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Kids With Special Needs and Disabilities
Reply to "FASD in bio kids.... "
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]There are no statistics that are reliable because reporting isn’t reliable and tests arent ethical. The reality is that kids with full blown FAS, only 20% are intellectually disabled as opposed to the 100% that are assumed to be. The diagnosis is so kids in stigma and unknowns it’s hard to know if it’s meaningful, not from all these junk scientists, and it’s not one I would seek for my child. Who on earth benefits?[/quote] There are several recent studies that have found the incidence to be between 1-5%. These studies came out after my pregnancies. And frankly, they're frightening.[/quote] Of course they are, although that’s much lower than the ASD rate. The point here is also / how does a diagnosis serve a bio child? Or any child? That has not been answered in any meaningful way. [/quote] In a short Google search, I came across numerous posts by adults with FAS who appreciate the self-knowledge and other posts or articles about adults parenting such children, as OP is. Labels can help. That's true for all sorts of diagnoses, including this one.[/quote] Yes, but this one is a double edged sword. [b]FAS is somewhat difference because it's got clear physical signs. [/b] Yes, if your kid is walking around with physical features that would make it clear to anyone who meets them that they had a mother who drank during pregnancy, then they deserve to know so they can respond. But OP isn't talking about kids with FAS, she's talking about kids who don't have physical features. Where speculating about whether or not their disabilities are alcohol related is much less helpful.[/quote] Well, sometimes, but just to be clear -- physical exam findings in FASD do not correlate with the level of impairment. Some of the people most strongly affected do not have any physical signs of the exposure [I]in utero[/I]. [/quote] Yes, I agree. My point is that if a kid has facial features that lead all the doctors and teachers to know he's FAS, then he should be told. Because the situation where some people know you have something and you don't know it is terrible. [b]But, given that FASD can't be conclusively diagnosed in someone who doesn't have physical features, and doesn't have a documented history about of prenatal exposure, it makes much less sense to speculate.[/b] And since you can't know that someone in that case has FASD, or another disorder, because there is so much overlap, then it's probably safer to give them the diagnosis that carries less stigma, because stigma and low expectations for kids with FASD are a big problem.[/quote] Just to clarify -- do you mean that 1. FASD can only be diagnosed in people who has specific physical features, OR 2. that it can only be diagnosed in someone with a documented history of prenatal exposure, OR 3. that the person has to have both specific physical features and a documented history of prenatal exposure, OR 4. that the diagnosis requires at least one or the other, but not both, and not either one specifically?[/quote] FASD is an umbrella term that refers to kids with some kind of developmental issue that can be traced back to alcohol. FASD does not have clear diagnostic criteria at this time. FAS is Fetal Alcohol Syndrome, the diagnostic criteria for FAS from the CDC are: 1. Specific physical features 2. Growth retardation of some sort 3. Either brain differences (e.g. on an MRI) or behavioral/developmental/cognitive differences You can see them here: https://www.cdc.gov/ncbddd/fasd/diagnosis.html ARND is a term that is used to describe those people who have FASD without meeting FAS criteria. There are no formal diagnostic criteria for ARND. However, generally doctors are not going to put that label (and thus the FASD label) on a kid unless there are either physical features or documentation of a history of alcohol abuse. If mom comes in, swears she didn't drink, and there's no physical evidence, then the kid will get a different diagnosis that explains their symptoms. A individual kid with ARND might not have the physical features, or might have some but not all of the physical features. But their lack of physical features doesn't correlate with their developmental status. A kid can have ARND and significant intellectual disability, while another kid can have FAS with no intellectual disability. [/quote]
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