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Bharath - Emerging From The Shell

At Buddhi Clinic we are able to bring together a
multidisciplinary, holistic approach to managing ASD

Biography

By 9 months of age the infant showed regression in eye-contact and response to call. By the time the child was 1 year old, the father left home, never to return, but provided financial support from afar.
Was he shirking his paternal role towards his child with developmental disability? But the well-educated mother took matters in hand, moved in with her parents for logistical and emotional support for the whole family, and devoted her time to Bharath, to quell his hyperactivity at two years and to push his delayed language acquisition to the next level.
Paediatric consultations for guidance, regular speech therapy and early Montessori schooling saw Bharath settle comfortably in a mainstream school, with age-appropriate range of receptive and expressive language, with reading and writing in place by 6 years of age. He continued to be a slow learner.
However, the challenge for the family has been the inevitable behaviour problem of ASD - (differently wired!) which is often traced to poor sensory integration, resultant poor holistic perception, hyperactive emotional network with weak frontal lobe inhibitory commands to suppress the eruptions of uncontrolled energy. Bharath's unprovoked emotional outbursts, with violence directed mainly against his mother (or in destroying objects), is partly an expression of internal hurt, as he is not amnestic of the event, and shows remorse for the behaviour in recent times. He insists on his mother's undivided attention and spares her little time to devote to his elder sister.
These outbursts are fewer over the past 1.6 years since he joined Vidya Sagar, as he receives multimodal therapy, is on regular anticonvulsant, antipsychotic medication and SSRI, and his energies have been channelled, with the focus on academics.
He has cleared the Open School Board Examinations in Home Science, English and Computer Data entry, without scribe assistance, and is preparing for the Business Studies examination in October 2017. He will complete all five subjects required for the Board's 10th Std. Secondary School Certificate in April 2018, when he does the bakery/painting examination - truly a most commendable effort!
With his self-esteem and self-confidence rising, we find Bharath come out of his shell and mingle socially with his peer group at school and with relatives and friends who visit their home. He is Secretary of the local Interact Club, has joined NCC as a cadet and follows cricket and movies on TV with keen interest. He tends to talk excessively, lacks discrimination and even reveals close family concerns to outsiders. The client had seizure disorder which is moderately controlled on medication.
Currently he is on the following medication: Syrup Sodium Valproate Extended Release, Zolpidem (Non Benzodiazepine hypnotic), Aripiprazole (Aripiprazole is an antipsychotic preparation and helps control irritable behavior such as aggression, temper tantrums, and frequent mood changes in ASD).

Assessment Reports

The Clinical Specialists Observations - An intact systemic examination. Neuropsychiatric Inventory reveals intact Higher Mental Function (HMF), reactive affect, normal intelligence and no focal deficit.
EEG Report : Awake and resting EEG conducted on a standard 10-20 system. Background activity is alpha at 9-10 Hz, with bilateral, generalized paroxysmal sharp wave activity. The EEG is suggestive of seizure disorder.

Response To Therapy

As he developed chicken pox, a break in therapy had to be instituted. Improvement in sleep and behavioural problems were reported at the end of the sessions.

Reviewed One Month After The End Of Therapy

His aggressiveness which was already on the mend, was helped by the therapy to calm him down further. He was advised to continue the medication regimen as before.

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Autism Spectrum Disorders

An Overview

Autism spectrum disorder (ASD) is a developmental disorder that affects communication and behavior. Although autism can be diagnosed at any age, it is said to be a “developmental disorder” because symptoms generally appear in the first two years of life.

Autism is known as a “spectrum” disorder because there is wide variation in the type and severity of symptoms people experience.
  • People with ASD have:
  • Difficulty with communication and interaction with other people
  • Restricted interests and repetitive behaviors
  • Symptoms that hurt the person’s ability to function properly in school, work, and other areas of life

Diagnosis

While the diagnosis is clinical, brain imaging, electrophysiology, blood tests to rule out reversible causes or indeed contributing factors and a thorough pre-rehabilitation assessment including evaluation for co-morbidities (associated conditions) will be required in all instances. At Buddhi Clinic our assessment includes standard outcome indicators for activities of daily life, quality of life, neuro-disability and mental health.

Treatment

At Buddhi Clinic we are able to bring together a unique skill set in managing Autism & ADHD. We successfully combine drug treatment & behavioural therapy with a range of Complementary & Alternative Medicine (CAM) interventions- Ayurveda, Naturopathy & Yoga for a unique, holistic, never before solution

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Signs

People with ASD have difficulty with social communication and interaction, restricted interests, and repetitive behaviors. The list below gives some examples of the types of behaviors that are seen in people diagnosed with ASD. Not all people with ASD will show all behaviors, but most will show several.

  • Social communication / interaction behaviors may include:
  • Making little or inconsistent eye contact
  • Tending not to look at or listen to people
  • Rarely sharing enjoyment of objects or activities by pointing or showing things to others
  • Failing to, or being slow to, respond to someone calling their name or to other verbal attempts to gain attention
  • Having difficulties with the back and forth of conversation
  • Often talking at length about a favorite subject without noticing that others are not interested or without giving others a chance to respond
  • Having facial expressions, movements, and gestures that do not match what is being said
  • Having an unusual tone of voice that may sound sing-song or flat and robot-like
  • Having trouble understanding another person’s point of view or being unable to predict or understand other people’s actions
  • Restrictive / repetitive behaviors may include:
  • Repeating certain behaviors or having unusual behaviors. For example, repeating words or phrases, a behavior called echolalia
  • Having a lasting intense interest in certain topics, such as numbers, details, or facts
  • Getting upset by slight changes in a routine
  • Being more or less sensitive than other people to sensory input, such as light, noise, clothing, or temperature
People with ASD may also experience sleep problems and irritability. Although people with ASD experience many challenges, they may also have many strengths, including:
  • Being able to learn things in detail and remember information for long periods of time
  • Being strong visual and auditory learners
  • Excelling in math, science, music, or art
Print
Conceived & Presented By

Dr. Ennapadam
S. Krishnamoorthy

Autism - The Buddhi Book

In this book, we explore the autism spectrum through case studies, in particular the utility of integrated care that combines modern medicine with ancient wisdom.
Ayurvedic treatments, Acupressure and Reflexology were delivered by us to children with ASD, as part of Buddhi Seva, social impact that Trimed-Neurokrish & Buddhi Clinic implimented together with Vidya Sagar (formerly Spastics Society Of India).
Our journey has enabled great learnings, both about the utility and about the pitfalls of such "integrated therapy". Join us in this exploration of "holistic caregiving for the person in the autism spectrum". We believe we have successfully touched new, hitherto unexplored vistas.
Read The Book +

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