Toddlers with Autism
A rise in the number of children diagnosed with Autism Spectrum Disorders has prompted new screening guidelines for pediatricians to identify this disorder early. Many speech therapists who work in early intervention know that therapy is most successful when started early. Children with ASD or pervasive developmental disorders can display a wide variety of symptoms, from mild to severe. It has been my experience as a speech-language pathologist in early intervention that the children with mild-moderate symptoms usually fall between the cracks. My recommendation to parents is that is if you suspect something is wrong with your child's development, go with your intuition and seek an evaluation with a developmental pediatrician. These pediatricians are specialists in identifying developmental delays and can identify the subtle signs of ASD that your regular pediatrician could miss during a 15 minute routine checkup. ASD is a complex neuro-psychological disorder. Children with pervasive developmental disorders are frequently delayed in speech, language and social interation skills. Many of them many also have difficulty regulating their sensory system. Observing your child's play and interaction skills over a period of time is valuable information for anyone evaluating your child. Things to watch for include repetition of the same play activities in a very specific manner or isolated play with the same toy without exploring other toys. It may be difficult to join your child in play as this upsets the routine. Most children enjoy having an adult sit with them to engage in interactive back and forth play. If your child does not try to imitate your words and only has a small rote vocabulary such as saying the ABC's or 123's, or repeats the same phrases over and over, this could be an indication of the need for a more complete speech and language evaluation. A common intervention for children with PDD is "floortime" developed by Dr. Stanley Greenspan. It is a way of playing with your toddler to encourage interaction, flexibility and connection with others. As a speech therapist, I have followed these floortime principles while teaching speech and language using my play based activities with great success.
The most important thing for parents to remember is to gain knowledge from a variety of professionals , develop a plan and then really stick with it. I cannot stress how important it is for the entire family to work on language development on a daily basis. I have found that there is a small window of time during which most of the progress takes place, so it is important to put forth the most effort at the earliest age possible. Diane Simon MS CCC-SLP
Labels: About Autism
