Autism

Autism is generally considered a communication disorder, but there is some debate as to whether some symptoms found are cause or effect. The diagnosis of two professionals on the same child is variable, and may encompass dyslexia, dyspraxia, attention problems, speech and language difficulties, sensory processing problems and more. It is essential that ALL children with Autism syndrome have a full visual perceptual assessment. This includes those that have extreme communication problems eg no verbal ability

Those on the Autistic spectrum may exhibit many visual perceptual problems. Some of these are obvious, such as difficulty with eye contact, some are hidden, for example cross sensory difficulties.
The degree of problem varies enormously, from virtually nil to life altering. Testing is often very difficult but with patience results can be impressive.

The eye test

On the first appointment we will assess and discuss with the parents the most appropriate way forward. If possible we will conduct an eye examination but often this is not possible until the child feels comfortable with us and the environment. Role play may be undertaken. We will not use drugs unless we agree that they are essential as the responses of those on the spectrum vary wildly and they may cause extreme anxiety. We will be guided by the parent at all times.
Further appointments are often necessary – patience is often called for.
We will undertake a full eye test when possible, but we do not feel that disproportionate or aggressive measures to achieve this are appropriate.

Sensory testing

In addition to the eye examination it is often a good idea to undertake a visual sensory integration assessment.
A report is possible and can be tailored for specific circumstances.
We can also provide an expert witness service

We would endeavour to assess
Facial awareness (recognition and emotion)
Visual stability
Visual effects on
Auditory processing (hearing)
Vestibular processing (balance)
Touch awareness
Temperature awareness
Olfactory processing (smell)
Taste and swallow
Muscle tonus (strength)
Gait
Processing speed

It is possible to undertake many of the tests on non verbal / non communicative children and we do our best in these circumstances but some tests may be impossible at present. We are happy to receive suggestions from parents as to how we can improve our techniques, this is a developing area of expertise and whilst we believe that we are at the “cutting edge” there is tremendous scope for improvement.

Ian Jordan has been nominated as a “Hero” in National Autistic Society’s “Schools make sense” campaign.