Tag Archives: Pretend Play

Question?: Pdd-nos Checklist

Donna asks…

Autism / Asperger’s Questions?

I strongly suspect my 2 1/2 year old son has some form of Autism. The only thing that makes everybody a little skeptical is that he shows plenty of emotion, imaginative play, and really looks at you when he’s communicating with you.

Now the reasons I think he is Autistic are that he has yet to develop speech, no social play with his age group, stacks or lines up objects, sometimes tiptoe walks among other little things.

Is it possible for a child that has these characteristics to have Autism or even Aspergers?

Currently I live in Mexico and they more reluctant to diagnose you with Autism here and appears they are not as prepared to deal with this disease than we are in the states(I am an American Citizen married to Mexican woman)

What are some effective home therapies that me and my wife can use on my son while we wait for his documents to arrive so we can have him treated in the States?

Thank You

admin answers:

You aren’t going to come by a diagnosis of asperger’s with a speech delay, that isn’t to say that is not what it is, and that could be flushed out later. Still since the DSM-IV states you cannot have a speech delay and asperger’s only really cutting edge docs will give a r/o dx of asperger’s syndrome with a speech delay only not at his age usually, about 4.

YES, its very possible to have some features of autism, some typical features, and even some asperger features. This has a diagnosis of its own, called PDD.NOS (pervasive developmental delay not otherwise specified. It’s atypical autism, or autistic features.

I remember being confused about the PDD.NOS diagnosis, as I watched my 2 yr old son in the neurologist office feeding a baby while talking on the room phone (that’s a lot of pretend play going on for an autistic kid, or so I thought). He also lined toys up at that age.

Here is a great indicator as to where your son is falling on the spectrum:

Try to make his repetitive play functional. Try to elaborate it. Set up 1:1 playdates. Look into educating yourself on sensory integration. Look at the sensory processing checklist


For speech, receptive (understanding of language) comes first, so focus on that. Do not use flashcards, they hold little interest to kids of this population, anything 2-D skip. Get the actual object. Ask him to differentiate between 2 common objects. A duck, a ball. Then try to get him to identify the one you are asking for.

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Question?: Autism Signs In Adults

Mark asks…

What are the signs of a autistic (spelling is probably wrong sorry.) child?

What are some signs that your child might be autistic? Is there any clear signs or is only something a doctor can see?

admin answers:

I work with children and adults that have autism. Here are some signs that you should look for. If you take your child to a specialist they will look for the same thing. These are based off the guidelines of the DSM

. Does your child enjoy being swung, bounced on your knee, etc.?
____ 2. Does your child take an interest in other children?
____ 3. Does your child like climbing on things, such as up/on chairs?
____ 4. Does your child enjoy playing peek-a-boo / hide & seek?
____ *5. Pretend Play (PP): Does your child ever pretend, for example, to make a cup of tea using a toy cup and teapot, or pretend other things (pouring juice)?
____ 6. Does your child ever use his or her index finger to point, to ask for something?
____ *7. Protodeclarative Pointing (PDP): Does your child ever use his or her index finger to point, to indicate interest in something?
____ 8. Can your child play properly with small toys (e.g. Cars or blocks) without just mouthing, fiddling, or dropping them?
____ 9. Does your child ever bring objects over to you (parent), to show you something?

When you take your child to get checked out, at the appointment they will look specifically for these things:

Eye Contact: During the appointment, has the child made eye contact with you?
____ *ii. Gaze monitoring (GM): Get the child’s attention, then point across the room at an interesting object and say, “Oh Look! There’s a (name of a toy)!” Watch the child’s face. Does the child look across to see what you are pointing at? (To record a YES, make sure the child does not just look at your hand, but at the object you are pointing at).
____ *iii. Pretend Play (PP): Get the child’s attention, then give the child a miniature toy cup and teapot and say, “Can you make a cup of tea?” Does the child pretend to pour out tea and drink it? (If you can elicit an example of pretending in some other game, score a YES on this item).
____ *iv. Protodeclarative Pointing (PDP): Say to the child, “Where’s the light?” or “Show me the light.” Does the child point with their index finger at the light? (Repeat this with, “Where’s the bear?” or some other unreachable object if the child does not understand the word light. To record a YES on this item, the child must have looked up at your face around the time of pointing).
____ v. Block Tower: Can the child build a tower of blocks? (If so how many?)

Everyone with autism is different so your child may not display the “typical symtons of autism”. This is why is it important to not only observe your child in its environment, but also set up situations and take note on how ur child responds or doesnt respond to the problem.
I really hope this helps. Autism can be a great thing as long as you know what tools work best for your child.

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Autistic Spectrum Disorder Children – You Can Determine At What Age Autism Spectrum (Asd) Can Be Properly Diagnosed

Autistic Spectrum Disorder Children

While many children have slight delays in some development areas, there are signs that parents can look for as their child reaches certain age milestones, as a means of properly diagnosing autism spectrum disorder (ASD). Some areas to watch closely include motor skills, speech, spatial memory and repetitive behavior.

Within the first year of development a baby should be showing some activity, such as crawling and standing with some support. There is some communication, usually single words intertwined with baby babble. A one-year old generally interacts with others, like waving goodbye, grasping for something they want and other little gestures. Not all babies progress on the same time schedule, but some of the first signs of autism begin appearing at the end of the first year. They include a lack of eye contact or a blank look and stare, as well as certain repetitive behaviors, like rocking profusely. Autistic Spectrum Disorder Children

Autism is often diagnosed around age two because that’s when most signs of the disorder become prevalent. Lack of eye contact and a lack of interest in others become more obvious. Any words that the toddler did say are lost and there is no pointing or other form of communication for things they want. Other symptoms of autism include no interest in creative or pretend play and walking on tip toes. Unusual behaviors also begin to occur, such as outbursts of hitting and banging heads repetitively. There could also be some difficulty in the toddler accepting potty training.

There are situations where a baby is progressing normally and then begins showing signs of autism. For instance, a child could suddenly stop talking or begin exhibiting unusual or repetitive behaviors. Evidence of autism characteristics can begin occurring between the ages of 2 and 4. During this time, any progress in development is generally lost and signs of autism become prevalent. Autistic Spectrum Disorder Children

Between ages 2 and 5, a number of signs of autism develop, which enable parents and physicians to better diagnose autism spectrum disorder. For instance, the child has no interest in other children or people and instead becomes fixated with certain toys, games, or objects. They are not responding to vocabulary or any language skills and they work better when there is a routine or set order. When this routine is disturbed, anger often develops. At this age, an autistic child begins developing sensitivity to sounds, touch, and certain textures. As a result of sensitivity to smell and taste, they develop fussy eating habits. Children with early signs of autism are also unable to carry on a conversation, have a poor attention span and rarely make eye contact. Autistic Spectrum Disorder Children

Often times, a child could show mild signs of autism that become more prevalent in pre-teen years. Young teens with autism sometimes have outbursts of laughter for no reason, or outbursts of crying without cause. These are referred to as self-stimulating outbursts.

Although there is no one test to diagnose autism, doctors rely on observing the child, developmental history and conversations with the parents. With early diagnosis and intervention, children showing signs of autism can get the therapy and treatment they need to ensure a better outcome as they grow older and enter adulthood. Don’t let your love ones suffer anymore! Lead them out through Autistic Spectrum Disorder Children program now!

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