I share an update on Danny.
The last few months, Keiko and I have been concerned about his tendency to play by himself and sometimes engage in repetitive behaviors. He also continues to have sensory integration issues, especially in regards to eating, and his communicative ability has not developed as much as we'd like over the past year.
Last week we had a thorough evaluation by a pediatric neurologist. She also had access to all his reports from his other recent therapeutic evaluations. The result? Danny has been diagnosed with autism.
The doctor ordered a number of follow-up tests and evaluations which will take place in the coming months. She noted that for a child with a dual diagnosis of Down syndrome and autism, Danny is doing very well. (As evidence, none of the many therapists or doctors Danny has ever seen before had ever recommended he be evaluated for autism.)
Autism is quite common among children with Down syndrome--affecting an estimated 5-7% of the Down syndrome population (as opposed to less than 1% of the general population). Due to the difficulties of dual diagnosis, as well as a possible later age of onset, many children with Down Syndrome and autism are not diagnosed for the latter until they are much older, with very negative results in terms of their ability to communicate and interact. Children with Down syndrome and autism often have better social skills than children with autism alone, which may also contribute to the difficulty of diagnosis. That is certainly the case with Danny, who is very charming and flirtatious with adults. We are hoping that Danny's relatively early diagnosis will allow more effective treatmant.
Danny remains the same delightful little boy as before the diagnosis and any concerns we have are tempered by the great joy he brings us on a daily basis.
I will try to post more in the future as we learn more.