The moment when you learn about your child being autistic can be a life changing moment for you. You might feel all the dreams and aspirations which you built around your child come crashing down on a pile of zilch. However, recent developments in this field show that you can certainly take steps to make your child more comfortable and bond well with them. 

Autism related disorder usually begin before the age of 3, when the child starts encountering problems in communication and social interaction. This article tries to help you find a way to deal with an autistic child:

Learn more about autism: Learn about autism as much as you can; a broad understanding of the causes and symptoms of the disorder can help you understand your child better. This will also enable you to respond to your child s needs better, both physical and psychological. 
Build a strong support system: It is difficult to parent a child who is suffering from autism. Communicating and interacting with your child might be extremely difficult and problematic. In order to overcome this stress, you should have a strong support network, a support network from which you can draw your strength and logic once you have to take major life decisions for your child. 
Review your treatment options: It is advisable to start treatment immediately after the diagnosis is done. Early treatment can help better your child s cognitive skills that can help him/her cope better with the surroundings and circumstances. The treatment options include behavioral training whereby self-help or social skills training is used to work on the child s communication skills and behavior. Specialized therapy is another option whereby the therapies are directed at a particular aspect of the child, primarily speech or physical functioning. 
Focus on your child s diet: Diet plays an important role in the regularization of any disease. Even in case of autism, deficiency of certain vitamins or minerals makes it very important to analyze the diet and then assess it. Consult with the doctor before making any modification to the child s diet. 
Behavioral training: Behavioral training is an aspect of autism treatment that allows the child to adapt to various conditions. Before a child undergoes behavioral training, it is advised to assess his/her behavior, functional abilities and the environment your child belongs to. The objective of this therapy or training is to induce desired behavior and get rid of the undesirable ones.

Tips for Parents to Deal with Autistic Children 

In modern days, migraine has become a common disease that affects the young and the old equally. Migraine as such cannot be cured, but improving lifestyle and Ayurvedic medication can help you keep this disease under control and improve your quality of life.

What is Migraine?
Migraine, commonly known as Sooryavarta in Ayurveda, is a medical condition in which the excessive stimulation of the blood vessels in the brain causes a throbbing pain on one side of the head and is associated with nausea, sensitivity and vomiting. This happens because the vomiting centre of the brain gets activated during an episode. These symptoms are the most common signs; however, it varies from person to person. 

What Causes Migraines?
These headaches worsen upon sunrise and it is at its peak at noon, when the sun is at its highest intensity and slowly subsides on sunset. This is one of the major factors in setting in an episode; it is not true in every case. 

The other triggers that cause migraine attacks according to Ayurveda are:

Spicy and oily food
Stress, anger, grief, jealousy
Suppressed emotions or natural urges
Indigestion
Consumption of too much of dry, salty and pungent food
Consuming polluted food
General triggers may include:

Smoking and drinking
Stress
Fasting
Physical stress and exercise
Fluctuation in hormone levels during the menstrual cycle or the use of birth control pills
Stopping intake of tea or coffee suddenly
Stress to sensory organs in the form of bright noises, bright lights, strong perfumes or odours etc.
Certain foods or beverages may also trigger an episode of migraine. These include baked foods, chocolates, processed foods, spicy foods, onions, dairy products and peanuts. These kinds of foods are known to suddenly increase Kapha dosha or Pitta Dosha and as a result, trigger an attack.

Symptoms of Migraine-
It is usually characterised by a stinging, throbbing pain on one side of the head and is followed by nausea and vomiting. Some people may get visual aberrations called an aura- such as blind spots, blurred visions, distorted lines etc.

Ayurvedic medications that can help migraine are:

Indian licorice   Glycyrrhiza glabra
Sariva   Hemidesmus indicus
Hareetaki   Chebulic myrobalan-Terminalia chebula
Amalaki   amala   Emblica officinalis
Mallika   Jasminum officinale
Hareetaki   Chebulic myrobalan-Terminalia chebula
Bala   Sida cordifolia
Kumari   Aloe vera
Sariva   Hemidesmus indicus
Simple home remedies useful in migraine:

Tender leaves of jasmine or tender leaves of pomegranate are taken along with a pinch of salt and crushed well to obtain fresh juice. Early in the morning, preferably in empty stomach, 2-3 drops of this fresh juice is instilled to both the nostrils. Procedure is repeated once again evening hours (6-7 pm). This reduces the severity of headache in migraine.
One fist full of Doorva grass (cynodan dactylon) is taken and its fresh juice is obtained. To this, 2 pinch of licorice powder is added and mixed well. This is consumed during the noon hours. Procedure is repeated for 20-30 days. This helps to reduce the severity of illness significantly.
Take coriander seed powder   1 teaspoon. add it to one cup of water, leave it as it is at night, next day morning, drink it on empty stomach.
Soak 5 raisins and 5 almonds in water at night, next day morning, eat them.

Migraine - Causes, Symptoms And its Ayurvedic Treatments 

Autism is a developmental disorder that is usually diagnosed within the first three years of a child s life. Speech disorders and an inability to communicate with others are characteristic symptoms of autism. Speech therapy can be very beneficial for such children. Thus, it is often a major part of a treatment plan for autism. Some of the benefits of speech therapy for autistic children include:

Better articulation: Autistic children often find it hard to make certain sounds. Hence, they tend to babble or make harsh sounds or grunt instead of talking. A speech therapist can help the child learn to articulate sounds in a better way. For this, the therapist will help the child exercise the facial muscles and lips. This can make it easier for them to be understood by others.
Treating echolalia: Echolalia refers to a child s behaviour where he or she answers a question by repeating part of it. This may be because they find it difficult to express their own thoughts and feelings. Echolalia is very common amongst autistic children. Speech therapy is the only way to treat this condition. If left untreated, it could make the child withdraw into himself.
Better vocabulary: Autistic children often memorize words without understanding them. A speech therapist can help the child put words into context and thus help reduce their dependence on gestures. This can also make autistic children more confident. In addition to expanding their vocabulary, a therapist can also teach children the proper time and place for communication. For example, when to say good morning and good evening.
Initiate communication: When children are not confident of expressing themselves, they wait to be called on before saying anything. By helping them articulate sounds better and expanding their vocabulary, a speech therapist can help children gain the confidence needed to initiate conversations. With therapy, autistic children can also follow simple instructions and begin to answer questions independently. This will make them more independent.
Speech therapy does not follow the same techniques for all children. For therapy to be effective, the therapist must work in close collaboration with the child s parents and caregivers to set the right goals and monitor the child s progress. Some of the techniques that may be used include the use of electronic talkers, typing or signing, picture boards, facial exercise and massages, using rhyme to help construct sentences and using sounds to help the child expand speech sounds. If the child is non-verbal, the therapist may also introduce alternatives to verbal communication.

Can Speech Therapy Help Autistic Children?

Although surgery is considered to be the first step of treatment in any form of tumor, but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.

Indications of Brain Tumor Surgery
- Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
- Complete resection of tumor
- Removal of the tumor as much as possible to slow down its growth and improve the symptoms
- Remove the tumor in order to help other treatment
- Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
- To relieve pressure caused by tumor on surrounding structures

Types of Brain Tumor Surgery
The different types of surgery that are performed in cases of brain tumor include the following:

Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:
- Extended bifrontal craniotomy
- "Eyebrow" craniotomy (supraorbital craniotomy)
- "Keyhole" craniotomy (retro-sigmoid craniotomy)
- Orbitozygomatic craniotomy
- Translabyrinthine craniotomy

Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid, Cerebrospinal fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.

Stereotactic surgery: This surgery is done by creating a three dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.

Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.

Endoscopy and endoscope assisted surgery: Endoscope is a tool, which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.

Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:
- Laser surgery
- Photodynamic laser surgery
- Ultrasonic aspiration
- Fluorescence guided surgery (FGS)
- Electrophysiological monitoring

Brain Tumor Surgery

Neurodevelopmental disorders refer to any impairment and disorder of the brain and nervous system growth and development. Disorder in the brain and nervous system can affect the emotional, physiological, psychological ability and overall timely development of a child. With advanced technology and continuous study in the medical field, one can now assess the neurodevelopment of his/her children. Neurodevelopmental Assessment concentrates on the overall growth and development of a child including his/her weaknesses and strengths. A complete developmental profile is generated with the help of various tests and examinations. This assessment is used to analyse the various developmental factors including social and communication skills, functional and motor skills, cognition and learning abilities, and language and speech development. Neurodevelopmental Assessment involves a team of child s close people including parents, guardians, and family members who help to understand the medical history if any. It helps doctors to provide appropriate ways to assist the child in his/ her growth and development.

Tests and Examinations

Tests for the Neurodevelopmental Assessment may vary from child to child depending upon their condition. But, there are usually some tests that are done to understand the overall development of the child. These tests may include speech tests, hearing tests, blood tests, physical examinations, and questionnaires, which may be given before or during the assessment process.

Assessment

The assessment processes and sessions may vary depending upon the need of the child. However, usually, there are three major sessions that help the pediatrician understand the concerns of the family and parents. These sessions include consulting about the detailed medical history of the child, understanding the problem and its possible cause, and providing proper ways and treatment options for the patient. 

In the first session, parents and guardians are asked about any medical concern they have and the medical examination of the child is carried out accordingly. A standardized assessment with the child will be carried out by a clinical psychologist and the parents and guardians are asked to complete a questionnaire for the assessment. Depending upon the age, questionnaire may be sent to school for teacher/s to complete.

The next session is usually led by language and speech therapist to discuss and understand the current language and speech concerns of the child. Previous assessments and medical examinations are taken into account to carry out further assessments. An occupational therapist will assess the child s ability to perform self-care activities and other tasks according to his/her age. The session may include the assessment of a child s motor skills and abilities and reflection on any probable sensory-based problems that may be affecting the child s occupational performance.

The last session mainly includes the discussion with the parents and guardians to help them understand the problem, its causes, and treatment options. If the child requires any further assessment or/and recommendations, then the parents are told about that too.

Takeaway
Neurodevelopmental Assessment of children is often performed on kids who do not show the developmental signs according to their age. Parents and guardians should not hesitate to consult their children to clinical psychologist and therapist as the early intervention and assessment can help in the timely growth and development of the children.

Neurodevelopmental Assessment (0-5 Years)  - What Should You Know?

As parents, it is important that you should arrange for an early intervention if you notice that your child is suffering from any of the below-mentioned signs as they can be an indicator of autism in your child:

Not being able to utter a sound even after 6 months
Unresponsive to stimulants, whereby the child fails to make any gestures
Incoherent blabbering which fails to make any sense even after the child is 24 months old
An autistic child is way more sensitive than other children. Dealing with them can be challenging for the parents but it is not impossible. To deal with an autistic child effectively, follow these tips:

Early intervention is a must: As soon as you detect that your child is suffering from autism, seek help. There are various methods to treat autism like behavior therapy, speech-language therapy, play-based therapy, occupational therapy amongst others. As parents, you have to figure out which therapy is better for your child or to which therapy is your child responding to. Based on your observation and the evaluation of the therapist, you need to engage your child and encourage changes.
Repeat at home what your child learns at school: Often an autistic child learns certain skills at the school but fails to apply them in other environments, both social and personal. You need to get acquainted with the kinds of therapeutic methods that are being taught to him/her and repeat them in your home or within a social milieu to encourage proper implementation.
Reward them: An autistic child needs a lot of support from the parents in order to function in a healthy manner. Therefore, reward his/her positive behaviors with items that the child cherishes, like his/her favorite toys or stickers. Show the child that you care, in whichever way you find it fit.
Observe the body language of your child: Autistic children will make certain gestures to convey their feelings. You need to observe your child and understand what kind of stimulus irks him/her and what kind of stimulus makes him/her happy. Based on your observation you need to keep your child away from negative spurs and bring in more positive impetuses in his/her life.
Engage your child in recreational activities: An autistic child is no different from a normal child as far as his/her need for fun time is concerned. Maintain your child s schedule regularly and allocate time for recreational activities, most preferably games. Let your child mix with other autistic children. A happy disposition will help your child turn his/her obstacles into opportunities.

Autistic Children - 5 Effective Ways You Can Handle Them!

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