Tag Archives: Mental Health Professionals

Question?: Pdd Nos Symptoms

Donald asks…

my 6 yr old was just dxd with pdd-nos we had her iep at school yesterday, but i need some advice?

need help understanding pddnos what is my child allowed to have in school? whats types of behavior are similar to other kids, need to talk to someone with a child with same issues

admin answers:

I taught a few students diagnosed with PDD-NOS and for the most part they had what is called SDD – Significant Developmental Delays. This means they may be behind in growth or hitting typical milestones in development. One of my students was very intelligent; however, he did not interact well among his peers socially. With each child, behavior varies. Here’s some more information below…

Hope this helps!

Pervasive Development Disorders (PDD)
Home > About Autism > What are Autism Spectrum Disorders? > Pervasive Development Disorders (PDD)

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Pervasive Development Disorders (PDD)
The term “PDD” is widely used by professionals to refer to children with autism and related disorders; however, there is a great deal of disagreement and confusion among professionals concerning the PDD label. Diagnosis of PDD, including autism or any other developmental disability, is based upon the Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition (DSM-IV), published by the American Psychiatric Association (Washington, DC, 1994), and is the main diagnostic reference of mental health professionals in the U.S.

According to the DSM-IV, the term “PDD” is not a specific diagnosis, but an umbrella term under which the specific diagnoses are defined.

Diagnostic labels are used to indicate commonalities among individuals. The key defining symptom of autism that differentiates it from other syndromes and/or conditions is substantial impairment in social interaction (Frith, 1989). The diagnosis of autism indicates that qualitative impairments in communication, social skills, and range of interests and activities exist. As no medical tests can be performed to indicate the presence of autism or any other PDD, the diagnosis is based upon the presence or absence of specific behaviors. For example, a child may be diagnosed as having PDD-NOS if he or she has some behaviors that are seen in autism, but does not meet the full criteria for having autism. Most importantly, whether a child is diagnosed with a PDD (like autism) or a PDD-NOS, his/her treatment will be similar.

Autism is a spectrum disorder, with symptoms ranging from mild to severe. As a spectrum disorder, the level of developmental delay is unique to each individual. If a diagnosis of PDD-NOS is made, rather than autism, the diagnosticians should clearly specify the behaviors present. Evaluation reports are more useful if they are specific and become more helpful for parents and professionals in later years when reevaluations are conducted.

Ideally, a multidisciplinary team of professionals should evaluate a child suspected of having autism. The team may include, but may not be limited to, a psychologist or psychiatrist, a speech pathologist and other medical professionals, including a developmental pediatrician and/or neurologist. Parents and teachers should also be included, as they have important information to share when determining a child’s diagnosis.

In the end, parents should be more concerned that their child find the appropriate educational treatment based on their needs, rather than spending too much effort to find the perfect diagnostic label. Most often, programs designed specifically for children with autism will produce greater benefits, while the use of the general PDD label can prevent children from obtaining services relative to their needs.

Behaviors:
The central features of Autistic Disorder are the presence of markedly abnormal or impaired development in social interaction and communication, and a markedly restricted repertoire of activity and interest. The manifestations of this disorder vary greatly depending on the developmental level and chronological age of the individual. Autistic Disorder is sometimes referred to as Early Infantile Autism, Childhood Autism, or Kanner’s Autism (page 66).

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):

Qualitative impairment in social interaction, as manifested by at least two of the following:
Marked impairment in the use of multiple nonverbal behaviors such as eye to-eye gaze, facial expression, body postures, and gestures to regulate social interaction .
Failure to develop peer relationships appropriate to developmental level
A lack of spontaneous seeking to share enjoyment, interests, or achievements with other people (e.g., by a lack of showing, bringing, or pointing out objects of interest)
Lack of social or emotional reciprocity
Qualitative impairments in communication as manifested by at least one of the following:
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 gestures 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
Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:
Encompassing preoccupation with one or more stereotyped 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 (e.g., hand or finger flapping or twisting, or complex whole-body movements)
Persistent preoccupation with parts of object
B. Delays or abnormal functioning in at least one of the following areas, with onset prior to age 3 years:

Social interaction
Language as used in social communication
Symbolic or imaginative play
C. The disturbance is not better accounted for by Rett’s Disorder or Childhood Disintegrative Disorder.

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Question?: Pdd

Jenny asks…

Does PDD-NOS gradually disappear as they get older?

I’ve heard from several sources that unlike other branches of autism like Aspergers, PDD-NOS can be outgrown or disappears in adult life. Can I get some input from some mental health professionals with experience with people with it? My 4 year old daughter was just diagnosed with it and she loves trains and spends most if not all of her alone time jumping and flapping her arms in a corner and talking to herself under her breath. I love her to bits. I’m just wondering if it will stay with her as she grows up. Any help will be strongly appreciated.

admin answers:

My 2.5 year old also has PDD-NOS and I was told the same thing by a pediatrician. I honestly don’t think they totally outgrow it but that because it is less severe than classic autism its possible for them to overcome a lot of the symptoms which would cause them to loose the PDD-NOS label. I do think that some things will still stay with them when they grow up but it will likely be so mild that it will be unnoticeable by anyone who doesn’t know she had been diagnosed as PDD-NOS.
Many parents are recovering their children by reversing the symptoms of autism so I do think that it could be possible to completely overcome PDD-NOS using biomedical treatment. If you want some more info on it here are some good websites
http://www.autism.com/index.asp
http://www.generationrescue.org/
http://danasview.net/
and here are some good groups where you can talk to other parents who are recovering their children
http://health.groups.yahoo.com/group/abmd/?yguid=243434626
http://health.groups.yahoo.com/group/GFCFKids/?yguid=243434626

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Question?: Rett Syndrome Causes

James asks…

Does PDD-NOS gradually disappear as they get older?

I’ve heard from several sources that unlike other branches of autism like Aspergers, PDD-NOS can be outgrown or disappears in adult life. Can I get some input from some mental health professionals with experience with people with it? My 4 year old daughter was just diagnosed with it and she loves trains and spends most if not all of her alone time jumping and flapping her arms in a corner and talking to herself under her breath. I love her to bits. I’m just wondering if it will stay with her as she grows up. Any help will be strongly appreciated.

admin answers:

Jessica,

First, big hug, a diagnosis at any time can be very stressful with so many unknowns and so many questions that can’t be answered.

Every child is different, and sadly there isn’t a crystal ball that will tell us where your daughter will be five, ten or twenty years from now.

She may be independent when she’s older, she may not, your role will be to reach for the stars, to provide what she’ll need to be successful, to ensure she reaches her highest potential and accept that no matter what it may be.

You may wish to seek out various therapies such as speech/language, sensory, diets, etc. If you plan to try a biomedical approach my only recommendation would be that you rule out genetic conditions that may be the root cause, such a angelman, rett or fragile X syndrome as those therapies will not correct the genetic problem. A trip to a genetic counselor could be a wise decision before spending thousands of dollars on therapies that may not help.

Think about what you think her education should look like, will she have the opportunity to model positive behaviors, will she be with peers who will aide in her learning?

As for sources you may have heard from, it’s important when viewing the sources to determine if the site/source is credible, reliable, this website might help:
www.trustortrash.org

Warmest regards, and best wishes on your journey.

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Question?: Treatment For Autism Spectrum Disorder

Michael asks…

How can I help my child with Asperger’s Syndrome?

It is an Autism Spectrum Mental disability. He has obsessive tentendcies and zero social skills. How can I help him lead a normal life?

admin answers:

I have two kis with pdd (part of the autistic spectrum)and both are developmentally delayed .i make sure i have them checked regularly with mental health if he is on medicine keep that up .i have my kids in a life skills class room (they also teach academic )mainly because they can not function and learn in any other type of class room.we have an intermediate unit that helps them with their iep and er .there is also another place that helps with wrap around.does he have any tss workers or behavior specialists they are good to have for them.they can help if he has trouble focusing on tasks.behavior specailists can help with bad behaviors or ones that interfere with normal routine.you can contact your mental health professionals and ask them about programs that are in your area that deals with autism and autism spectrum disorders.good luck with you and your son

in an autistic classroom or a life skills classroom they do work with academics but they also work with socialization they help teach them appropriate places and times for things but also help them when they are out in the community.tss or mobile therapy can also help teach socail skills like eye contact ,personal space (my kids are having big trouble with this one ),indoor outdoor behavior ,manners and all kinds of socail behaviors that we dont realise we even do cuz we picked up on the cues but since they are pdd or aspergers ,autistic spectrum disorders they do not pick up on them.it can be very frustrating having a child with this diagnosis (i have 2 like i said with pdd) they also have places where you can get respite sitters so you can have someone to care for him so you can get out for a lil bit.i am not familair with your area .in mine we can use a casemanager through a mh /mr specailist place and we can have them placed through an intermediate unit.you can try places online to see where you can get help there is nami. If you can type in aspergers in your search engine and all kinds of places will come up and you can choose from there what one is more suited to your sons needs. I wish you luck i know it can get frustrating whemn you have to fight for everything that would come naturally for other kids.but with the right kind of treatment plan in effect and your patience and love there is no reason why he cant have a somewhat normal life there is know perfect just remember that and go by what is best for him and what is doing good in his way dont compare to others (this is what i tell myself all the time with my kids ). I know it is hard on him and you and the rest of the family .if you can get into a support group do that . Good luck

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