Tag: early intervention

Autism: Symptoms and Signs

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Dr. Genevieve Marshall, BCBA, breaks down myths about autism, the early signs of autism, and what you can do to keep yourself informed on best practices. To learn more about ABA therapy and services available to you, visit https://learnbehavioral.com/services/find-a-location

Recognizing Autism Symptoms: How to Spot Early Signs

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Clinically Reviewed By: Sabrina Daneshvar, Ph.D., BCBA-D

By Sabrina Daneshvar, Ph.D., BCBA-D, senior vice president of clinical services at LEARN Behavioral

Recognizing Autism Symptoms: How to Spot Early Signs

Autism isn’t always easy to spot. It’s a complex neurological and developmental disorder. It often shows up in early childhood and affects how a person interacts with others, communicates, and learns.

Since symptoms of autism vary so widely from person to person, it can be challenging to diagnose.

Recognizing early signs can be vital to getting help. If you suspect your child may be on the autism spectrum, talk to your pediatrician. A medical professional can guide you on the next steps. This may include a complete diagnostic evaluation.

Understanding Autism

You may be familiar with people talking about autism existing on a “spectrum.” This means a person’s symptoms can vary in severity across many areas. For example, some people might have trouble with social interactions and communication. They might have difficulty understanding body language or maintaining a conversation. Others might have repetitive behaviors or be intensely focused on certain interests.

Simply put, autism doesn’t look the same for everyone. Everyone experiences it differently.

Early Signs of Autism

While every child is unique, there are common signs of autism to watch for. Here are some:

  • Social Challenges: Your child may avoid eye contact. They might have yet to respond to their name. They may show little interest in people or toys.
  • Communication Difficulties: Look for delayed speech. Or your child might repeat words without understanding them. They may not use gestures like pointing.
  • Repetitive Behaviors: A child with autism may flap their hands. They might line up toys instead of playing with them. They could insist on routines and get upset with changes.
  • Sensory Sensitivities: Your child may react unusually to sounds, lights, or textures. They could either be overly sensitive or not sensitive enough.

Watch for signs such as:

  • Not smiling at others by six months
  • Not using gestures to communicate by 12 months
  • Not babbling by 12 months
  • Not speaking single words by 16 months
  • Not speaking two-word phrases by 24 months
  • Not reacting to voices, sounds, or their name

Remember, these signs don’t confirm autism. But they suggest you should check with your health care provider.

What to Do If You Notice These Signs

If you think your child may be showing signs of autism, early intervention is critical. Children’s brains are most adaptable and responsive to learning during the first few years of life. Research shows that high-quality early intervention can significantly improve essential skill development. These include communication, social interactions, cognition, and self-care.

So, if you notice signs of autism, document your observations. Talk to your child’s doctor, and stay patient and positive.

Getting a diagnosis of autism is not an end. It’s a beginning. It opens the door to getting the services and support that can help your child thrive.

Accessing therapies early can lead to better long-term outcomes. It reduces the need for intensive support in the future. It can also help foster supportive environments for your child’s growth.

Early intervention can also teach you strategies for navigating the world of autism.

Interested in learning more about the early signs of autism? Visit our website for additional information and how we can help you get started on your child’s journey to success.

Shaping the Future: Influential Women in Autism and ABA Therapy

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March is Women’s History Month. It’s a time to celebrate the accomplishments of women in all walks of life.

In the area of autism and contemporary applied behavior analysis (ABA) therapy, many women have made a lasting mark. They’ve broken barriers. They’ve conducted significant research, and they’ve paved the way for better understanding and treatment of autism.

Today, we spotlight seven women who have shown us what it means to lead with passion, dedication, and commitment. They are making a difference, and their work continues to inspire future generations of women in the field.

1. Temple Grandin: The Trailblazing Voice in Autism Advocacy

Temple Grandin, Ph.D., is a name synonymous with autism advocacy. Born in 1947, she was diagnosed with autism in early childhood. Despite the challenges, she went on to become an esteemed academic and animal behaviorist. She has gained recognition for writing books and delivering speeches on autism and animal behavior. Today, she is a professor of animal science at Colorado State University.

2. Greta Thunberg: Championing Climate Action and Autism Acceptance

Greta Thunberg is a Swedish environmental activist. She has gained global recognition for her efforts to fight climate change. She’s also known for being openly autistic. She has referred to her autism as her “superpower,” and has discussed how it has helped her in her activism by allowing her to focus intensely on topics that interest her. Greta has used her platform to advocate for acceptance and understanding of autism. On her Facebook page, she identifies herself as an “Autistic climate justice activist.”

3. Breanna Clark: Shattering World Records and Autism Stereotypes

Breanna Clark is an American Paralympic athlete who was diagnosed with autism at age 4. She competes in T20 category races, a classification for athletes with intellectual impairments. She has represented athletes with autism on an international stage. Off the track, she’s been an advocate and role model for people with autism.

4. Ronit Molko: A Powerful Force in Autism Therapy and Entrepreneurship

Ronit Molko, Ph.D., BCBA-D, is another luminary in the field. She is a thought leader and subject matter expert in autism spectrum disorder, developmental disabilities, and behavioral healthcare. She co-founded Autism Spectrum Therapies (acquired by Learn It Systems) and is a LEARN Behavioral board member. In this All Autism Talk podcast, she talks about how ongoing research is helping us better understand the unique challenges girls with autism face.

5. Devon Sundberg: Shaping the Future of ABA Therapy and Autism Awareness

Devon Sundberg, MS, BCBA, co-founded the Behavior Analysis Center for Autism (BACA). She has made significant contributions to the field of behavior analysis, both through her work at BACA and as the founder of the Women in Behavior Analysis conference. In this All Autism Talk podcast, she shares how raising three daughters helped open her eyes to how gendered life can be — and about the need for more women in the autism field.

6. Hanna Rue: Pioneering Innovations in Autism Treatment and Research

Hanna Rue, Ph.D., BCBA-D, is chief clinical officer for LEARN Behavioral. Her research interests are broad and include the identification of evidence-based practices for the treatment of autism. Her influence in the field of autism is evident in her wide-ranging work that spans clinical care, research, and advocacy. She has made significant contributions to STEM fields, sharing her insights through various platforms, including top-performing podcast episodes about autism, and extending her influence and reach in the autism community.

7. Sabrina Daneshvar: Revolutionizing the Field with Innovation and Compassion

Sabrina Daneshvar, Ph.D., BCBA-D, serves as the senior vice president of clinical services at LEARN Behavioral. Her research interests include video modeling and teaching social skills. This work has contributed to developing innovative strategies for improving social skills in children with autism. Sabrina has also taught, mentored, and trained many graduate students pursuing their degrees.

These are just a few women who have helped to shape the field of autism and ABA therapy. Their work underscores the importance of early intervention, peer support, and recognizing the diverse signs and symptoms of autism in girls and women.

We celebrate these women and everyone who has made contributions to advance our understanding of autism. They provide hope and inspiration to countless families across the world affected by it.

5 Benefits of Early Intervention for Autism

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By Sally Burke, M.S.Ed, BCBA, LABA
Senior Clinical Director, Early Intervention ABA

Discovering that your child has been diagnosed with autism can be an incredibly challenging and emotional experience for parents and caregivers. It can make you feel uncertain, overwhelmed, and worried about what to do next.

It’s important to know that early detection and intervention can not only make a significant difference in your child’s development — but also offer a sense of reassurance and ease for you as a parent.

What Is Early Intervention?

“Early intervention” for children with autism refers to the process of identifying and addressing developmental challenges — including social, communication, and behavioral skills — as early as possible in a child’s life. It involves providing specialized support, therapies, and services designed to meet the unique needs of each child with autism.

The age range for early intervention is most effective when started as early as possible, ideally before the age of 3. Research has shown that the earlier a child with autism receives intervention, the better their outcomes are likely to be in terms of improved skills, reduced behaviors that interfere with growth and learning, and overall quality of life.

The positive impact of early intervention for children with autism is undeniable. It paves the way for their growth and progress.

Here are five compelling reasons why embracing early intervention can put your mind at ease and set your child on a path toward fulfilling their potential:

1. Early Intervention Can Improve Your Child’s Socialization Skills

Children with autism often struggle with social interaction and communication, which can lead to isolation and difficulties in making friends. Early intervention can help children develop socialization skills by providing opportunities for them to interact with others in a structured and supportive environment. This can include teaching them how to initiate conversations, read body language, understand social cues, and form friendships.

2. We’ll Work on Communication with Your Child During Early Intervention

Many children with autism struggle with communication — whether it’s speaking, understanding language, or using non-verbal cues. Early intervention can help improve communication skills, including speech therapy, or tools like sign language and assistive technology. Early intervention through applied behavior analysis (ABA) can help children express themselves and better understand others, which can lead to improved socialization and overall quality of life.

3. Early Intervention Helps Your Child Learn Appropriate Behaviors

Sometimes life with autism can be challenging. There can be a fair share of meltdowns and tantrums. Early intervention through ABA addresses these often difficult moments and helps children learn appropriate behaviors and how to strengthen ways to learn and interact with others.

4. Early Intervention Sets Your Child Up for Academic Success

Children with autism often struggle academically, which can lead to frustration and low self-esteem. With the help of early intervention, though, children and families can prepare for future academic success. During early intervention, young learners develop social and communication skills that will benefit them not only in their daily lives but also in the classroom once they enroll in school.

5. Early Intervention Can Improve Family Dynamics

Autism can be challenging not just for the child, but for your entire family. Early intervention supports your family by providing resources and tools to help you better understand and support your child. It can also help reduce stress and improve overall family dynamics between you and your neurodivergent child, as well as between your child with autism and their neurotypical siblings.

These are just a few of the many reasons why early intervention for kids with autism is beneficial. By starting treatment early, children with autism can develop the skills and abilities they need to lead fulfilling and successful lives.

Sally Burke, M.S. Ed., BCBA, LABA, is a senior clinical director in the LEARN Behavioral network. She has worked in the autism field for more than 20 years and specializes in early intervention.

For more resources on early intervention, listen to our podcast episode featuring Dr. Geraldine Dawson, co-creator of the Early Start Denver Model, and read our blog on brain plasticity and early intervention written by Ronit Molko, Ph.D., BCBA-D and Dr. Evian Gordon, Chairman and CEO of Brain Resource.

Brain Plasticity & Early Intervention: “Neurons that fire together, wire together”

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The following is based on a conversation Ronit Molko, Ph.D., BCBA-D and Dr. Evian Gordon, Chairman and CEO of Brain Resource.

The development of the brain is a fascinating and essential aspect of child development. The science behind the brain provides parents and practitioners valuable insight as to why early intervention is important for individuals with autism and other developmental disabilities.

At birth, a child’s brain is a work in progress. It develops as they experience the world through seeing, hearing, tasting, touching, and smelling the environment. The natural, simple, loving encounters with adults that occur throughout the day, such as a caregiver singing, smiling, talking, and rocking their baby, are essential to this process. All of these encounters with the outside world affect the child’s emotional development and shape how their brain becomes wired and how it will work.

The experiences of babies have long-lasting effects on their ability to learn and regulate their emotions. When there is an absence of appropriate teaching and learning opportunities in the baby’s environment, the brain’s development can be affected and there are more likely to be sustained negative effects. Conversely, if we can provide ample learning opportunities, we can facilitate brain development. Let’s understand how and why.

Learning is about connection. A baby is born with more than 85 billion neurons in its brain, the major nerve cell of the brain. Neurons transmit information between each other through chemical and electrical signals via synapses thereby forming neural networks, a series of interconnected neurons. This is what is meant by “the wiring of the brain” and “neurons that fire together, wire together”. Neurons and synapses grow exponentially in the first years of life, even before a baby can walk and talk. Between birth and about 3 years of age, the number of synapses in the brain increases from about 2,500 to 15,000 per neuron.

As an infant experiences something or learns something for the first time, a strong neural connection is made. If this experience is repeated, the connection is reactivated and becomes strengthened. If the experience is not repeated, connections are removed. In this way, the brain “prunes” what is not necessary and consolidates the connections that are necessary. During infancy and the first years of childhood, there is significant loss of neural pathways as the brain starts to prune away what it doesn’t believe it will need to function. By the time your child reaches adulthood, the number of synaptic connections is reduced by half. Therefore, the earlier in a child’s development that we create that first, correct learning experience, the stronger those behaviors and skills are secured in the brain.

Children with developmental delays often experience the wiring of neurons together in a manner that is “unhelpful”, causing them to struggle with communication, social skills and other activities. These “unhelpful” connections need to be changed, which adds to the challenge and takes time. Technically, learning cannot be undone in the brain, but amazingly, with stimulation, the brain has the ability to re-process new pathways and build circuits that are helpful and functional. The brain has a remarkable capacity for change and adaptation, but timing is crucial. The earlier we create the correct connections in a child’s brain, the stronger those behaviors and skills are secured in the brain.

Intervention is best during early childhood when there are 50 percent more connections between neurons than exist in the adult brain. When a child reaches adolescence, another period of pruning begins where the brain starts to cut back on these important brain connections, and neurons that have not been used much. For children with all types of learning difficulties and developmental disorders, this understanding of the brain’s plasticity is particularly relevant, because it emphasizes why the correct type and intensity of early intervention is so critical. If we correctly understand a child’s skill deficits and design a program that appropriately stimulates the neurons in the targeted weakened areas of the brain, we can exercise and strengthen those areas of the brain to develop language, social skills etc.

While there is much evidence to support that early intervention is the preferred course of action because it capitalizes on this rapid early brain development, this wisdom often leaves parents or caretakers of teenage children with ASD feeling discouraged and concerned. Many children don’t have the opportunity to start therapy when they’re younger, and many others aren’t diagnosed until they’re teenagers. It may be easier and faster for children to learn new skills when they are younger, however, neuroscience tells us that the brain is still capable of learning during adolescent years, and this time period should not be forsaken.

So how do you train your child’s brain? In order to change the brain’s wiring and make new neural connections, a new skill needs to be practiced many times. Dr. Gordon recommends starting with one, simple task and practicing it at least 10 times per day. Measure how long it takes for your child’s behavior to change. This will help you determine your child’s rate of learning.

An example of a simple task is teaching your child to follow a simple instruction using a preferred item such as asking him to eat his favorite food. You can then move onto a more complex activity such as requesting eye contact by saying “Look at me” and then something more complex such as “touch the car” when playing with a toy car, for example. There are many opportunities throughout the day during normal daily parenting activities (bathing, feeding, diapering, reading, etc.) during which you can support your child’s development and train their brain to respond to people and their environment.

One common question is, “What is possible with the brain after childhood?” For many years, science has told us that brain plasticity is at its peak during childhood. However, experts now believe that under the correct circumstances, practicing a new skill can change hundreds of millions, if not billions, of connections between nerve cells in the brain even into adulthood. It is never too late to start. The most important thing to remember is that learning is what changes the brain and learning takes practice. Every opportunity to teach your child is an opportunity to shape their brain and change their future.

For more information, visit Developmental Milestones from the Child Mind Institute http://www.childmind.org/en/developmental-milestones/ 

Learn more about the work and resources of Dr. Evian Gordon at
https://www.mybrainsolutions.com/index.html 

Harvard’s “Serve & Return” concept of parent engagement
http://developingchild.harvard.edu/key_concepts/serve_and_return/

Early Detection and Treatment for Autism with Dr. Geraldine Dawson

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Geraldine Dawson is the William Cleland Distinguished Professor of Psychiatry and Behavioral Sciences at Duke University, where she also is Professor of Pediatrics and Psychology & Neuroscience. Dawson is the Director of the Duke Institute for Brain Sciences whose mission is to promote interdisciplinary brain science and translate discoveries into solutions for health and society.  Dawson also is Director of the Duke Center for Autism and Brain Development, an NIH Autism Center of Excellence, which is an interdisciplinary research program and clinic, aimed to improve the lives of those with autism through research, education, clinical services, and policy. She has published several books on autism, including An Early Start for Your Child with Autism, A Parent’s Guide to High-Functioning Autism, and  What Science Tells Us about Autism Spectrum Disorder.  Dawson’s pioneering studies were among the first to describe the emergence of autism symptoms during infancy, leading to new screening tools. Dawson co-created the Early Start Denver Model, an early autism intervention shown to improve behavioral outcomes, which has been translated into 17 languages and is used worldwide. Her work showed for the first time that early intervention can normalize aspects of brain activity in children with autism, changing the field’s view of brain plasticity in autism, a finding recognized by TIME Magazine as one of the top 10 medical breakthroughs of 2012. A strong advocate for persons with autism, Dawson has testified a number of times before the US Congress in support of major autism legislation and was appointed by the U.S. Secretary for Health and Human Services for two terms to the DHHS IACC.

All Autism Talk (allautismtalk.com) is sponsored by LEARN Behavioral (learnbehavioral.com).

Brain Plasticity & Early Intervention

Updated On

The following is based on a conversation Ronit Molko, Ph.D., BCBA-D and Dr. Evian Gordon, Chairman and CEO of Brain Resource.

The development of the brain is a fascinating and essential aspect of child development. The science behind the brain provides parents and practitioners valuable insight into why early intervention is so important for individuals with autism and other developmental disabilities.

At birth, a child’s brain is unfinished. It develops as they experience the world through seeing, hearing, tasting, touching and smelling the environment. The natural, simple, loving encounters with adults that occur through the day, such as a caregiver singing, smiling, talking and rocking their baby, are essential to this process. All of these encounters with the outside world affect the child’s emotional development and shape how their brain becomes wired and how it will work.

The experiences of babies have long-lasting effects on their ability to learn and regulate their emotions. When there is an absence of appropriate teaching and learning opportunities in the baby’s environment, the brain’s development can be affected and there are more likely to be sustained negative effects. Conversely, if we can provide ample learning opportunities, we can facilitate brain development. Let’s understand how and why.

Learning is about connection. A baby is born with more than 85 billion neurons in its brain. Neurons are nerve cells in the brain that transmit information between each other through chemical and electrical signals via synapses thereby forming neural networks, a series of interconnected neurons. This is what is meant by “the wiring of the brain” and “neurons that fire together, wire together”.

As an infant experiences something or learns something for the first time, a strong neural connection is made. If this experience is repeated, the connection is reactivated and becomes strengthened. If the experience is not repeated, connections are removed. In this way, the brain “prunes” what is not necessary and consolidates the connections that are necessary. During infancy and the first years of childhood, there is significant loss of neural pathways as the brain starts to prune away what it doesn’t believe it will need to function. The earlier in a child’s development that we create that first, correct learning experience the stronger those behaviors and skills are secured in the brain.

Children with developmental delays often experience the wiring of neurons together in a manner that is “unhelpful”, causing them to struggle with communication, social skills and other activities. These “unhelpful” connections need to be changed, which adds to the challenge and takes time. Technically, learning cannot be undone in the brain, but amazingly, with stimulation, the brain has the ability to re-process new pathways and build circuits that are helpful and functional. The brain has a remarkable capacity for change and adaptation, but timing is crucial. The earlier we create the correct connections in a child’s brain, the stronger those behaviors and skills are secured in the brain.

Intervention is best during early childhood when there are 50 percent more connections between neurons than exist in the adult brain. When a child reaches adolescence, another period of pruning begins where the brain starts to cut back on these important brain connections, and neurons that have not been used much. For children with all types of learning difficulties and developmental disorders, this understanding of the brain’s plasticity is particularly relevant, because it emphasizes why the correct type and intensity of early intervention is so critical. If we correctly understand a child’s skill deficits and design a program that appropriately stimulates the neurons in the targeted weakened areas of the brain, we can exercise and strengthen those areas of the brain to develop language, social skills etc.

So how do you train your child’s brain? In order to change the brain’s wiring and make new neural connections, a new skill needs to be practiced many times so Dr. Gordon recommends starting with one, simple task and practicing it at least 10 times per day. Measure how long it takes for your child’s behavior to change. This will help you determine your child’s rate of learning.

An example of a simple task would be teaching your child to follow a simple instruction using a preferred item such as asking him to eat his favorite food. You can then move onto a more complex activity such as requesting eye contact by saying “Look at me” and then something more complex such as “touch the car” when playing with a toy car, for example. There are many opportunities throughout the day during normal daily parenting activities (bathing, feeding, diapering, reading, etc.) during which you can support your child’s development and train his brain to respond to people and his environment.

One common question is what is possible with the brain after childhood? For many years, science has told us that brain plasticity is at its peak during childhood. However, experts now believe that under the correct circumstances, practicing a new skill can change hundreds of millions, if not billions, of connections between nerve cells in the brain even into adulthood. It is never too late to start. The most important thing to remember is that learning is what changes the brain and learning takes practice. Every opportunity to teach your child is an opportunity to shape their brain and change their future.

Continue reading “Brain Plasticity & Early Intervention”