to total lack of initiation of social interaction.

6. Behaviors, Interests, Activities Restricted, repetitive patterns of behavior, interests, or activities as manifested by at least two of the following: Stereotyped or repetitive speech, motor movements, or use of objects; (such as simple motor stereotypies , echolalia, repetitive use of objects, or idiosyncratic phrases). People with ASDs may spend a lot of time repeatedly flapping their arms or rocking from side to side. They might repeatedly turn a light on and off or spin the wheels of a toy car, in front of their eyes. These types of activities are known as self-stimulation or “ stimming .”

7. Excessive adherence to routines, ritualized patterns of verbal or nonverbal behavior, or excessive resistance to change; (such as motoric rituals, insistence on same route or food, repetitive questioning or extreme distress at small changes).

8. Behaviors, Interests, Activities —(continued) Highly restricted, fixated interests that are abnormal in intensity or focus; (such as strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interests). Hyper-or hypo-reactivity to sensory input or unusual interest in sensory aspects of environment; (such as apparent indifference to pain/heat/cold, adverse response to specific sounds or textures, excessive smelling or touching of objects, fascination with lights or spinning objects).

9. Triad of ASD

10. In General... Children with an autism spectrum disorder might : Not play “pretend” games (pretend to “feed” a doll ); Not point at objects to show interest (point at an airplane flying over ); Not look at objects when another person points at them ; Have trouble relating to others or not have an interest in other people, at all ;

11. Avoid eye contact and want to be alone Have trouble understanding other people’s feelings or talking about their own feelings ; Prefer not to be held or cuddled or might like to be cuddled only when they want to ; Appear to be unaware when other people talk to them but , respond to other sounds ; Conti............

12. Be very interested in people, but not know how to talk to, play with, or relate to them ; Repeat or echo words or phrases said to them, or repeat words or phrases in place of normal language (echolalia ); Have trouble expressing their needs using typical words or motions ; Repeats actions over and over again; Conti............

13. Have trouble adapting to changes in routine ; Have unusual reactions to the way things smell, taste , look , feel, or sound ; Lose skills they once had (for instance, stop saying words they were once using); Talk to your child’s doctor if your child loses skills, at any age. Conti............

14. Red Flags in Young Children No big smiles or other warm, joyful expressions by six months or thereafter No back-and-forth sharing of sounds, smiles, or other facial expressions by nine months or thereafter No babbling by 12 months No back-and-forth gestures, such as pointing, showing, reaching, or waving by 12 months

15. More Red Flags No words by 16 months No two-word meaningful phrases (without imitating or repeating) by 24 months Any loss of speech or babbling or social skills at any age .

16. 15-18 Months Does your child other children look in your eyes for more than a second or two(poor eye co-ordinance)? Does your child ever use his/her index finger to point to ask for something? Have you ever wondered that your child is deaf or is not responding to his/her name when you call (not communicating ever through gestures)? 18-24 Months Does your child take an interest in other children or play with other children? Does your child make unusual finger movement/repetitive hand and body movements like finger wriggling/flapping/jumping(repeated purposeless motor activity)? Does your child ever pretend play (talk on phone/take care of dolls)?

17. THANKS