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Suggest Treatment For Symptoms Of ASD In Child

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Posted on Wed, 6 Jan 2016
Question: Hello there,
My name is Dr. XXXX and I am a Family Doctor and proud mother of a 5 yr old sweet boy!
He was joining a day care for 2 yrs. and now he is in Kindergarten/public school in our District (we believe that it was probably too early to get him there anyways when he was 2 wks short for 5 yrs. old). However his teacher believes that he might be autistic ?! d/t the fact that he is shy in interacting with his peers (not a problem in his PM school/after hrs day care where he knows his colleagues for 2 yrs now). He is very good in communication, loves hugs, likes to be touched and kissed and does the same to other people around him/ mostly adults, but yet, as I said very shy with kids. I am looking at the DSM 5 under the Autism Spectrum Disorders and I do not believe he is autistic! He understands feelings and tries to comfort someone in need; We laugh, he laughts. I cry sometimes, and I saw him crying with me in one occasion. But the KD young school psychologist which has 2 yrs of experience told me that based on her 45 min observation including him showing her how his lighted tennis shoes work by stepping 3-4 times on the floor to have them light up, also for him quickly frictioning 2 pages of a paper 2 times and while on the floor in a group frictioing his pants 3-4 times on the floor /which she all called repetitive movements, and also based on the fact that he is not really playing with the other new students ,he might be Autistic. However everybody observed that he is awesome in conversation and interaction with the adults! My Question is: Can an ASD child be that selective when he plays with adults vs. some children (as he doesn't have any issues with the kids in the PM school that he knows for 2 yrs)? Can an autistic child be so happy to touch someone and to hug them (when appropriately) and to love to be toughed and kissed and hugged? He is participating in Karate class and takes piano lessens (his choice, I might have fun singing sometimes but neighter me nor my husband play any instruments ;). I am confused... Can you please help? My e-mail is : Dr. YYYY@YYYY
doctor
Answered by Dr. Diptanshu Das (19 minutes later)
Brief Answer:
Answer MCHAT, confirm with CARS

Detailed Answer:
Dear Dr. XXXXXXX

Thanks for asking on HealthcareMagic.

I have very carefully gone through the details that you have provided. Depending on those details it seems unlikely that your child has ASD. However, since high functioning autism is a known entity and since the school psychologist has found something odd, I would strongly encourage you to answer the M-CHAT (Modified Checklist for Autism in Toddlers, Revised) (available at: https://www.m-chat.org/mchat.php ). Depending upon the results you might need to confirm by the use of CARS2 (Childhood Autism Rating Scale).

Now coming to your queries:
* ASD can be selective, but very unlikely.
* Very unlikely for a child with ASD to hug and kiss and have fun.

Feel free to revert back in case of any further queries.

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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Suggest Treatment For Symptoms Of ASD In Child

Brief Answer: Answer MCHAT, confirm with CARS Detailed Answer: Dear Dr. XXXXXXX Thanks for asking on HealthcareMagic. I have very carefully gone through the details that you have provided. Depending on those details it seems unlikely that your child has ASD. However, since high functioning autism is a known entity and since the school psychologist has found something odd, I would strongly encourage you to answer the M-CHAT (Modified Checklist for Autism in Toddlers, Revised) (available at: https://www.m-chat.org/mchat.php ). Depending upon the results you might need to confirm by the use of CARS2 (Childhood Autism Rating Scale). Now coming to your queries: * ASD can be selective, but very unlikely. * Very unlikely for a child with ASD to hug and kiss and have fun. Feel free to revert back in case of any further queries. Regards