See high-functioning autism.
ADHD can present with or without related hyperactivity. If no hyperactivity is included in the diagnosis then it is known as ADD (Attention Deficit Disorder). AD(H)D causes a range of problems including difficulty concentrating, hyperactivity and poor impulse control. It is far more common in males than in females. There is no cure for ADHD but there are various mechanisms that can help people to cope with the symptoms and many people see a decrease in their symptoms with age. ADHD can cause people to have low self-esteem and low confidence which can affect their
relationships and work life.
People with ADHD can appear inattentive to others and may struggle to take turns as well as talking excessively and interrupting others. ADHD can also make it extremely difficult for people to follow instructions that they are given and to act on them. The effects of ADHD can cause people to find it more difficult to get along with their peers and this can cause anxiety and mental health issues as well as defiant and deviant behaviour (such as alcohol and substance abuse).
A sizeable proportion of people on the autistic spectrum (estimates vary) will have additional learning difficulties which can be moderate, severe or profound.
May be specific phobias or general anxiety because of changes in routine, communication difficulties or not understanding a situation. May be shown in behaviour or emotional responses (anger, distress, self-injury), disturbed sleep or eating patterns or difficulties in education or employment. Anxiety is common for people with autism due to the nature of the condition. However, when this becomes sustained and distressing it needs to be addressed as more than just part of the person’s autism. There are various relaxation techniques available and exercise and medication can
help with more acute symptoms. The best course of treatment is entirely dependent upon the cause of the anxiety and the individual in question.
An autism spectrum disorder that affects the way a person communicates and relates to others. A number of traits of autism are common to Asperger syndrome including:
- difficulty in communicating
- difficulty in social relationships
- a lack of imagination and creative play.
However, people with Asperger syndrome usually have fewer problems with language than those with autism, often speaking fluently though their words can sometimes sound formal or stilted. People with Asperger syndrome also do not have the accompanying learning disabilities often associated with autism; in fact, people with Asperger syndrome are often of average or above average intelligence.
Difficulties in relating to other people, forming and maintaining relationships. Usually caused by interruption to a person’s emotional development in early childhood as a result of trauma, separation, constant change of routine, neglect or abuse.
Used to describe people with many of the features of autism but do not fulfil all of the diagnostic criteria.
Autism is a life-long condition affecting around 1.1% of the population. It affects all races, classes and intellectual abilities. It is a spectrum condition meaning that it is extremely complex and affects people differently and to varying degrees. Autism is broadly defined as affecting three main areas (known as the “triad of impairments”): social communication, social interaction and social imagination. Everyone with autism is different. Whilst some people with autism lead independent lives, some need lifelong care. Others will need some degree of support, which will change
over the course of their lifetime.
Autism is not a learning disability – about half of all people with autism have average or above-average intelligence – or a mental illness. However, one in three people with autism develop mental health difficulties due to the challenge of adapting to society with no support. People with autism often also have issues with sensory processing. They can either be over- or under-sensitive to any of their senses (sight, smell, touch, hearing, taste, balance and self-awareness).
There is no cure for autism but early diagnosis and specialist support has been shown to greatly improve the quality of life of people with autism.
Autism is a hidden condition, meaning that it is often difficult to tell that someone has autism. Lack of autism awareness can lead to misunderstandings about the reasons that a person with autism may behave in a certain way. This can sometimes increase anxiety and depression in people with autism. Increasing autism awareness is key to ensuring that people with autism receive the right support and understanding throughout life.
The same as autism.
The same as autism.
Means the same as ‘autistic spectrum’ or ‘autism spectrum’.
This is not a helpful description. If your autism is described as having this, seek clarification from an autism specialist.
Someone with autism whose ability is generally low to average, but who has one skill which is much more developed, eg: a significant talent for music, maths or art.
See ‘autistic features’.
See ‘autistic features’.
Bipolar Disorder is an illness which involves cycling between elevated and depressive moods. The time that each episode lasts varies significantly between different people. Bipolar Disorder often occurs in late adolescence or early adulthood but childhood-onset Bipolar Disorder has become more widely recognised in recent years. Bipolar Disorder may be underdiagnosed in people with autism because the symptoms coincide closely with some of the majorfeatures of autism spectrum disorders. Many people with autism exhibit symptoms of Bipolar Disorder, even where
no strict mood disorder diagnosis can be made. Treatment is usually a combination of counselling, or Cognitive Behavioural Therapy, and medication.
There is very little research into or evidence of specific links between bowel problems and autism, however these issues do seem to be quite common amongst individuals with autism. Bowel problems affect a number of people with autism and can mean either loose stools and difficulty getting to the toilet in time, or anxiety around toileting which may result in severe constipation and pain when passing stools, resulting from this constipation.
Immune problems are less common but still prevalent amongst people with autism. There is also very little research into or evidence of a link between immune problems and autism. Most of the research is focused on immune changes during development in the womb. There is some evidence that autism may be associated with an immune response during pregnancy. Some studies suggest that mothers who have the flu or a fever during pregnancy are more likely to have a child with autism.
It has also been suggested that a small subset of children may have immune problems such as allergies and asthma.
CDD is a rare condition in which children develop normally until around the age of two and then have a sudden and dramatic loss of skills. It presents similarly to autism but often occurs later than autism does and presents far more severe regression. Children lose their skills in various areas; these include social skills, motor skills and language and speech skills. The cause of this disorder is unknown as there simply isn’t enough research to discover patterns.
Describes those with severe difficulties in all three key areas (see autism) and additional learning difficulties
See ‘classic autism’.
Significant difficulty in all three of these areas.
Can occur in people with autism at all ages and levels of ability. A family history of depression is a risk factor. Warning signs may be changes in behaviour, apathy, tearfulness, sleep problems, aggression or self-injury.
A specific learning disability causing ongoing problems with reading, writing and spelling (and often maths) because of perceptual difficulties (interpreting what we see) in identifying letters and numbers, which may appear blurred or distorted, and listening difficulties in identifying sounds which make up words and matching the spoken word with its printed symbol.
Dyspraxia appears in childhood and causes significant difficulties in motor skills and development. The condition is lifelong and often results in severe deficits in spatial awareness and communication skills. People with dyspraxia often find it difficult to relate to others and to participate in imaginative play. They also frequently struggle with understanding
and following instructions and may appear very slow to respond to given information or requests. Dyspraxia will often lead people to avoid activities that require motor skills and they usually have very poor handwriting and poor fine motor skills and concentration.
Epilepsy is a seizure disorder and these seizures may be easily noticeable if they involve fitting (tonic-clonic seizures). However, seizures may also mean unexplained staring and loss of response (absence seizures) as well as loss of muscle tone and sudden limpness (atonic seizures). Seizures are often followed by periods of confusion. It is believed that some of the differences in brain structure found in people with autism cause seizures to occur.
Epilepsy can be treated with anti-epileptic medication to reduce the frequency and severity of seizures or eliminate their occurrence altogether. However, they do not cure the condition and seizures will return if the medication is stopped.
Fragile X Syndrome is the most common identifiable cause of inherited learning disability. It is caused by an overly long DNA sequence on the X chromosome which interferes with brain development. Fragile X is caused by a mutation in the FMR1 gene, which supports intellectual development. Some people have a mutation which increases the length of this gene but not to the extent that they develop Fragile X. This lengthening in the gene is likely to expand through generations and therefore children of people with a lengthened gene are at a higher risk of having the gene lengthened to the point where Fragile X will manifest. Girls are often less affected by Fragile X because they tend to have one clear X chromosome that compensates to some degree.
Fragile X almost always causes language and speech delays and echolalia is common (repeating the words of others). Speech tends to be affected by poor rhythm awareness and disjointed conversation which can make speech difficult to understand. Individuals may also talk extensively about a single topic and struggle to move away from this.
Feeding and sleeping can also be affected in Fragile X, as well as understanding of abstract concepts and problem solving. Many people struggle to focus on a specific task and cannot “shut out” other stimuli and this can be confusing and cause great anxiety.
A minority of people with Fragile X also have autism but many more share traits with those on the autism spectrum. An avoidance of eye-contact, sensory issues and distress in social situations are all common for people with Fragile X.
Significant delay in every area of the person’s development.
Hearing difficulties are quite common for those with autism but often overlooked.
Used to describe people with at least average cognitive ability. Their earlier language difficulties may have improved but they will still have significant difficulties with social interaction.
Same as ‘classic autism’. Leo Kanner was the first to describe and name this condition.
Delay in overall development and ability to learn. May be described as mild or moderate (MLD), severe/profound (SLD) or general (GLD). See also ‘Additional learning difficulties’.
Some people with autism have difficulties learning to read and spell. Others are fluent readers but do not understand the meaning of what they are reading. This is known as hyperlexia.
Mental health issues are common amongst people on the autism spectrum. These include anxiety, depression, bipolar disorder and obsessive compulsive disorder. Many people with autism struggle to identify and communicate their emotions and concerns and this can cause distress and also make that distress hard to recognise and diagnose. It is thought that, since depression in particular is most common amongst children and adolescents, many negative thoughts are caused by a growing awareness of their disability. It is also around this time that many young people
report frustration at their inability to understand the social rules that would enable them to form a peer group or be part of one.
A significant change in patterns and behaviour must be taken seriously. People with autism may lose communication skills due to stress and anxiety and this can make it difficult to rely on verbal discussions to establish their mood. It is often more telling when the person’s sleep habits and stress levels change and there is an increase in stereotyped behaviour. Many people will benefit from social skills classes or social groups in which they can meet like-minded people and learn to build their self-esteem.
This is not a helpful term, see high functioning autism.
Obsessive Compulsive Disorder occurs when a person has recurring, obsessive thoughts that they cannot control. This may lead to repetitive actions and frequently recurring ideas that cause the person anxiety and distress. This differs from stereotyped behaviour as although this behaviour may also be compulsive it may be therapeutic in some way and therefore welcomed by the person with autism.
Actively resistant to ordinary demands, a person with PDA does everything on his/her own terms.
Describes autism and similar conditions.
Pica is defined as an abnormal craving for non-food substances such as dirt, grass, paint, or clay.
Rett Syndrome is a condition almost always caused by a mutation that affects the body’s production of the protein MeCP2, which is vital for brain development. The mutation in the MECP2 gene occurs on the X chromosome. This means that cases amongst males are incredibly rare. Whereas girls have two X chromosomes and therefore have two of the genes and thus enough healthy production of the MeCP2 protein to allow them to survive, boys only have one X chromosome and therefore usually do not live beyond 2 years with the condition.
Rett Syndrome is present at birth but may be undetected until the child is around one year old as this is when severe developmental regression tends to occur. This regression usually presents as a loss of acquired skills, the development of clumsy posture and gait and the appearance of repetitive hand movements. The condition is genetic but it is not hereditary and the mutation usually appears to occur spontaneously. The condition causes multiple physical and learning disabilities and leaves people entirely dependent throughout their lives.
Self-directed violence including hitting the head with a clenched fist, banging the head against hard objects, skin picking and eye gouging.
Behaviours which are thought to be used to provide stimulation to the individual. These occur more commonly in people who have severe learning disabilities, especially if they have autistic traits or are understimulated. Stimming is a word commonly used by parents and professionals for the self-stimulatory behaviour shown by some people with autism. Such behaviour is also sometimes referred to as stereotypic behaviour or stereotypy. It can take different forms and involve the stimulation of different senses, for example staring at an object in motion or a light, rocking back and
forth, vocalising or making repetitive noises, hand flapping or spinning round.
Many people with autism suffer from sensory processing difficulties. This can mean that sounds, smells and sights can be overwhelming and distressing. Hypersensitivity means that the person is over-sensitive to sensory input so they may see images as fragmented and distorted; hear sounds more loudly and struggle to isolate particular sounds such as conversation; feel textures and touches more acutely causing discomfort and pain. Sometimes a person with autism will experience the opposite and be under-sensitive to sensory input. This may mean that they see images as blurred and dark and depth perception may be poor; they hear sounds as muffled and dull and may have trouble listening to particular sounds; they feel textures and touch less than others and may therefore enjoy weighted items and deep pressure contact. They may also have a high tolerance for pain and potentially self harm.
Other senses that are not as commonly thought of are balance and proprioception (body awareness). Sensory issues with balance may result in a need to rock or spin for sensory input or, on the other hand, difficulties stopping quickly, being in any position where the head is not upright and with sports. Issues with proprioception may cause a person to be unaware of their proximity to others and struggle to avoid obstacles. They may struggle with hand-eye co-ordination and fine motor skills.
There are lots of things that help a person with sensory difficulties. The key is to tailor the approach to the individual’s specific needs in each environment.
Sleep problems are common amongst people with autism and this can have serious long-term health effects. It is believed that sleep helps to cement our learning and memories and to build a strong immune system. Some studies suggest that there may be an altered sleep/wake cycle for some people with autism and irregularities in melatonin production – this is the key hormone in sleep/wake cycle regulation.
Some other causes of poor sleep are anxiety issues which are common in people with autism. It is also more difficult to get to sleep if your bedroom is also a place where you engage in stimulating activities during the day as this can affect your brain’s ability to “shut down” enough for sleep. It is also possible that an attachment to routine, which is associated with autism, may mean that people with autism struggle to fall asleep; even the most seemingly minor changes to a person’s night time routine may cause enough anxiety to reduce the chance of effective sleep.
A way of describing those with autism. Not all people with social communication difficulties have autism.
A term to describe people who have difficulties with language and communication. Today, most would meet the criteria for autism.
Overall development may be appropriate for the person’s age, but there may be specific areas of difficulty, eg: reading, writing or maths.
Extremely common as communication is one of the three main areas of difficulty for those with autism.
Tourette Syndrome consists of involuntary tics that are uncontrollable, rapid and frequent. These tics can affect social interactions and may potentially cause embarrassment which can be unpleasant and distressing for the person exhibiting them. Tics may also worsen in certain situations, usually those of heightened stress. It is possible that medication can be prescribed if tics are particularly severe but often stress reduction, physical activity and adequate sleep are the main treatments.
Tuberous Sclerosis is a rare condition that causes benign (non-cancerous) lesions to grow throughout the body. These can grow in any organ and so the effects vary widely between people. The signs of the condition can be a lot of things, from light patches on the skin to behavioural problems and seizures. Other common complications arise from lesions in the kidneys, heart or lungs, which can cause these organs to malfunction or underperform.
There is no cure for tuberous sclerosis but the cause is thought to be a mutation on the TSC1 or TSC2 gene. These are believed to prevent cells from growing too fast and the mutation means that excess growth occurs, resulting in lesions and tumours. There is some evidence of parents passing on the damaged genes to their children but around 2 in 3 cases appear to be spontaneous and not hereditary.
Difficulties with vision are quite common but often overlooked for those with autism.
A genetic disorder which is associated with distinctive facial features and learning difficulties. People with this diagnosis often display some of the behaviour seen in people with autism (for example, talking repetitively about certain topics; social isolation from peers; attention difficulties), but unlike many with autism, a characteristic feature of Williams Syndrome is their over-friendliness with others, including strangers.
Many of those diagnosed with this rare genetic condition are also on the autism spectrum.
