Autism/Pervasive Developmental Disorders Update. Kimberly Macferran, MD Pediatric Subspecialty for the Primary Care Provider December 2, 2011

Size: px
Start display at page:

Download "Autism/Pervasive Developmental Disorders Update. Kimberly Macferran, MD Pediatric Subspecialty for the Primary Care Provider December 2, 2011"

Transcription

1 Autism/Pervasive Developmental Disorders Update Kimberly Macferran, MD Pediatric Subspecialty for the Primary Care Provider December 2, 2011

2 Overview Diagnostic criteria for autism spectrum disorders Screening/referral Associated medical problems Treatments/therapies

3 Prevalence Prevalence is 1 in 110 children Four times more common in males

4 Pervasive Developmental Disorders Autistic Disorder PDD- NOS Asperger s s Disorder Rett s s Syndrome Childhood Disintegrative Disorder

5 Autism Spectrum Disorders (ASD) Autistic Disorder PDD- NOS Asperger s s Disorder

6 Autistic Disorder (A) Qualitative impairment in social interaction Marked impairments in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body posture, and gestures to regulate social interaction Failure to develop peer relationships appropriate to developmental level Lack of spontaneous seeking to share enjoyment, interests, or achievements with other people Lack of social or emotional reciprocity

7 Autistic Disorder (B) Qualitative impairments in communication Delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime) In individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others Stereotyped and repetitive use of language or idiosyncratic language Lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level

8 Autistic Disorder (C) Restricted repetitive and stereotyped patterns of behavior, interests and activities Encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus Apparently inflexible adherence to specific, nonfunctional routines or rituals Stereotyped and repetitive motor mannerisms Persistent preoccupation with parts of objects

9 Autistic Disorder 6 Total Deficits: 2 or more deficits with Social Interactions 1 or more deficits with Communication 1 or more Repetitive/stereotypic behaviors Onset prior to 3 years of age

10 Asperger s Disorder Deficits with Social Interactions Repetitive/stereotyped behavior or interests No clinically significant delay in language Clinically significant impairment in social, occupational, or other important areas of functioning No clinically significant delay in cognitive development

11 Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) Severe and pervasive impairment in the development of reciprocal social interaction Associated with impairment in either verbal or nonverbal communication skills OR Presence of stereotyped behavior, interests, and activities Do not meet criteria for either Autistic Disorder or Asperger s Disorder

12 Proposed DSM-V Criteria for Autism Spectrum Disorder Must meet criteria A, B, C, and D: A. 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: 1. 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, 2. Deficits in nonverbal communicative behaviors used for social interaction; ranging from poorly integrated- verbal and nonverbal communication, through abnormalities in eye contact and bodylanguage, or deficits in understanding and use of nonverbal communication, to total lack of facial expression or gestures. 3. Deficits in developing and maintaining relationships, appropriate to developmental level (beyond those with caregivers); ranging from difficulties adjusting behavior to suit different social contexts through difficulties in sharing imaginative play and in making friends to an apparent absence of interest in people

13 Proposed DSM-V Criteria for Autism Spectrum Disorder B. Restricted, repetitive patterns of behavior, interests, or activities as manifested by at least two of the following: 1. Stereotyped or repetitive speech, motor movements, or use of objects; (such as simple motor stereotypies, echolalia, repetitive use of objects, or idiosyncratic phrases). 2. 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). 3. 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). 4. 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). C. Symptoms must be present in early childhood (but may not become fully manifest until social demands exceed limited capacities) D. Symptoms together limit and impair everyday functioning.

14 Surveillance/Screening Developmental surveillance at every health supervision visit Family history Parental concerns regarding development and behavior Developmental milestones Observation during clinic visit Screening with standardized developmental tool Anytime concerns are raised through surveillance process ASD-specific screening at the 18 and 24 month visits Physician estimates of developmental status are much less accurate when based only on clinical impressions compared to using formal screening tools

15 Johnson CP, Myers SM, American Academy of Pediatrics Council on Children With Disabilities. Identification and evaluation of children with autism spectrum disorders. Pediatrics. 2007; 120:

16 Screening Tools M-CHAT (Modified Checklist for Autism in Toddlers) Most commonly used 23 yes/no items For children 16 to 30 months Follow-up interview if fail 2 critical items or 3 total items Available in many different languages Available online Other tools Checklist for Autism in Toddlers (CHAT) Pervasive Developmental Disorders Screening Test-II, Primary Care Screener (PDDST-II PCS) Childhood Autism Spectrum Test (CAST) for children ages 4-11 years

17 Next Steps Refer for Comprehensive evaluation Early Childhood Intervention (ECI) if less than 3 Special education department of the local school if older than 3 Preschool Program for Children with Disabilities (PPCD) in Texas Audiologic evaluation Talk to parents about your concerns and provide education

18 Comorbid Conditions Cognitive Impairment/Mental Retardation/Intellectual Disability Sensory Problems ADHD symptoms Mood Disorders Anxiety Disorders

19 Associated Medical Problems Seizures GI problems Constipation Diarrhea Limited food preferences Sleep problems

20 Therapies Speech/Communication Therapy Sign Language Picture Exchange Communication System (PECS) Electronic Communication Devices Occupational Therapy Behavioral Therapy Applied Behavior Analysis Treatment and Education of Autistic and Related Communicationhandicapped Children (TEACCH) Social Skills Training Social Stories

21 Medications Target specific symptoms No medications to treat the core symptoms ADHD symptoms Stimulant medications Methylphenidate Amphetamine salts, dextroamphetamine Less effective than in neruotypical children More side effects Alpha-2 agonists Clonidine Guanfacine Atomoxetine

22 Medications Aggressive behaviors or irritability Atypical antipsychotics Risperidone (Risperdal) Aripiprazole (Abilify) Alpha-2 agonists Selective Serotonin Reuptake Inhibitors Anxiety Selective Serotonin Reuptake Inhibitors Sleep problems Melatonin Clonidine Antihistamines

23 Medical Home Maintain open communication with the family Management of coexisting medical problems Consider medical problems when there are new or worsening behaviors Know about local resources Family support groups Special Olympics

24 References American Academy of Pediatrics. Understanding autism spectrum disorders (ASDs) American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Fourth Edition, Text Revision. Washington, DC: American Psychiatric Association, Johnson CP, Myers SM, American Academy of Pediatrics Council on Children With Disabilities. Identification and evaluation of children with autism spectrum disorders. Pediatrics. 2007; 120: Myers SM, Johnson CP, American Academy of Pediatrics Council on Children With Disabilities. Management of children with autism spectrum disorders. Pediatrics. 2007; 120:

DSM-IV Criteria. (1) qualitative impairment in social interaction, as manifested by at least two of the following:

DSM-IV Criteria. (1) qualitative impairment in social interaction, as manifested by at least two of the following: DSM-IV Criteria Autistic Disorder A. A total of six (or more) items from (1), (2), and (3), with at least two from (1), and one each from (2) and (3): (1) qualitative impairment in social interaction,

More information

The Clinical Progress of Autism Spectrum Disorders in China. Xi an children s hospital Yanni Chen MD.PhD

The Clinical Progress of Autism Spectrum Disorders in China. Xi an children s hospital Yanni Chen MD.PhD The Clinical Progress of Autism Spectrum Disorders in China Xi an children s hospital Yanni Chen MD.PhD Conception The autism spectrum disorders (ASDs) are neurodevelopmental disability characterized by

More information

From Diagnostic and Statistical Manual of Mental Disorders: DSM IV

From Diagnostic and Statistical Manual of Mental Disorders: DSM IV From Diagnostic and Statistical Manual of Mental Disorders: DSM IV (I) A total of six (or more) items from (A), (B), and (C), with at least two from (A), and one each from (B) and (C) (A) qualitative impairment

More information

AUTISM: THE MIND-BRAIN CONNECTION

AUTISM: THE MIND-BRAIN CONNECTION AUTISM: THE MIND-BRAIN CONNECTION Ricki Robinson, MD, MPH Co-Director, Descanso Medical Center for Development and Learning - La Canada CA Clinical Professor of Pediatrics, Keck School of Medicine-USC

More information

Fact Sheet 8. DSM-5 and Autism Spectrum Disorder

Fact Sheet 8. DSM-5 and Autism Spectrum Disorder Fact Sheet 8 DSM-5 and Autism Spectrum Disorder A diagnosis of autism is made on the basis of observed behaviour. There are no blood tests, no single defining symptom and no physical characteristics that

More information

Autism Spectrum Disorder What is it?

Autism Spectrum Disorder What is it? Autism Spectrum Disorder What is it? Robin K. Blitz, MD Director, Developmental Pediatrics Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes?

More information

Autism Spectrum Disorder What is it?

Autism Spectrum Disorder What is it? Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes? What is Autism? What are the Autism

More information

Table 1: Comparison of DSM-5 and DSM-IV-TR Diagnostic Criteria. Autism Spectrum Disorder (ASD) Pervasive Developmental Disorders Key Differences

Table 1: Comparison of DSM-5 and DSM-IV-TR Diagnostic Criteria. Autism Spectrum Disorder (ASD) Pervasive Developmental Disorders Key Differences Comparison of the Diagnostic Criteria for Autism Spectrum Disorder Across DSM-5, 1 DSM-IV-TR, 2 and the Individuals with Disabilities Act (IDEA) 3 Definition of Autism Colleen M. Harker, M.S. & Wendy L.

More information

Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1

Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1 Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes? What is Autism? What are the Autism

More information

5. Diagnostic Criteria

5. Diagnostic Criteria 5. Diagnostic Criteria The questions that are going to be answered in this chapter are: What are the diagnostic criteria of ASD? Are the diagnostic criteria laid down in the DSM-IV-TR or ICD-10 manuals

More information

Autism. Laura Schreibman HDP1 11/29/07 MAIN DIAGNOSTIC FEATURES OF AUTISTIC DISORDER. Deficits in social attachment and behavior

Autism. Laura Schreibman HDP1 11/29/07 MAIN DIAGNOSTIC FEATURES OF AUTISTIC DISORDER. Deficits in social attachment and behavior Autism Laura Schreibman HDP1 11/29/07 MAIN DIAGNOSTIC FEATURES OF AUTISTIC DISORDER Deficits in social attachment and behavior Deficits in verbal and nonverbal communication Presence of perseverative,

More information

Understanding Autism. Julie Smith, MA, BCBA. November 12, 2015

Understanding Autism. Julie Smith, MA, BCBA. November 12, 2015 Understanding Autism Julie Smith, MA, BCBA November 12, 2015 2 Overview What is Autism New DSM-5; changes to diagnosis Potential causes Communication strategies Managing difficult behaviors Effective programming

More information

Autism Diagnosis and Management Update. Outline. History 11/1/2013. Autism Diagnosis. Management

Autism Diagnosis and Management Update. Outline. History 11/1/2013. Autism Diagnosis. Management Autism Diagnosis and Management Update Cathleen Small, PhD, BCBA-D Developmental Behavioral Pediatrics Maine Medical Partners Outline Autism Diagnosis Brief history New, DSM-5 diagnostic criteria Expressed

More information

DSM 5 Criteria to Diagnose Autism

DSM 5 Criteria to Diagnose Autism DSM 5 Criteria to Diagnose Autism Patient Name Patient Date of Birth Patient Health Plan Provider Name and Credential Date of Exam Only a doctoral level clinician (MD, PhD, and/or PsyD) can complete this

More information

INFORMATION PAPER: INTRODUCING THE NEW DSM-5 DIAGNOSTIC CRITERIA FOR AUTISM SPECTRUM DISORDER

INFORMATION PAPER: INTRODUCING THE NEW DSM-5 DIAGNOSTIC CRITERIA FOR AUTISM SPECTRUM DISORDER INFORMATION PAPER: INTRODUCING THE NEW DSM-5 DIAGNOSTIC CRITERIA FOR AUTISM SPECTRUM DISORDER What is the DSM-5? The Diagnostic and Statistical Manual of Mental Disorders (the DSM) is developed by the

More information

AUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA. Lisa Joseph, Ph.D.

AUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA. Lisa Joseph, Ph.D. AUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA Lisa Joseph, Ph.D. Autism Spectrum Disorder Neurodevelopmental disorder Reflects understanding of the etiology of disorder as related to alterations

More information

Autism Spectrum Disorder Pre Cengage Learning. All rights reserved.

Autism Spectrum Disorder Pre Cengage Learning. All rights reserved. Autism Spectrum Disorder Pre 2014 2012 Cengage Learning. All rights reserved. DSM- 5 In 2013, the American Psychiatric Association released the fifth edition of its Diagnostic and Statistical Manual of

More information

Autism 101 Glenwood, Inc. 2013

Autism 101 Glenwood, Inc. 2013 Autism 101 Glenwood, Inc. 2013 DSM-5 CURRENT DX CRITERIA Although ASD s are neurological, there are no current medical tests to use for a diagnosis. We currently use behavioral symptoms to make a diagnosis,

More information

WHAT IS AUTISM? Chapter One

WHAT IS AUTISM? Chapter One WHAT IS AUTISM? Chapter One Autism is a life-long developmental disability that prevents people from understanding what they see, hear, and otherwise sense. This results in severe problems with social

More information

Autism. Tara Anne Matthews, MD Fellow Kapila Seshadri, MD Associate Professor of Pediatrics UMDNJ Robert Wood Johnson Medical November 28, 2012

Autism. Tara Anne Matthews, MD Fellow Kapila Seshadri, MD Associate Professor of Pediatrics UMDNJ Robert Wood Johnson Medical November 28, 2012 Autism Tara Anne Matthews, MD Fellow Kapila Seshadri, MD Associate Professor of Pediatrics UMDNJ Robert Wood Johnson Medical November 28, 2012 Why Talk about Autism -Prevalence 1 in 6 children (17 %) diagnosed

More information

Autism Spectrum Disorder Part I: Overview, Screening, Diagnosis and Treatment Planning

Autism Spectrum Disorder Part I: Overview, Screening, Diagnosis and Treatment Planning Autism Spectrum Disorder Part I: Overview, Screening, Diagnosis and Treatment Planning Robin K Blitz, MD, FAAP Senior Medical Director, Special Needs Initiative UnitedHealthcare Learning Objectives At

More information

An Autism Primer for the PCP: What to Expect, When to Refer

An Autism Primer for the PCP: What to Expect, When to Refer An Autism Primer for the PCP: What to Expect, When to Refer Webinar November 9, 2016 John P. Pelegano MD Chief of Pediatrics Hospital for Special Care Disclosures None I will not be discussing any treatments,

More information

Autism Update: Classification & Treatment

Autism Update: Classification & Treatment Autism Update: Classification & Treatment Dana Battaglia, Ph.D., CCC-SLP NYSUT Professional Issues Forum on Healthcare April 26 th, 2013 10:30-12:30 1 Who is here today? Our Goals for This Morning Introduce

More information

Autism Spectrum Disorders in DSM-5

Autism Spectrum Disorders in DSM-5 Autism Spectrum Disorders in DSM-5 JILL FODSTAD, PH.D., HSPP, BCBA -D A S S I S TA N T P R O F E S S O R O F C L I N I C A L P SYC H O LO GY D E PA RT M E N T O F P SYC H I AT RY I U S C H O O L O F M

More information

AUTISM SCREENING AND DIAGNOSIS PEARLS FOR PEDIATRICS. Catherine Riley, MD Developmental Behavioral Pediatrician

AUTISM SCREENING AND DIAGNOSIS PEARLS FOR PEDIATRICS. Catherine Riley, MD Developmental Behavioral Pediatrician AUTISM SCREENING AND DIAGNOSIS PEARLS FOR PEDIATRICS Catherine Riley, MD Developmental Behavioral Pediatrician Disclosure I do not have any financial relationships to disclose I do not plan to discuss

More information

OVERVIEW OF PRESENTATION

OVERVIEW OF PRESENTATION AUTISM SPECTRUM DISORDERS IN EMERGING ADULTS Douglas J. Scambler, Ph.D. Clinical Psychologist Presented at the University of Wyoming November 6, 2012 OVERVIEW OF PRESENTATION What are the autism spectrum

More information

Low Functioning Autism Spectrum Disorder

Low Functioning Autism Spectrum Disorder Low Functioning Autism Spectrum Disorder Walter E. Kaufmann Center for Translational Research Greenwood Genetic Center Department of Neurology, Boston Children s Hospital MIT Simons Center for the Social

More information

A Pilot Study on the Diagnostic Performance of DMS-IV and DMS-V for Autism Spectrum Disorder

A Pilot Study on the Diagnostic Performance of DMS-IV and DMS-V for Autism Spectrum Disorder 6 Jul 0 Vol 4 No. North merican Journal of Medicine and Science Original Research Pilot Study on the Diagnostic Performance of DMS-IV and DMS-V for utism Spectrum Disorder Yang You, MD, ai-lin Wu, PhD,

More information

Evaluations. Learn the Signs. Act Early. The Importance of Developmental Screening. Conflict of Interest Statement.

Evaluations. Learn the Signs. Act Early. The Importance of Developmental Screening. Conflict of Interest Statement. Learn the Signs. Act Early. The Importance of Developmental Screening. April 19, 2012 Featured Speakers Judith Lucas, MD Pediatrician, Behavioral Health Albany Medical Center Donna M. Noyes, PhD Associate

More information

Developmental Disorders also known as Autism Spectrum Disorders. Dr. Deborah Marks

Developmental Disorders also known as Autism Spectrum Disorders. Dr. Deborah Marks Pervasive Developmental Disorders also known as Autism Spectrum Disorders Dr. Deborah Marks Pervasive Developmental Disorders Autistic Disorder ( Autism) - Kanner Asperger Syndrome Pervasive Developmental

More information

Course # Understanding Autism

Course # Understanding Autism Course # 503 Understanding Autism Disclaimer Slide Understanding Autism Andrea Gregory, MD, FAAP Objectives The learner will understand what Autism Spectrum Disorder encompasses and how it manifests clinically

More information

Autism or Something Else? Knowing the Difference

Autism or Something Else? Knowing the Difference Autism or Something Else? Knowing the Difference SUSAN BUTTROSS, M.D., FAAP PROFESSOR OF PEDIATRICS CENTER FOR THE ADVANCEMENT OF YOUTH UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MISSISSIPPI Disclosure

More information

Early Screening of ASD & The Role of the SLP

Early Screening of ASD & The Role of the SLP Early Screening of ASD & The Role of the SLP Objectives Identify reasons for early identification Identify screenings tools that aid in identification of ASD Define the role of the SLP in screening & assessment

More information

Health Care for People of all ages with Autism. Karen Ratliff-Schaub, M.D. Associate Professor, Clinical Pediatrics, Ohio State University

Health Care for People of all ages with Autism. Karen Ratliff-Schaub, M.D. Associate Professor, Clinical Pediatrics, Ohio State University Health Care for People of all ages with Autism Karen Ratliff-Schaub, M.D. Associate Professor, Clinical Pediatrics, Ohio State University Overview DSM-5 Autism Spectrum Disorders Incidence Causes of ASD

More information

AUTISM PARENT HANDBOOK. Answers to common questions. Artwork: Hey Diddle Diddle, by Eytan Nisinzweig, an artist with autism.

AUTISM PARENT HANDBOOK. Answers to common questions. Artwork: Hey Diddle Diddle, by Eytan Nisinzweig, an artist with autism. AUTISM PARENT HANDBOOK Answers to common questions Artwork: Hey Diddle Diddle, by Eytan Nisinzweig, an artist with autism. 2nd Edition Dear Parents: We are very pleased to publish the 2nd edition of the

More information

DSM- 5 AUTISM SPECTRUM DISORDER

DSM- 5 AUTISM SPECTRUM DISORDER DSM- 5 AUTISM SPECTRUM DISORDER A. Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history A1. Deficits in social-emotional

More information

SURVEY OF AUTISM SPECTRUM DISORDER CONCERNS

SURVEY OF AUTISM SPECTRUM DISORDER CONCERNS Survey of Autism Spectrum Disorder Concerns Presented by Curtis L. Timmons, Ph.D., LSSP GOALS OF THE WORKSHOP 1. Understand why there were changes between the DSM-IV and the DSM-5 2. Understand the current

More information

Autism Spectrum Disorder: A Primer for PCPs

Autism Spectrum Disorder: A Primer for PCPs Autism Spectrum Disorder: A Primer for PCPs Learning Objectives 1. Define current ASD diagnostic criteria 2. Identify ASD screening tools, including the M-CHAT-R/F 3. Describe treatments/interventions

More information

Autism. Childhood Autism and Schizophrenia. Autism, Part 1 Diagnostic Criteria (DSM-IV-TR) Behavioral Characteristics of Autism

Autism. Childhood Autism and Schizophrenia. Autism, Part 1 Diagnostic Criteria (DSM-IV-TR) Behavioral Characteristics of Autism Autism Childhood Autism and Dr. K. A. Korb University of Jos Autism comes from the Latin within oneself Autism: Severe developmental disorder characterized by abnormalities in: Social functioning Language

More information

8/23/2017. Chapter 21 Autism Spectrum Disorders. Introduction. Diagnostic Categories within the Autism Spectrum

8/23/2017. Chapter 21 Autism Spectrum Disorders. Introduction. Diagnostic Categories within the Autism Spectrum Chapter 21 Overview Core features of autism spectrum disorders (ASDs) Studies seeking an etiology for ASDs Conditions associated with ASDs Interventions and outcomes Introduction ASDs Class of neurodevelopmental

More information

Autism Spectrum Disorder (ASD)

Autism Spectrum Disorder (ASD) Autism Spectrum Disorder (ASD) What is Autism Spectrum Disorder (ASD)? (*Please note that the diagnostic criteria for ASD according to the DSM-V changed as of May, 2013. Autism Spectrum Disorder now is

More information

WV Policy 2419: Regulations for the Education of Students with Exceptionalities and Autism

WV Policy 2419: Regulations for the Education of Students with Exceptionalities and Autism WV Policy 2419: Regulations for the Education of Students with Exceptionalities and Autism Frances Clark, Ed.D. Lanai Jennings, Ph.D. OSP JoDonna Burdoff Autism Outreach Coordinator WV Autism Training

More information

Teaching Students with Special Needs in Inclusive Settings: Exceptional Learners Chapter 9: Autism Spectrum Disorders

Teaching Students with Special Needs in Inclusive Settings: Exceptional Learners Chapter 9: Autism Spectrum Disorders Teaching Students with Special Needs in Inclusive Settings: Exceptional Learners Chapter 9: Autism Spectrum Disorders Background Autistic is a broad term coined in the twentieth century by Bleuler that

More information

Social Communication Strategies for Students with ASD Meeting the Needs 2017

Social Communication Strategies for Students with ASD Meeting the Needs 2017 Social Communication Strategies for Students with ASD Meeting the Needs 2017 Leanne Forrest Case Manager, OCDSB ASD Team Michelle MacIsaac OCDSB Speech-Language Pathologist Julia Sneyd OCDSB Itinerant

More information

Valarie Kerschen M.D.

Valarie Kerschen M.D. Valarie Kerschen M.D. Greek word meaning self 1940 s Dr Leo Kanner describes classic autism 1940 s Dr Hans Asperger describes Aspergers Syndrome 1960 s Autism theorized to be due to refrigerator mothers

More information

Autism Spectrum Disorders. Erin McFarland, M.Ed., LPC November 1, 2012

Autism Spectrum Disorders. Erin McFarland, M.Ed., LPC November 1, 2012 Autism Spectrum Disorders Erin McFarland, M.Ed., LPC November 1, 2012 What are Autism Spectrum Disorders (ASD)? Range of complex neurodevelopmental disorders characterized by social impairments, communication

More information

The Nuts and Bolts of Diagnosing Autism Spectrum Disorders In Young Children. Overview

The Nuts and Bolts of Diagnosing Autism Spectrum Disorders In Young Children. Overview The Nuts and Bolts of Diagnosing Autism Spectrum Disorders In Young Children Jessica Greenson, Ph.D. Autism Center University of Washington Overview Diagnostic Criteria Current: Diagnostic & Statistical

More information

Autism beyond childhood. The Challenges

Autism beyond childhood. The Challenges Autism beyond childhood The Challenges Why ASD and Why Now? Prevalence Historically emphasis has been on childhood Adults fall through cracks Poor services Government responses Pervasive Developmental

More information

Starting Strong 2015 Understanding Autism Spectrum Disorders and An Introduction to Applied Behavior Analysis

Starting Strong 2015 Understanding Autism Spectrum Disorders and An Introduction to Applied Behavior Analysis Starting Strong 2015 Understanding Autism Spectrum Disorders and An Introduction to Applied Behavior Analysis Robin Talley, M.Ed., BCBA UW Autism Center Presentation Overview Overview of Autism Spectrum

More information

Autism Spectrum Disorder and Mental Health Challenges in Youth

Autism Spectrum Disorder and Mental Health Challenges in Youth Autism Spectrum Disorder and Mental Health Challenges in Youth Management in the Primary Care Setting February 13, 2016 Rebecca Marshall, MD, MPH Outline DSM V Criteria Comorbidities Behavioral treatments

More information

THE USE OF DIALECTICAL BEHAVIOR THERAPY WITH FORENSIC CLIENTS WITH AUTISM SPECTRUM DISORDER

THE USE OF DIALECTICAL BEHAVIOR THERAPY WITH FORENSIC CLIENTS WITH AUTISM SPECTRUM DISORDER THE USE OF DIALECTICAL BEHAVIOR THERAPY WITH FORENSIC CLIENTS WITH AUTISM SPECTRUM DISORDER DR JOSEPH ALLAN SAKDALAN AND SABINE VISSER CLINICAL FORENSIC AND NEUROPSYCHOLOGIST (NZ) APRIL 2018 OUTLINE OF

More information

Autism in Children and Young People (Herefordshire Multi-Agency Pathway and Eligibility)

Autism in Children and Young People (Herefordshire Multi-Agency Pathway and Eligibility) Autism in Children and Young People (Herefordshire Multi-Agency Pathway and Eligibility) Context Autism is a lifelong disorder that has a great impact on the child or young person and their family or carers.

More information

Autism in the United States: By the Numbers

Autism in the United States: By the Numbers Autism in the United States: By the Numbers Current Trends in Autism Spectrum Disorder Eric Kurtz, Ph.D. Director, Leadership Excellence in Neurodevelopmental Disorders Director of Clinical Operations

More information

Diagnosing Autism, and What Comes After. Natalie Roth, Ph. D. Clinical Psychologist, Alternative Behavior Strategies

Diagnosing Autism, and What Comes After. Natalie Roth, Ph. D. Clinical Psychologist, Alternative Behavior Strategies Diagnosing Autism, and What Comes After Natalie Roth, Ph. D. Clinical Psychologist, Alternative Behavior Strategies Cigna Autism Awareness Education Series, January 12, 2017 1 Autistic Spectrum Disorder

More information

Early Autism Detection Screening and Referral. What is Autism? ASD Epidemiology. ASD Basic Facts 10/10/2010. Early Autism Detection and Referral

Early Autism Detection Screening and Referral. What is Autism? ASD Epidemiology. ASD Basic Facts 10/10/2010. Early Autism Detection and Referral Early Autism Detection and Referral Early Autism Detection Screening and Referral Learning Objectives: Define autistic spectrum disorders, their epidemiology and etiology; Recognize the earliest signs

More information

Pervasive Developmental Disorder Not Otherwise Specified (PDD- NOS)

Pervasive Developmental Disorder Not Otherwise Specified (PDD- NOS) Pervasive Developmental Disorder Not Otherwise Specified (PDD- NOS) What is Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS)? (*Please note that the criteria according to the DSM-V changed

More information

Hearing Loss and Autism. diagnosis and intervention

Hearing Loss and Autism. diagnosis and intervention Hearing Loss and Autism diagnosis and intervention Outline 1. Definitions 2. Prevalence 3. Diagnosis 4. Ideas for Intervention Definitions Definitions Autism A group of complex disorders of brain development

More information

What is Autism and. How to Make a Diagnosis. Dene Robertson

What is Autism and. How to Make a Diagnosis. Dene Robertson What is Autism and How to Make a Diagnosis Dene Robertson Where does the A come from? Morel 1856: Demence Precoce Bizarre behaviour and mental function, withdrawal and self neglect Kraepelin 1896: Dementia

More information

1/30/2018. Adaptive Behavior Profiles in Autism Spectrum Disorders. Disclosures. Learning Objectives

1/30/2018. Adaptive Behavior Profiles in Autism Spectrum Disorders. Disclosures. Learning Objectives Adaptive Behavior Profiles in Autism Spectrum Disorders Celine A. Saulnier, PhD Associate Professor Emory University School of Medicine Vineland Adaptive Behavior Scales, Third Edition 1 Disclosures As

More information

6/5/2018 SYLVIA J. ACOSTA, PHD

6/5/2018 SYLVIA J. ACOSTA, PHD SYLVIA J. ACOSTA, PHD ASSOCIATE PROFESSOR SUMMER INSTITUTE JUNE 1 Introduction to Autism Spectrum Disorder (ASD) for Educators JUNE 15, 2018 2 Objectives Participants will: Identify the 2 diagnostic categories

More information

11/2/2016 INSIDE THE MIND OF A CHILD PSYCHIATRIST: PROBLEM BEHAVIORS IN CHILDREN WITH AUTISM FACULTY DISCLOSURE

11/2/2016 INSIDE THE MIND OF A CHILD PSYCHIATRIST: PROBLEM BEHAVIORS IN CHILDREN WITH AUTISM FACULTY DISCLOSURE FACULTY DISCLOSURE INSIDE THE MIND OF A CHILD PSYCHIATRIST: PROBLEM BEHAVIORS IN CHILDREN WITH AUTISM KristinDawson, MD Assistant Professor University of Kentucky No commercial conflicts of Interest Salary

More information

Objectives. Age of Onset. ASD: Communication Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (2000)

Objectives. Age of Onset. ASD: Communication Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (2000) Autism and ADHD What Every Orthodontist Should Know! Heather Whitney Sesma, Ph.D., L.P. Assistant Professor of Pediatrics Division of Clinical Neuroscience Objectives Review the core features of autism

More information

Adaptive Behavior Profiles in Autism Spectrum Disorders

Adaptive Behavior Profiles in Autism Spectrum Disorders Adaptive Behavior Profiles in Autism Spectrum Disorders Celine A. Saulnier, PhD Associate Professor Emory University School of Medicine Director of Research Operations Marcus Autism Center Vineland Adaptive

More information

Differential Autism Diagnosis The Role of an SLP in Evaluating Social Communication Differences

Differential Autism Diagnosis The Role of an SLP in Evaluating Social Communication Differences Differential Autism Diagnosis The Role of an SLP in Evaluating Social Communication Differences DATE: October 13, 2018 PRESENTED BY: Jill Dolata, PhD, CCC-SLP & Cynthia Green, MS, CCC-SLP Goals Describe

More information

Challenging ASD Cases November 11, Melanie Penner, MD, MSc, Mohammad Zubairi, MD, MEd,

Challenging ASD Cases November 11, Melanie Penner, MD, MSc, Mohammad Zubairi, MD, MEd, Challenging ASD Cases November 11, 2017 Melanie Penner, MD, MSc, FRCPC @drmelpenner Mohammad Zubairi, MD, MEd, FRCPC @md_mszubairi Learning Objectives By the end of this workshop, participants will: 1)

More information

What is Autism? Laura Ferguson, M.Ed., BCBA.

What is Autism? Laura Ferguson, M.Ed., BCBA. What is Autism? Laura Ferguson, M.Ed., BCBA. What is Autism? ) Autism is a complex developmental disability that has a neurological basis that causes impairments in social interactions, communication,

More information

AUTISM IN CHILDREN. IAP UG Teaching slides

AUTISM IN CHILDREN. IAP UG Teaching slides AUTISM IN CHILDREN IAP UG Teaching slides 2015-16 AUTISM Autism is a developmental disorder that appears in the first 3 years of life, and affects the brain's normal development of social and communication

More information

What is Autism? -Those with the most severe disability need a lot of help with their daily lives whereas those that are least affected may not.

What is Autism? -Those with the most severe disability need a lot of help with their daily lives whereas those that are least affected may not. Autism Summary Autism What is Autism? The Autism Spectrum Disorder (ASD) is a developmental disability that can have significant implications on a child's ability to function and interface with the world

More information

Overview. Clinical Features

Overview. Clinical Features Jessica Greenson, Ph.D. Autism Center University of Washington Clinical Features Overview Diagnostic & Statistical Manual IV (DSM IV) Prevalence Course of Onset Etiology Early Recognition Early Recognition

More information

Autism Spectrum Disorder and Visual Impairment Revisited.

Autism Spectrum Disorder and Visual Impairment Revisited. Autism Spectrum Disorder and Visual Impairment Revisited. How can standardised assessment tests be adapted to assist in providing a robust diagnosis of Autism Spectrum Disorder in children who are blind

More information

In 1943, Leo Kanner first described autism. This perplexing and highly

In 1943, Leo Kanner first described autism. This perplexing and highly Intro-Simpson.qxd 4/28/04 11:20 AM Page 1 Introduction In 1943, Leo Kanner first described autism. This perplexing and highly enigmatic disorder is characterized by difficulty in interacting normally with

More information

Autism Spectrum Disorder (ASD) Multidisciplinary Evaluation Team (MET) Report

Autism Spectrum Disorder (ASD) Multidisciplinary Evaluation Team (MET) Report Autism Spectrum Disorder (ASD) Multidisciplinary Evaluation Team (MET) Report Date of Report: Student Name: Date of Birth: School: Evaluation Team: Psychologist: School Social Worker (SSW): Speech & Language

More information

Pervasive Developmental Disorders

Pervasive Developmental Disorders Pervasive Developmental Disorders Pervasive Developmental Disorders are characterized by severe and pervasive impairment in several areas of development: reciprocal social interaction skills, communication

More information

AUTISM Definition. Symptoms

AUTISM Definition. Symptoms AUTISM Definition Autism spectrum disorder is a serious neurodevelopmental disorder that impairs a child's ability to communicate and interact with others. It also includes restricted repetitive behaviors,

More information

PROGRAMMING FOR STUDENTS WITH ASD IN THE GENERAL EDUCATION SETTING

PROGRAMMING FOR STUDENTS WITH ASD IN THE GENERAL EDUCATION SETTING PROGRAMMING FOR STUDENTS WITH ASD IN THE GENERAL EDUCATION SETTING Middle School Point Person Training District 204 2010-2011 Pam Leonard & Sabrina Beaudry WELCOME! HOW DID WE GET HERE? SMART GOAL By the

More information

District Pam Leonard & Sabrina Beaudry

District Pam Leonard & Sabrina Beaudry District 204 2009-2010 Pam Leonard & Sabrina Beaudry HOW DID WE GET HERE? By the end of the 2009-2010 school year, the chosen building staff representative will be able to complete the problem-solving

More information

Autism and Related Disorders:

Autism and Related Disorders: Autism and Related Disorders: CHLD 350a/PSYC350 Lecture II: Assessment Katherine D. Tsatsanis, Ph.D. Yale Child Study Center Clinical Director, Developmental Disabilities Clinic Pervasive Developmental

More information

Autism: Practical Tips for Family Physicians

Autism: Practical Tips for Family Physicians Autism: Practical Tips for Family Physicians Keyvan Hadad, MD, MHSc, FRCPC Alberta College of Family Physicians 61st Annual Scientific Assembly March 5, 2016 No conflict of interest Diagnosis and Misdiagnosis

More information

Putting Autism in Perspective

Putting Autism in Perspective Putting Autism in Perspective Stephanie Eger Childcare Enhancement With A Purpose UCP of Huntsville 1856 Keats Drive Huntsville, AL 35810 256.859.4900 Ext. 106 seger@ucphuntsville.org WHAT IF: You couldn

More information

Autism Spectrum Disorders: An update on research and clinical practices for SLPs

Autism Spectrum Disorders: An update on research and clinical practices for SLPs DSM-IV to DSM-5: Primary Changes Autism Spectrum Disorders: An update on research and clinical practices for SLPs Laurie Swineford, PhD CCC-SLP Washington State University DSM-IV Previously we used the

More information

Asperger's Syndrome WHAT IS ASPERGER'S? Article QUICK LINKS :

Asperger's Syndrome WHAT IS ASPERGER'S? Article QUICK LINKS : DISCLAIMER The information contained within this document does not constitute medical advice or diagnosis and is intended for education and information purposes only. It was current at the time of publication

More information

[INSERT TITLE] 2/24/19. Understanding Restricted and. Repetitive Behaviors in HFA. Kimberlee Flatt, PhD, LPC,BCBA/LBA DSM-5

[INSERT TITLE] 2/24/19. Understanding Restricted and. Repetitive Behaviors in HFA. Kimberlee Flatt, PhD, LPC,BCBA/LBA DSM-5 Understanding Restricted and [INSERT TITLE] Repetitive Behaviors in HFA Kimberlee Flatt, PhD, LPC,BCBA/LBA DSM-5 B. Restricted, repetitive patterns of behavior, interests, or activities 1. Stereotyped

More information

9.85 Cognition in Infancy and Early Childhood. Lecture 14: Autism

9.85 Cognition in Infancy and Early Childhood. Lecture 14: Autism 9.85 Cognition in Infancy and Early Childhood Lecture 14: Autism Schedule Monday, November 21st -- mirror neuron debate; research drafts back Wednesday, November 23rd -- Happy Thanksgiving; no class Monday,

More information

Prepared for your next patient. Autism Update 2011

Prepared for your next patient. Autism Update 2011 Prepared for your next patient. Autism Update 2011 Patricia Manning Courtney, MD, FAAP The Kelly O Leary Center for Autism Spectrum Disorders Division of Developmental and Behavioral Pediatrics Cincinnati

More information

Include Autism Presents: The Volunteer Handbook

Include Autism Presents: The Volunteer Handbook Include Autism Presents: The Volunteer Handbook 1 The Volunteer Handbook: Working With People Who Have An Autism Spectrum Disorder Brought to you by: Include Autism 2 Include Autism, Inc. 2014 Table of

More information

LAKESHORE REGIONAL Entity Applied Behavior Analysis (ABA)

LAKESHORE REGIONAL Entity Applied Behavior Analysis (ABA) LAKESHORE REGIONAL Entity Applied Behavior Analysis (ABA) This service must be provided consistent with requirements outlined in the MDHHS Medicaid Provider Manual as updated. The manual is available at:

More information

How can the clinical manifestations of autism shed light on environmental etiologies?

How can the clinical manifestations of autism shed light on environmental etiologies? How can the clinical manifestations of autism shed light on environmental etiologies? Susan E. Swedo, M.D. Pediatric & Developmental Neuropsychiatry Branch National Institute of Mental Health Department

More information

12/19/2016. Autism Spectrum Disorders & Positive Behavior Supports a brief overview. What is the Autism Spectrum? Autism Spectrum Disorder

12/19/2016. Autism Spectrum Disorders & Positive Behavior Supports a brief overview. What is the Autism Spectrum? Autism Spectrum Disorder Autism Spectrum Disorders & Positive Behavior Supports a brief overview What is the Autism Spectrum? DSM V (2013) included revisions with more specific diagnostic criteria and Further distinctions will

More information

Autism Spectrum Disorders & Positive Behavior Supports a brief overview

Autism Spectrum Disorders & Positive Behavior Supports a brief overview Autism Spectrum Disorders & Positive Behavior Supports a brief overview What is the Autism Spectrum? DSM V (2013) included revisions with more specific diagnostic criteria and Further distinctions will

More information

Autism Spectrum Disorder: An Update Kathleen A. Koth, D.O.

Autism Spectrum Disorder: An Update Kathleen A. Koth, D.O. Autism Spectrum Disorder: An Update Kathleen A. Koth, D.O. Assistant Professor, Child and Adolescent Psychiatry Program Director, Child and Adolescent Psychiatry Fellowship President, Wisconsin Council

More information

Deconstructing the DSM-5 By Jason H. King

Deconstructing the DSM-5 By Jason H. King Deconstructing the DSM-5 By Jason H. King Assessment and diagnosis of autism spectrum disorder For this month s topic, I am excited to share my recent experience using the fifth edition of the Diagnostic

More information

UPDATE: AUTISM SPECTRUM DISORDER IN CHILDREN

UPDATE: AUTISM SPECTRUM DISORDER IN CHILDREN UPDATE: AUTISM SPECTRUM DISORDER IN CHILDREN HISTORY OF AUTISM ABLE TO TRACE THE CHANGING APPROACHES TO AUTISM BY LOOKING AT DSM CRITERIA OVER TIME IN THE BEGINNING, IT WAS PERCEIVED AS A SINGULAR DISORDER

More information

Reducing Disproportionality in Challenging Situations. Nkenge Bergan & Cindy Green Kalamazoo Public Schools Urban Collaborative November 6, 2015

Reducing Disproportionality in Challenging Situations. Nkenge Bergan & Cindy Green Kalamazoo Public Schools Urban Collaborative November 6, 2015 Reducing Disproportionality in Challenging Situations Nkenge Bergan & Cindy Green Kalamazoo Public Schools Urban Collaborative November 6, 2015 Background 12,700+ students 68-71% free & reduced lunch 41%

More information

INDICATORS OF AUTISM SPECTRUM DISORDER

INDICATORS OF AUTISM SPECTRUM DISORDER INDICATORS OF AUTISM SPECTRUM DISORDER While many of the behaviors typical of Autism Spectrum Disorder are also typical of earlier stages of normal development, it is the combination or pattern of behaviors

More information

Understanding Autism. Langlade County Birth Three February 3, :00 9:45 am

Understanding Autism. Langlade County Birth Three February 3, :00 9:45 am Understanding Autism Langlade County Birth Three February 3, 2007 8:00 9:45 am Autism What comes to your mind when you hear the word autism? Autism A developmental diagnosis. A description of a child's

More information

Autistic Disorder. 26 September Dr. Ronnie Gundelfinger Zentrum für Kinder- und Jugendpsychiatrie Universität Zürich

Autistic Disorder. 26 September Dr. Ronnie Gundelfinger Zentrum für Kinder- und Jugendpsychiatrie Universität Zürich Autistic Disorder 26 September 2014 Dr. Ronnie Gundelfinger Zentrum für Kinder- und Jugendpsychiatrie Universität Zürich Definition of the Autistic Disorder by Leo Kanner 1943 Autistic Disturbances of

More information

SAMPLE. Certificate in Understanding Autism. Workbook 1 DIAGNOSIS PERSON-CENTRED. NCFE Level 2 ASPERGER S SYNDROME SOCIAL INTERACTION UNDERSTANDING

SAMPLE. Certificate in Understanding Autism. Workbook 1 DIAGNOSIS PERSON-CENTRED. NCFE Level 2 ASPERGER S SYNDROME SOCIAL INTERACTION UNDERSTANDING NCFE Level 2 Certificate in Understanding Autism ASPERGER S SYNDROME DIAGNOSIS AUTISM SPECTRUM CONDITION PERSON-CENTRED TRIAD OF IMPAIRMENTS UNDERSTANDING SOCIAL INTERACTION Workbook 1 Autism spectrum

More information

The Nature of Autism Spectrum Disorders

The Nature of Autism Spectrum Disorders Courage to Teach Children with Autism Spectrum Disorders: Theories to Practices Allen & Lily Huang April 25-26, 2008 president.@uwest.edu /wlch_99@yahoo.com The Nature of Autism Spectrum Disorders Every

More information

Page24. Indexed in: Autism Spectrum Disorder (ASD) Sunny Agarwal Founder / Digital Marketing Specialist at Code- LIT. September 2018; 5(3):24-28

Page24. Indexed in: Autism Spectrum Disorder (ASD) Sunny Agarwal Founder / Digital Marketing Specialist at Code- LIT. September 2018; 5(3):24-28 Page24 Autism Spectrum Disorder (ASD) Sunny Agarwal Founder / Digital Marketing Specialist at Code- LIT Email: agarwalsunny68@gmail.com KEY WORDS: Autism, Sign/symptoms of ASD (Autism Spectrum Disorder),

More information

Kayla Ortiz November 27, 2018

Kayla Ortiz November 27, 2018 Kayla Ortiz November 27, 2018 Developmental disorder History Diagnosis Characteristics Varying theories Theory of Mind Fusiform Face Area Oxytocin INTERRUPTION OF TYPICAL DEVELOPMENT DURING CHILDHOOD INTERFERES

More information