Autism Spectrum Disorders. Judith A. Axelrod, M.D. Developmental-Behavioral Pediatrician Square One Specialists in Child and Adolescent Development Professor of Pediatrics University of Louisville School of Medicine. Disclosures.
Judith A. Axelrod, M.D.
Square One Specialists in Child and Adolescent Development
Professor of Pediatrics
University of Louisville School of Medicine
During the first and second year of life children
Make believe play
Joseph is a 2 ½ year old male who lives “in his own world”. During his first year of life he was playful and interactive. He spoke single words at 8 months. At 15 months he had a 9-15 word vocabulary. At 18 months an insidious regression of his language and communication skills began. By 2 years, Joseph spoke 4 words; he did not give eye contact. He did not share his joys.
More common in boys
Occurs across all populations
Cause is not known
Considered a spectrum disorderAutism Facts
witty, intelligent youngster who talks constantly. He is curious and persistent. He is anxious, argumentative and has trouble with transitions. Ian has a history of repetitive behaviors described as facial grimacing, finger rituals. He has unusual speech patterns. Adults are more tolerant of him than same aged peers. He has few friends. Parents report
that Ian is an only child because life is very difficult with him and he requires much time and effort. Ian has Asperger Disorder.
1. Impaired nonverbal behavior
Diagnosis and Assessment of Autism
Input from parents
Input from school
Clinical judgmentDiagnostic Toolbox
There are no medications that “cure”
Autism. Medication should be used for
The child with autism can learn skills for
communication, can develop the skills for
emotional and social relationships, and
can learn to diminish stereotypical
behavior. No one particular program works for all children.
Autism is a lifelong developmental disorder.