Back in the late 1990s, autism wasn’t exactly on Janice Bennink’s radar. Her son’s preschool teachers had mentioned he was playing alongside classmates — rather than with them — and often missed social cues, but it was only when he was seven that she received the formal diagnosis of a high-functioning form of autism called Asperger’s syndrome.
“He would be doing the typical hand flapping — little, repetitive movements when he got excited. And he’s very literate. By the time he started kindergarten, he was able to read,” says Bennink.
“The social deficits are the biggest challenge — and they always will be,” she adds.
Bennink’s son is now 21 and a recent high-school graduate. He is looking forward to post-secondary studies in the future. His mother says that the road hasn’t been easy, and that her son still struggles with social interaction. But she attributes a lot of his successes to her constant communication with teachers, caregivers and other parents about his needs — a dialogue that helped her son get the support he needed to thrive.
“All parents of kids with autism have to be advocates,” says Bennink.
Autism awareness increasing
Because of the higher numbers of kids being diagnosed with autism spectrum disorder (ASD), it’s a condition that most people now know something about. Although the Canadian Public Health Agency is a few years away from establishing an autism monitoring system, about one in 68 American children has been identified with ASD, according to the U.S. Centers for Disease Control. Boys are five times more likely than girls to be diagnosed with autism.
Scientists are currently investigating what causes the condition that becomes apparent in early childhood. They have identified a number of genes that may play a role in its development and speculate that environmental factors that may also trigger its onset. Several years ago, it was believed that the measles, mumps and rubella vaccine triggered autism, but that research has since been discredited.
Autism symptoms vary dramatically among patients. At one end of the spectrum, a child can have mild social deficits and function well; at the other end, he or she can be non-verbal and have behavioural issues.
Wherever along the spectrum they are, however, there are some signs and symptoms that Autism Speaks Canada says most autistic children exhibit that parents should watch for:
- No big smiles or other joyful expressions by the age of six months onwards
- No back-and-forth sharing of sounds, smiles or other facial expressions by nine months
- No babbling by 12 months
- No pointing, showing, reaching or waving by 12 months
- No words by 16 months
- No meaningful, two-word phrases (not including imitating or repeating) by 24 months
- Loss of speech, babbling or social skills at any age
- Repetitive behaviours such as lining up objects, hand flapping, twirling
- A fascination with a specific numbers, symbols, dates or science topics
- Unusual or extreme reactions to everyday events, such as frequent violent tantrums or outbursts
- Unusual sensitivity to noise
Autism experts recommend parents consult a pediatrician or family doctor if they have any concerns.
“If parents believe their child is showing signs of autism, I recommend following your instincts and insist on a diagnosis assessment,” says Laurie Mawlam, executive director, Autism Canada Foundation. “While you are waiting for an assessment, I recommend videotaping your child, making sure to capture all your concerns on camera. Start interventions while you are waiting for your diagnostic assessment.”
According to Mawlam, there should also be an evaluation of other health issues that often accompany autism. These include seizures, neural inflammation and immune system dysfunction, allergies, food sensitivities, gastrointestinal disease, energy problems due to mitochondrial dysfunction, and nutritional deficiencies. Some patients have found their symptoms improved when on a gluten- and casein-free diet while others, like Bennink’s son, benefited from eliminating and reintroducing foods to determine which were triggering symptoms.
Mawlam says a behavioral intervention should then follow. “Often a person with autism will use the services of a behaviourist, speak pathologist, occupational therapist – but this is far from exhaustive,” she says. “Other therapies may include music therapy, recreational therapy, sensory integration, and play therapy.” These interventions help people with autism cope with stressful situations and manage triggers, improve speech if there are difficulties and interact more fluently with others.
Though kids can certainly see their symptoms improve, accepting them for who they are is key, says Bennink. “It is what it is,” she says. “We have to accept their differences.”
“Generally speaking, it’s getting a lot easier now,” she adds. “The more people understand [about autism], the better place the world will be for my son.”
If your child has been diagnosed with autism spectrum disorder
Janice Bennink passes along these tips for parents:
- Take time for yourself. Being a parent of a child with ASD can be challenging.
- Reach out. Get in touch with parents of other ASD kids or a local support group.
- Be selective. Find what works for you among the vast amount of books and material available.