Recognizing the Signs of Asperger's in Children: Identifying Missed Indicators

Understanding Asperger's and Autism Spectrum Disorder

Mary, a mother who recently discovered her child's Asperger's, shares a personal experience: 'My mom first suspected that I was autistic when taking me to a younger cousin’s bris. After 34 years, I still can't convince her that I wasn't forced to witness the circumcision of my younger Jewish cousins. This event has instilled in me a lifelong intactavism.'

It is essential for parents to recognize that Asperger's, once considered a separate condition within the Autism Spectrum Disorder (ASD), no longer exists in the current diagnostic framework. This was officially dropped by the American Psychiatric Association in 2013, and the condition is now subsumed under the broader ASD category in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition).

Common Misunderstandings

When dealing with children who show signs of ASD, various behavioral traits were and still may be overlooked by well-meaning parents. For example, excessive intense movements, hyperlexia, difficulties in forming and maintaining relationships, avoiding eye contact, hyperfixations on specific topics, lining up objects, 'staging' toys instead of playing, and sensory sensitivities can be common indicators.

These signs are not always obvious, especially if the child has a uterus, as some behaviors might be mistaken for normal childhood development. It is crucial to consider all potential markers of ASD to ensure a comprehensive and accurate diagnosis.

Challenges in Diagnostic Processes

The diagnostic process for ASD can be challenging, particularly if the child is forced into a structured daily social environment and learns in a group setting. Here are some key points to consider:

Children with ASD may have difficulty coping with changes, leading to meltdowns or shutdowns. Social cues may be misunderstood, leading to communication barriers. Non-verbal communication can be misinterpreted, often resulting in social difficulties. Sensory sensitivities can manifest in various ways, creating unique challenges for the child.

Parents should be aware that these signs can be easily overlooked, making it essential to seek professional evaluation by a psychiatrist, psychologist, or other qualified professional.

Proper Diagnosis and Support

Parents should not pursue traditional Applied Behavior Analysis (ABA) therapy due to its potential harm. Instead, they should explore other therapeutic options such as occupational therapy (OT), speech therapy, and psychological assessment. It is also vital to listen to and believe the experiences of actually autistic voices, unlearn internalized ableism, and recognize that their child has a divergent neurotype, not a disease to be cured.

Significance of Late Identification

Neurotype is highly genetic, and many individuals were previously misdiagnosed or completely overlooked due to outdated diagnostic models and stereotypes. As a result, many adults recognize the signs of Asperger's later in life after their children are diagnosed. It is important to explore late-identified neurodivergence and embrace each child's unique experience and perspective as an autistic person.

By understanding these signs, seeking proper diagnosis, and supporting each child's natural neurotype, parents can help their children thrive and lead fulfilling lives.