Tag Archives: Red Flag

Question?: Pdd-nos Checklist

Steven asks…

Worried! Autism reg flags in 21 month old.?

Hi. We have twins. 1 boy ,one girl(21 months) – they were slightly premature. We are very blessed as they are both beautiful. I know boys develope slower than girls(this is the answer I get from everyone, even our Pediatrician)and I know I cant help but compare, but my “red flag” sensor is gradually building with our son. The things that I worry about the most are:
He walks (started at 16 months) but is still clumsy – he doesnt walk on tiptoes though.
When I come home, my daughter runs over and hugs me shouting dada. My son looks up, will eventually come over, gives me a quick look then goes off again to play alone with some toy. BUT When I hold him or swing him up, or play horsey/rocket ship – he loves it and I will get a lot of eye contact/big laughs. When I put him down he holds his arms up to go again(so there is interaction)
Another problem is the regression of speech – he used to babble a lot and got to the mama dada stage and was saying A O E vowels etc but then stopped at about 17 months – he rarely says anything now except grunts, though I may get a dada out of him if I work hard.
A few times a sudden loudspeaker and the loud cellphone beep in my car has made him explode into screams.
He will spin the wheels of a toy car rather than playing with it like a car. If theres an alphabet button toy he will hit the same letter-button over an over again (interestingly- there was a truck toy with letter buttons all around it-he was pressing the J rpeatedly. I turned the toy around, but he turned it right back around to go for the J again. I dont see any rudementary “prentend games” with any toys. He does NOT stack/line up toys though.
He’s an extremely picky eater. He does the hand flapping and finger flicking, and sometimes curls 1 arm up a bit when he walks. He doesnt spin but I suspect this might be coming. He will sit with a toy/object and study it over and over like he’s a little engeneer/scientist.
He wont use the phone-as-a -phone or brush-like-a-brush like his sister

He’s not a sad child, infact his laugh lights up the whole house, and he will join in with us if we are all playing – but then he’ll wander off alone – then come back in 2 minutes, back and fourth.
As you can see- I’m all over the map with my worries.He actually started babbling first, then stopped, then started again a few weeks later many times in the first 14mths. But this time is much longer (4+ months).
I’m taking to the PED next week – and want to get an evaluation – but Im scared I’ll get the “too-soon-to-tell” speech.
I am more worried than my wife.

concerned parent
I hope im paranoid. Im going to get his hearing checked. Him squealing at the loud noise those times makes me think his hearing is fine. As we all know the internet can be a blessing and a curse. It has a lot of very good info, but also it can make you believe the worst. Twins are like winning the lottery – but if there were one tiny downside is that you see 2 babies develop at different levels. Its X2 fun – but can also make a sane person paranoid too. I will get to the Pedriatrician. Thnkyou for advice everyone.

admin answers:

Sorry, this is a bit long, but I wanted to provide as much info as I could, hopefully it will be helpful and won’t make it more confusing 😉
The main thing with autism is in the areas of social interaction and communication skills. Both children and adults with autism typically show difficulties in verbal and non-verbal communication, social interactions, and leisure or play activities. Autism affects each person on an individual basis, so the symptoms are unique to each individual, they can be in any combination and range anywhere from mild to severe. You can have 2 people with the excat same characteristics and they will act completely different from each other. There are also different forms of autism…. Autistic disorder (aka classic autism), asperger’s disorder (some refer to it as high functioning autism), and pdd-nos (pervasive developmental disorder-not otherwise specified aka atypical autism). Each has it’s own criteria for a diagnosis and each form can also range anywhere from mild to severe . This will tell you about what criteria has to met to be diagnosed with the forms of autism: http://www.autism-society.org/site/PageServer?pagename=about_whatis_PDD There are also related conditions of autism, which can have similiar symptoms and/or share some symptoms of autism or can co-exist with autism: http://www.autism-society.org/site/PageServer?pagename=about_whatis_related When someone is evaluated for autism, various medical tests may be ordered to rule out or identify other possible causes of the symptoms because many of the behaviors associated with autism are shared by other disorders.To be diagnosed with autism, they would need to be evaluated by a psychologist; developmental pediatrician; pyschiatrist; or a neurologist. The evaluation they use would depend on who they see but regardless there is certain criteria that has to be met in order to be diagnosed with any form of autism. An accurate diagnosis should be based on observation of the individual’s communication, behavior, and developmental levels.
By what you have listed, I would be concerned, much of what you have stated I have seen in my son (he has autistic disorder, sensory integration disorder, expressive & receptive language disorder, delays in fine & oral motor skills, and oral aversion (sensory to food textures/flavors). It appears he may have a form of autism/and or sensory integration, many of the characteristics you are stating can be considered for both disorders. Your son may not have autistic disorder but rather a milder form such as asperger’s or pdd-nos or a related disorder that shares some of the same characteristis of autism. I would look into him being evaluated by a speech language pathologist since his speech has regressed and is a picky eater..they can help with any speech/language delays, any issues related to eating, and help in other areas if needed. I would also look into him being evaluated by a occupational therapist, they can can help him with any sensory issues and help in him in other areas as well if needed. This will tell of the charcteristics related to sensory disorders http://www.sensory-processing-disorder.com/sensory-processing-disorder-checklist.html
This will tell you of the characteristics of autism: http://www.autism-society.org/site/PageServer?pagename=about_whatis_char
I think you’ll find that what you have listed can be found on these pages..if you check out the link above for criteria for diagnosis, along with the characteristics of autism page, I think you’ll know in your gut if he does or doesn’t. The reason why I state that is because not only did we see much of what you are stating in our son, but we began noticing things weren’t quite right around the age of 2, however we had no suspicion of autism, we thought he was just slow and would catch up. We seen a show about autism and the charcteristics of, and they were describing our son, we had only heard of autism at that time, we had no idea what autism really was and consisted of until we seen that show. That made us do research about it as you are now, I went to the links I have left here in regards to characteristics and criteria for diagnosis among other sources and after reading tons of info about autism, we just knew/felt he had it before we had him evaluated and I feel if you continue to do your research about it, you’ll know in your gut/heart if he does or does not, you can describe characteristics you see in your son to us, but you are the one who is experiencing them first hand. Our son was evaluated for 1 month and diagnosed with it 1 month after turning 3…had we known the characteristics of autism before seeing that show, we would have had him evaluated much sooner..and during his evaluation we actually realized he was showing some signs much earlier than the age of 2 however we had no clue. Even if you have any doubt, as the saying goes, better to be safe than sorry. If he is found to have a form of autism, it is not by any means the end of the world, it has been proven that the earlier they receive help the more likely they will live very normal lives. Many tend to excel in math, music, and art; and many have excellent memory skills. Many can pick up on skills with very little or no help at all. Many with asperger’s have higher than normal intelligence. Even though my son has difficulty in certain areas, my son has a superior memory and is very smart, I think it would really surprise you with what he does know for his age (he’s 5 now), and I find that I don’t think it would of been possible for him to have such a gift without his autism, a gift that I would never want to take away from him. I will admit that you’ll have good days and bad days, you’ll have your ups and downs, etc., but that is typical for any child.

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Question?: Autism Signs In 15 Month Old

Laura asks…

15 month old constantly walks on tiptoes?

My little boy iz now 15 months he’s been walking for about 3 weeks but constantly walks on his tiptoes, tried hard shoes but they just slip off with him being up on toes!
He was 6 weeks premature
Any advice?

admin answers:

That is a red flag for autism and other sensory disorders.

On occasion it is normal, but done more often then not it is a strong sign of autism. It is just one sign, but it should have you on the lookout for other red flags.

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Simple Task For 6-Month-Olds May Predict Risk Of Autism

Main Category: Autism
Also Included In: Pediatrics / Children’s Health
Article Date: 18 May 2012 – 1:00 PDT Current ratings for:
‘Simple Task For 6-Month-Olds May Predict Risk Of Autism’
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A new prospective study of six-month-old infants at high genetic risk for autism identified weak head and neck control as a red flag for autism spectrum disorder (ASD) and language and/or social developmental delays. Researchers at the Kennedy Krieger Institute concluded that a simple “pull-to-sit” task could be added to existing developmental screenings at pediatric well visits to improve early detection of developmental delays.

“Research aimed at improving early detection of autism has largely focused on measurement of social and communication development,” said Dr. Rebecca Landa, study author and director of the Center for Autism and Related Disorders at Kennedy Krieger Institute. “However, disruption in early motor development may also provide important clues about developmental disorders such as autism.”

Dr. Landa will present this and other new research on motor delay and how it impacts development of language and social skills at the International Meeting for Autism Research, an annual scientific meeting convening May 17 in Toronto to provide researchers from around the world with a focused opportunity to share the rapidly moving scientific investigation of ASD.

While previous studies have shown that head lag indicates developmental delays in children with cerebral palsy and preterm infants, postural control in infants at risk for ASD had not been examined. In the current study, Dr. Landa and her team assessed infants in a “pull-to-sit” task, a simple measure of postural control in infants. Typically developing infants achieve this type of postural control by four months of age.

Dr. Landa’s team studied two groups of infants. The first group consisted of 40 infants, ages 5.6 to 10 months, considered to be at high genetic risk because a sibling had autism. Dr. Landa and her team examined their ability to maintain head alignment when being carefully, yet firmly, pulled by the arms from lying flat on his/her back to a sitting position. Infants were scored according to whether their head maintained alignment with the spine, or was in front of the spine, during the task. Lack of this head control indicated head lag.

Participants were tested for head lag at 6, 14, 24, and, for outcome diagnosis, at 30 or 36 months, the age that diagnosis of ASD is considered definitive. At the end of the longitudinal study, infants were classified into three outcomes: 90 percent of infants diagnosed with ASD exhibited head lag as infants; 54 percent of children meeting criteria for social/communication delay had exhibited head lag as infants, and; 35 percent of children not meeting the criteria for social or communication delay or ASD exhibited head lag at 6 months. In the second group, researchers examined six-month-olds at a single point in time for the presence of head lag. Dr. Landa and her team found that 75 percent (n =15) of high-risk infants exhibited head lag, compared to 33 percent (n =7) of low-risk infants, further supporting that head lag is more likely in infants at risk of developing ASD. “Our findings show that the evaluation of motor skills should be incorporated with other behavioral assessments to yield insights into the very earliest signs of autism,” said Dr. Landa.

“While previous research shows that motor impairments are linked to social and communication deficits in older children with autism, the field is just starting to examine this in younger children,” said Dr. Landa. “Our initial research suggests that motor delays may have an important impact on child development.”

Building on the head lag research, Dr. Landa’s team conducted a separate longitudinal study with 14-, 24- and 36-month-old children at high and low risk of developing ASD. The study found that motor delay becomes increasingly evident as children with ASD near their third birthday, yet not all children with ASD experience motor delay. Results showed that children with ASD who experience motor delays are more severely impaired by three years of age than children with ASD with no motor delays.

“While more research is needed to examine why not all children with ASD experience motor delay, the results of our studies examining motor development add to the body of research demonstrating that early detection and intervention for infants later diagnosed with autism is possible and remains crucial to minimize delays and improve outcomes,” said Dr. Landa.

Article adapted by Medical News Today from original press release. Click ‘references’ tab above for source.
Visit our autism section for the latest news on this subject. Kennedy Krieger researchers will present the head lag findings during a poster session on Friday, May 18 between 1:00 – 5:00 p.m. ET in the Sheraton Centre Toronto, Sheraton Hall. Dr. Landa’s presentation about the impact of motor delays on development will be held on Friday, May 18 at 3:15 p.m. in Grand Ballroom East.
Other researchers who contributed to the head lag study were Joanne Flanagan, MS, OTR/L, of Kennedy Krieger Institute; Anjana Bhat, PT, PhD, of the University of Connecticut; and Margaret Bauman, MD, of Harvard Medical School and Massachusetts General Hospital.
Support for the head lag study was provided by National Institutes of Mental Health, Cure Autism Now (now Autism Speaks) and The Karma Foundation.
Kennedy Krieger Institute Please use one of the following formats to cite this article in your essay, paper or report:

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Sign Of Autism In Baby – What Are Some Early Signs Of An Autistic Child?

Sign Of Autism In Baby

I am going to blabber right about the beginning of signs of autism but I do not covet parents to get to a panic if properties feel one of these types of signs may show up in such a baby. Sign Of Autism In Baby

If there are yet any anxieties you must address them with your pediatrician. One of the earliest signs of socialization in a baby is the smile. This occurs at around the age of 2 months in a full term baby. This is the time they also start to coo and respond to the outside world.

If this milestone is significantly delayed, a red flag has been raised. At this time babies will recognize a human face and start to follow the face. They will also orient to sounds of voices but they will not recognize or turn to their name at this time. This is a common concern raised by parents. Babies do not start to recognize their name until the end of the first year. Sign Of Autism In Baby

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Not responding to their name at the appropriate age can be a sign of autism. This usually occurs by the end of the first year but if it does not it can also mean your child is not hearing well. Poor eye contact, preferring to play alone, lack of imaginative play, repeating words or phrases without knowing the meaning, and repetitive or ritualistic behaviors are all signs of autism in the second year.

Resistance to physical contact or not pointing as a means to communicate needs, are other signs of a problem. There are also signs you can look for that can help put your mind at ease if you are concerned about autism. A smiling, responsive playful baby with good eye contact is a good sign.

One of the earliest signs I look for to rule out the diagnosis of autism however is whether the baby is pointing to things. This is a sign that the baby wants to communicate with the world and is always a good sign even if other areas are delayed. Sign Of Autism In Baby

The comprehension of language is also a very good sign and helpful when evaluating development. If the toddler understands commands and can follow the commands it makes any lack of expressive language much less worrisome. Don’t let your child suffer anymore! Lead your child out of his world through Sign Of Autism In Baby program now!

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