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Regressive Autism: Signs, Causes, and Support

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Laura NG, MA BCBA
Clinical Operations Manager

Regressive autism, also known as autistic regression or acquired autistic syndrome, is a condition that affects young children. These children usually develop normally at first, but then experience a loss of skills, particularly in language, social communication, and behavior. This article will explain the signs of regressive autism, its potential causes, including early onset symptoms, developmental regression, and the support available for children with this condition, as well as other neurodevelopmental disorders, including severe autism, and their families.


What is Regressive Autism?

Regressive autism, also called autistic regression, is a type of autism spectrum disorder (ASD). It happens when a child seems to develop normally at first but then loses the skills they once had. This often includes losing language abilities and social communication skills.


Children with regressive autism may seem to keep up with their friends and reach important developmental steps. However, they can suddenly or gradually start to lose these skills.


This loss can be very upsetting for parents and caregivers. They see their child go through a decline in abilities that were there before. To help, it's important to understand regressive autism first. This helps in finding the right support and interventions.


The basics of regressive autism

Autistic regression usually happens between 15 and 30 months of age. This time is very important for learning language and social skills. Regression can show up in two ways. Some children might lose skills suddenly, while others may see a slow decline over time, known as early regression.


Each child is different. Some may struggle with language, while others might have difficulties in social settings or during play after typical development. Understanding the basics of regressive autism, including the different types of regression such as early regression and late regression, is crucial for parents and caregivers to provide appropriate support and interventions.



This regression can be very upsetting for parents who thought their child was progressing normally. It’s essential to understand that autistic regression is not caused by bad parenting or outside issues. It is a complex brain-related process.

The exact reasons for autistic regression are not fully understood yet. Researchers are looking into both genetic and environmental factors that could play a role in its onset.

How regressive autism differs from other forms of ASD

Regressive autism used to be seen as its own type of autism. Now, it is understood to be part of the autism spectrum disorder. The main difference is in development. Children with regressive autism usually develop normally for a while before showing signs of autism.


On the other hand, children with other types of ASD often show developmental differences from a young age. However, it can be hard to tell the difference between regressive autism and other types of ASD. Some kids might show slight signs of autism before the regression starts.


The treatment for regressive autism is often like that for other types of ASD. It focuses on early help with methods like applied behavioral analysis (ABA), speech therapy, and occupational therapy. These therapies support the child’s specific needs and encourage their development.


Identifying the Signs of Regressive Autism

Noticing early signs of regressive autism is very important for getting help quickly. Parents and caregivers need to watch their child’s development closely, especially between 15 and 30 months of age. If there is any sudden or slow loss of skills they once had, especially in language and social communication, as well as early developmental delays, it is important to pay attention right away.


Finding and diagnosing these signs early gives access to treatments and support that can greatly help a child’s development and future results.


Key behaviors and signs to watch for

Parents need to pay close attention to their child's communication skills. They should look for any loss of words or phrases that the child used before. Decreased eye contact and less interest in social interaction can also be warning signs. Repetitive behaviors, like hand-flapping, may indicate that something is wrong.


Children with regressive autism might show changes in how they play. For example, they may lose interest in pretend play or start to prefer playing alone. The decline in skills, including motor skills, might also affect nonverbal communication. Some children might have trouble understanding gestures or facial expressions. Changes in how they react to sensory things, like being overly sensitive to sounds or touch, can be important signs of this subtype of autism.


If you notice any of these signs in your child, it's very important to talk to your pediatrician or a healthcare professional. Discuss your concerns and find out what steps to take next.


Comparing Regressive Autism Symptoms with Typical Autism Spectrum Disorders

While the early stage of common development may identify regressive autism, the signs seen during and after this stage often match those found in other types of autism spectrum disorder. These matching signs can include struggles with social communication, trouble adjusting to changes in routine, repetitive actions, and limited interests.


Because of these signs, it's very important to get a full assessment from a qualified expert. This helps ensure an exact diagnosis and creates a personal treatment plan. Even though there are similar signs, regressive autism can be especially hard for families. This is due to the sudden and surprising loss of skills.


The difference between how the child developed before and then lost skills can be very tough for families. It shows how important it is to have good support systems and access to resources. These can help families deal with the challenges that come with this diagnosis.


What Causes Regressive Autism?

The causes of regressive autism are still being studied. Experts do not know the exact reason yet. They think a mix of genes and environment might play a role in how it starts. Some studies link it to issues with the immune system, mitochondria not working well, or being around certain toxins. However, more studies are needed to confirm these ideas.


It's also key to remember that vaccines do not cause regressive autism, how parents raise their kids, or any other things parents can control. Researchers are continuing to explore the many factors that might lead to autistic regression. This work aims to improve treatments and support for those affected.


Genetic factors and environmental triggers

Recent studies show that genetics plays a big part in autism spectrum disorder. Many genes might affect a person's chance of developing this condition. There isn't just one "autism gene." Researchers think that inherited genetic differences work together with environmental factors to help cause autism, including regressive autism.


Environmental factors could include being exposed to certain infections, medicines, or toxins before birth. However, research on this is still ongoing and not complete. These environmental elements might mix with a child's genes, affecting how the brain develops and possibly linking to the start of autistic regression. More research is needed to find out exactly what these environmental triggers are and how they affect the risk of regressive autism in kids who are genetically likely to have it.


Understanding the specific genetic and environmental factors connected to regressive autism is important. This knowledge can help create better ways to prevent, detect early, and provide support to children and families dealing with this complex condition.


Diagnosis and Intervention Strategies

Diagnosing regressive autism requires a thorough check by a team of experts. This team usually includes a developmental pediatrician, child psychologist, or child psychiatrist. They also work with speech pathologists and occupational therapists. The process often starts by collecting a detailed history of the child’s development from their parents.


Then, the team watches the child's behavior and how they interact with others. They also use diagnostic tools, such as those provided by speech pathologists, to conduct standardized tests and accurately diagnose the child with autism. This comprehensive assessment is crucial in identifying the best treatment plan for a child with autism.


Getting an early diagnosis is very important. It helps make treatments more effective. After a diagnosis, children with regressive autism can take part in different kinds of therapy. These therapies are designed to meet each child's specific needs and strengths.


Steps to take if you suspect your child has regressive autism

If you see any signs of your child going backward in development, it’s important to get help right away. Start by booking an appointment with your child's pediatrician. They can do an initial check and refer you to specialists for more evaluation, including the diagnosis of autism. A developmental pediatrician, child psychiatrist, or child psychologist who knows about autism spectrum disorder can give a full diagnosis.


When you go for the evaluation, be ready to discuss your child's growth history, including any changes in behavior or skills that you have noticed. It’s a good idea to keep notes on your child's behaviors, skills, and other important details to share with the healthcare team.


Diagnostic tools for children suspected of autism spectrum disorder (ASD) may include reviewing and assessing the child’s developmental history, conducting interviews with the child’s parents, and observing how the child plays and interacts with others. Early diagnosis and support are crucial for children with regressive autism, so don't hesitate to seek help if you suspect your child may be showing autism symptoms.


Know that you are not alone on this journey. There are early intervention programs, support groups, and educational resources to help you and your child as you work through this together.


The importance of early intervention and diagnosis

Early intervention is very important for helping children with regressive autism. It works best when it starts during early childhood. At this time, the brain is still open to change and can respond well to different treatments, including various behavioral and educational therapies. Early intervention programs often include ABA therapy, speech therapy, occupational therapy, and social skills training.


These therapies target the main challenges that come with autism. These challenges include problems with communication, difficulties in social interactions, and repetitive behaviors. ABA therapy is particularly effective. It helps improve communication skills, social behaviors, and everyday functioning in children with autism.


Early intervention helps the child and also supports parents of children and caregivers. They receive the skills and knowledge they need to create a caring and active environment for their child. With early intervention, we help children with regressive autism reach their full potential. This allows them to lead happy and successful lives, making it crucial for parents to have access to comprehensive information and resources, including emotional support, from organizations like Autism Speaks and support groups that focus on crisis prevention.


Therapeutic Approaches for Regressive Autism Recovery

There is no single cure for regressive autism. However, many therapies can help improve a child's abilities and quality of life. These therapies often aim to boost communication and social skills. They also focus on reducing difficult behaviors and encouraging independence.


Parents and caregivers need to work with trained professionals. Together, they can create a treatment plan that fits their child's specific needs and strengths.


Applied Behavior Analysis (ABA) and its impact

Applied Behavior Analysis (ABA) is an important type of therapy for children with regressive autism. It is a highly effective form of behavioral therapy that focuses on changing unwanted behaviors while reinforcing desirable ones. ABA also aims to reduce harmful behaviors and helps kids improve their communication and social skills. This therapy targets the main signs of autism spectrum disorder and encourages positive changes.


Applied Behavior Analysis (ABA) is a cornerstone in addressing the challenges posed by regressive autism. This evidence-based therapy focuses on rebuilding lost skills, developing new ones, and addressing behavioral concerns. ABA therapists work closely with children to reintroduce previously acquired skills, such as language, social interaction, and play.


By breaking down complex tasks into smaller, achievable steps, ABA therapy helps children regain lost abilities and progress toward independence. Additionally, ABA can target specific behavioral challenges associated with regression, creating a more stable and predictable environment for the child. With an over 90 percent improvement rate, ABA therapy is currently the most effective form of autism treatment, making it a vital component in the overall approach to managing regressive autism.


Level Ahead ABA: Specialized Care for Regressive Autism


At Level Ahead ABA, we understand the unique challenges faced by families dealing with regressive autism. Our experienced therapists are dedicated to providing specialized ABA therapy programs tailored to the individual needs of each child. We combine evidence-based practices with a compassionate and supportive approach to help children regain lost skills and achieve their full potential.


Our comprehensive services include early intervention, skill building, and behavior management to address the complexities of regressive autism. We are committed to partnering with families to create a positive and nurturing environment for their child's recovery.


Contact Level Ahead ABA today to learn more about our specialized programs for children with regressive autism.


Speech therapy and sensory integration techniques

Speech therapy and sensory integration techniques, including auditory integration training (AIT) and mental imagery therapy, are very important for helping kids with regressive autism who face language and communication problems. Speech-language pathologists (SLPs) help these children improve their talking and nonverbal communication skills through traditional speech therapy methods. However, for autistic children with severe language problems, augmentative and alternative communication (AAC) therapy may be more beneficial in improving their language skills.


This therapy focuses on teaching the use of alternative communication methods such as picture exchange communication systems (PECS), sign language, or speech output devices like DynaVox. Additionally, AIT, which addresses hearing distortions and oversensitive hearing, can also improve auditory processing and enhance concentration, speech, and language skills by strengthening the foundation of a child's neurological functioning. Sensory integration techniques, such as low-frequency auditory integration training, can also be incorporated to help improve speech and language skills in children with regressive autism.


While some therapists may have a formal qualification in AIT, it is not required to provide this type of therapy, and speech and language pathologists or occupational therapists usually offer it alongside other sensory integration techniques like familiar sounds training.


Sensory integration techniques, usually done by occupational therapists, help with sensory processing challenges that many kids with regressive autism have. Some kids may be very sensitive or not responsive to things they see or hear, like sounds, textures, or movements.


Sensory integration therapy helps these children manage their sensory experiences

better, addressing the sensory issues that are among the principal symptoms of autism. This makes it easier for them to understand sensory info, enjoy playtime, and take part in daily activities, in addition to other therapies such as speech therapy and vision training.


Using both speech therapy and sensory integration techniques in a complete treatment plan can greatly support a child’s growth and well-being. By tackling the main issues linked to regressive autism, these therapies help children connect, communicate, and thrive in their daily lives.


Conclusion

Regressive autism can be tough, but it can be managed. Early help and understanding are important. It's essential to spot the signs, get a diagnosis, and use the right therapies. Finding ways to help, like ABA therapy and speech therapy, can lead to good results. Remember that everyone is different. Custom-made support is vital. Stay updated, ask for professional help, and offer the right support. This can improve the lives of those with regressive autism. Accepting differences and encouraging kindness can really help them grow and develop.



Frequently Asked Questions

  • Can you prevent regressive autism?

    Recent studies show that both genes and the environment affect autism. Right now, there are no sure ways to prevent it. Still, starting early help is very important. It can reduce developmental delays and improve results.

  • Can children with regressive autism lead a normal life?

    With early help, the right support, and regular therapy, many children with regressive autism can improve a lot. They can develop important social skills and lead happy lives.

  • How long does autism regression last?

    The time it takes for autism regression to change can be very different for each person. It often depends on individual factors and how well treatments work. Some kids may get back skills they had lost. Others might need help for a longer time to deal with challenges and reach their full abilities.

  • Is there regressive autism in adults?

    Yes, regressive autism can occur in adults. While it's more commonly associated with young children, adults with autism can also experience a loss of previously acquired skills. This phenomenon is often linked to autistic burnout, a state of extreme exhaustion caused by the constant effort to mask autistic traits in a neurotypical world.

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