Navigating Autism Traits in Children: When to Seek Professional Help - Psychiatry

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For children with autistic traits?


When my son was 5 years old, due to some stubborn personality traits and family concerns, we decided to take him for an evaluation.
The assessment revealed only autistic traits, and since he had difficulty expressing himself, he also attended speech therapy sessions.
His situation has improved significantly, but he exhibits some symptoms that are quite challenging for me.
For instance, when he is bored or finds something uninteresting, he tends to fidget with his hands and even waves them around.
Sometimes, he inadvertently swings his arms and accidentally hits classmates or teachers, and he occasionally seems to not hear the instructions given by his teacher.
This can be quite frustrating.
Given my son's situation, should I seek another evaluation or consult a psychiatrist?

CHIN, 40~49 year old female. Ask Date: 2016/10/17

Dr. Song Chengxian reply Psychiatry


Hello, CHIN: I recommend that you take your son to a pediatric psychologist or child psychiatry specialist for an evaluation of his disruptive behaviors.
The medical team can provide behavioral modification strategies.
Children with autistic traits often face challenges in learning and social adaptation that they need to overcome.
It is best to have a medical team that understands your child's characteristics to assist and support his growth.
Dr.
Song

Reply Date: 2016/10/17

More Info


Navigating the complexities of autism traits in children can be challenging, especially when it comes to determining when to seek professional help. Your concerns about your son's behavior, particularly his hand-flapping and difficulty following instructions, are valid and warrant attention. Here’s a comprehensive approach to understanding your situation and the steps you can take.


Understanding Autism Traits
Autism Spectrum Disorder (ASD) encompasses a range of characteristics that can manifest differently in each child. Common traits include difficulties with communication, social interactions, and repetitive behaviors. In your case, your son’s hand-flapping and fixation on his hands may be a form of self-stimulation or a way to cope with feelings of boredom or anxiety. These behaviors are often referred to as “stimming” and can serve as a mechanism for self-regulation.


When to Seek Professional Help
1. Behavioral Concerns: If your son’s behaviors are disruptive to his learning or social interactions, it’s essential to seek further evaluation. Hand-flapping, while common in many children with autism, can sometimes escalate or lead to unintended consequences, such as accidentally hitting peers. If this behavior is frequent and concerning, it may be time to consult with a professional.

2. Communication Challenges: Since you mentioned that he struggles to express himself, ongoing speech and language therapy can be beneficial. If he is not responding to instructions from teachers, this may indicate a need for additional support in communication skills. A speech-language pathologist can assess his needs and provide targeted interventions.

3. Social Skills Development: Children with autism often benefit from social skills training. If your son is having difficulty interacting with peers or understanding social cues, a therapist specializing in autism can help him develop these essential skills.

4. Mental Health Considerations: If you notice signs of anxiety, frustration, or other emotional challenges, it may be helpful to consult a child psychologist or psychiatrist. They can provide a comprehensive evaluation and determine if any additional support, such as therapy or medication, is necessary.


Steps to Take
1. Consult with a Pediatrician: Start by discussing your concerns with your child’s pediatrician. They can provide guidance on whether a referral to a specialist is warranted and help coordinate care.

2. Seek a Comprehensive Evaluation: A multidisciplinary team, including a psychologist, speech-language pathologist, and occupational therapist, can provide a thorough assessment of your son’s strengths and challenges. This evaluation will help in creating a tailored intervention plan.

3. Explore Therapeutic Options: Depending on the evaluation results, consider enrolling your son in behavioral therapy, social skills groups, or additional speech therapy. These interventions can significantly improve his ability to communicate and interact with others.

4. Engage with Educators: Collaborate with your son’s teachers to ensure they are aware of his needs. They can implement strategies in the classroom to support his learning and help manage his behaviors.

5. Monitor Progress: Regularly assess your son’s progress and adjust interventions as needed. Open communication with professionals and educators will be key in ensuring he receives the support he needs.


Conclusion
Navigating autism traits in children requires a proactive approach. By seeking professional help when necessary, you can ensure that your son receives the support he needs to thrive. Remember, early intervention is crucial, and there is no “wrong” time to seek help. With the right resources and support, children with autism can develop the skills they need to succeed in school and social settings. Your commitment to your son’s well-being is commendable, and with the right guidance, he can continue to make progress in his development.

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