Episode Transcript
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Speaker 1 (00:00):
Oh, welcome to Psycho Babble dash Me.
Speaker 2 (00:13):
I'm your host, Danielle Mint, along with mayor marwe Hi everybody.
Speaker 3 (00:17):
Before we start this episode, we'd like to put out
a disclaimer that this episode may be figgering for some
people and is in no way meant to replace mental
health treatment. Worth there.
Speaker 1 (00:27):
So we're on season two, episode seven.
Speaker 3 (00:29):
Yes we are, and today we're going to talk about
autism spectrum disorders, right.
Speaker 4 (00:34):
Yes, so, drum roll statistics. The CDC says that one
and thirty six children diagnosed with autism spectrum disorder Boys
are more likely to be diagnosed in a ratio.
Speaker 1 (00:48):
Of four to one.
Speaker 3 (00:49):
Yeah, four times. Yeah.
Speaker 2 (00:51):
But you know what, whenever I was on my way
up here, I was listening to some videos and they
said that it might be that girls are underdiagnosed too.
Speaker 3 (01:00):
Yeah, that's true. And they were saying that also, since
there's been such a rise in diagnoses, Yeah, is because
people are more aware of it, Thank goodness. Yeah, there's
better screening tools.
Speaker 2 (01:13):
Yes, and it's definitely gonna be very educational, especially for
new new parents.
Speaker 3 (01:20):
Right. So, they say twenty five percent of children diagnosed
have intellectual disabilities, and up to forty percent of those
don't speak, they never learned to speak. It's more common
actually in higher socioeconomic backgrounds it's set and in white
non Hispanics. So it there's a genetic predisposition and there's
(01:45):
an increased risk associated with older parental age, which we learned. Yeah, yeah, definitely.
Speaker 2 (01:51):
So what is autism. It's how a person perceives and
socialized with others. So the thing is it's cause those
problems and just social interaction and communication also includes repetitive
patterns of behavior.
Speaker 1 (02:08):
We were talking before that the DSM four.
Speaker 2 (02:14):
Had autism under pervasive disorder with Aspergers, and now the
DSM five came out and now it's just completely under autism, right,
and so then the level one would be what's now Aspergers,
and like level three would be the nonverbal lege. Yeah,
the more severe.
Speaker 3 (02:34):
So just to backtrack a little bit, they say that
specialists can reliably diagnose kids by the age of two, Yeah,
and that the American Academy of Pediatrics recommend all children
being screened for autism at eighteen months and then again
at twenty four months. Yeah.
Speaker 2 (02:51):
I think that's going to be going on they say
at their pediatrician's office and then they can go ahead
and send them to a specialist.
Speaker 3 (02:59):
Right because the I mean, we'll talk about this later on,
but one of the biggest things of treatment is early interventions. Yes,
so you said that, you know that abnormal emotional reprecocity,
proxy proprosity, so that's a normal. They lack what quote
normal back and forth conversations, reduced sharing of interest, emotions,
(03:23):
failure respond to initiate social interactions, deficit and nonverbal behaviors
using social interactions so they avoid eye contacts. They don't
understand body language, use of.
Speaker 1 (03:37):
Gestures or facial expressions.
Speaker 3 (03:39):
I mean, I remember when I worked with.
Speaker 1 (03:42):
Children, which I just loved anyway, and I would have
I had.
Speaker 3 (03:48):
Like two autistic children, and one little boy would always
come in. He wouldn't look at me, and he would
just run behind my desk, like sit in the chair
next to me. He not look at me, and just
start screwing with all my shit. I mean, that's like
they just don't understand the social you know, situations. I
mean little children normally don't either. But a child he
(04:09):
doesn't have autism isn't going to come behind the doctor's
dad and general char and start picking up their shit.
And writing on their table. Right. Yeah, they also have
difficulty adjusting two different social contacts. These are the kids
who you know, you see on the playground and they're
not playing with other kids, are sharing with the other kids.
I had.
Speaker 1 (04:30):
Whenever I was in my twenties, I had a friend.
She had a little girl, and we.
Speaker 3 (04:35):
Had a cookout.
Speaker 1 (04:36):
It was my first time meeting her.
Speaker 2 (04:37):
She was young but able to walk, you know, and
she had no eye contact. She wasn't playing with any
of the other kids, and she was playing with this rock.
I'll never forget it like that, Like it was like
she was fixated on this rock. So and then I
asked my other friend, I said, what's going on with
(04:59):
you know? And says and she said that they were
in the process of diagnosi Well, that's one of the.
Speaker 3 (05:05):
Things that they say is that they have this h
they what they call repetitive motor movements, lining up toys,
flipping objects, echoing what others say. They have that hand
flapping as yea. So they call that stimmy and stands
for self stimulating behaviors. And you know, the rocking, jumping, spinning,
(05:28):
but it can be you know, things also like headbanging, pinching, uh,
wingling their toes.
Speaker 1 (05:35):
They have like the sensitivity to light.
Speaker 3 (05:38):
Yeah, lights, sound, textures, textiles. So I know a little
girl who oh my god, I mean she's definitely on
the spectrum. And when she was little, like if you
if her schedule got out of order by even other
(06:00):
little bit, it was like a complete and utter meltdown. Yeah,
it was just do you ever see rain Man with
I mean, you know he's Yeah. So they also do
vocal stimming, which is that mumbling, grunning, stuttering, whistling, humming,
repeating words or phrases. And they say that they think
that they do this stemming stuff, the movement and stuff
(06:24):
because it releases endorphins and it so endorphin is like
a pleasure formone. So it makes them feel too self soothing.
Speaker 1 (06:33):
Yeah, so when do.
Speaker 2 (06:40):
Parents go to see a doctor, So that's what they say.
The pediatrician is going to be, you know, probably they
have something asking the question, you know what I mean,
and looking at the behaviors.
Speaker 3 (06:53):
Yeah. Well I think it's and I think it's hard
for people to admit, yeah, there's something's wrong with their baby. Yeah,
you know what I mean. But I think you know,
you have a little child who, like we said, is
doing these these like rocky or is not interested in
other kids or.
Speaker 2 (07:10):
Yeah, and whenever they're they can even see it in
early infancy, like they don't respond to a smile by
six months, that doesn't mint, doesn't mimic sounds or facial
expressions by nine months, doesn't bab or two by twelve months,
doesn't gesture such as pointing or waving by twelve fourteen months,
(07:30):
doesn't say a single word by sixteen months.
Speaker 1 (07:32):
Doesn't play Make Believer for ten.
Speaker 2 (07:34):
By eighteen months, doesn't say two word phrases by twenty
four months, and loses language skills and social skills at
any age. So that one of the things whenever I
was listening to some other videos that the thing with
the pointing, they that's one of a very early stuff. Yeah,
(07:56):
they can't point, they take their finger to the object,
all right.
Speaker 3 (08:00):
That yeah, that's interesting. I didn't know that. They also
are highly restricted and fixated on things like I know
I had with a swe little boy, and like he
knew everything there was to know about dinosaurs. So like
they find an interest in something and they learn everything
(08:22):
there is about it, and then they move on to
something else, and they just have these like intense interests
in things.
Speaker 1 (08:30):
Things, not people. Right, Yes, I also read that they.
Speaker 3 (08:34):
Have an indifference to pain or temperature. So you know
kids have you you know you've read about kids who
put their hands on the stove and don't feel an Yeah. Yeah,
I also want to say before we go on that,
So Danielle and I were talking before we started about
how even nurses. I rememberhen I went to nursing, I
(08:55):
started nursing at the hospital, and I knew some nurses
who would not backsitate their children. Yeah, because they believe
that autism caused vaccination. That study was a study that
was done in nineteen ninety eight and it was published
in a magazine called Landsfit and suggested it means as
(09:16):
the months in Rebella contributed to pervasive development disorder. This
has been completely reboot rebooted, rebuff uff, it is wrong,
they've retracted it. Vaccines do not.
Speaker 2 (09:30):
Yeah, very controversial issue, but it can be as controversial
as anything.
Speaker 3 (09:35):
The sky is blue, the Sunday Ye. Vaccines do not pause.
Speaker 2 (09:38):
Yeah, there's no link between vaccines. And if you hate that,
I say that, I'm sorry. We will move on, but
don't stop listening.
Speaker 3 (09:46):
Yeah, we're just here to help and educate. So some
of the do you have anything else about the uh,
you know, go into what they think causes it. Yeah,
that's right. I wanted to do that process.
Speaker 2 (09:58):
So they say that the genetics environmental player role in autism,
So several different genes appeared to be involved in autism
spectrum disorder.
Speaker 1 (10:14):
They also say in what's that word I'm looking for
hereditary Yeah.
Speaker 3 (10:24):
Yeah, so they what they call a phenotype bear yeah, cases,
which just means that's why you have blue eyes and
I have brown eyes. Yeah, And so it's just it's genetic. Yeah,
and I know that it.
Speaker 2 (10:37):
I was reading somewhere where it says like there's.
Speaker 1 (10:41):
An increased chance of one child, two child, children, two.
Speaker 2 (10:45):
Children having it, and I do I have I know
some two boys that have it, you know what I mean?
Speaker 3 (10:51):
Well, when again, when I worked with you know who
and child psychiatry, and we would see a lot of
kids on the spectrum, and he would say, genetic pool
in the area we live in, there's the parents have it,
the kids have it. And again, like we said, it's
a spectrum, so you can be highly functional. Yeah, no,
kid is the same right, So you can have from
(11:12):
non verbal to you know, extremely high functioning who just
have issues with social skills or do you know what
I mean? Yea, So it's the variety is huge.
Speaker 2 (11:24):
Okay, we're going to take a commercial break right now
and we'll be back to talk about some risk continue
with the risk factors.
Speaker 3 (11:34):
Call different ways that they can diagnosis.
Speaker 2 (11:42):
We're back from the commercial break. So environmental factors would
be like they say, viral infection, medications or complications during pregnancy,
and air pollution.
Speaker 3 (11:57):
Right, and then as we said obvious, the four uh,
the older you get, the more likely you are to
have issues with your pregnancies.
Speaker 2 (12:09):
So risk factors, Okay, your child sex we talked about
boys are four times more likely. Family history, which is
one or more child and that has it in the family.
Other disorders, they talked about RETS and fragile X syndrome,
(12:31):
which the fragile exes hereditary intellectual disabilities. The RET is
a neurological development disorder and they lose like their metoran
language and the RETS are primarily in females and they
so they have it and then they lose.
Speaker 3 (12:48):
Yeah, it's a little different. Yeah, and that's true because
like you said the little girl that I that definitely
is on the spectrum. She is a cousin who is
completely nonverbal, can't walk, So, as we said, yeah, and families.
Speaker 2 (13:08):
Extremely premature babies, which we touched on and that would
be before twenty six weeks of gestation and parents' age.
Speaker 3 (13:16):
The order you get. So, what are some of the
complications associated with having disorder Daniel?
Speaker 2 (13:24):
Problems in school with successful learning, employment problems, inability to
live independently, social isolation, stressed within the family, victimization and
being bullied, which we touched on the bully.
Speaker 3 (13:41):
So, as we said before, they're now recommending that children
be screened at what did I say, eighteen and twenty
four months? Yes, So some of the screening tools that
they have, they have what's called the Diagnostic Observation Schedule,
Autism Intervention freevised, which is a big word. They also
have a medical exam just to roll out any other
condition and basically just taking them to the pediatrician and
(14:04):
if the pediatrician feels that there's something going on, then
they can refer you to a specially.
Speaker 2 (14:09):
Yeah, the specialist that's gonna be able to diagnose as
a child psychiatrist, psychologists, a pediactrist, neurologist, or developmental pediatrician
for an evaluation. So which you know, I think that
hopefully the pediatricians are you know, pretty verse on this.
Speaker 1 (14:30):
And know who to send you to.
Speaker 3 (14:32):
One would hope. And again we always say if you
if you know there's something wrong as a parent and
you're not getting the answers you want, yeah, then you
go somewhere else because no one knows your kid as
well as you do.
Speaker 2 (14:44):
So the most important thing is is, like meror mar said,
is early intervention. You know, they say that children that
are you know, get treatment earlier.
Speaker 3 (14:55):
Yeah, because I mean you you kind of nip it
in the butt and start with you know offccupational therapy,
speech therapy, what they call applied behavioral analysis, and it's
a type of behavioral therapy that uses reward systems to
encourage positive behaviors and decrease negative behaviors. So they have
you know, cognitive erial therapy, occupational therapy, physical therapy, UH,
(15:20):
speech therapy, language therapy, family therapy.
Speaker 1 (15:25):
They have to teach the family how to interact and.
Speaker 3 (15:29):
Play with the child. Also they also have social skills
training for these kids, school based therapies to you know,
teach them what's quote appropriate and inappropriate inappropriate behaviors. They
have relationship developmental intervention because I can't imagine, like I
was reading, you know, some of these kids never make
(15:49):
eye contacts with their mother. They never learned to say
I love you. And so, like you said, the family,
I'm sure would also need some form of therapy. And
then oftentimes, I would say nine point nine times out
of ten, they are put on some sort of medication.
Speaker 1 (16:07):
Yeah.
Speaker 3 (16:07):
So because there's a lot of comorbil comorbidity, so.
Speaker 2 (16:11):
An anxiety acting out, hyperactive, right, Yeah, So they said
that sometimes the anti psychotics to me, is for the
behavioral antidepressants for their stress and stimulants or to help
them with focus because a lot of times they display
the same But we've never done ADHD. Have we Attention
deficit hyperactivity disorder?
Speaker 3 (16:29):
Did we?
Speaker 2 (16:30):
Yeah?
Speaker 3 (16:31):
Have we?
Speaker 2 (16:31):
MA?
Speaker 3 (16:31):
We did? I think in season one we'll have to
look back. Yeah, but anyway, out of these kids have
attention deficit or hyperactivity, so they put them on those
stimulant meds.
Speaker 1 (16:42):
Oftentimes, these children too.
Speaker 2 (16:45):
Have medical health issues, so they did say epilepsy, sleep disorders,
limited food preference or stomach.
Speaker 3 (16:52):
They said, a lot of gi issues. It's that that sameness.
So they want to eat the same food every day
at the same time, the same way, and so you
might be feeding your kids chicken nuggets for three months
and then they want bergers every day for three months.
Speaker 2 (17:07):
So and then I know that there's alternative medicine out there,
which is also too there's no scientific basie. Yeah, there's
no research on it, but I know that a couple
people have done, like the certain diets, the hyperbar chamber
(17:28):
with the oxygen with the pressure. I say, I mean,
I think that probably parents are going to do whatever,
but it did also say to watch and make sure
that it's not you know, you're going to somebody that's
gonna require all this money, you know what I mean,
because they can be taken advantage because you want your
(17:50):
child to be y you know, did you just I'm.
Speaker 3 (17:53):
Gonna go completely off top of you. Excuse me. But
on Netflix, the show The Truth Is The True Story
Apple Sider Minter.
Speaker 1 (18:00):
Uh.
Speaker 3 (18:00):
It's about this girl who claims she had brain cancer
and cured it through diet, and it was all lie.
She never had brain cancer, and so all these people
were quitting radiation and chemo. It was in Australia or
New Zealand. Yeah. Yeah, So I mean I'm not one
that you know, I believe in some alternative therapies, but
(18:20):
like Daniels, yeah, yeah, and walk a fine line between
traditional and yeah, because there's there are a lot of Charlatan's.
Speaker 2 (18:30):
Out there, there are also too I wanted to touch
on it. So I work with adults only. I don't
see children, and there's with TikTok being out and there's
these tests you can take on TikTok to see if
you're autistic or not. Like I've had like an increase
(18:52):
of patients coming in and saying that they're autistic because
it doesn't go away. Yeah yeah, there's a spectrum. Yeah,
but I mean I don't diagnose. So what I've been
doing is sending them to a psychologist that I know
he does testing adult Yeah, for adults.
Speaker 3 (19:13):
So well, let's just touch that since you talked about this,
and we briefly, so before what they called aspergers was
it was considered a different or milder form of autism.
Now it's the whole they call it. It's all in
one spectrum and basically Aspergers has many of the same characteristics,
(19:35):
but it's just generally considered a milder form of autism.
So they characterize autism spectrum disorder into three levels, and
the level one would be the one that's now corresponds
to Aspergers, and Aspergers is less severe symptoms and they
have a higher level of fun streaming we worked with people. Yeah, yeah, yeah,
(19:57):
my kids joke that I have autism because I have
sensitive to certain Yeah, definitely. It's it's a wide range,
but it's in question whether you're a parent of a
child or you yourself. Think go find out. I mean,
especially if it's affecting how you function in the world. Yeah, definitely.
Speaker 2 (20:20):
All right, Well that was a good episode. Yeah, it
was great, very educational. So hopefully it'll Hey, email us somebody,
anybody some questions, some comments, something anything with our email address.
Do you remember I don't.
Speaker 4 (20:34):
I don't know.
Speaker 3 (20:35):
There's on our website though it is. Anyway, take care
of yourself. Care Remember you're not alone. Not to.
Speaker 2 (21:35):
Lack nothing, not
Speaker 3 (21:42):
Nothing, nothing, noth