Just a whole lot of stuff

hello everyone I havent updated in a while so here I am
first mary is back in school and doing good it seems as though there are a lot of people willing to help i am so greatful there is also a secretary that has fallen head over hills for mary it sooo cool to see that i dont get that to often and mary seems to adore her,she watches over mary and helps her so much i think its gonna help mary a lot.
other than that marys doing good many changes for her.
I have been doing some more research on mental illness and thought I would share these new things with you guys so if i jump from subject to subject do worry its tottaly normal for me and in the end it should all make sence to you .

lets see I think ill start by giving some info on my son noah ,noah is a 4 year old little boy who is diagnosed with A.D.H.D,aspergers syndrom(a form of autisum),and night terrors noah is also developentaly delayed in the following ill give a review of his Dr. reports

Review of symptoms Noah is not potty trained,he has ragging behaviors with agressive outburst,Noah is difficult to control.and is quiet hyper active

Physical Exam Noah has very immature speech,some of what he says is unintelligible.

Impression Neural Encephalopathy ( i am still researching this new phrase)

the following is a review of the findings from Dr. David E Nilsson Ph.D. and Robert H. Friedman M.D

Noah is reported to go to sleep and then begin screaming,and shriking to the point of throwing up.Noah is described as often becomeing confused,walking around in circles,(unable to find objects that are right in front of him),he has a previous history of seizures the worst being at the age of two right before chicken pox this seizure caused noah to go unconsciences and to stop breathing for about two-three minutes Noah has no concept of hurting animals,experiances sever and extream tantrums is agressive and irritable,reactive,and emotionaly volitile

Given some of the aspects of noahs behavior some consideration might be given a review of seizure activity.Noah seems to experiance substaintail difficulty with increased levels of neurogenic irritablity reactive commonly associated with children with neurodevelopmental disorders. Noah is reported to rock and bang his head.

Some info on aspergers syndrom
Asperger's Disorder is a milder variant of Autistic Disorder. Both Asperger's Disorder and Autistic Disorder are in fact subgroups of a larger diagnostic category. This larger category is called either Autistic Spectrum Disorders, mostly in European countries, or Pervasive Developmental Disorders ("PDD"), in the United States. In Asperger's Disorder, affected individuals are characterized by social isolation and eccentric behavior in childhood. There are impairments in two-sided social interaction and non-verbal communication. Though grammatical, their speech is peculiar due to abnormalities of inflection and a repetitive pattern. Clumsiness is prominent both in their articulation and gross motor behavior. They usually have a circumscribed area of interest which usually leaves no space for more age appropriate, common interests. Some examples are cars, trains, French Literature, door knobs, hinges, cappucino, meteorology, astronomy or history. The name "Asperger" comes from Hans Asperger, an Austrian physician who first described the syndrome in 1944.

Criteria
DIAGNOSTIC FEATURES
The essential features of Asperger's Disorder are:
Criterion A. Severe and sustained impairment in social interaction (noah)

Criterion B. The development of restricted, repetitive patterns of
behaviour, interests, and activities (noah)
Criterion C. The disturbance must cause clinically significant impairment
in social, occupational, or other important areas of
functioning. (noah)
Criterion D. In contrast to Autistic Disorder, there are no clinically
significant delays in language (eg: single words are used
by age 2 years, communicative phrases are used by age 3
years).
Criterion E. There are no clinically significant delays in cognitive
development or in the development of age-appropriate
self-help skills, adaptive behaviour (other than in social
interaction), and curiosity about the environment in
childhood.
Criterion F. The diagnosis is not given if the criteria are met
for any other specific Pervasive Developmental Disorder or
for Schizophrenia.

ASSOCIATED FEATURES AND DISORDERS
Asperger's Disorder is sometimes observed in association with general medical conditions. Various nonspecific neurological symptoms or signs may be noted. Motor milestones may be delayed and motor clumsiness is often observed.

PREVALENCE
Information on the prevalence of Asperger's Disorder is limited, but it appears to be more common in males.

COURSE
Asperger's Disorder appears to have a somewhat later onset than Autistic Disorder, or at least to be recognised somewhat later. Motor delays or motor clumsiness may be noted in the preschool period. Difficulties in social interaction may become more apparent in the context of school. It is during this time that particular idiosyncratic or circumscribed interests (eg: a fascination with train schedules) may appear or be recognised as such. As adults, individuals with the condition may have problems with empathy and modulation of social interaction. This disorder apparently follows a continuous course and, in the vast majority of cases, the duration is lifelong.

FAMILIAL PATTERN
Although the available data are limited, there appears to be an increased frequency of Asperger's Disorder among family members of individuals who have the disorder.

DIFFERENTIAL DIAGNOSIS
Asperger's Disorder is not diagnosed if criteria are met for another Pervasive Developmental Disorders or for Schizophrenia. Asperger's Disorder must also be distinguished from Obsessive-Compulsive Disorder and Schizoid Personality Disorder. Asperger's Disorder and Obsessive-Compulsive Disorder share repetitive and stereotyped patterns of behaviour. In contrast to Obsessive-Compulsive Disorder, Asperger's Disorder is characterised by a qualitative impairment in social interaction and a more restricted pattern of interests and activities. In contrast to Schizoid Personality Disorder, Asperger's Disorder is characterised by stereotyped behaviours and interests and by more severely impaired social interaction.

DIAGNOSTIC CRITERIA FOR ASPERGER'S DISORDER (DSM IV)

A. Qualitative impairment in social interaction,
as manifested by at least two of the following:

1) marked impairment in the use of multiple nonverbal behaviours such
as eye-to-eye gaze, facial expression, body postures, and gestures
to regulate social interaction ;(noah does not make eye contact or gestures)

2) failure to develop peer relationships appropriate to developmental
level; (noah)

3) a lack of spontaneous seeking to share enjoyment, interests or
achievments with other people (eg: by a lack of showing, bringing,
or pointing out objects of interest to other people);

4) lack of social or emotional reciprocity.(noah)

B. Restricted repetitive and stereotyped patterns of behaviour, interests,
and activities, as manifested by at least one of the following:

1) encompassing preoccupation with one or more stereotyped and
restricted patterns of interest that is abnormal either in intensity
or focus;(noah has only one intrest cars)

2) apparently inflexible adherence to specific, nonfunctional routines
or rituals;

3) stereotyped and repetitive motor mannerisms (eg: hand or finger
flapping or twisting, or complex whole-body movements);(noah repeatedly opens and closes his hands)

4) persistent preoccupation with parts of objects(noah)

C. The disturbance causes clinically significant impairment in social,
occupational, or other important areas of functioning.(noah)

D. There is no clinically significant general delay in language
(eg: single words used by age 2 years, communicative phrases used by
age 3 years).

E. There is no clinically significant delay in cognitive development or in
the development of age-appropriate self-help skills, adaptive behaviour
(other than social interaction), and curiosity about the environment in
childhood.

F. Criteria are not met for another specific Pervasive Developmental
Disorder, or Schizophrenia.

DIAGNOSTIC CRITERIA FOR ASPERGER'S DISORDER (GILLBERG, 1991)

A. Severe impairment in reciprocal social interaction as manifested by at
least two of the following four:

1. Inability to interact with peers.

2. Lack of desire to interact with peers.

3. Lack of appreciation of social cues.

4. Socially and emotionally inappropriate behaviour.


B. All-absorbing narrow interest, as manifested by at least one of the
following three:

1. Exclusion of other activities.

2. Repetitive adherence.

3. More rote than meaning.

C. Speech and language problems, as manifested by at least three of the
following five:

1. Delayed development of language.

2. Superficially perfect expressive language.

3. Formal, pedantic language.

4. Odd prosody, peculiar voice characteristics.

5. Impairment of comprehension, including misinterpretations of
literal/implied meanings.

D. Non-verbal communication problems, as manifested by at least
one of the following five:

1. Limited use of gestures.

2. Clumsy/gauche body language.

3. Limited facial expression.

4. Inappropriate expression.

5. Peculiar, stiff gaze.

E. Motor clumsiness, as documented by poor performance on
neurodevelopmental examination.

DIAGNOSTIC CRITERIA FOR ASPERGER'S DISORDER (SZATMARI, ET AL. 1989)

A. Solitary, as manifested by at least two of the following four:

1. No close friends.

2. Avoids others.

3. No interest in making friends.

4. A loner.

B. Impaired social interaction, as manifested by at least one of the
following five:

1. Approaches others only to have own needs met.

2. A clumsy social approach.

3. One-sided responses to peers.

4. Difficulty sensing feelings of others.

5. Detached from feelings of others.

C. Impaired non-verbal communication, as manifested by at least one
of the following seven:

1. Limited facial expression.

2. Unable to read emotion from facial expressions of child.

3. Unable to give messages with eyes.

4. Does not look at others.

5. Does not use hands to express oneself.

6. Gestures are large and clumsy.

7. Comes too close to others.

D. Odd speech, as manifested by at least two of the following six:

1. abnormalities in inflection.

2. talks too much.

3. talks too little.

4. lack of cohesion to conversation.

5. idiosyncratic use of words.

6. repetitive patterns of speech.

E. Does not meet criteria for Autistic Disorder.

DIAGNOSTIC CRITERIA FOR ASPERGER'S DISORDER (ICD-10, WHO, 1992)

A. A lack of any clinically significant general delay in language or
cognitive development. Diagnosis requires that single words should have
developed by two years of age and that communicative phrases be used by
three years of age or earlier. Self-help skills, adaptive behaviour and
curiosity about the environment during the first three years should be at a
level consistent with normal intellectual development. Motor milestones may
be somewhat delayed and motor clumsiness is usual (although not a necessary
feature).

B. Qualitative impairment in reciprocal social interaction.
(Criteria as for autism, see above).

C. Restricted, repetitive, and stereotyped patterns of behaviour,
interests and activities. (Criteria as for autism, see above).
Return to my autism page





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Reply #1 Top
You have your hands full, but I look forward to getting to know your family better. Like you, my 6 year old has severe ADHD/ODD and he is a handful. We have been diagnosed since he was 4. It's hard and I admire you since you have 2 children that have afflictions. I admire your strength. Check out my Blog is your ever get a chance. www.lindafox.blogspot.com