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Identifying and managing symptoms of autism

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Dr. Nasir Uddin:
Bangladesh feels fortunate to have been the host to an international conference on autism last year. The importance of the meet was noted by the presence of regional dignitaries including Sonia Gandhi, President of Indian National Congress, the first lady of Sri Lanka Shiranthi Wickramasingha Rajapaksa, wife of Maldives Vice-President Ilham Hussain, health ministers from Indonesia and Bhutan and officials from various countries working in autism and  health sector.
The substantive result of the conference was the Dhaka Declaration.
The importance of meeting the challenges faced by autistic children and adults has been greatly emphasized at the conference. This has served to raise the level of awareness of the issues of autism, with concrete suggestions emerging to address them. It is believed that one out of every 110 children is afflicted with autism. It is indeed a matter of serious concern that autistic population is increasing at a rate of 10 to 17 percent. The members expressed their determination to sensitize people to autism and in providing quality care and services to those affected.
The seven-point Dhaka declaration adopted at the conference is a ray of hope for all who has been born with physical and mental development disorders. The declaration calls for promoting stronger coordinated action in the region and globally to improve access to and obtain quality health care services for these mentally and physically challenged individuals.
It is natural that therefore we should pay attention to this problem instead of brushing under the carpet and pretend that it does not exist.
Autism is a brain disorder that often makes it hard to communicate with and relate to others. With autism, the different areas of the brain fail to work together.
Most people with autism will always have some trouble relating to others. But early diagnosis and treatment have helped more and more people who have autism to reach their full potential.
Autism tends to run in families, so experts think it may be something that you inherit. Scientists are trying to find out exactly which genes may be responsible for passing down autism in families.
Other studies are looking at whether autism can be caused by other medical problems or by something in your child's surroundings.
Some people think that childhood vaccines cause autism, especially the measles-mumps-rubella, or MMR, vaccine. But studies have not shown this to be true. It's important to make sure that your child gets all childhood vaccines. They help keep your child from getting serious diseases that can cause harm or even death.
Symptoms almost always start before a child is 3 years old. Usually, parents first notice that their toddler has not started talking yet and is not acting like other children the same age. But it is not unusual for a child to start to talk at the same time as other children the same age, then lose his or her language skills.
Symptoms of autism include:
A delay in learning to talk, or not talking at all. A child may seem to be deaf, even though hearing tests are normal.
Repeated and overused types of behavior, interests, and play. Examples include repeated body rocking, unusual attachments to objects, and getting very upset when routines change.
There is no "typical" person with autism. People can have many different kinds of behaviors, from mild to severe. Parents often say that their child with autism prefers to play alone and does not make eye contact with other people.
Autism may also include other problems:
Many children have below-normal intelligence.
Teenagers often become depressed and have a lot of anxiety, especially if they have average or above-average intelligence.
Some children get a seizure disorder such as epilepsy by their teen years.
There are guidelines your doctor will use to see if your child has symptoms of autism. The guidelines put symptoms into three categories:
Social interactions and relationships. For example, a child may have trouble making eye contact. People with autism may have a hard time understanding someone else's feelings, such as pain or sadness.
Verbal and nonverbal communication. For example, a child may never speak. Or he or she may often repeat a certain phrase over and over.
Limited interests in activities or play. For example, younger children often focus on parts of toys rather than playing with the whole toy. Older children and adults may be fascinated by certain topics, like trading cards or license plates.
Your child may also have a hearing test and some other tests to make sure those problems are not caused by some other condition.
Treatment for autism involves special behavioral training. Behavioral training rewards good behavior (positive reinforcement) to teach children social skills and to teach them how to communicate and how to help themselves as they grow older.
With early treatment, most children with autism learn to relate better to others. They learn to communicate and to help themselves as they grow older.
Depending on the child, treatment may also include such things as speech therapy or physical therapy. Medicine is sometimes used to treat problems such as depression or obsessive-compulsive behaviors.
Exactly what type of treatment your child needs depends on the symptoms, which are different for each child and may change over time. Because people with autism are so different, something that helps one person may not help another. So be sure to work with everyone involved in your child's education and care to find the best way to manage symptoms.
An important part of your child's treatment plan is making sure that other family members get training about autism and how to manage symptoms. Training can reduce family stress and help your child function better. Some families need more help than others.
Take advantage of every kind of help you can find. Talk to your doctor about what help is available where you live. Family, friends, public agencies, and autism organizations are all possible resources.
Remember these tips:
Plan breaks. Daily demands of caring for a child with autism can take their toll. Planned breaks will help the whole family.
Get extra help when your child gets older. The teen years can be a very hard time for children with autism.
Get in touch with other families who have children with autism. You can talk about your problems and share advice with people who will understand.
Raising a child with autism is hard work. But with support and training, your family can learn how to cope.
The severity of symptoms varies greatly, but all people with autism have some core symptoms in the areas of:
Social interactions and relationships. Symptoms may include:
Significant problems developing nonverbal communication skills, such as eye-to-eye gazing, facial expressions, and body posture.
Failure to establish friendships with children the same age.
Lack of interest in sharing enjoyment, interests, or achievements with other people. Lack of empathy. People with autism may have difficulty understanding another person's feelings, such as pain or sorrow.
 (To be continued).