Autism Therapy: doctor

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Pediatric Annals, by Myers, SM, published in 2009, summarized Oct 7, 2010

Effective medical treatment may allow a child with autism to respond better to educational and behavioral interventions as well as to other types of therapies.

Autism is a common, chronic disease and patients with autism require a medical home. Certain health factors may make autism worse and behavior worse. The purpose of this article is to describe how doctors can manage autism as a chronic disease. The main treatments for autism are behavioral and include applied behavior analysis (ABA). Drug therapy may be useful if target symptoms are severe and do not respond to behavioral interventions.


Journal of Clinical Psychopharmacology, by Gerhard, T., Chavez B., Olfson M., and Crystal S., published in 2009, summarized Jun 17, 2010

Many drugs are prescribed to help manage the symptoms of autism and yet very few studies have been done to demonstrate that these medications are helpful.

This article describes the use of drug therapy in the U.S. for youth with autism. Recently, there has been a large increase in the use of brain drugs (psychotropic medications) to treat young people with autism. This may be due to the fact that more people know about autism. It may also be due to the presence of new drugs such as atypical antipsychotics and newer stimulants. There are no guidelines to help doctors know how to prescribe brain drugs to help children with autism.


J Am Acad Child Adolesc Psychiatry, by Marcus, RN, Owen R., Kamen L., Manos G., McQuade RD, Carson WH, and Aman MG, published in 2009, summarized May 13, 2010

Aripiprazole may help to treat irritability in children with autism.

This double-blind, placebo-controlled study compared the atypical antipsychotic aripiprazole with placebo in terms of being able to reduce irritability in children (aged 6 to 17 years) with autism. This eight week study found that aripiprazole was able to reduce irritability in children with autism. Children who received aripiprazole also had decreased hyperactivity. There was a high placebo response rate of 35% on this study. The authors also note that this was a fixed-dose study and therefore doctors were not able to change the dose of the drug based upon the patient’s response to the drug.


J Spec Pediatr Nurs., by Quirantes, D., published in 2009, summarized May 11, 2010

Successful treatment for autism is best achieved when parents and physicians work together with skilled professionals and therapists to execute a well-developed treatment plan.

This letter to a journal is written by a woman who is both a nurse and a mother to an eight year old boy with autism. She describes how many large cities have autism treatment teams in place, and doctors should be able to refer parents to these teams. Treatments are not cheap, though, and parents need help working through the healthcare system to find ways to pay for treatment. One of the problems that parents have is teaching other people about autism and what to expect from a child with autism. Parents want people to know that a child is a human being who knows what is going on even if he cannot speak.


Florida State Senator, Jeremy Ring, understands the problems of parents of kids with autism and other behavioral difficulties managing their child’s healthcare. He developed a Facebook-like, but private, free Web-based healthcare management platform. Mercurian helps families organize family care teams – this can be anyone from a home care attendant to a relative to teachers and therapists. Team members can share as much information as they like to help track the child’s progress. The hope is that the data collected will help families notice changes in behavior, improvements in communications between families and professionals, and provide updates to schools and physicians.

Read original article: Senator Creates Website for Children with Autism


Easter Seals of Central Pennsylvania recently opened Silvi Sensory Integration Center, to provide support for people with sensory processing disorders, including autism. The only sense it does not stimulate is smell. Annie Smith, the director of therapy services, delights in showing visitors around. She points out lights, music, bubbles, and vibrations while explaining that each child will have an individualized program. Smith explained, “With a physician’s referral, any family interested in the center can schedule an evaluation.” Joe Fialko, owner of Soundbeam USA, has developed sensory centers for over 15 years and considers the Silvi Center one of the highlights – a transformed former garage.


Riley Hospital in Indiana is seeking kids with autism to test a new eye tracker technology. The doctors leading the study believe that people with autism may not see what neurotypical people see. Eye Tracker is set up to display images that change from a blur of pixels into a face. The tracking portion captures what the child’s eyes spends the most time on. Is the child looking at the eyes in the image, the mouth, or the entire picture? The Eye Tracker study includes people with and without the diagnosis of autism. If you live in the area and want to participate, you can reach Riley Hospital at 317-948-9766.

Read original article: Riley Seeks Participants for Eye Tracker Autism Study


The Comprehensive Autism Medical Assessment and Treatment Center is adding additional therapies to its service offerings. Founder, Dr. Paul Abend, whom we've highlighted before, reached out to several therapists to help form Bright Star Therapy. This collaboration will add speech, physical and occupational therapies to children with autism. In addition, there will be a focus on assisting parents to continue therapies at home. While the kids get therapy, parents may receive "preparation of home schedules to complement school plans or counseling for a sibling who may feel lost in the constant shuffle of doctor and therapeutic sessions." In the future, Bright Star Therapy hopes to host weekend respite sessions so that children can partake in therapeutic activities while parents and caregivers can take a break.

Read original article: Autism Center's Therapists Offering "Tailor Made Services"



Please comment on this autism topic.

Thank you to all the RDI defenders. It is ridiculous to believe that there is just one tried and true therapy for kids with autsim.  I believe ABA works for some kids, but it wasn't even an option for mine.  We had a very well-known doctor who agreed with our decision and believed because of our son's personality, ABA might cause of problems for him.  We started RDI at home about 2 years ago.  We then moved into extendeder services at our home and now have him in an RDI therapeutic school 5 full days a week.  WOW, what a difference!  My son has made such striders.  The extenders are wonderful people who really care about him and his progress.  He has built peer relationships at school that I never thought was possible.  RDI is not a fad.  Because of the nature of the program, progress is documented on a regular basis via videos made by parents, consultants, etc.  It is amazing to look back and see how far my son has come.  As a parent, you feel supported and a huge part of your child's progress which is so rewarding.  I urge other families to take a look at RDI and not be pushed into other therapies that they are not comfortable with.  BTW, my son's RDI is covered 100% through insurance after we reach our deductible.


Using Temple Grandin as an example?

Feb 22, 2011 by Anonymous

I'm not sure why this doctor is using Temple Grandin as an example of a person who excels without the GFCF diet.  Temple IS on the GFCF diet.  She put herself on it and finds that it has really helped her.  She speaks about it in her books and in her interviews.

I also object to the oft repeated idea that being on a special diet will make it difficult to meet nutritional requirements.  This is the statement of someone who knows very little about nutrition (which is usually the case with Pediatricians) because it is very easy to meet a child's nutritional requirements on the GFCF diet.  There are lots of whole grains still available to them and dairy is highly over-rated.  None of us "need" dairy to get calcium.  It's easy to supplement and supplementation provides a form that is much easier to absorb.  


This is in response to Dr. Jay L. Hoecker, an emeritus consultant in Mayo Clinic’s Department of Pediatric and Adolescent Medicine, suggests that parents of children with autism should be careful when starting their child on a new diet.

What terrible advice.  It is not hard to do a Gluten Free Casein Free Diet and in fact is healthier than most diets people have their children on. 

It is meat, vegetables, fruits, and avoiding wheat based flours, but this doesn't mean they don't eat "grains" .  It is about cooking from scratch.  It means no preservatives, or colored dyes.

Calcium and Vitamin D can be achieved from Almond Milk or Rice Milk.

The added comment that "Temple Grandin's Mother didn't put her on this diet is ridiculous.  I know first hand that when my daughter has "gluten" she regresses in her behaviors, her ability to concentrate and her ability to talk.

It sunds like Dr. Jay is just another doctor that would rather pump kids with drugs that go the natural healing route.  Simply appalling!


Responding to neurofeedback

Feb 2, 2011 by Monkey's Mom

    We have been using neuro feedback for our 9 year old daughter for about 5 months at this point.  We also use chiropractic re-adjustments twice weekly to alleviate the pain and pressure on her spine as well as allowing the nerves to communicate properly.  She now after almost four years is able to recognize pain and say it is pain instead of acting out.  She has a combination of problems, along with ASD, she was severley abused and neglected prior to being placed with us as a foster child.  She has probably had some in utero chemical exposure, although that was denied prior to adoption and she was born to teenage parents with a familial history of mental illness.  She has been out of that environment for almost four years now and is adjusting very well. 


     The good news is I was able to take her to an unfamiliar major urban area, we live in the country, for a two day group tour.  She was able to manage the subway, museums, city noise, a large hotel, the holidays and a very busy schedule for the entire two days without any tantrums, outbursts or behavioral issues for the entire two days and on the train ride to and from.  She has also not been in the "quiet room" this year at school either. 


     We at this point are attempting to decrease some of her meds.  It has been a little hit and miss trying to get the correct frequency and locations when we are trying to correct or address specific behaviors.  When the doctor places the electrode on an area that he knows on other children will treat obsessive behaviors, it activate her frontal lobe and she becomes alomst manic prior to and after her meds wear off. 


It takes really knowing your child and a good relationship with the provider as well as working very closely with her school contacts and teachers.  Communication is key if this is going to work at all.  If we don't communicate she doesn't get the treatment she needs and it may take several weeks to get back where she was before something was changed.


     So as a parent I feel it is truly worth everything it takes to get this accomplished.  Just be prepared for things to happen you didn't expect, either good or bad and find a provider that is willing to re-adjust a treatment when something goes wrong.  Be patient as you may initially see results for only a few days at a time.  Then understand that not every child is "wired" the same and until their is a good relationship between client and provider and an understanding of what does and doesn't work it will, be experimental for a little while.        



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