Clinician’s Manual on Autism Spectrum Disorder by Evdokia Anagnostou

By Evdokia Anagnostou

This concise, but useful guide will reduction in assisting the analysis, remedy, and long term administration of autism, together with behavioral treatments, present scientific trials, and rising pharmaceutical remedies. Autism spectrum ailment (ASD) is a developmental affliction characterized via disturbance in language, conception, and social talents that has effects on an anticipated 1–2 in line with 1,000 humans all over the world (although the quantity is as excessive as 20 in step with one thousand within the US). whereas stories have urged a disturbance in neural metabolism in sufferers with advertisements, the precise reason for the ASD nonetheless continues to be unknown. In 2013, a unmarried indication of ASD, which united a number of similar stipulations (ie, classical autism, Asperger’s syndrome, Fragile X Syndrome, Landau-Kleffner Syndrome, Rett syndrome, formative years disintegrative sickness, and PDD-NOS), used to be incorporated within the 5th variation of the Diagnostic and Statistical handbook of temper issues for the 1st time to be able to aid extra standardized diagnoses.

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J Child Neurol. 2005;20:197-206. 8 Valicenti-McDermott M, McVicar K, Rapin I, Wershil BK, Cohen H, Shinnar S. Frequency of gastrointestinal symptoms in children with autistic spectrum disorders and association with family history of autoimmune disease. J Dev Behav Pediatrics. 2006; 27;S128-S136. 9 Wakefield AJ, Murch SH, Anthony A, et al. Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. Lancet. 1998;35:637-641. Retraction in: Lancet. 2010;375:445.

However, there are very few validated tools to help support clinicians in assessing for comorbid disorders in this population. Therefore, clinicians must use psychiatric tools with caution when assessing for psychiatric comorbidity in ASD, and use their clinical judgment in combination with direct observation of the affected individual, careful history taking with parents/caregivers, 30 • CL IN I C I A N’S MA N UA L O N AU T IS M S P E C T RU M D IS O RD E R family, and collateral information obtained from other relevant informants (ie, teachers, therapists) to determine whether a comorbid psychiatric diagnosis should be made.

For example, the synapsin genes regulate neurotransmitter release and short-term synaptic plasticity and have been associated with both epilepsy and ASD [6]. This has led to experimental models of ASD in genetically-modified knockout mice. M E D I C A L CO M O R B I D I T I E S I N AU T I S M S P E C T R U M D I S O R D E R • 35 Individuals with ASD may present with variety of seizure types including grand mal and petit mal. Partial complex seizures reportedly occur most often, but can be difficult to assess.

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