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Living with Autism - A occupational therapist's perspective



Autism Spectrum Disorder (ASD) is a complex developmental condition that involves persistent challenges in social interaction, speech, and nonverbal communication, and restricted/repetitive behaviors. The effects of ASD and the severity of symptoms are different in each person. It’s called a “spectrum” disorder because people with ASD can have a range of symptoms.


Understanding Autism Spectrum Disorder

The first step in living with autism is understanding what it means to be on the spectrum. Autism is not a single condition, but rather a complex group of disorders that affect brain development. There are several symptoms, but they mainly involve difficulties with social communication, including troubles with normal back-and-forth conversation, nonverbal communication, developing and maintaining relationships, as well as repetitive patterns of behavior and interests.


lets first talk about how to talk about autism.



Diagnosing Autism

Autism Spectrum Disorder (ASD) can be challenging to diagnose, as there is no one-size-fits-all symptom or test. Diagnosing ASD often involves an intricate ballet of professional observations and parental insights.


Early diagnosis and intervention are paramount for children with ASD. The earlier the intervention, the better the outcomes can be. Early intervention can lead to significant improvements in cognition, language, and adaptive behavior. With early and intensive treatment, some children with ASD can gain enough skills to lead a life that is largely indistinguishable from their neurotypical peers.


The process often starts when parents or caregivers notice developmental delays in their child—perhaps they’re not babbling, pointing, or making eye contact as expected. These initial concerns typically lead to a screening.


Screening is a preliminary step, often involving a questionnaire like the Modified Checklist for Autism in Toddlers (M-CHAT) or the Ages and Stages Questionnaires (ASQ). It’s a way to catch potential issues that warrant a closer look. If screening indicates a risk of ASD, the next step is a comprehensive evaluation. This involves a team of specialists, which may include developmental pediatricians, child psychologists, child neurologists, and speech and language pathologists. They assess the child through a series of standardized tests and observations.


An essential part of diagnosis is understanding the child’s developmental history. Parents and caregivers will be asked detailed questions about their child's behavior and developmental milestones. Their intimate knowledge of the child’s behavior patterns, social interactions, communication skills, and family medical history provides critical context for professionals.


Healthcare professionals may use a number of tools including the Autism Diagnostic Observation Schedule (ADOS) or the Autism Diagnostic Interview-Revised (ADI-R)

In some cases, professionals might recommend additional tests to rule out or identify other conditions. These can include genetic testing, hearing tests, or a lead screening.


Regardless of the outcome of the evaluation, if there are developmental concerns, an early intervention referral is often made so that services can begin promptly.Autism is a lifelong condition, and diagnostic assessments may evolve as a child grows and develops. Professionals may recommend periodic re-evaluation to adjust educational and therapy goals.


Occupational therapists play a crucial role in the diagnostic process. They evaluate the child’s skills for playing, school performance, and daily activities and compare them to what is developmentally appropriate for that age group. Their insights can help in designing intervention programs that address specific needs, such as sensory integration issues or motor skills development.


Professional diagnosis of ASD at an early stage is a cornerstone of the journey that lies ahead. It opens the door to early intervention services, which can profoundly affect the child’s and family’s quality of life. Remember, each child with autism is unique, and so each journey will be distinctive. With early detection and the right support, every child with ASD can learn, grow, and thrive.


Treatment and Home Program Options

Once a diagnosis is made, a team of healthcare professionals can advise on treatment. Each child is unique, so treatment plans are tailored to their needs. Treatment options often include:

  1. Occupational Therapy: This helps to develop life skills like dressing, eating, and relating to people. Learn how a Occupational therapist can help a child with autism.

  2. Behavioral Therapy: This can help with communication, social skills, and other challenges.

  3. Speech Therapy: This focuses on improving communication skills.

  4. Physical Therapy: This might be used to improve balance and posture.

Parents can extend therapies into home programs, such as:

  • Structured Playtime: Helps to teach social skills and language development.

  • Routine and Visual Supports: Establishing a routine can help children with ASD feel more secure and make transitions easier.

  • Sensory Integration Activities: These activities can help children who are either over-sensitive or under-sensitive to sensory stimuli.

Living Day-to-Day with an Autistic Child

Daily living with an autistic child means embracing routines, clear communication, and lots of patience. As an occupational therapist, I work closely with families to establish daily routines that make life more predictable for children with ASD. Consistent schedules and clear expectations can significantly reduce stress for these children.


Social stories can help children prepare for social interactions. Visual aids, such as picture schedules or charts, can make daily tasks and routines more understandable. Support groups can provide a community for parents to share experiences and resources. It’s also vital that parents take time for self-care. Caring for a child with autism is a marathon, not a sprint, and maintaining parental health is crucial for the long haul.


I have seen children with autism who are able to remember all the car registration numbers of an entire society with 500+ cars. I have seen people with autism who are extremely good in any one field - be in mathematics of arts or music. Each child is different and each person with autism is also different. It is very important to get the required treatments and therapies done. It is also important for parents and guardians to support them in their journey.


Famous Individuals with Autism and Their Achievements

Highlighting successes can inspire hope. Here are some famous individuals who have autism:

  • Albert Einstein: It is not known for sure, but many people believe that Albert Einstein would qualify as having autism spectrum disorder today.

  • Bill gates: Bill Gates is believed to have autism. He displays a rocking motion, a monotoned speech pattern, and avoids eye contact with others.

  • Elon Musk: Elon Musk said that he was on the autism spectrum while hosting the “Saturday Night Live” in May' 2021. More specifically, Musk declared that he was “the first person with Asperger’s” to host the “Saturday Night Live,” show.

  • Temple Grandin, Ph.D., a professor of animal science and an advocate for the autism community, didn’t speak until she was three and a half. She’s now a world-renowned speaker and author.

  • Dan Aykroyd, an actor and screenwriter, was diagnosed with Tourette’s and Asperger’s syndrome. He’s won an Emmy Award and was nominated for an Academy Award.

  • Sir Anthony Hopkins, the esteemed actor, was diagnosed with Asperger’s syndrome. He has won many awards, including an Oscar for Best Actor.

Final Thoughts

Living with autism presents unique challenges and incredible triumphs. It requires patience, education, and a community of support. The journey is not always easy, but it’s rich with opportunities for growth and joy. Through understanding, tailored interventions, and celebrating each individual’s strengths, children with autism can and do thrive.

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