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![]() ![]() Measurement of mercury or other heavy metalsĭiagnosis of ASD is made by using all the information collected by history, observation and testing. Routine measurement of multiple vitamin or nutrient levels There is not enough clinical evidence to recommend any of the following tests specifically for ASD: Iron or vitamin deficiencies (especially vitamin D deficiency). Picky eaters, so your child's pediatrician may recommend looking for evidence of Depending on findings from the child's medical history and physical examination, electroencephalography (EEG), a magnetic resonance imaging (MRI) or tests for metabolic disorders may be requested. A child's blood lead level should be tested when they live in a high-risk environment, such as an older building, or continue to put things in their mouth. Lead screening is an important component of well-child checkups. Genetic testing may also be recommended if there is a family history intellectual disability of an unknown cause or other genetic disorders. Genetic testing should be strongly considered if a child has either unusual physical features or developmental delays. At present, up to 42% of children on the autism spectrum have genetic abnormalities that can be identified through chromosomal microarray testing.ĭepending on findings from a child's history and physical examination, other types of genetic testing may be recommended to look for specific disorders. It is recommended that families be offered genetic testing, such as chromosomal microarray testing, to help identify potential reasons a child might have ASD. ![]() If these tests are appropriate, your child may be referred to other specialists, such as a This depends on findings from the child's history and physical examination. Laboratory tests may be called for to evaluate for other possible medical conditions that could cause ASD symptoms. Autism may be associated with a known genetic syndrome or medical condition. There is value in receiving a diagnosis and continuing to add information to a supports and services plan. While an ASD diagnosis is based on all the information collected, such as a child's history, observations and tests, these do not have to be completed at the same time. This should also include an evaluation of pragmatic language (social use of language) and articulation (pronunciation). Language evaluation that provides standardized scores of expressive language (including speech and gestures) and receptive language (understanding of others' speech and gestures). All children with any speech/language delays or those suspected of having ASD should have their hearing formally tested. ASD is suspected when a child's social and language functioning is significantly more impaired than their overall level of motor, adaptive and cognitive skills. Review of records of previous early intervention services, school or other evaluationsĭevelopmental assessment of all skills (motor, language, social, self-help, cognitive). Typically, a diagnostic evaluation for ASD includes:Ĭareful observation of play and child-caregiver interactionsĭetailed history and physical examination ASD can also be diagnosed by a team of specialists that might include developmental pediatricians, child neurologists, child psychiatrists, psychologists, speech-language pathologists, occupational or physical therapists, educators and social workers. Meanwhile, a doctor or psychologist with expertise in diagnosing ASD may make the diagnosis. If your child is between 3 and 5 years old: They may be eligible to attend a developmental preschool program for children in need of more support. If your child is 3 years old or older: They can be evaluated, and likely enrolled, in your local school district's special education services. If your child is under 3 years old: They should also be referred to your state's Early Intervention (EI) program. ![]() Starting services through early intervention programs Although diagnostic evaluations can take some time to arrange, some early intervention services can start without a diagnosis. Intervention for ASD consists of several different things.įirst, your child's pediatrician may prescribe medically necessary therapies such as speech, behavioral, and/or occupational therapy. It includes asking parents and caregivers a number of questions, observing the child, doing a physical examination and requesting various tests. Ideally, this is done by a team of professionals. They should also be referred for early intervention services.Ī full assessment or diagnostic evaluation for ASD is needed before arriving at a diagnosis. Autism spectrum disorder (ASD) is the suspected cause of language and social delays, your child will need a full diagnostic evaluation. ![]()
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