Is the child autistic if he doesn't talk?

The incidence rate in the south is higher than that in the north.

For example, as a child psychologist, my first impression of Hunan more than 10 years ago was that the incidence of autism in Changsha was higher than that in the north, and now the growth rate seems to be faster. "This is not my feeling alone. Almost all child psychologists have this impression. According to research experience in other places, autistic children are also more common in economically developed areas and downstream areas of some river basins. "

Because there is no epidemiological survey of autism in Hunan, it is impossible to know the exact incidence and number of autistic patients. However, in 2007, Hunan Mental Health Center and other institutions conducted a clue survey of mental illness, and the situation was worrying. At that time, 78 children with autism were added to the registered population in Hunan. According to the calculation of more than 2 million registered population and a family of three at that time, at least one family in 10000 had an autistic child. According to reports, there were about 500-600 autistic children in Hunan in 2002, and now it is conservatively estimated that there are 20,000 autistic children. Now the second child policy is estimated to be higher.

"Considering our current extensive and predatory economic development model. Are people in their reproductive period destroyed by the environment and then reflected on their next generation? I guess so. Environmental damage is an important factor that cannot be ignored in the occurrence of autism. "

According to the statistics of the World Health Organization, there are 6.5438+0.5 million-6.5438+0.8 million autistic children in China, but some scholars think that there may be 6.5438+0.5 million-7.8 million autistic children in China at present.

According to statistics, the prevalence of autism in the United States has accelerated.

"In the United States, the prevalence of autism and the number of patients are constantly increasing and accelerating." He introduced the latest relevant statistics in the United States: in the 1970s, the incidence rate was four in ten thousand; It rose to one in ten thousand in the 1990s; In 2007, a survey in four states in the United States/kloc-0 showed that the prevalence rate of autism spectrum disorder reached1150, with the prevalence rate of male children as high as 1/95. In 2008, the number of patients reported in the United States has reached 535,000; In 2009, CDC reported that the number of patients increased by 57% in the past four years.

"Diseases that were rare in the past are now very common, and this development speed is very serious." Why is it rising so fast in America? It is believed that the cause of autism is not clear, and some genes of patients are known to have mutations. At the same time, some surveys in the United States show that the increase of autism is related to environmental changes, such as air pollution and the use of chemicals. The change of environment and the number of autistic people are increasing simultaneously, but the current research can't prove the causal relationship between them.

For the treatment and intervention training of autism, experts say that drugs are rarely used in clinic, and most of them are behavioral intervention. As for the drugs and injections on the market that claim to be able to treat autism and promise high treatment rate, experts advise parents to choose carefully. Improper use of drugs will have great toxic and side effects on autistic patients, especially infants.

At the World Autism Day Public Welfare Exhibition jointly organized by Peking University Sixth Hospital and Peking University Healthy Children Medical Center, an autistic mother once said that I hope I can live one more day than my children. It is a tragedy for white-haired people to send black-haired people to other families, but it has become a dream and wish of autistic families.

At present, the prevalence of children with autism is on the rise worldwide. How to reduce the despair and sadness of autistic families? Under the existing medical technology, "early detection, early diagnosis and early intervention" may be recognized as the best scheme.

Is it autism that children don't talk?

Language delay and difference are signs of autism. Children whose language seems normal in early childhood will also have language barriers with their age, and it is difficult for them to understand language or body language, gestures and so on. Just because the language is slow doesn't mean that the child has autism. Language delay and differences are also directly related to other obstacles, such as children's hearing and pronunciation organs.

Children who don't talk may also have language retardation. What is language retardation?

Language retardation refers to the fact that children can't understand and express their own language like normal children and can't communicate with others in daily life due to various reasons.

What is the boundary between autism and language delay?

First, from the age of onset, children with language disorders are mostly preschool children. When they are old enough to talk normally, they can't communicate like normal people. On the other hand, autism occurs in school-age children. Autistic children like to be alone, are insensitive to people or things around them, and all show an indifferent attitude and are unwilling to communicate with others.

Second, from the symptoms, children with language retardation are basically normal except that they can't speak. People with autism can communicate with others, but if they don't take the initiative to communicate with others, they will be impatient and have obvious nostalgia. Once something you like is damaged, you will always fall into a sad psychology and cannot extricate yourself.

Third, from the difficulty of treatment, children with language disorders are easier to treat. Parents usually interact with their children to supplement DHA needed for brain development. The treatment of autistic patients is much more difficult, and children can only get out of the shadows with the help of drugs and parents and teachers.

Children who don't talk are not necessarily autistic. Children can't speak because of hearing, intelligence and language development retardation.

You should judge and rule out this problem one by one. First, determine whether the child can "hear", for example, use a sound source to test whether the child will react and move with the movement of the sound. If it is confirmed that there is no problem with the child's hearing, it is most likely that the child's language development is slow.

Language retardation mostly occurs in preschool age, which is mainly divided into receptive language disorder and expressive language disorder; If the child just can't express, but there is no problem with understanding and memory, then the focus of training should be on the child's imitation and expression of language, and family intervention should enhance the stimulation of language and minimize audio-visual products. Children with this disease can basically return to normal levels as they get older.

If children accept language delay, then we should focus on cultivating children's perception, understanding and memory of language, which is more complicated than the former. The effect of intervention also teaches the former to be worse.

Speaking of autism, it is not as simple as language delay, but there are different degrees of obstacles in social and behavioral aspects.

If children have obvious social and behavioral obstacles in addition to language retardation, they should be highly vigilant. If there is a similar situation, you should go to the hospital immediately and make an early diagnosis.

Autism, also known as autism, is difficult to determine whether it is autism without looking at it.

1, communication disorder: autistic children don't make eye contact with others, even avoid eye contact, and don't make some active actions to attract attention.

2, physical contact obstacles: do not understand or will not be close to people, even for the closest people, and even resist.

3. Speech disorder: The speech development of autistic children is slower than that of normal children. Parents should pay attention if their children have speech development.

4. Stereotype: lack of facial expressions, such as smiling, crying, sadness, etc. Stiff behavior, movements.

5. Weird hobbies: Autistic children often have some strange fixed habits or games, which are monotonous and lack of change, and resist any change.

6. Language barriers: About 50% of autistic children have no communicative language, and autistic children who have verbal communication often show parody, pronoun inversion, lack of tone sandhi and irrelevant answers.

7. Slow or unresponsive: hearing is normal, but he is unresponsive or unresponsive to calling his name.

The diagnosis of autism is very complicated, and most of them have no abnormal manifestations. The younger children are, the less frequent and obvious social activities and behaviors themselves are, which requires sensitive observation by adults.

If you have the above abnormalities, you'd better go to the hospital for examination and diagnosis. Is it autism? What kind of autism is it? Is it mild, moderate or severe autism? Only after the diagnosis can we prescribe the right medicine and let the child recover as soon as possible.

I want to know how old your child is.

There is no strict definition of autism at present. Parents usually don't realize the problem until their children are about three years old. But not talking is not autism.

It is suggested that if you feel that your child has a problem, you should go to the hospital for examination so as not to delay your child's treatment.

Manifestations of autism

Communication difficulties

Performance: Parents don't kiss, don't like being hugged, don't take the initiative to find children to play, don't respond to phone calls, and play by themselves.

language barrier

Performance: There are very few words. If you don't use gestures instead, people can talk in a low voice, or talk to themselves. They will only repeat other people's problems, replace themselves with you and him, and often scream.

Environmental obstacle

Performance: It is difficult to adapt to the new environment, because they tend to focus on one or several activities for a long time. Most children also show aimless activities, hyperactivity, monotonous repetitive jumping, clapping, waving, running, spinning, and some even have self-injury behaviors, such as repeatedly picking their nostrils, picking their mouths, biting their lips and sucking.

Slow response, self-injury and self-harm

Performance: the child is slow to respond and even makes self-harm behavior. Sensitive to the surrounding sounds and images, mental development is slower than other children. A few children have normal or nearly normal intelligence.

Let's pay attention to the difference between language retardation and autism:

There are many branches of developmental disorder, among which social disorder mainly refers to autism.

If the child is simply slow in language development and has no social barriers, that is to say, the child can clearly express his feelings, understand the feelings of adults, make eye contact and have no rigid behavior, then the possibility of autism can be initially ruled out.

However, if the child's language development is slow, accompanied by social obstacles, such as not looking at people, refusing to hug, like repeating rigid behaviors, such as turning around or looking at fixed things, unable to communicate with parents in the right way, unable to play with toys correctly, and being overly sensitive or insensitive, then parents should be alert to autism.

It is recommended to take children to the hospital for comprehensive evaluation, judge the development level of various abilities, and then carry out targeted training.

This is definitely not necessary.

How about reflecting on the baby's living environment first? How is the relationship between parents?

If it is in a harmonious situation, it may be that parents teach less, so you can communicate with your baby more, for example, while playing games, explain to her and let her cooperate! Then take him to a crowded place to play and exercise his communication skills.

That's what I did. Babies over one year old especially like to imitate adults.

Children who don't talk are not necessarily autistic. There is a big difference between language retardation and autism.

Language retardation refers to the fact that children's oral expression ability or language understanding ability obviously lags behind the normal development level of children of the same age due to various reasons. Mental retardation, hearing impairment, joint muscle weakness, joint organ diseases, central nervous system diseases and bad language environment are all common reasons for children's language development retardation.