What is Autism? This information adapted from the Autism Society of America website. Autism is a complex developmental disability that typically appears during the first two years of life and is the result of a neurological disorder that affects the functioning of the brain, impacting development in the areas of social interaction and communication skills. Both children and adults on the autism spectrum typically show difficulties in verbal and non-verbal communication, social interactions, and leisure or play activities. Autism is one of five disorders that fall under the umbrella of Pervasive Developmental Disorders (PDD), a category of neurological disorders characterized by “severe and pervasive impairment in several areas of development.” The five disorders under PDD are: Autism Disorder Asperger Syndrome Disorder Childhood Disintegrative Disorder(CDD) Rett Syndrome Disorder PDD-Not Otherwise Specified (PDD_NOS) is based upon the Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV) (American Psychiatric Association, Washington DC, 1994), and is the main diagnostic reference of mental health professionals in the United States. According to the DSM-IV, the term "PDD" is not a specific diagnosis, but an umbrella term under which the specific diagnoses are defined. Prevalence of Autism Autism is the most common of the Pervasive Developmental Disorders, affecting an estimated 1 in 150 births (Centers for Disease Control Prevention, 2007). Roughly translated, this means as many as 1.5 million Americans today are believed to have some form of autism. And this number is on the rise. Based on statistics from the U.S. Department of Education and other governmental agencies, autism is growing at a startling rate of 10-17 percent per year. At this rate, the Autism Society estimates that the prevalence of autism could reach 4 million Americans in the next decade. Autism knows no racial, ethnic, or social boundaries; family income levels; lifestyle choices; or educational levels, and can affect any family and any child. And although the overall incidence of autism is consistent around the globe, it is four times more prevalent in boys than in girls. For more information contact www.autism-society.org or 1-800-328-8476 Autistic Disorder Autism is a complex developmental disorder often referred to as Classic Autism. Autism affects people differently; some characteristics affect a person's ability to communicate, or form relationships with others, and respond appropriately to the environment. Some people with autistic disorder are high functioning, with speech and intelligence intact. Others may be nonverbal and/or have a cognitive disability or mental retardation. Asperger Syndrome Asperger disorder, sometimes referred to as Asperger syndrome, is a neurobiological disorder. In contrast to autistic disorder, individuals with Asperger disorder do not have a delay in spoken language development. However, they can have serious deficits in socialization, communication, cognition and sensation. Like classic autism, Asperger is a neurological disorder what affects behaviors such as obsessive, repetitive routines and preoccupations with a particular subject matter. Childhood Disintegrative Disorder Children with childhood disintegrative disorder develop normally for a relatively prolonged period (usually 2 to 4 years) before developing a condition that resembles autistic disorder. Typically language, interest in the social environment, and often toileting and self-care abilities are lost, and there may be a general loss of interest in the environment. Rett Syndrome Rett disorder is a childhood neurodevelopment disorder characterized by normal early development followed by loss of purposeful use of the hands, distinctive hand movements, slowed brain and head growth, gait abnormalities, seizures, and mental retardation. Rett disorder is genetic in origin, and is among the most common genetic cause of profound intellectual and physical disability in mostly girls exclusively. Rett disorder occurs more commonly in less than 1 in 10,000 female births. Individuals with Rett disorder develop normally until 6 to 18 months of age followed by a developmental regression. In 1999, a gene for Rett disorder was identified by NICHDsupported researchers. The course of Rett syndrome, including the age of onset and the severity of symptoms, varies from child to child. Hypotonia (loss of muscle tone) is usually the first symptom. As the syndrome progresses, the child loses purposeful use of her hands and the ability to speak. Other early symptoms may include problems crawling or walking and diminished eye contact. Another symptom, apraxia -the inability to perform motor functions — is perhaps the most severely disabling feature of Rett syndrome, interfering with every body movement, including eye gaze and speech. Individuals with Rett syndrome often exhibit autistic-like behaviors in the early stages. Other symptoms may include toe walking; sleep problems; wide-based gait; teeth grinding and difficulty chewing; slowed growth; seizures; cognitive disabilities; and breathing difficulties while awake such as hyperventilation, apnea (breath holding), and air swallowing. Pervasive Developmental Disorder Not Otherwise Specified (PDD/NOS) PDD/NOS is a diagnosis often considered for children who show some signs of autistic disorder, but who do not meet the specific diagnostic criteria for the other Pervasive Developmental Disorders. (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, 1994) For more information contact www.autism-society.org or 1-800-328-8476