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Sunday, May 19, 2013
Could my daughter be autistic?
I think she might be autistic. At the moment I’m on my wits end wondering what could be the cause of her behavior. First of all, she appears in her own world and finds it hard to react to things going on around her let’s say someone waving at her. At the mall or anywhere crowded, she gets really disorientated and unhappy, when in a mall for example.
She however can talk quite normally but can stutter sometimes. When she was younger, she liked to line her cars up on the mat rather than play with them. She appears normal and can talk but just simply can appear in her own world and doesn’t know how to react. It seems more than aspie to me but I was wondering, is there anything in between and also can autism be detected on a brain scan? Also someone might give her a look or wave but she can’t react appropriately. She gets really odd looks sometimes because people don’t realize there might be something wrong with her. Thanks. Also her dad has schizophrenia if that’s of any help.
Thanks for your question. The description you give for your child is indeed confusing. When you describe her language as quite normal, it suggests this is not autism. When you describe these episodes of being in her own world, and being disoriented as to how to respond to others sometimes, it is less clear.
You don't mention her age, how she is doing with other children her age, or how she is performing academically in her pre-school or school program. All of these are important factors in assessing her.
The majority of pediatricians are well acquainted with the autism spectrum disorders and my recommendation is to discuss this thoroughly with your child's pediatrician first. She or he can best decide whether additional evaluation is needed.
Regarding your other questions, at this time autism cannot be detected on a brain scan so that is of little help. Her father's diagnosis of schizophrenia is of interest, but again, at this time there is no clear relationship that would help confirm her diagnosis.
Daniel Coury, MD
Clinical Professor of Pediatrics and Psychiatry
College of Medicine
The Ohio State University