FASD- How do we find out for sure?

[sl_underwood]

At our parent teacher conference last week, the teacher stated she believes our newly adopted son may have been exposed to alcohol and drugs while in the womb. She stated he has several behaviors and wonders if the aspergers diagnosis is incorrect and its really Fetal Alcohol Spectrum Disorder. We know his birthmom was an addict and he has 2 bio half sibs who were addicted at birth. Can someone direct me to books, links, etc that might be helpful in understanding this issue? Also does anyone know how to find out 100% if this is the issue, is it even possible? Asking the birthmom is impossible as she refuses to acknowledge she even gave birth to my son. I just want to make sure they arent just adding another diagnosis to his long list already without making sure its really necessary. Thanks In Advance
Lora

[Momma2dakidz]

You also might want to check out a rad specialist, there is a GREAT yahoo group called radfasd kids. Many of those kids were misdiagnosedwith spectrum disorders. Good luck.

I think but dont quote me that the gray matter in the brain is malformed, causing the brain to appear like swiss cheese.

[mechurchlady]

I remember reading about FASD long long ago. So I googled to find out if I was remembering. I was right.

The easiest clue is facial deformaties. The bridge of the nose is flattened and might look a bit like a splayed African American nose but it doesn't and is also broader between the eyes. Native Americans have the highest rate of FASD. It is not uncommon for FASD children, like other disorders, to be misdiagnosed. Read the info below for more information. The article I read long ago mentioned that the person had trouble with the concept of time and that they also had emotional problems like poor social skills and being emotionally cold/distant.

http://pubs.niaaa.nih.gov/publications/aa63/images/fas.gif
from http://pubs.niaaa.nih.gov/publications/aa63/aa63.htm
Another image and bulletin.

http://embryology.med.unsw.edu.au/Defect/images/FASface.jpg
a picture showing what to look for.

http://www.cdc.gov/ncbddd/fas/fasask.htm
Government information

This is a machine used to test for said deformities.
http://depts.washington.edu/fasdpn/htmls/face-software.htm

http://bp3.blogger.com/_e75miPijYqc/RsOOxesRL_I/AAAAAAAABHw/2ueYfH9_52g/s200/michael+fas.jpg
http://justanormalfamily.blogspot.com/2007/08/michael_15.html
She blogs about her adopted son and how she was told that his mom did not drink while pregnant.

http://minnesota.publicradio.org/display/web/2007/09/05/fasd3/
An article on a 31 year old man with FASD

[bookwormde]

With birth mother history, FASD is definitely something that needs to be evaluated. One thing to remember is that the diagnosis of ASD and FASD are not mutually exclusive. There are many levels of FASD so a definitive diagnosis in many cases is not possible (just as in ASD/Aspergers).

ASD/Aspergers generally have some level of innate social skill deficit so that is a good 1st indicator of if the ASD/Aspergers diagnosis has some validity. Also any cognitive losses due to FASD (or any other reason) can cause an individual who otherwise just exhibit some of the spectrum characteristics of Autism genetics to approach or meet the clinical definitional of ASD or Aspergers.

If you have any information about the genetic father or his family that might be a good place to look for spectrum characteristics which might give you a clue as to the validity of the Aspergers diagnosis, while less likely if available you might also look at the genetic maternal side also.

In the end there are no 100% answers on either diagnosis, but on the good side therapies for Aspergers should be effective for FASD also.

bookwormde

[sl_underwood]

Currently my son's diagnosis is PDD-NOS, RAD, ADHD, PTSD, Anxiety, Sensory Integration Dysfunction, Night Terrors, Severe Abuse/Neglect, possible FASD. I think I got them all, sadly it seems every week they are adding new possible diagnosises. His teachers and therapist have absolutely no problem slapping labels on him right and left.

As far as the birth father, he murdered a man in a bar fight (all I really know about him) and is serving a life sentence. His family has a history of child abuse but no known drug or alcohol issues. He has no facial deformities, though his head is slightly larger than other children his age (we notice this with ball caps, firemen hats, etc but it isnt a noticable difference)

From what I have read about each disorder, he could fit just about any of the diagnosis listed or all of them. I think his most serious are the RAD and PTSD, though his therapist and teacher believe he is firmly attached to us. I think he is for the most part, but I truly believe he lives in constant fear that someday we will throw him away like the other adults in his life or harm him in some way. He still tests us (though not regularly) and is fearful when we leave.

Thank you all who have answered me, I greatly appreciate your insight and support

[bookwormde]

Most of the “diagnosis” you listed are maladaptive co-morbid issues of Aspergers, not distinct primary diagnosis’, with his history and potential cognitive issues they become much more acute. The reason I ask about the genetic parents is that it is very likely that there would also be significant spectrum characteristics and/or co-morbid manifestations that would help confirm the Aspergers diagnosis. The head size thing is reasonably common for Aspergers children. The PTSD history makes the situation much harder until a “safe” environment can be established in which he feels secure, Although any situation which where he is not comfortable will bring up safety issues and the associated anxiety and co-morbidities.

Clinicians who use additional label without the caveat that they are secondary to the primary Aspergers diagnosis are just poorly educated, trained and experienced. PTSD and FASD would be separate distinct diagnosis but in practicality are intertwined in their manifestations with Aspergers.



bookwormde

[ireland_nicole]

I wouldn't consider a large head in and of itself to be a sign of FASD; my son had an unusual form of hydrocephalus and has a big head, too (Adult L hat at 6). Seperate to that, I don't understand how any teacher, no matter how good they are, is equipped to diagnose a child with ANY disorder. That would be the job of a doctor: neuropsychologist, dev. ped, pediatric psychiatrist, etc. Please don't think that I don't empathize or accept your kiddos challenges, etc. I just know how painful and confusing it is when everyone and their brother diagnoses your child (from a lot of experience.)

[mechurchlady]

A person I knew from church has helped cared for her cousin's daughter. The vegetable diagnosis slowly has expanded to retardation then a bit behind other kids. The child is normal looking except for the braces, walker and huge head, lol, but look at her Auntie and you see why as large heads run in the family. Beautiful child but that head just does not match her small body. She looks a lot like her Auntie, lol.

As for diagnosis, pshaw. First off is that kids have quirks so that a normal kid who is scared of something might be labelled as being abnormal. Children cannot effectively communicate so that they do not tell parents what is bugging them. A two year old may be avoiding an ugly doctor or is in a bad mood but the Slap-a-Label MD might label the kid ODD, SID, ADD, or something else.

As for FASD look at the kid's face. Are the eyes set wide apart, small eyes, a flat spot on the bridge of the nose? Not the head size but the face itself should look off. If you do not see those indicators then the kid could have something else like SID or autism. Bookworm is very skilled in autism and aspergers. You need to find medical people who will find the roots of the kid's problems and not just slap labels on the kid.

Welcome to the Twillight Zone where what is real and what is not real are really not real and real unless you believe they are not real and real then they are surreal and cereal. lol.

Hugs and good luck:grouphug: