Series-3 Autism Screening & diagnostics There are no  standard clinical evaluations or medical test for Autism. The  diagnosis is based on observation of the individual’s communication, social interaction, and his or her activities and interests.  The following are observed:  •	Developmental milestones •	Eating regimes  •	Sleeping habits •	Speech and expression •	Eye contact •	Physical coordination •	Stomach and bowel functioning •	Sensory challenges •	Conditions such as allergies •	General illnesses such as seizures •	Family history of developmental disorders •	Behavioural problems •	Conditions like restlessness, irritability, social communication, mood changes etc. •	Repetitive behaviours   Parental General observation flow chart Yes No Able to understand others behaviour Eye contact Repetitive behaviours Degree of attention  Socialization Voice clarity Expression of personal needs Degree of  interaction with others Too often emotional? Parental tool kit Stimuli-Response approach From Physician’s point of view, Autism Diagnostic Scale Revised (ADOS-R) is currently considered one of the best diagnostic tools for autism. Next issue  Sensory processes in Autism:  Understanding sensory processing differences in autism could help us to have better quantification of trouble and also useful to deliver targeted treatments or solutions specific to individual.  These sensory processes include:  visual (sight), olfactory (smell), auditory (hearing), gustatory (taste) and tactile (touch).  The tools have to  be designed exclusively for sensory system analysis.  They should be basically in two prongs viz.,  Physician oriented and Parent oriented. The Physician has his own designated Gold standards of diagnostics.    However, the parent has  to  follow a bit customized approach for evaluation which could be supportive to Physician. Parent may find  differences  in   sensitivities to lighting,  sounds and specific   smells.  Stimuli-Response reactions   No two people living with autism are the same, therefore, there is not just one set of therapies to treat all people with autism. Most individuals with autism respond well to highly-structured, specialized instructions. An effective treatment program  helps the Autistic children to cope up well. Earlier the diagnostics, better the outcomes.   Parents are usually the first to notice unusual behaviors in their child and therefore they must swing in to action if they find any developmental delays in the child.   Note
Health Scan March 2019