What are the differences between adults and children in diagnosing and treating autism?
DOI:
https://doi.org/10.61173/33mj6c39Keywords:
Autism, children, adults, diagnosis, treat-mentAbstract
This paper elucidates and exemplifies the distinctions in the diagnosis and treatment of autism between children and adults. Given that current autism diagnosis and treatment methods still require enhancement, in order to offer more efficacious assistance to autistic individuals, this thesis contemplates employing diverse strategies and approaches for the diagnosis and treatment of autistic children and adults. For diagnosis, it is recommended that children undergo a combination of contemporary mainstream diagnostic tools (DSM-5 and ICD-11) along with parental or relative questionnaires. In contrast, adults are advised to conduct self-tests prior to diagnosis and subsequently consult an experienced medical professional for a conclusive diagnosis. There are multiple available treatments for children, such as applied behavior therapy, family therapy, and medication, enabling parents to select appropriate treatments for their children. For adults, cognitive behavior therapy and family therapy can prove particularly beneficial.
References
Morling, E. and O’Connell, C. (2015)Supporting American Psychiatric Association. Diagnostic and statistical children with Autistic Spectrum Disorders[Preprint].
manual of mental disorders: DSM-5(2013). Washington (D.C.): doi:10.4324/9781315720524. American Psychiatric Publishing.
National Institute for Health and Care Excellence (2021)Autism
Asta, L. and Persico, A.M. (2022) ‘Differential predictors spectrum disorder in adults: diagnosis and management,NICE. of response to early start Denver Model vs. early intensive Available at: https://www.nice.org.uk/guidance/cg142 behavioral intervention in young children with autism spectrum (Accessed: 17 September 2024). disorder: A systematic review and meta-analysis’,Brain Sciences,
National Institute of Mental Health (2022)Autism spectrum 12(11), p. 1499. doi:10.3390/brainsci12111499. disorder, National Institute of Mental Health. Available at:
Bervoets, J. and Hens, K. (2020) ‘Going beyond the catch-22 https://www.nimh.nih.gov/health/publications/autism-spectrumof autism diagnosis and research. the moral implications of disorder (Accessed: 17 September 2024). (not) asking “what is autism?”’,Frontiers in Psychology, 11.
O’Brien, E. (2022)Major diagnostic differences between DSM- Dean&Francis ISSN 2959-6149 5 and ICD-11,Psychiatric Times. Available at: https://www. Are the treatments recommended for adults and children psychiatrictimes.com/view/major-diagnostic-differences- different, and if so in what way? between-dsm-5-and-icd-11 (Accessed: 3 September 2024). Dr. Chen: Developmental disorders – normally discovered
Rudy, L.J. (2023)What does it mean to have high-functioning early in children. autism?,Verywell Health. Available at: https://www. However, some people with slight autistic disorders may verywellhealth.com/treatments-for-adults-with-asperger- not be diagnosed as autistic patients when they were syndrome-259901 (Accessed: 22 July 2024). children. There are no medicines for autism, but there are
Rudy, L.J. (2024a)Autism tests for adults: Traits and therapies for certain symptoms. evaluations,Verywell Health. Available at: https://www. EX: medicines for patients to calm down –if they bite othverywellhealth.com/diagnosing-autism-or-asperger-syndrome- ers. in-adults-259946 (Accessed: 22 July 2024). Anti-anxiety medicines – if patients are bad-tempered and
Rudy, L.J. (2024b)Autism tests for adults: Traits and easy to get angry. evaluations,Verywell Health. Available at: https://www. Adults – being diagnosed late - because in childhood they verywellhealth.com/diagnosing-autism-or-asperger-syndrome- may just be reluctant to socialize with others. in-adults-259946 (Accessed: 22 July 2024). Children – being diagnosed early – because they can’t live Rudy, L.J. (no date)Could you or your child have mild normally. autism?,Verywell Health. Available at: https://www. Dr. Mao: There are similarities and differences between verywellhealth.com/what-is-mild-autism-260244#toc-mild- the solutions of children and adults. autism-and-treatment (Accessed:5 September 2024). Similarities: When you encounter symptoms of autism,
Spain, D.et al.(2017)Family therapy for autism spectrum the first thing to know is whether it has always been the disorders,The Cochrane database of systematic reviews. same, or whether it has developed after a certain point in doi:10.1002/14651858.CD011894.pub2. time - to determine whether it is a developmental problem
Tang, Y.L. et al. (2010) ‘Introduction to the Autism Diagnostic or an acquired environment. Observation Scale, one of the gold standards for autism Development - autism - is left to a specialist team of docdiagnosis’, International Journal of Psychiatry, (01), 38-40. doi: tors for intervention. 10.13479/j.cnki.jip. 2010.01.011. Acquired environment - clinical manifestations - Clear di-
Torres, L.et al.(2020)The 4 main criticisms of the DSM-5,The agnosis of specific disease - advice on treatment based on Odyssey Online. Available at: https://www.theodysseyonline. diagnosis (symptomatic treatment/causal treatment) com/criticisms-dsm-5 (Accessed: 29 July 2024). Severe - affect life function - take medication.
van Voorst, G. (2021) ‘Family therapy’,Encyclopedia of Autism Differences: Spectrum Disorders, pp. 1985–1986. doi:10.1007/978-3-319- Children and adolescents - with autistic symptoms - can- 91280-6_47. not be solved by themselves - and parents need to be in-
Wakefield, J.C. (2016) ‘Diagnostic issues and controversies in volved. DSM-5: Return of the false positives problem’,Annual Review of --Parents – need to understand their children’s Difficulties Clinical Psychology, 12(1), pp. 105–132. doi:10.1146/annurev- (Family Psychotherapy) -- Classmates/teachers -- accomclinpsy-032814-112800. panying/ guiding and encourage patients effectively – help strengthen children’s open behavior. Appendix Adults-most use cognitive behavioral therapy—understand the patient’s feelings and lead them to see their Interviews problems in other ways (belonged to individual psycho- 1. Which method do you use for diagnosing autism? How therapy) successful do you think that this method is? —because these adults may have issues in judging and Dr. Chen: Check the patient’s brain development- Usually dealing with difficulties in their lives. use doctor’s consultation and parents’ description. How- —requires specialists/ the adults’ friends, relatives and ever, those ways are all lack of objective indicators. In collogues/online resources can also help them. addition, a scale is used to judge the symptoms of autism. 3. Are there any differences between the traits of autistic EX: Intelligence/Attention Scale - Attention and intelli- adults and children? gence values may be different in autistic people, compar- Dr. Chen:No difference in symptoms. The severity may be ing to normal people. lower in adults than in children. Dr. Mao: Common diagnostic standards in the medical Dr. Mao: Adults’ self-control ability/tolerance is stroncommunity ger, and they are more rational—if their autistic traits 2. What treatments do you recommend for autistic people? are mild—their traits may not be found easily—and that Dean&Francis Jialu Li would not influence their lives a lot. store their social functioning as much as possible - learn- However, if their traits are severe—they may influence ing/socializing. adults normal lives (sleeping qualities, moods, eating Dr. Mao: It is meaningful for autistic patients—it may habits)—in these times, adults may not be able to control eliminate certain symptoms—and make the patients able the traits by themselves. Children’s ages are small—they to live normal lives. have developing physiological and psychological char- In addition, it can help the autistic patients to perfect their acteristics—and these traits can be unique (not active, no character. communications with others, lack of movements, do not However, if patients do not want treatments from docanswer questions during class times). tors—family and friends’ accompniments and help can 4. Is it more difficult to diagnose autistic adults than chil- also help them a lot. dren? If yes, why? 6. For diagnosing autistic people, do you also need their Dr. Chen: Not more difficult - but traits in adults are not relatives to do the tests too? And is it true that some autiseasy to detect - because they may be mild - so the adults’ tic traits run in families. parents do not consider them as autistic patients/ do not Dr. Chen: Yes – have gene sequencing at present – but it pay attention to the autistic traits in their children. is not widely used- because it is probably still in develop- Dr. Mao: It depends on the doctors’ observation and judg- ment -thus it’s not in the clinic. Also, doctors may ask the ment. patients’ family members about whether they have similar 5. What benefits can treatments provide for autistic peo- symptoms - but mostly, family members of the patients do ple? not have these symptoms. Dr. Chen: If they have been treated quickly—it may re-
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