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This learning program is designed to introduce you to the social impacts of autism by following the case of a young autistic patient named Ethan who also demonstrates irritable and aggressive behavior. Through the patient, his parents, and the clinical professionals who care for him, you will be introduced to the clinical presentation, epidemiology, diagnosis, and management of autism from a more personal perspective. The case opens with the patient at age 6, a few years after his diagnosis, and then progresses through a follow-up appointment at the age of 11. At each time point, you will explore the case from the perspective of the patient’s family as well as 1 or more individuals who are part of the patient’s circle of care, including his family doctor, child psychiatrist, and behavioral therapist.

Upon completion of this learning program, you will be able to:

• Define autism and describe its typical clinical presentation
• Describe the diagnostic procedures used to establish a diagnosis of autism in this case (procedures may vary by age of child and severity of symptoms)
• Discuss the differential diagnosis of autism
• List some of the comorbid conditions that may accompany autism
• Describe behavioral, educational, and pharmacologic therapeutic options available for autism and discuss their relative risks and benefits
• Discuss the emotional, social, and financial impacts a diagnosis of autism can have on a patient’s family

1.1. Getting Started

1.1.1. Sound Check

1.1.2. Disclaimer

1.1.3. Welcome

1.1.4. Navigation Instructions

1.2. Staying Focused

1.2.1. Introduction

Patient Profile

One patient, as a toddler and as an 11-year-old

Autistic disorder

1.2.2. Learning Objectives

1.3. Test your Current Knowledge

1.3.1. Pretest

1.4. Ethan’s Story: Ethan at Age 6

1.4.1. Ethan at Age 6, Perspective 1: Family Doctor (Dr.

Greenberg)

1.4.2. Ethan at Age 6, Perspective 2: Child Psychiatrist (Dr.

Aida)

1.4.3. Ethan at Age 6, Perspective 3: Parents (Cameron and

Sara)

1.4.4. Ethan at Age 6: Side notes

1.4.4.1. Ethan at Age 6, Slideout 1: The Rising Prevalence of Autism

1.4.4.2. Ethan at Age 6, Slideout 2: Autism and the Other Autism Spectrum Disorders

1.4.4.3. Ethan at Age 6, Slideout 4: DSM-IV-TR Diagnostic Criteria for Autistic Disorder

1.4.4.4. Ethan at Age 6, Slideout 5: Summary Table of Pharmacological

Treatment Options for Symptoms Associated with Autism

1.4.5. Ethan at Age 6, Patient Case File

1.4.6. Ethan at Age 6: Progress Check

1.5. Ethan’s Story: Ethan at Age 11

1.5.1. Ethan at Age 11: Introduction

1.5.2. Ethan at Age 11, Perspective 1: Parents (Cameron and

Sara)

1.5.3. Ethan at Age 11, Perspective 2: Family Doctor (Dr.

Greenberg)

1.5.4. Ethan at Age 11, Perspective 3: ABA Therapist (Laura)

1.5.5. Ethan at Age 11, Perspective 4: Family Friend (Dana)

1.5.6. Ethan at Age 11: Side notes

1.5.6.1. Ethan at Age 11, Slideout 1: The Individuals with Disabilities Education Act (IDEA)

1.5.6.2. Ethan at Age 11, Slideout 2: Trends in Autism Research and Funding

1.5.6.3. Ethan at Age 11, Slideout 3: The Financial Burden of Autism

1.5.7. Ethan at Age 11, Patient Case File

1.5.8. Ethan at Age 11: Progress Check

1.6. Test your Acquired Knowledge

1.6.1. Summary

1.6.2. Posttest

1.7. Conclusion

1.8. Glossary

1.9. References