Most of the children I see have healthy bodies with reactive and volatile immune systems. The first step, is to check functioning of various systems in the body. Unless another “medical” problem is found, the immune system is what is creating the misbalance / dysfunction in the brain.

Unfortunately, new, potentially safe immune modulators (steroids, IVGG, are old immune modulators, neither generally safe or effective with this type of immune disorder) are not yet available. Until these immune modulating drugs are scientifically tested in controlled studies, the way to help these children must focus on an overall approach using efforts / steps and medicines available now. By the time a child is referred to my office, their immune systems have not been functioning well for a very long time. This dysfunctional process did not occur overnight and it takes time to “cool” down / help “normalize” the body and the immune system.

The closer you can bring the body towards normal, the better the chance that the body may shut off this reactive and dysfunctional immune system. It is a difficult and complicated process to make the body heal itself especially after years of dysfunction. But if you remove some of the “offenders” that cause the immune system to fire when it shouldn’t, you’re making it easier for the body to normalize.

Michael J. Goldberg M.D., F.A.A.P.
Avalar Medical Group, Inc.
5620 Wilbur Avenue, Suite 318
Tarzana, Claifornia 91356
Telephone (818) 343-1010
Fax (818) 343-6585

Pediatrics & Young Adults
ADHD/ADD-Learning Disabilities,
Immune Dysfunction Autism

Source: immune

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I usually begin by testing the blood to determine allergies that could possibly trigger the immune system to react. Often autistic children come up allergic to a large number of foods, not necessarily because they are actually allergic, but rather because their immune systems are so “revved-up,” they react to everything.

This reaction may or may not occur as a traditional allergic reaction of asthma, a rash or hives. But what does occur is an immune mediated, abnormal “shut down” of blood flow in the brain that affect the language and social skills area of the brain and central nervous system function.

I generally start to improve the immune system by placing the patient on a diet free from dairy products, chocolate, and whole wheat. The reason for this is to help reduce the stress on the immune system. If dairy, chocolate and whole wheat are taken away, 96 - 98% of probable “food” allergies are alleviated. However, I do not believe that you can correct this condition by diet alone. If this were possible, parents (and physicians) by now, would have heard of multiple, “unbelievable” successes over the years. Reputable “institutions” would be conducting clinical trials to investigate the “successes.”

Since nutritional therapies have not resulted in cures, or even published reports of significantly improved cognitive function, it is illogical, in fact potentially detrimental, to put these children on extreme diets. However, sometimes these children put themselves on extreme diets by only eating a limited number of foods. I don’t think there are a lot of normal children who would be healthy on some of the diets these kids put themselves on.

For most of the children, all that is necessary is to eliminate the “main offenders” in their diets that will cause the immune system to react. It is not necessary to eliminate all wheat. Some doctors and homeopaths recommend the elimination of all gluten and wheat. I think these children show improvement because when they are put on a gluten / wheat free diet, they no longer eat whole wheat. Usually, all that is really needed is to eliminate whole wheat and other whole grains (due to allergenic potential) from the diet.

I do not normally focus on casein beyond eliminating the primary milk products. Because even though they may, in theory, play a slight role in the background, if the allergies overall are lowered, it will decrease the immune system firing off.

It does not matter if “allowed” processed products are used, as long as they do not appear to be a “trigger.” But, avoiding the “main” offenders is extremely important. Eliminating too many products from a child’s diet, increases the risk of disturbing a child’s metabolic balance, rather than helping to normalize it. (Note: Many supplements meant to compensate for the diet extremes, may in themselves have allergenic components, acting as negatives triggers to the immune system and the child overall. They may fail to be properly absorbed or contain dangerous impurities. Children may be at far greater risk from diet and “supplements” than any perceived risk from properly used pharmaceuticals.)

The G.I. tract is loaded with lymphocytes (white blood cells that fight infection and disease).Those lymphocytes communicate with the brain. What has always made sense and is “logical” is if the body is sensitive to milk protein and whole wheat protein, coming into the G.I. tract it could cause the immune system to fire.

As research evolved, it was found that milk and dairy can actually cause a microscopic blood loss in the intestine by a “reactive” inflammation of the bowel. It is interesting to note that most of the world’s populations get violently ill when given cow’s milk. Apparently, it’s not a normal human trait to digest the cow’s milk proteins.

Asian people have much healthier arteries than we do. One of the major assumptions for this is that they eat soy protein instead of dairy protein. Dairy is the number one source of cholesterol. The entire family can be helped indirectly if milk is eliminated from the meals. Parents often worry if their child is getting enough calcium. Soy and rice milk often have calcium and vitamins A and D added. However, if a child (girl or a boy) is eating a normal diet, they will get enough calcium.

In the teenage years, girl’s diets should be supplemented, if you’re not giving them a lot of dairy. But usually, this is not necessary in these first three or four months. As time goes on a calcium supplement may need to be added. Often I will suggest Tums®. Tums® are a very safe source of calcium for a child and they taste good. Inter-related is the fact that many children and adults who are sensitive to milk but still continue to drink milk products, often have iron stores that are low. Their Hgb. / Hct. are chronically on the low side of normal, even if they were not truly “anemic.” This is typically because of a microscopic blood loss occurring through this “inflamed” mucosa. If dairy and milk were eliminated from the diet, and then a biopsy of the intestine was done, the mucosa(the mucous membrane that lines a structure e.g. mouth and lips) would look normal. If milk and dairy were then reintroduced, the mucosa would look raw and inflamed. (Therefore, in approaching the idea of “leaky” gut, helping the body by removing negatives, is more important than “supplements” and nutritional “fixes.”)

As a pediatrician it has been fairly routine for me to see a child do well on formula (even a cow’s milk based one) for 12 months, but when the child is switched to real milk, the child experiences congestion, stuffiness, upset stomach, and a whole realm of symptoms not seen before. Whole protein, unprocessed food is much more allergenic and has a higher incidence of causing the immune system to react.

The truth is, there is not as bad an allergic reaction out of a processed product. When a food is processed, the protein structure is changed. So a child that might go berserk on milk… may not have a reaction to “processed” cheese. When the protein structure is changed, the food will not give as large an allergenic reaction.

Products from the health food stores are not necessarily the best for autistic children because they are less processed and more pure. They have a lot of whole wheat and grains. For these kids, the cheapest white bread (without milk, whole wheat, or whey) is often the best choice.

To illustrate how peculiar the immune system is, when parents seen the results of the food test come back, a routine phone call is, “How come you did not say ‘no eggs’?” You’ll almost always see egg white and egg yolk with very high numbers, and yet I will usually say “ignore it.” The reason being, unless a child has eczema where yolk or egg are triggering off a skin reaction, for some reason the immune pathway fired off by eggs doesn’t seem to play a role in what we are talking about in the brain. I rarely have to worry about taking a child off of eggs, even though you may have this “huge reaction” on the food “screen.” This illustrates how parents need to become aware of what doctors have known and “fought” about for years, there is no “perfect” food test / screen, results must always be interpreted in their clinical context. Too often, parents are being “guided” by interpretation of food and metabolic screens that do not have the capability to do what the parents wish. Many mistakes are potential being made, that may be “metabolically” and physiologically hurting these children.

Although processed food might give a lesser reaction, the importance of avoiding allergens cannot be stressed enough. In the beginning, it is especially important to avoid foods that might trigger the immune system. If the immune system is triggered, the body is affected for a minimum of a week to ten days (or longer). So it’s necessary to be particularly strict at the start of the treatment, when the goal is to cool down the immune system.

If it comes down to choosing a food (cheat) with milk or sugar, choose the sugar. From the sugar the child may get hyper for a few hours, but it wears out of their body relatively quickly. From milk protein or other allergens, the immune system can be affected for up to two - three weeks. However since sugar feeds yeast, it is a good practice to minimize sugars in general.

It is also important to encourage the children to eat more protein. This will help balance out their own amino acids, which in turn will help alleviate some of their problems. All these children need protein. It is also necessary to restrict the starches. Healthy breakfasts, lunches and dinners should be served.

Sometimes this process of restoring the immune system to normal can be very deceptive. The child is doing extremely well, and appears almost well or “cured” to a parent, when everything suddenly falls apart.

A child may appear to be well, but unless the body has shut off this process, they still have a reactive, volatile immune system in the background. Even if a child is functioning at a extremely high level, a child should not be regarded as “cured”, unless the immune system has truly returned to normal.

While a few rare children will actually outgrow this process, especially if you have taken steps to help normalize their bodies; realistically, it will probably take the advent and usage of new drugs that are immune modulators, to truly shut-off their dysregulated immune system.

This treatment needs to be thought of on a continuum. The closer the child gets to normal, the better the chance that the body may shut off this process. But unless you’ve gone that last little step, unless this process shuts off, it must be assumed that the immune system is still volatile and potentially reactive.

The only principle I have continued to find logical over the years, is the idea that I’m trying to just help a child “normalize” their body (and brain). Can I help them balance out their body? If I can change the diet, their own body can help balance itself. There continues to be no evidence in these children of any pre-existing, built-in enzyme or metabolic defect. Therefore, by focusing on the overall intake, encouraging more protein, less starch, a child’s body will help balance out and replace needed amino acids ( the building blocks of the body) and other nutrients.

With rare exceptions, I will never say don’t do something if you truly see a child do better and it’s safe, but in most cases I have found that you can get to the right point if you just think of it as cool down the body’s immune system, help “safely” where medically and nutritionally possible, and extremely important, avoid offenders or triggers. If a child is doing better and their allergy test said they were not allergic to apple, but you give them a drink of apple juice and the child is bouncing off the walls, it doesn’t matter what the test said, that child should not have apple juice. And this is the way parents have to work with their own child.

Until new immune modulators are tested and ready for use with patients, I regard each step of treatment as an attempt to help “cool-down” the immune system, and help the body “adjust” itself in a healthier manner. While the principles are becoming very consistent, each child (his/her body and brain) must be “individualized.”

Michael J. Goldberg M.D., F.A.A.P.
Avalar Medical Group, Inc.
5620 Wilbur Avenue, Suite 318
Tarzana, Claifornia 91356
Telephone (818) 343-1010
Fax (818) 343-6585

Pediatrics & Young Adults
ADHD/ADD-Learning Disabilities,
Immune Dysfunction Autism

Source: allergens

While taking the risk of opening a medical controversy, this author certainly believes there is a logical connection between yeast and a dysfunctional immune system. However, this theory is not yet widely accepted by the medical community, but over the last few years has become easier to talk about and “discuss”. Candida is a yeast-like fungus that is present in all our bodies. Presumably, yeast / Candida is in every normal G.I. tract. That is where the confusion begins.

Normally, a healthy immune system keeps the yeast in check. If the immune system is not working properly, the yeast have a chance to overgrow and become a problem. Yeast is one of the likely pathogens contributing to a metabolic imbalance that is a secondary result of a dysfunctional / dysregulated immune system. It is NOT the primary reason or cause for autism.

There is logic in saying that if an immune system is dysregulated, a secondary problem potentially due to Candida needs to be treated. Some doctors hypothesize that autism is caused by a “leaky gut.” With this theory comes the assumptions that withdrawing allergens and treating a yeast overgrowth, will help the GI tract to return toward normal. The problem with this thinking is that if yeast is not the cause of autism or PDD, then treating Candida is not going to end the autistic or PDD state. I believe it is only one of the many steps needed to help normalize the body.

Many children afflicted with autism have had frequent ear infections as young children and have taken excessive amounts of antibiotics. This has exasperated the yeast problem in these children. Other possible contributors to Candida overgrowth are hormonal treatments (i.e. steroids, BCP pills, ?? secondary exposure), immunosuppresant drug therapy, exposure to herpes, chicken pox, or other “chronic” viruses, or exposure to chemicals that might upset the immune system. There is an increased probability, that a “general” environmental factor affecting our immune systems (i.e. ozone layer depletion, “toxic” chemicals, etc.) may be operative, affecting many children and adults.

Because it is impossible and not practical to expect anyone to stay on a totally yeast-free diet, ongoing medication, anti-fungal supplements, and avoidance of dietary negatives are necessary to control Candida. Even with the use of anti-fungal drugs, it is still important to limit sugar when there is a yeast problem, because yeast grows 200 times faster in the presence of sugar.

If a potent anti-fungal such as Diflucan or Nizoral is used, it can be assumed that within 1 - 2 months most all of the yeast will die off. I do not use Nilstat or Nystatin. For most children Nystatin is ineffective. And yeast, like bacteria with antibiotics, have become resistant to Nilstat (and other antifungals).

Usually, I will use Nizoral or Diflucan for about four to six months while trying to alleviate other stresses on the immune system and “maximize” a child’s function. In 7- 12 days some patients experience “die off.” This is the only time, a “negative” reaction to a medication can be a good sign.

When the yeast is being killed one experiences either a “sensitization” reaction to “products” of the yeast being killed, or there is release of “formaldehyde” like products or other potentially toxic derivatives, that can contribute to negative symptoms in a patient, including bouncing off the walls, miserable, and irritated. I know it is ironic, because it actually is a good sign that the child has a yeast problem that can be corrected with medication.

It is important that the parents check in during “die-off” so I can be sure what is occurring is indeed die-off and not a reaction to the medication. Die-off usually lasts about 7-14 days and after that time the change in the child can be rather dramatic. If the die-off does not end in 14 - 17 days, it is generally a reason to change choice of anti-fungal.

If the treatment is successful, usually eye-contact improves. The children seem more tuned in and less “foggy.” Parents report that after the yeast is under control the frequency of inappropriate noises, teeth grinding, biting, hitting, hyperness, and aggressive behavior decrease. The children no longer act almost drunk by being silly and laughing inappropriately.

While on Nizoral or Diflucan, I have the patient take monthly blood tests to monitor liver function before any damage might occur. I tend to be on the cautious side, “officially” testing is recommended every 2 - 3 months.

I change medication at six months, though in theory one could go longer. The reason I stop at six months is because Nizoral has a very mild effect on the adrenocortical axis. It’s part of the internal steroid mechanism. While this may even be part of how “Nizoral” helps the body, it also limits how long one should be on Nizoral. Generally, I will try to switch to Amphotericin B, which has recently been licensed as an oral liquid in this country, can now be legally compounded by certain pharmacies in the U.S.

If the antifungal therapy is stopped completely, and the body’s immune system has not returned to normal, the yeast will return. Ultimately, the key is the body’s own ability to keep in check an organism that it doesn’t want to have there to start with.

Some doctors mistakenly give medication to control the yeast for only a few weeks or even a month. Then the treatment is stopped because the child is doing better. The problem with this kind of therapy is that if a child is helped for a short time and then the treatment is withdrawn, the yeast is going to come back, perhaps even as a stronger, more resistant strain. Whereas if the treatment took that child to normal, and their immune system became normal, it would be possible to withdraw all treatment and the child would remain healthy.

Michael J. Goldberg M.D., F.A.A.P.
Avalar Medical Group, Inc.
5620 Wilbur Avenue, Suite 318
Tarzana, Claifornia 91356
Telephone (818) 343-1010
Fax (818) 343-6585

Pediatrics & Young Adults
ADHD/ADD-Learning Disabilities,
Immune Dysfunction Autism

Source: General

If the blood work suggests that a herpes related virus or “unidentified” retro-virus might be in the body, a therapeutic trial of the antiviral drug Zovirax (acyclovir) is given. The only thing (in theory) treated with Zovirax (acyclovir) is a herpes related virus. If a virus is present and it is gotten under control, it’s one of many major steps necessary to help the body and the immune system.

On a few of the older children I am now starting to use Valtrex, which is an improved version of Zovirax (acyclovir). I never recommend something for a child unless I can say, “It is safe.”

When herpes virus is discussed, we all think of cold sores, vaginal sores, but may not consider chickenpox, CMV (cytomegalovirus), or Epstein Barr. These are also herpes viruses. Being in the herpes family, they have the unique ability to sometimes stay around even after the overt symptoms are long gone. They hang around the body and live in the nerves. Perhaps a “new” Herpes related virus or retro-virus may be playing a role in some of this epiphenomena. However, at this time we do not have the technology to explore and understand how all of this works.

Michael J. Goldberg M.D., F.A.A.P.
Avalar Medical Group, Inc.
5620 Wilbur Avenue, Suite 318
Tarzana, Claifornia 91356
Telephone (818) 343-1010
Fax (818) 343-6585

Pediatrics & Young Adults
ADHD/ADD-Learning Disabilities,
Immune Dysfunction Autism

Source: antiviral

Behavioral therapy for autism is popular as it reportedly has a high chance of success. In this type of therapy, your child quickly learns that only appropriate behavior is rewarded while inappropriate behavior is not encouraged and in fact, they will be ignored. The success rate of behavioral therapies increases if the sessions are started at an early age; that is before your child turns 3 years old.

You would probably find that your autistic child will often challenge your parenting skills by exhibiting extremes in behavior. Extremes of behavior would include such things as temper tantrums, self injurious behavior, aggression and agitation. Essentially, he is dictating to you what he wants and his preferences. If he does not get what he wants, you are made to suffer the consequences. Rather than giving in, you should in fact learn how to teach your child a more appropriate way in which to get what he wants.

This is where a consistent program of behavioral modification comes in. You can learn how to cope with the behavior of your child and also guide him to more socially appropriate behaviors. An autistic child usually has no sense of social awareness. Such a program must consist of 4 components: a structured daily routine; behavioral control; communication; and applied behavioral analysis.

You should design a structured daily routine as your autistic child can have an idea what to expect. It has been found that autistic children do not usually cope well with inconsistency or change. Therefore, sticking to a daily routine is important as much as possible.

The next thing that a parent must learn is how to control tantrums and other such behavioral issues. In doing so there are 3 factors to bear in mind:

1. Deal with those behaviors that are dangerous to the child or those around him first. You would need to stop these behaviors with firm words and actions. Try not to show your child any anger while doing this though.

2. You need to teach your autistic child how to sit down as it may not be easy for him to do so naturally. The best way in which to do this is to reward appropriate sitting behavior while either ignoring or giving a negative consequence for inappropriate sitting behavior.

3. Autistic children tend to have bizarre, stereotypical, repetitive behaviors. The most obvious of these are finger flapping and rocking. These can be very distracting and thus a firm command to stop is suggested for use. Next direct your child to another activity that will not allow him to continue these behaviors.

It is crucial that you talk to your child regularly. In your communication, be both simple and direct. You need to use short, clear sentences without going into explanations or using too many words. Shorten your instructions to manageable tasks. You want to avoid confusing him.

Applied behavioral analysis (ABA) is a form of behavioral therapy that is well recognized for its success rate of 47 percent. ABA involves breaking down tasks into individual components. Then, whenever a child successfully completes each step of the task he should be rewarded. However, it is important to note that ABA is not the only behavioral approach to treating autism nor is it a cure for autism. Still, it is a good option to consider in terms of helping your autistic child.

My friend ’s son has autism.

He never sleeps or at least not for any length of time and she is exhausted.

Over the years sleep deprivation has been a real problem and the only time she gets any rest is when he goes to respite care. Even then she admits to spending the whole of her waking hours thinking and worrying about him.

Quality time is something neither she nor any of the other family members get to enjoy and the strain is beginning to show.

However, she is according to the latest reports, one of the lucky ones. It seems that two thirds of families with members who have special needs get no help at all and that 8 out of 10 of them are at breaking point.

Unless you are in such a situation you cannot appreciate the difference just a few hours of being able to lead a normal “ordinary” life can mean. It ’s often the only thing that keeps families going - the difference between them being able to cope or not.

Unfortunately, however, the money and support pot is only so large and as situations change so do services. Just as they can be given, equally they can be taken away and anyone who receives respite lives in the shadow of regular assessments and reviews.

Part of you wants your child to improve and the other half doesn’t because you know you risk losing what little help you may get.

In an ideal world there would be help for everyone who needs it but there isn’t and unless you can build up your own support network many families struggle.

My friend ’s son can legally leave school this summer. He wants to go on to college with an autistic unit and do a Life Skills course. He can and most probably will do so with support. He’ll also be entitled to transport there and back.

However, once he reaches nineteen everything will change.

My friend has worked incredibly hard to get her son where he is today. If you knew him as a toddler you would never have believed he’d achieve so much. His bad behaviour is under control although he can still say some hurtful things and in school he achieves Level 2 in all his lessons. This is, infact the level one would expect from primary school children but never the less it is a great achievement and proves he can learn when he is taught.

Outside of school he is inept in many areas and couldn’t possibly be left on his own. He needs to be in a supported environment with people who understand his needs and are prepared to make allowances for him. That ’s the problem.

Through the years of determined effort his disability is now termed “higher functioning autism” and my friend has been told as her son no longer has severe behavioural problems or a severe learning disability it is unlikely he will receive any funded support once he leaves college.

What ’s she supposed to do?

Autism is on the increase and all these autistic children will grow up into autistic adults. They’ll all have to leave school eventually so where will they go and what will they do? Apparently only 2% actually get “employed”, some spend a few days at day care centres or in social enterprises but what about the others?

And of course, that ’s just for autism. There are a lot of adults with other disabilities too. You do see some as trolley pushers of shelf stackers in supermarkets but have you ever seen one working as a cashier? I haven’t.

In UK this week it was announced that a company established specifically to employ disabled people around the country is reducing its factories by half. Seemingly the government is cutting funding and thus the workforce has to be reduced. If that is the case then it ’s very short sighted.

If these people can’t go out to work in a suitable environment then they will have to stay at home. Someone, usually a family member, will have to look after them which in turn means that they can’t go out to work either.

Unless rapid changes are made there ’s going to be a lot more people staying at home because in recent years there has been an autism epidemic.

It ’s a major worry and not just financially. Being bored, broke and undervalued is not a happy combination for anyone yet alone someone with a recognised disability.

My friend is worried and so am I.

My son has autism!

Dolphins, the intelligent animal, has been helping people and saving them in the sea in different ways. Now, they are helping people with neurological problems. Dolphins are used in Dolphin Therapy and they are said to be able to help children with autism. The therapy can increase the motor and speech skills of children suffering from this disease.Dolphins are intelligent and they can assist in training of the children affected by neurological problems. Dolphins are used in animal-assisted therapy for children not only with autism but also with Down’s syndrome, psychological problems, developmental issues and depression. In the dolphin assisted therapy (DAT) programs, children take lessons on the land and swim with the dolphins in the natatorium. Such combined effort helps special children learn quickly overcoming their problems.

There is no scientific evidence of this claim. But people have found better results when they use dolphins in the teaching program for such children with special situation. Children love pets and they love dolphins as a pet. Psychologically dolphins can help the children a lot by making them stress free. Dolphins are liked for their friendly appearance and behavior. Many of the parents who has children with autism, like to try out the dolphin therapy because their children love it.

Researcher are performing research on the issue and probably soon they will be able to find out how dolphins can help such children. Till then let the children enjoy the playful interactions. Dolphins can make your child happy and if that is the case you can always take your children to play with a dolphin.

Source: austic children

There is a difference between using the word autism and the term autism spectrum disorder. Autism itself describes any one of the 5 different types of pervasive developmental disorders. These pervasive developmental disorders essentially come under the autism disorder spectrum. There are conflicting theories about how the five disorders relate to one another.

While some researchers argue that they are all separate disorders with similar symptoms, others promote the theory that autism is really a spectrum. According to this theory, on one end of the autism disorder spectrum, there are the mild cases, with symptoms that are hardly noticeable. On the other end, cases can be so severe such that the person inflicted cannot cope with normal functioning and living independently.

Autism is a chronic brain disorder that manifests in developmental difficulties in the areas of social interaction, verbal skills and communication. It is usually detected after the child turns three years old. However, in certain cases, symptoms may also be detected when your child turns one.

If your child is autistic, he is likely to have repetitive and narrow interests. He will not be willing to try new things or food, preferring to always stick to the same ones that he is used to. Also, he finds it hard to cope with changes in schedules and environment. He can react violently when any change should occur or if there is a disruption to his normal schedule of activities. His behavior is odd and unpredictable. You may even think that he is being naughty, without realizing that he is actually having a brain disorder difficulty.

There are conflicting opinions about what causes autism. Some scientists and researchers believe that it is a genetic abnormality. Yet others think that it is caused by an injury to the brain or exposure to an environmental toxin. The latter view is supported by the fact that in some population areas, autism is at higher rates of incidence than it is elsewhere.

You may start observing some developmental problems of your child between the ages of 12 and 36 months old. It may be that your child is not hitting some milestones with underdeveloped or delay in speech and communication skills. You may also begin to notice that he tends to keep himself or if he has little awareness of social cues. His eye contact is poor and he cannot focus clearly. However, if your child only has mild autism, you may not be able to detect that anything is wrong until he goes to school. In some cases, your child may go undiagnosed until he is much older when social and communication skills are required.

If you have an autistic child, you may fear that his disorder may become worse over the years. However, there is no cause for concern apparently. Research shows that autism is non-progressive, meaning that it does not get worse in time.

Here is a breakdown of what comes under autism disorder spectrum or otherwise known as the 5 pervasive developmental disorders:

1. Autism. Symptoms can be recognized before a child turns 3-years-old. However, they may be more obvious much later than this. If your child is diagnosed with autism he will have difficulty making or maintaining eye contact, have impaired social functioning, can be overwhelmingly absorbed with himself and would seem like a loner.

2. Asperger Syndrome. Asperger Syndrome is similar to autism in that it tends to show up before your child turns 3 years old. However, your child will be able to function at a higher level than an autistic child. He can still have problems with social functioning, communication and speech. He will also have narrowly defined interests. But with some therapy and help, most asperger children are able to live independently when they get older.

3. Rex syndrome. Doctors cannot agree whether Rex syndrome is a type of autism or not. This syndrome almost exclusively afflicts girls. Usually your child will develop normally for 6 to 18 months and then all of a sudden, show a loss of skills in such areas as speech and lose the ability to control her hands and her feet. This syndrome can be tested for with an 80% accuracy rate.

4. Childhood disintegrative disorder (CDD). CDD takes place a little later. It happens anytime between the age of 2 to 4 years old. You would notice a marked degeneration in social, physical, mental and verbal skills. The long period of normal development below the age of 2 is the distinguishing factor between autism and CDD.

5. Pervasive developmental disorder. This disorder applies if your child is not within any of the above other 4 mentioned categories. He is diagnosed with a pervasive developmental disorder if he is found to have impairments in social interaction, stereotyped behavior and communication but with symptoms not otherwise defined.

Parents are already familiar with the stress that comes with preparing meals, bathing, homework, shopping and so on. In addition to these stressors are those parents meet with parent-child conflicts, time schedules to meet and a child’s well-being in general. A family who has a child on the autism spectrum experiences added unique stressors.

Current research suggests that parents of children with autism experience greater stress than parents of children with intellectual disabilities and Down Syndrome. A child with autism may not be able to express basic wants and needs in the same manner as individuals without the disorder. Parents are often guessing why the child is crying. Is it because he/she is hungry, thirsty, hurting or sick? Not being about to determine the child’s needs can leave parents feeling frustrated and filled with sorrow. The child with autism unable to communicate with its parents effectively may be left frustrated and unhappy. This frustration can lead to aggression and self-injury behaviors that can make the child a danger to himself and to other family members.

A lack of appropriate leisure, play and social skills often require constant structure of family time, which can become quite difficult to accomplish in the home environment. Families may not be able to attend events together at scheduled times. Mom might have to stay home with the child who has autism, while dad take another sibling to their baseball game or school band concert. This in turn can create problems in the marital relationship in addition to whatever other problems already exist. There is often a lack of qualified people who can care for the autistic child while mom and dad find time to spend alone.

Additional problems may be struggles with getting the child with autism to sleep through the night or eat a wide variety of foods for proper health and nutrition.

Other sources of stress for parents of children with autism may include:

• Reactions from society: Parents may feel self-conscious about taking a child with autism out into the community. The may fear others will stare or make rude comments about their child. These problems may leave parents of children with autism experiencing a sense of isolation from friends, relatives and community

• Concerns about future care: Parents know they provide their children with autism the best care possible and they fear that no one else will take care of their child like they do.

• Finances: Evaluations, home programs and therapies can drain a family’s resources. One parent may have to give up his or job to take care of the child leaving the family with even less money to meet financial obligations.

• Feelings of Grief: Many parents of children with autism grieve the loss of the “typical” child they expected to have. They also grieve the loss of a lifestyle they expected or planned for themselves and their family. This can be an additional source of stress on the family, which is ongoing.

Sibling’s sources of stress may include:

• Embarrassment around their peers and jealousy about the extra time parents have to spend with their brother or sister

• Frustration about not being about to communicate effectively with a brother or sister who has autism

• May be the target of aggressive behaviors of the child with autism

• Worries over their parents stress and grief about the child with autism

• Concern about their role as a future caregiver for the sibling or siblings with autism

Grandparents also grieve over the loss of the typical grandchild expected and may be concerned about the stress and difficulties their children are experiencing. Grandparents often want to help but lack the skills to deal with children who have autism.

How can families cope with the stress of living with a child or children who have autism?

Some suggestions for helping families may include:

• Remember that you must take action before progress toward solutions can be made

• Take time for yourself and other family members to avoid burnout

• Keep in mind that just a few minutes per day can make a big difference in taking time for yourself

• Do things for yourself that you know normally makes you feel better

• Parents who have children with autism have a greater need to reward themselves

• Family members need to reward one another

• Spouses need to acknowledge the hard work each is performing

• Thank siblings for watching or helping their brothers and sisters who have autism

• Spouses need to find time for alone. This may include watching T.V. together when the children are asleep or going out to dinner

• Families may also want to engage in activities occasionally without the individual with autism. Everyone deserves some time together that is not threatened by the challenges of autism.

• Network with other families affected by autism

• Attend support groups for parents, siblings and grandparents through educational programs, parent resource centers, and local chapter of the Autism Society of America.

• Prayer

• Exercise/yoga

• Keeping a journal

• Keeping a daily schedule of tasks to accomplish

If you witness a family member or a friend showing signs of stress even if it means you will not be appreciated for your efforts, getting as much assistance for a child with autism and their families can only make things better over the long term.

Source: American Autism Society

Disclaimer: *This article is not meant to diagnose, treat or cure any kind of a health problem. These statements have not been evaluated by the Food and Drug Administration. Always consult with your health care provider about any kind of a health problem and especially before beginning any kind of an exercise routine.

This article is FREE to publish with the resource box.

As a parent, you do not have the time to consider why or how this happened, only what to do next. The most important thing to remember is that you are not alone in your struggle. By researching the disorder and finding others going through similar situations, you can help you child while still dealing with your own emotional response.

Know Your Rights: Laws and Autism

Join a support group for parents with autism. You can find these by contacting the national Autism Society of America. From there you can find local branches, many of which offer support groups for parents and families with an autistic child. Being in contact with other parents in a similar situation can not only help you feel less alone, but it can provide you with a myriad of resources.

A parent support group will also help point you in the direction of the best doctors, intervention programs, and workshops for both your child and your family. Find a support group for any other children you have as well.

Many parents forget that they are not the only ones who must learn to live and communicate with an autistic child. By locating a support group for your other children, you can help them from acting out or acting against the autistic child by teaching them about the illness. As a parent, you must create a supportive environment for the entire family in order to properly manage your child ’s illness.

Consider marriage counseling if you are married. An autistic child can put serious strain on a marriage, leading to escalating arguments, neglect of each other, and even perhaps blaming each other for the situation. Marriage counseling from the very beginning can help a couple through this discovery and rough transition, and help build a better supportive environment for your children. Your marriage should not end as a result of having an autistic child, but the sad fact is that many of them do. Prevent this by using one another for support and by understanding that you may need help to deal with one another now and in the future.

Most importantly, start on the path to becoming an expert. Many times pediatricians or psychiatrists are not experts on autism, which can lead to improper diagnoses or incorrect treatment options. As your child ’s best advocate, you must know everything you can about autism. Parents of Autistic Children can be a great resource; this organization offers training and workshops.

The ASA has a newsletter and also offers a variety of information, from diagnosing to treating. As always, remember that a support group of parents with autistic children can always provide you with books and research that focus on the reality of the situation. Educate yourself and those around you to provide the most beneficial things for your child-love and guidance.

If you or your child has autism, some of the most basic things you can study and learn are your rights. Every American citizen is protected under the constitution, and there are special laws that have been passed to help protect people with autism and other disabilities.

By knowing the laws that protect you or your autistic loved ones, you can live in a world that provides better opportunities to everyone, regardless of not only disability, but also race, gender, and ethnicity. This is simply the first step to creating a more tolerant world in general.

The first law with which you should become acquainted is I.D.E.A., or the Individuals with Disabilities Education Act. The I.D.E.A. covers children ages 3 to 21 and provides autistic children with the special educational programs they need. The I.D.E.A. gives parents the right to be involved with education decisions concerning their child made by the school.

Your child first needs to be assessed to qualify under the I.D.E.A., and this is best done by a private professional. In the end, your child has the right by law to receive a free public education that is appropriate for his or her skill level. If your public school has no such program, they are required to find one or create one at no cost to you.

Also become familiar with and knowledgeable about the American Disabilities Act. Under this act, discrimination due to disability is prohibited in the workforce, as well as with state and local government, public accommodations, the United States Congress, public transportation, and telecommunications. For example, if you are autistic, but have the skills to do a certain job, you cannot be refused the job because of your autism.

Other laws provide rights for people with autism so that they are constitutionally equal to others. One such law says that people with autism have the right to vote, and accommodations must be made so that this is possible. Another says that autistic individuals cannot be refused housing based on disability. Others provide equal rights in all other aspects of life,

and these should especially be studied if your loved one with autism is in a health care institution. By knowing the law and how it applies to yourself or others with autism, you can be sure that justice is upheld. If you have questions, local law officials should be ready and willing to answer you or provide you with material to answer your own questions.

Remember that ignorance of the law is not a valid excuse for anyone, so be an advocate for yourself or others with autism to prevent mistreatment.