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I have a question about a friends child
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<blockquote data-quote="SRL" data-source="post: 6944" data-attributes="member: 701"><p>My difficult child was similarly defiant at age 2 but in his case his motivation was sheer curiosity.</p><p></p><p>Defiance in a two year old is an iffy thing but the combination of speech delay as you describe it along with the lack of interaction would concern me. I would definitely want an evaluation, including Pervasive Developmental Disorder (PDD) assessment.</p><p></p><p>The guidelines for Autism screening by the American assn's of pediatrics and neurology read like this:</p><p></p><p>Absolute indications for immediate evaluation:</p><p>No babbling, or pointing, or other gestures by 12 months</p><p>No single words by 16 months</p><p>No 2 word spontaneous (non echolaic) phrases by 24 months</p><p>ANY loss of ANY language or social skills at ANY age</p><p></p><p>Those can be found here on the second page</p><p><a href="http://www.aan.com/professionals/practice/pdfs/gl0063.pdf#search=" target="_blank">http://www.aan.com/professionals/practic...ology%20autism"</a></p><p></p><p>Are you close enough to this family to speak up cautiously? If you do talk to parents they should know that pediatricians often don't take this seriously and need to be pushed.</p></blockquote><p></p>
[QUOTE="SRL, post: 6944, member: 701"] My difficult child was similarly defiant at age 2 but in his case his motivation was sheer curiosity. Defiance in a two year old is an iffy thing but the combination of speech delay as you describe it along with the lack of interaction would concern me. I would definitely want an evaluation, including Pervasive Developmental Disorder (PDD) assessment. The guidelines for Autism screening by the American assn's of pediatrics and neurology read like this: Absolute indications for immediate evaluation: No babbling, or pointing, or other gestures by 12 months No single words by 16 months No 2 word spontaneous (non echolaic) phrases by 24 months ANY loss of ANY language or social skills at ANY age Those can be found here on the second page [url="http://www.aan.com/professionals/practice/pdfs/gl0063.pdf#search="]http://www.aan.com/professionals/practic...ology%20autism"[/url] Are you close enough to this family to speak up cautiously? If you do talk to parents they should know that pediatricians often don't take this seriously and need to be pushed. [/QUOTE]
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