Ask Dr. Dolly

Question:

Dear Dr Dolly,

Could mild autism in a child result from a physical accident during pregnancy, or is it something that comes in the genes?
Concerned Future Parent

Answer:

Dear Concerned Future Parent,

Wikipedia defines the autism spectrum, also called autism spectrum disorders (ASD) or autism spectrum conditions (ASC), as a spectrum of psychological conditions characterized by widespread abnormalities of social interactions and communication, as well as severely restricted interests and highly repetitive behavior. In plain language, there are quite a few conditions, from mild to severe, that fall under this definition. ASD are complex neurodevelopmental disorders.

Many causes of autism have been proposed, but there is no clear answer. Definitely, the popular belief in genetics is somewhat true, and genetics do contribute about 90% of the risk of a child developing autism, but the genetics of autism are so complex that typically it is unclear which genes are responsible.

In rare cases, autism is strongly associated with the same factors that cause birth defects. Many other causes have been proposed, including viral infections, maternal stress, maternal exposure to lead or mercury, and even increased maternal participation in the workforce. Is a physical accident stressful, especially during pregnancy? Of course! Could it then cause the child to be born autistic? Possibly, with about 10% probability. But it is just as possible if you are employed, or have had the flu while pregnant.

The frightening fact is that the incidence of autism has risen tenfold during the last 20 years, and there is no one-word explanation. The good news is that it doesn’t have to be this way at all! Our brain is not “hardwired.” On the contrary, it is very plastic, and responds very well to external stimuli, i.e. different experiences. In fact, our ability to learn depends on neuroplasticity, as this is called. The right treatment program, created specifically to the needs of your child, will create neuroplastic changes, regardless of the cause of your child’s condition.

Dr Dolly Aizenman is one of the founders of Neytz haChochma Exceptional Student Education comprehensive psychoeducational program for children with special needs. She has been its Academic Director since its inception in 1998. Dr Aizenman has presented various workshops, seminars, and other types of teacher and parent training conducted annually on the state, national, and international level. She has over 30 years experience in education and 20 years of teaching pre-service teachers and supervising intern teachers in public and private schools. Dr Aizenman can be reached at 305.945.7443 or by e-mailing DrDolly@Neytz.org.