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Developmental therapy for an autistic child

therapy for autism, autism treatment

ASD, often known as autism spectrum disorder, is a neurological and developmental condition that affects how people connect with others, communicate, learn, and conduct. Even though autism can be identified at any age, its symptoms typically initially manifest in the first two years of life, which is why it is known as a "developmental disorder."

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), a guide created by the American Psychiatric Association that health care providers use to diagnose mental disorders, people with ASD often have:

  • Difficulty with communication and interaction with other people.
  • Restricted interests and repetitive behaviours.
  • Symptoms that affect their ability to function in school, work, and other areas of life.

Because there is such a wide range in the nature and intensity of symptoms, autism is referred to as a "spectrum" disorder.

So, for children with autism, therapeutic interventions are absolutely crucial.

Therapies may be provided in a variety of settings, including those related to education, health, the neighbourhood, or at home. To make sure that goals of therapy and progress are meeting expectations, it is crucial that professionals communicate with one another, the child with ASD, and their family.

Children on the autism spectrum also may have many strengths, including:

  • The ability to retain information over extended periods of time and learn things thoroughly.
  • Having excellent auditory and visual memory.
  • Being exceptional in music, art, science, or math.

There are many types of therapies and remedial strategies that can help children with autism like behavioural, developmental, Social-relation, educational, etc. All therapeutic goals are tailored to the individual needs. They might consist of academic work, social skills, self-care, and communication. Some are mentioned below.

Behavioural Approaches

The goal of behaviour therapy is to alter behaviour through comprehending what occurs before and after the concern behaviour. The most effective methods for addressing ASD symptoms are behavioural ones. They are applied in special needs schools and health centres and have gained widespread acceptance among educators and medical experts. Applied Behaviour Analysis (ABA) is a well-known behavioural therapy for children with ASD . To enhance several skills, ABA promotes desired behaviours while discouraging unwanted ones. This behaviour therapy uses reinforcement to teach new skills and praise good conduct. The progress is monitored, documented and evaluated. According to studies, children who get early, consistent ABA can achieve significant, long-lasting progress.

Developmental Approaches

Developmental approaches concentrate on enhancing a specific set of interconnected developmental abilities, such as language skills or motor skills , or a broader range of developmental abilities. Behavioural and developmental approaches are frequently integrated.

  • Speech Therapy

A child with autism must do more than just learn to speak. The child must also learn how to communicate through language. That involves having conversational skills. It also entails recognising verbal and nonverbal signs from other individuals, such as body language, tone of voice, and facial expressions.

Speech and language therapy is the most popular developmental therapy for children with ASD. The child's comprehension and use of speech and language are both improved by therapy. It aids children with communicating and engaging with others, as well as speaking. It can involve nonverbal skills, like making eye contact, taking turns in a conversation, and using and understanding gestures.

Therapists with a focus on treating speech and language impairments include speech-language pathologists. Speech therapists frequently take the lead in assisting with the diagnosis of autism and providing referrals to other specialists according to early screening and identification. The speech-language pathologist collaborates closely with the family, school, and other professionals. If someone with autism is nonverbal or has major difficulty with speech, the speech therapist may introduce alternatives to speech, including:

  • Digital "talkers" or Augmentative and Alternative Communication (AAC) Devices.
  • Typing or signing.
  • Using visuals rather than words to aid a child's communication-learning.
  • Improving speech articulation by massaging or training the muscles of the lips or face.
  • Inspiring individuals to sing songs that follow the beat, emphasis, and phrase structure.

Specific goals of speech therapy that include helping the individual with autism are:

  • Articulate words well.
  • Communicate both verbally and nonverbally.
  • Recognize verbal and non-verbal cues in different settings.
  • Start communication without prompts from others.
  • Be aware of when and where to communicate, for instance, when to say "good morning."
  • Communicate in ways to develop rapport.
  • Learn self-control.
  • Occupational Therapy

The goal of occupational therapy is to help the individual live as independently as possible. Activities of daily living and the use of common objects are examples of skills, such as learning how to button a shirt or hold a fork properly. However, it may involve anything having to do with school, work, or leisure. The focus is determined by the child's needs and goals. Occupational therapy can also include:

  • Sensory Integration Therapy to help improve responses to sensory input that may be significantly affecting or overwhelming.
  • Physical Therapy can aid improve motor skills, such as fine motor and gross motor skills.

What does an occupational therapist do?

Like speech and language pathologists, occupational therapists collaborate with a group of experts that includes parents, educators, and other health care providers. They assist in establishing clear objectives for the autistic child. Evaluation and therapy are the two basic ways that occupational therapists can assist.

The therapist observes kids to see if they can perform actions that are appropriate for their age, such as dressing themselves or playing a game. The therapist may occasionally record the child throughout the day to observe how they interact with others and their environment. This aids the therapist in figuring out what kind of care the child requires. The therapist might look closely at:

  • Attention span and stamina
  • Transition to new activities
  • Play skills
  • Need for personal space
  • Responses to touch, smell, and various other stimuli.
  • Motor skills like posture, balance, or manipulation of small objects
  • Aggression or other types of behaviours
  • Interactions between the child and caregivers

An occupational therapist can create a programme for the child after gathering all the above-mentioned information. There isn't just one therapy plan that works best. But research has shown that early, systematic, tailored care is most effective.

Occupational therapy can incorporate a number of different concepts, such as:

  • Daily living skills like toilet training, dressing, brushing teeth, and other grooming practices.
  • Fine motor abilities required to grasp objects in their hands while writing or cutting with scissors.
  • The gross motor abilities required for activities like cycling, walking, and stair climbing.
  • Posture, sitting, or perceptual skills such as the ability to distinguish between various colours, shapes, and sizes.
  • Awareness of one's own body and how it relates to others.
  • Visual literacy and writing abilities.
  • Social skills, play, self-care, problem-solving, and communication.

By working on these skills during occupational therapy, a child with autism may be able to:

  • Build rapport with both adults and other children.
  • Acquire the ability to concentrate.
  • Use more suitable methods of emotional expression.
  • Involve other kids in play.
  • Start learning how to self-regulate.

The goal of therapies for autism spectrum disorder (ASD) is to lessen symptoms that affect everyday life and quality of life. Because ASD has a distinct impact on everyone, each child with ASD has various strengths, problems, and health needs. As a result, therapeutic interventions frequently involve several specialists and are tailored to the person.

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