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Symptoms of Autism and its Relationship With Speech and Language & Occupational Therapy (OT)

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Autism which is also known as ASD (Autism Spectrum Disorder) is a complex neurodevelopmental disorder characterized by social, communication as well as language problems. It’s worth noting that children with autism exhibit different symptoms that tend to vary in regards to severity. The symptoms also tend to be accompanied by other medical problems that may also vary in severity. Below is a discussion of the main symptoms of autism as well as the most effective treatments for those symptoms.

Symptoms of Autism

Autism symptoms can be divided into four broad categories namely; social challenges, communication problems, repetitive behaviours as well as physical and mental issues that tend to accompany autism.

a. Social Challenges

Infants tend to be social by nature i.e. they turn towards voices, gaze and sometimes smile at faces etc. Most infants who develop autism have problems having these kinds of social engagements with people by 2-3 months. They tend to have a reduced interest in people. They may also fail to respond to their names by 8-10 months of age. As toddlers, most children with autism have problems playing social games. Unlike typical children, they don’t imitate action. They also prefer playing alone and seem disconnected most of the time.

All persons with autism (children and adults) have difficulty interpreting other people’s feelings and thinking. They tend to find little meaning to subtle social cures like a smile or wave. This inability to interpret facial expressions and gestures makes the social world bewildering in the eyes of persons with autism. Individuals with autism also tend to have problems regulating their emotions which may sometimes be interpreted as immaturity.

b. Communication Problems

Children with autism also tend to have communication problems. One of the most common and earliest communication problems is babbling. Children with autism experience significant language delays. They don’t have a fundamental grasp of language until late. However, with treatment such as speech-language therapy, children with autism can learn how to communicate using spoken language.

Individuals with autism may also exhibit unusual speech if/when they start speaking. Most have problems constructing meaningful sentences. They tend to converse in single words or repeat phrases over and over. Mildly affected children tend to exhibit slight delays in language or develop mature language or unusually large vocabularies but still have problems sustaining a conversation. Children, as well as adults with autism, also tend to engage in monologues giving others very little to no opportunities of commenting.

Another notable communication problem is the failure to understand body language as well as tones or expressions that should not be taken literally. For instance, children and adults with autism have difficulty interpreting sarcasm. They also tend to have gestures, movements and facial expressions that don’t match their words which can make it hard for other to know what they mean, want or need.

c. Behavioural Symptoms: Repetitive Behaviours

Autistic individuals also tend to exhibit repetitive behaviours such as; rocking, arranging/rearranging objects, hand-flapping, repeating sounds/words/phrases, jumping, and twirling, etc. In most cases, the repetitive behaviour has a self-stimulating aspect and most individuals with autism get extremely upset when their repetitive behaviour is disrupted. Their repetitive behaviours resemble obsessions.

d. Physical & Medical Issues/Symptoms Accompanying Autism

Autism is linked to many physical and medical issues. For instance, autism is linked to sensory processing problems. Many people with autism have problems processing sensory information i.e. sight, sounds, tastes, smells and/or movement. People with autism also tend to suffer from seizure disorders like epilepsy which is prevalent in approximately 39% of all individuals with autism. Autism also linked to Pica (a tendency to eat non-food items i.e. chalk, clay, dirt etc.). Pica is common among children with autism aged between 18 and 24 months).

Treating Symptoms of Autism

Treatment should start with an evaluation by an SLT (speech & language therapist) also referred to as a speech-language pathologist. Evaluation is important to determine the exact language, communication, social skill and behavioural needs of an individual with autism.

SLTs are also important for formulating treatment plans that meet the exact needs of individuals with autism as well as their families. Although medication and dietary restrictions are used to treat autism, the disorder is best treated using a combination of; traditional speech & language therapies/approaches and occupational therapy. Augmentative & alternative communication, as well as behavioural interventions, can also be included to enhance treatment.

a. Speech-Language Therapy

Most autism treatment programs include speech-language therapy which incorporates a variety of techniques that address the speech and language challenges (communication symptoms) exhibited by most individuals with autism. Speech-language therapy is a very important part of treating autism since the therapy addresses communication challenges such as; speech difficulties as well as challenges understanding nonverbal cues.

Speech-language therapy coordinates the meaning as well as the social use of language. The therapy starts with an individual evaluation. Individuals with autism visit a speech and language therapist to assess their communication challenges. From the information collected during the evaluation, the SLT designs a program to help deal with the unique communication needs of their patient. Speech-language therapy is highly effective for treating autism because it is highly specialized.

An SLT will help a child with autism talk, read and write. SLTs also help children with autism develop social skills i.e. play/get along with other children, understand as well as use gestures in communication, learn how to take turns in conversations, start/stop conversations, ask/answer questions, write/construct sentences etc.

b. Occupational Therapy (OT)

Occupational therapy is another effective therapy for treating/dealing with autism symptoms. OT deals with a combination of physical, cognitive and motor skills. The goal of OT in treating autism is helping individuals with autism gain age-appropriate independence. The social, communication, behavioural, as well as physical/medical symptoms, brought about by autism expose individuals with autism to challenges such as over-dependence on caregivers. OT helps individuals with autism gain useful skills that promote independence i.e. self-care, play/leisure skills. With OT, individuals with autism can finally be able to perform everyday tasks independently.

Like speech and language therapy, occupational therapy starts with evaluation. An occupational therapist evaluates a patient’s developmental levels and related social abilities, learning styles and environmental needs. Based on the evaluation, the occupational therapist formulates goals and selects appropriate strategies for enhancing crucial skills. The goals can be anything from improved social skills to independence in grooming and feeding.

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By info 26 Sep, 2019
We launched our autism services in Thunder Bay, ON at Creative Therapy Autism Centre , 1201 Amber Drive.
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