{"id":345639,"date":"2020-07-08T13:42:51","date_gmt":"2020-07-08T13:42:51","guid":{"rendered":"https:\/\/ora-visio.com\/autism-which-treatment-should-you-choose-for-your-child\/"},"modified":"2020-07-08T13:42:51","modified_gmt":"2020-07-08T13:42:51","slug":"autism-which-treatment-should-you-choose-for-your-child","status":"publish","type":"post","link":"https:\/\/ora-visio.com\/en\/autism-which-treatment-should-you-choose-for-your-child\/","title":{"rendered":"Autism: Which Treatment Should You Choose for Your Child?"},"content":{"rendered":"<p><strong>When the verdict of <a href=\"https:\/\/ora-visio.com\/en\/defining-autism-in-5-questions\/\" target=\"_blank\" rel=\"noopener noreferrer\"><u>autism<\/u><\/a> comes down, walls go up in parents&#8217; minds. Difficult communication, schooling that needs adapting, integration and its obstacles\u2026 And yet, autism will above all be a journey, one that was certainly not chosen, but that can be steered towards fulfilment. To achieve this, treatments for autism do exist. The earlier the support is put in place and the better it is tailored to the child, the greater their ability to adapt to their environment will be. Some treatments are more useful or effective than others. So which approach should be favoured to best support an autistic child, given that no medication can cure autism?<\/strong><\/p>\n<h3><strong>Building independence: educational methods<\/strong><\/h3>\n<p>These are educational measures useful from the very first months of life. They can be arranged, adjusted and adapted over the years to help <a href=\"https:\/\/ora-visio.com\/en\/defining-autism-in-5-questions\/\" target=\"_blank\" rel=\"noopener noreferrer\"><u>a child with autism<\/u><\/a> develop their language, cognitive and motor abilities. They also help the child adopt the right mechanisms to manage emotions, adapt their behaviour, and interpret situations of interaction with others. These educational methods work at the behavioural, developmental and social level.<\/p>\n<h3><strong>ABA (Applied Behavior Analysis) or Lovaas behavioural therapy<\/strong><\/h3>\n<p>Its goal? To organise and reinforce skills that are yet to be acquired or only partially acquired. Learning to express oneself, to play, to adjust one&#8217;s reactions, to understand interactions, and to manage meltdowns: that is the promising programme of this behavioural method. Achieving this requires a highly structured framework. The treatment is costly and commits parents over several years. In practice, the autistic child is stimulated by a professional for 20 to 25 hours a week. With this intervention method, families rely on a therapy in which everyone gets involved: parents, the treatment team, and possibly a support worker. It is not unusual for parents to take ABA training themselves so they can stimulate their own child as part of this care.<\/p>\n<p><strong> <\/strong><\/p>\n<blockquote><p><strong>RESULTS OF DR IVAR LOVAAS&#8217;S 1987 STUDY ON THE ABA METHOD<\/strong><\/p>\n<p><strong> <\/strong>19 autistic children aged 35 to 41 months were stimulated 40 hours a week for 2 years<\/p>\n<p><strong>CONCLUSION<\/strong><\/p>\n<p>50% had behaviour similar to other children and went on to lead satisfying lives.<\/p>\n<p>50% made significant progress.<\/p>\n<p>A small number of cases showed little improvement.<\/p><\/blockquote>\n<p><strong> <\/strong><\/p>\n<h3><strong>TEACCH developmental therapy<\/strong><\/h3>\n<p>The TEACCH method (Treatment and Education of Autistic and related Communication-handicapped Children), developed by Dr Eric Schopler, focuses more on the environment of a child with autism or any other communication difficulty. In this therapy, developed in 1970, the child is not required to adapt to their environment; rather, their environment is adjusted to their disability. With this learning approach, the child&#8217;s weaknesses are reduced through <a href=\"https:\/\/ora-visio.com\/en\/autism-a-polymorphic-disorder\/\" target=\"_blank\" rel=\"noopener noreferrer\"><u>specific adaptations for autistic disorders<\/u><\/a> (visual cues in the classroom, a well-structured space, adapted language, etc.). The aim is to build on the child&#8217;s strengths so they gain independence and autonomy. This programme, which can be used at any age and regardless of the child&#8217;s intellectual level, focuses more on their natural interests, with one major priority: communication.<\/p>\n<p>Research evaluating this practice has enabled the HAS (French National Authority for Health) to record real progress in motor and cognitive domains.<\/p>\n<h3><strong>PECS: the picture exchange communication system<\/strong><\/h3>\n<p>Developed by speech therapists in 1985, the PECS teaching protocol is an alternative communication system for children with language difficulties, including autistic disorders. These teaching strategies aim to build an independent communication ability without initial verbal prompting. It consists of 6 learning phases, moving through exchanges, picture discrimination, and then the acquisition of words and sentences.<\/p>\n<p>Several studies have provided solid evidence of the effectiveness of PECS in developing speech in learners.<\/p>\n<h3><strong> <\/strong><strong>Socialisation protocols<\/strong><\/h3>\n<p>Other forms of therapy exist that aim to help autistic children integrate well into society.<\/p>\n<ul>\n<li>The Floortime method, or RDI (Relationship Development Intervention Program), uses the resources of play and the 6 stages of emotional development. Social exchange abilities and emotional management are stimulated in a playful way. This practice acts as a kind of introduction to the more advanced learning the child will need to acquire.<\/li>\n<li>The Early Start Denver Model also uses play to help autistic children move towards communicating with those around them and taking part in activities, from their very first months of life. From the first signs of autism in an infant, this method proves to be a good initial approach. It alternates individual sessions with a professional and time at nursery or with a parent.<\/li>\n<li>The SCERTS method (Social Communication, Emotional Regulation and Transactional Support) is also a therapy based on teaching communication and socio-emotional behaviours to children with a pervasive developmental disorder (PDD) and its effects on communication abilities.<\/li>\n<\/ul>\n<h3><strong>Are psychotherapy and psychoanalysis suitable solutions for PDD?<\/strong><\/h3>\n<p><strong> <\/strong><strong>Psychotherapy: <\/strong>While autism cannot be cured, the lives of children with this disability can nonetheless be considerably improved. Psychotherapy, when carried out by psychologists specialised in PDD, is one of the solutions to consider, to be combined with the methods mentioned above. It helps develop emotional and behavioural management. These skills are essential for the child to be properly included within their family, at school, and in every interactive situation they will experience.<\/p>\n<p>&nbsp;<\/p>\n<p>This child, full of resources and surprises, is a journey in themselves. Psychological care must be adapted to their profile, their abilities, but also their personality, motivations and interests. The therapist encourages the child to express themselves verbally or using pictures, notably through the PECS protocol. In this therapeutic setting, the psychologist&#8217;s tolerance in the face of the child&#8217;s meltdowns and difficulties encourages emotional expression and communication work. Psychotherapy as a treatment for autism should not be seen as a stand-alone approach. It is rather a solid tool for reinforcing the other educational methods and working towards a calmer life for the child with this disability and those around them.<\/p>\n<p><strong>Psychoanalysis<\/strong><\/p>\n<p>The psychoanalytic approach has been controversial in recent years, ever since the HAS ruled in 2012 that this method was &#8220;not subject to consensus&#8221; and had &#8220;unproven&#8221; effectiveness, in other words not recommended as a first-line approach. It was long part of the care system in France. Its aim is to bring to light the unconscious meaning behind a patient&#8217;s actions, words and creations. For children with autism, psychoanalysis generally involved both the mother and the child. Guilt would then weigh on the mother, whereas the latest advances in this field have shown there is no link between parents&#8217; actions and the appearance of pervasive developmental disorders.<\/p>\n<blockquote><p><strong> <\/strong>&#8220;Parents&#8217; experiences do indeed show that this psychoanalytic interpretation of autism is still widely used, not only across a broad public space ranging from the media to their colleagues or family, but also among care professionals [\u2026]. Accounts of painful episodes in which parents were blamed for the disability keep resurfacing, always provoking the same sense of solidarity and the same outrage.&#8221;<\/p>\n<p><em>C\u00e9cile M\u00e9adel, sociologist<\/em><\/p><\/blockquote>\n<p><em> <\/em><\/p>\n<p>To find out more: the film &#8220;<a href=\"https:\/\/www.dailymotion.com\/video\/x16d4fv\" target=\"_blank\" rel=\"noopener noreferrer\"><u>Le Mur (The Wall): Psychoanalysis Put to the Test by Autism<\/u> <\/a>&#8221; sparked real debate in France. It is a documentary by Sophie Robert featuring testimonies from child psychiatrists and psychoanalysts.<\/p>\n<p>&nbsp;<\/p>\n<p><strong> <\/strong>Whatever care pathway is chosen to help your child, it should be as unique as they are. This care will involve multidisciplinary professionals (educators, doctors, <a href=\"https:\/\/ora-visio.com\/en\/distance-psychology\/\" target=\"_blank\" rel=\"noopener noreferrer\"><u>child psychologists<\/u><\/a>, nurses, <a href=\"https:\/\/ora-visio.com\/en\/online-speech-therapy\/\" target=\"_blank\" rel=\"noopener noreferrer\"><u>speech therapists<\/u><\/a> and psychomotor therapists), from a very young age. To support you, <u>ORA<\/u> aims to lighten the logistical load by offering online consultations. Wherever you are in the world, from home, healthcare professionals specialised in autism spectrum disorders are available to you.<\/p>\n<p>&nbsp;<\/p>\n<p><strong> <\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When the verdict of autism comes down, walls go up  [&#8230;]<\/p>\n","protected":false},"author":7,"featured_media":345640,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[339,341],"tags":[],"class_list":["post-345639","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-speech-therapy","category-psychology"],"_links":{"self":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/posts\/345639","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/comments?post=345639"}],"version-history":[{"count":0,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/posts\/345639\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/media\/345640"}],"wp:attachment":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/media?parent=345639"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/categories?post=345639"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/tags?post=345639"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}