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oxydaddy
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25 Jun 2012, 3:21 am

Hello,

I've been googling around looking for answers regarding Autism .... My daughter 2 years and 4 months.. coming 2 years 5 months next month...She has a speech delay, and very active in almost everything she do.. such as running.. climbing... she know how to point things.. she will try harder and very determine to get something she wants. I would say .. in terms of feeling.. emotionally easy to trigger... such as laughing when saw something funny like cartoons.. say for e.g.. a jumping frog.. very afraid when watching something scary like fighting.. love to hug.. every time we coming back from work (daddy and mommy) she will eventually hug and pull our hand... go to the kitchen ask for tea.. (having hi tea)..

Every time I play guitar, and sing... she will concentrate and sometimes pull the guitar from me..try to play something with the guitar...

Well.. today I went to the Child development center.. of course they haven't found any answers yet .. Well one good thing about her.. as the specialist said.. she have a very good emotion.. when you scold her.. she understand.. when she wants something .. she will seek for help.. when the person ignore her.. she will go to the other person seeking help..she knows that me and my wife are the loop holes.....

I need guidance and advice on this.. My first concern is the speech delay .. this is our first daughter... and by the way .. The hearing test was Ok ...

p/s: Planning to send her to Montessori playschool next year...



Chronos
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25 Jun 2012, 4:59 am

oxydaddy wrote:
Hello,

I've been googling around looking for answers regarding Autism .... My daughter 2 years and 4 months.. coming 2 years 5 months next month...She has a speech delay, and very active in almost everything she do.. such as running.. climbing... she know how to point things.. she will try harder and very determine to get something she wants. I would say .. in terms of feeling.. emotionally easy to trigger... such as laughing when saw something funny like cartoons.. say for e.g.. a jumping frog.. very afraid when watching something scary like fighting.. love to hug.. every time we coming back from work (daddy and mommy) she will eventually hug and pull our hand... go to the kitchen ask for tea.. (having hi tea)..

Every time I play guitar, and sing... she will concentrate and sometimes pull the guitar from me..try to play something with the guitar...

Well.. today I went to the Child development center.. of course they haven't found any answers yet .. Well one good thing about her.. as the specialist said.. she have a very good emotion.. when you scold her.. she understand.. when she wants something .. she will seek for help.. when the person ignore her.. she will go to the other person seeking help..she knows that me and my wife are the loop holes.....

I need guidance and advice on this.. My first concern is the speech delay .. this is our first daughter... and by the way .. The hearing test was Ok ...

p/s: Planning to send her to Montessori playschool next year...


There are various different things that can cause speech delays. I think in most non-hearing impairment based disorders, the therapy is generally the same. Has she been evaluated by a neurologist though?



oxydaddy
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25 Jun 2012, 6:04 am

well not yet... I'm not sure about the next appointment... well, if I may know. what is the most obvious symptoms of Autism... ?
is my daughter having all the sign and symptoms?



ASDMommyASDKid
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25 Jun 2012, 6:23 am

The main three things are:
Language deficits--or pragmatic problems with language.
Social Deficits--Lack of interest in others or lack of social skills
Rigidities and stims ---Not liking schedule disruptions, having repetitive movements -hand flapping, toe walking, spinning, lining stuff up more than NT kids, stacking them more than NT kids etc. When older, they tend to acquire special interests that they hyperfocus on.

Sensory issues tend to be present: Difficulties with types of noises, foods, textures, smells. Sometimes they seek certain sensory experiences, some times they avoid them.

There are also correlations to things like clumsiness,, having trouble with handwriting, poor adaptive skills like difficulty with pottying etc.

Some times they read early, sometimes they have learning disabilities.

There is more. it is hard to list everything.

Here are the current (soon to be updated) criteria in the U.S:

[The following is from Diagnostic and Statistical Manual of Mental Disorders: DSM IV]

(I) A total of six (or more) items from (A), (B), and (C), with at least two from (A), and one each from (B) and (C)

(A) qualitative impairment in social interaction, as manifested by at least two of the following:
1. marked impairments in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body posture, and gestures to regulate social interaction
2. failure to develop peer relationships appropriate to developmental level
3. 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 to other people)
4. lack of social or emotional reciprocity ( note: in the description, it gives the following as examples: not actively participating in simple social play or games, preferring solitary activities, or involving others in activities only as tools or "mechanical" aids )
(B) qualitative impairments in communication as manifested by at least one of the following:
1. 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 gesture or mime)
2. in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
3. stereotyped and repetitive use of language or idiosyncratic language
4. lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level
(C) restricted repetitive and stereotyped patterns of behavior, interests and activities, as manifested by at least two of the following:
1. encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
2. apparently inflexible adherence to specific, nonfunctional routines or rituals
3. stereotyped and repetitive motor mannerisms (e.g hand or finger flapping or twisting, or complex whole-body movements)
4. persistent preoccupation with parts of objects

(II) Delays or abnormal functioning in at least one of the following areas, with onset prior to age 3 years:

(A) social interaction
(B) language as used in social communication
(C) symbolic or imaginative play

(III) The disturbance is not better accounted for by Rett's Disorder or Childhood Disintegrative Disorder



Marcia
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25 Jun 2012, 6:32 am

From what you've written here, I don't see anything to suggest autism, tbh.

My son has Asperger's, which is pretty much Autism without the speech delay, and at that age he was showing a number of what I later realised were indicators for autism. The speech aspect (and talking all the time is as much an indicator as not talking at all) was only one part of it.

Unless there are a number of issues which you've not described here, or I've missed, than I think you'd be better off focussing on her speech than worrying about other possibilities.



oxydaddy
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25 Jun 2012, 6:36 am

So, with early intervention... out of 10... tell me more of the future of Autism kids?



McAnulty
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25 Jun 2012, 6:40 am

I agree with the other poster who said it doesn't seem like Autism from what you've written. She seems to be compensating for her lack of speech with non-verbal language, which is a good sign.



ASDMommyASDKid
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25 Jun 2012, 7:04 am

oxydaddy wrote:
So, with early intervention... out of 10... tell me more of the future of Autism kids?


As others have asked, Do you notice any other symptoms based on the criteria? I also agree with the others that you are jumping the gun,as you have not listed anything other than the speech issue. It could be something else, or nothing other than atypical speech development.

When you say they found nothing, what kind of tests did they give, and what questionnaires did you fill out? Was it just a screen or was it actual testing?

Even if you knew she was autistic, there is not going to be a clear x out of 10 kind of prognosis. It depends on how many specific issues, their severity, and development works at a different pace, even with intervention.

I know you are worried. What else did they specifically tell you?



oxydaddy
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25 Jun 2012, 8:24 am

Such a warm welcome and feedback.. really helpful...I'm so thankful...

Alright other than that that worries me... Her social interaction with others..
she only have interest to those she's comfortable with...such as her parents..her cousins...

One day, we went to playground.. she would rather play alone.. running and jumping alone... until she saw a boy playing football.. she approach the boy and I assume she wants to play along .. but then again.. it's only for a while..

She will cry if she is hungry or thirsty...

I'm trying my best to compile everything :) .... really guys.. Such a wonderful community here... I feel good actually ..



Eureka-C
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25 Jun 2012, 8:59 am

the M-Chat is a toddler autism screening tool which may help

https://m-chat.org/

Here is a video I like that does a good job showing video of what the DSM-IV criteria for autism look like. It is more about school age children, but it may help you understand what the professionals are looking for.

http://www.youtube.com/watch?v=lbXjW-cX ... ure=g-like

M-Chat free online screening



McAnulty
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25 Jun 2012, 9:04 am

She's pretty young to be playing with other children. You expect this more around 3. Right now she is at the age for parallel play, which means she most likely plays near other children but not with them, this is normal, it is not a sign of autism in a child this young. The important thing is that she interacts with those she is close to. Pointing at things is great, my son is the same age and can not do this. Does she share interests with you, like showing you a toy she likes? Is she able to look at you and enjoy a back and forth game? Does she initiate interactions with you instead of waiting for you to start everything? If she does most of this it's very likely that she just has a speech and/or language disorder. These are very common and are usually not caused by autism, although of course for some children this is the reason. I wouldn't worry too much. Some children just talk late, and some just have a speech problem with no other problems.



oxydaddy
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25 Jun 2012, 9:30 am

i must say pointing things by holding our hands... and point things using our finger.... not her index finger....



ASDMommyASDKid
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25 Jun 2012, 9:53 am

I agree that she is still in the parallel play stage. Playing with others even for small amounts of time is good. How does she react to pediatricians and such? Does she make eye contact? What is her temperament like? Fussier than average, more docile than average? Does she have a lot of tantrums? Does she have any phobias or sensory issues?

I will say that pointing with the whole hand vs. the index finger may mean something. My son used 2 fingers instead of the index finger, which was poo-poo'd at the time,(unlike some other things the pediatrician thought was more concerning) but it turns out he has motor planning problems imitating physical gestures, etc. (Apraxia)



McAnulty
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25 Jun 2012, 10:08 am

My son uses my finger for things as well, that is a bit of a red flag. However if she has motor skill problems she may do it because it's easier. Still, it is very common for children with ASD's to use a persons hand as a tool, and it should be checked out. It's good that she is getting evaluated. They will do a much better job at figuring out what is going on with her than we can. Often children may have a lot of symptoms of autism, but they do not actually have it. Other issues can produce some of the same symptoms. People with fine motor skill delays will have trouble pointing, people with auditory processing problems seem as if they're not listening, children with sensory issues might stim or have meltdowns, language delays can also affect non-verbal language, and on and on. These things on their own don't qualify a child for an autism diagnosis, this is why it is so important to get a professional evaluation, to really look at the whole picture, and not just individual symptoms.



oxydaddy
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25 Jun 2012, 10:33 pm

She will make an eye contact whenever we scold her or something... and as the specialist said, whenever you scold her and she made an eye contact .. that's a good sign... but.. she will ignore whenever you try to call her name.. that worries me.. she will ignore most of the time..

Very unpredictable actually, because every time we came back from work... we always shout for her name "Hello darling... How are you" something like that yea.. and she will run .. hugs and few kisses...

I'm very confuse...

In terms of her tantrum.. she will be very very up sad if you don't give her anything she wants.. and try her best to seek help from others...



calebsmummy
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29 Jun 2012, 1:16 pm

Hi, im new to this site.. but i just thought id say, my son was diagnosed with autism at 18 months old. He's 3 and half now.
And from what you have said about daughter it doesnt sound like autism.. although my son had speech delay and has only recently started speaking, but he also used to self harm as in banging his head, pinching and pulling his hair out. He also never used to sleep more than a few hours, and he still ignore me 90% of the time . So i do think you should take her back to doctors and maybe check her hearing? and see where that takes you. But if you must trust your instinct above all. Because if i hadn't we wouldn't have my son diagnose.

Kerrie :)