For all the Mothers out there who's little ones aren't sleeping:
I EMPATHIZE with you and I may have some answers...
My son, who is now 3, was the exact same way. He never slept from the very beginning. He would wake up literally 5-10 times every night, and that was only if he was in bed with me being held. Otherwise it was worse. The night before going to a pediatric neurologist at 23 months old I stayed up all night and counted 20 times that he woke up! We had tried everything as well. After 2 hours of crying it out and showing no signs of stopping, or even slowing down, we gave up on that approach. We too tried Pantley, etc. What I am talking about is a real problem, just like what you have described.
We had suspected something before visiting the neurologist, and our fears were confirmed. Our son was diagnosed with autism.
Does your daughter have any of the signs for autism? For example: ***
Research now suggests that children as young as 1 year old can show signs of autism. The most important thing you can do as a parent or caregiver is to learn the early signs of autism and understand the typical developmental milestones your child should be reaching at different ages. Please look over the following list. If you have any concerns about your child's development, don't wait. Speak to your doctor about screening your child for autism. While validated screening for autism starts only as young as 16 months, the best bet for younger children is to have their development screened at every well visit with a highly validated developmental screening tool. If your child does have autism, early intervention may be his or her best hope.
Watch for the Red Flags of Autism
(The following red flags may indicate a child is at risk for atypical development, and is in need of an immediate evaluation.)
In clinical terms, there are a few �absolute indicators,� often referred to as �red flags,� that indicate that a child should be evaluated. For a parent, these are the �red flags� that your child should be screened to ensure that he/she is on the right developmental path. If your baby shows any of these signs, please ask your pediatrician or family practitioner for an immediate evaluation:
� No big smiles or other warm, joyful expressions by six months or thereafter
� No back-and-forth sharing of sounds, smiles, or other facial expressions by nine months or thereafter
� No babbling by 12 months
� No back-and-forth gestures, such as pointing, showing, reaching, or waving by 12 months
� No words by 16 months
� No two-word meaningful phrases (without imitating or repeating) by 24 months
� Any loss of speech or babbling or social skills at any age
*This information has been provided by First Signs, Inc. �2001-2005. Reprinted with permission. For more information about recognizing the early signs of developmental and behavioral disorders, please visit http://www.firstsigns.org or the Centers for Disease Control at www.cdc.gov/actearly.
Common Characteristics of Autism
While understanding of autism has grown tremendously since it was first described by Dr. Leo Kanner in 1943, most of the public, including many professionals in the medical, educational, and vocational fields, are still unaware of how autism affects people and how they can effectively work with individuals with autism. Contrary to popular understanding, many children and adults with autism may make eye contact, show affection, smile and laugh, and demonstrate a variety of other emotions, although in varying degrees. Like other children, they respond to their environment in both positive and negative ways.
Autism is a spectrum disorder. The symptoms and characteristics of autism can present themselves in a wide variety of combinations, from mild to severe. Although autism is defined by a certain set of behaviors, children and adults can exhibit any combination of the behaviors in any degree of severity. Two children, both with the same diagnosis, can act very differently from one another and have varying skills.
Parents may hear different terms used to describe children within this spectrum, such as autistic-like, autistic tendencies, autism spectrum, high-functioning or low-functioning autism, more-abled or less-abled. More important than the term used is to understand that, whatever the diagnosis, children with autism can learn and function productively and show gains with appropriate education and treatment.
Every person with autism is an individual, and like all individuals, has a unique personality and combination of characteristics. Some individuals mildly affected may exhibit only slight delays in language and greater challenges with social interactions. The person may have difficulty initiating and/or maintaining a conversation. Communication is often described as talking at others (for example, monologue on a favorite subject that continues despite attempts by others to interject comments).
People with autism process and respond to information in unique ways. In some cases, aggressive and/or self-injurious behavior may be present. Persons with autism may also exhibit some of the following traits.
� Insistence on sameness; resistance to change
� Difficulty in expressing needs; uses gestures or pointing instead of words
� Repeating words or phrases in place of normal, responsive language
� Laughing, crying, showing distress for reasons not apparent to others
� Prefers to be alone; aloof manner
� Tantrums
� Difficulty in mixing with others
� May not want to cuddle or be cuddled
� Little or no eye contact
� Unresponsive to normal teaching methods
� Sustained odd play
� Spins objects
� Inappropriate attachments to objects
� Apparent over-sensitivity or under-sensitivity to pain
� No real fears of danger
� Noticeable physical over-activity or extreme under-activity
� Uneven gross/fine motor skills
� Not responsive to verbal cues; acts as if deaf although hearing tests in normal range.
For most of us, the integration of our senses helps us to understand what we are experiencing. For example, our senses of touch, smell and taste work together in the experience of eating a ripe peach: the feel of the peach fuzz as we pick it up, its sweet smell as we bring it to our mouth, and the juices running down our face as we take a bite. For children with autism, sensory integration problems are common. Their senses may be over-or under-active. The fuzz on the peach may actually be experienced as painful; the smell may make the child gag. Some children with autism are particularly sensitive to sound, finding even the most ordinary daily noises painful. Many professionals feel that some of the typical autism behaviors are actually a result of sensory integration difficulties.
There are many myths and misconceptions about autism. Contrary to popular belief, many autistic children do make eye contact; it just may be less or different from a non-autistic child. Many children with autism can develop good functional language and others can develop some type of communication skills, such as sign language or use of pictures. Children do not "outgrow" autism but symptoms may lessen as the child develops and receives treatment.
One of the most devastating myths about autistic children is that they cannot show affection. While sensory stimulation is processed differently in some children with autism, they can and do give affection. But it may require patience on a parent's part to accept and give love in the child's terms.
***I know that was a lot of information, but I just want you to be autism aware, because if it is the reason why she is not sleeping, she can be helped. To this day our son still sleeps in our bed, but he no longer was up at night, except for an occasional bad dream. 60% of children with autism have sleeping disorders.
I would be happy to talk with you in person or via private email, or anyone else who is having the same sleep issues.
S.