ASD, Autism Spectrum Disorder entities

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Autism Spectrum

  • Autism spectrum disorder (ASD) is a neurological and developmental disorder that affects how people interact with others, communicate, learn, and behave.
  • It is described as a “developmental disorder” because symptoms generally appear in the first two years of life.
  • According toDSM-5 ASD often have:
Entities
Social communication / interaction behaviors
  • Joint attention
  • Speech problems
  • Eye contact
  • Decreased sharing interest, emotion, enjoyment of Objects / Activities
  • Not responding to his name
  • Difficulties with conversation / understanding others
  • Displaying wrong facial expressions, movements, and gestures
  • Unusual tone of voice that may sound sing-song or flat and robot-like
  • Difficulties adjusting behaviors to social situations
  • Difficulties sharing in imaginative play or in making friends
Sensory Ataxia
Restrictive / repetitive behaviors
  • Repeating certain behaviors or having unusual behaviors / words (echolalia)
  • Intense interest in specific topics
  • Overt focused interests with moving objects
  • Do not tolerate slight changes
  • Being more sensitive or less sensitive than other people to sensory input, such as light, sound or temperature
Impaired Cognition
Sleep problems and irritability. (83.3%)
  • Questionnaire studies report the presence of various parasomnia in ASD
  • The results showed significantly more non-REM parasomnias
  • ASD, characterized by increased spontaneous arousals, prolonged REM latency and reduced REM percentage. [1]
Motor signs (60–80%)
  • Poor muscle tone
  • Poor motor planning
  • Toe walking
  • Deficits in motor coordination are pervasive across ASD and are greater in autism proper.
Gait abnormalities

Awakwardness

Incoordination

Unusual eating behavior (75%)
  • Selectivity is the most common problem, although eating rituals and food refusal also occur.


Behavioral Change
Gender dysphoria
  • Autistic males are more likely to identify as bisexual
  • Autistic females are more likely to identify as homosexual
Gastrointestinal problems are one of the most commonly co-occurring medical conditions in autistic people. These are linked to greater social impairment, irritability, language impairments, mood changes, and behavior and sleep problems.
Articulation/phonological difficulties Speech Apraxia is common in ASD. (66%)

Phonological impairment (Atypical phonological processes)

Delayed development


CJD

JE

Psychosis (34. 8%) There is strong evidence for the existence of a high comorbidity between autism and psychosis with percentages reaching up to 34. 8%[2]
Reflexes Tendon guard reflex

Retained Primitive Reflexes


  1. Ming X, Sun YM, Nachajon RV, Brimacombe M, Walters AS. Prevalence of parasomnia in autistic children with sleep disorders. Clin Med Pediatr. 2009 Jan 22;3:1-10. doi: 10.4137/cmped.s1139. PMID: 23818789; PMCID: PMC3676289.
  2. Front. Psychiatry, 28 February 2022 Sec. Schizophrenia https://doi.org/10.3389/fpsyt.2022.768586