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A deeper dive into racial disparities in ASD diagnosis

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The racial and ethnic disparities in the diagnosis of ASD has always been unacceptable, but it’s been hard to figure out. This week, researchers published their findings from a close look at 500 African American families with ASD to understand what the barriers were to a timely diagnosis. The results are not surprising, but they are also alarming. Some of these families may benefit from telehealth in the future. Telehealth is not perfect, but it turning out to be helpful. For example, it may be beneficial in treating insomnia in people with ASD. Delivering cognitive behavioral therapy online resulted in improvements in sleep in adolescents with ASD. It isn’t a panacea, but it seems to be more helpful than people gave it credit for before the pandemic.

https://pubmed.ncbi.nlm.nih.gov/32839243/

https://pubmed.ncbi.nlm.nih.gov/32838539/

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CBT and ADDM – two acronyms in the autism news

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Two studies missed last year (sorry) but are of importance to the autism community include a modified version of Cognitive Behavioral Therapy to treat anxiety, which was adapted and updated for people with ASD.  It also works better than traditional CBT, which is good news for  the 80% of people with ASD that also suffer from anxiety.  Also, in recognition of MLK day today, the CDC released information last year that shows that 1/4 of those that they counted in their prevalence numbers were missed by schools or other health care providers.  Unfortunately, those who were black or hispanic were more likely to be those that were missed but still met criteria.  This just shows that educators have to do better in helping those with ASD from all racial and ethnic backgrounds.

https://www.ncbi.nlm.nih.gov/pubmed/31868321

https://www.ncbi.nlm.nih.gov/pubmed/31755906

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Those confusing folate findings explained

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During IMFAR, a study was presented that showed that women with very high levels of folate during pregnancy showed an increased risk of having a child with autism. The media took this to mean that taking too many prenatal vitamins caused autism. ugh. This week, those findings are discussed. Also published this week is a well-designed, long awaited study which examines the theory that too little folate in the central nervous system is the culprit behind autism. Too little folate in the brain is not the culprit, and too much in the blood may be coincidental to something else causing autism. It’s important to have a balance so don’t hesitate to take a prenatal if you are trying to get pregnant.

Also, because you may be IMFAR’d out – we highlight the exciting findings that cognitive behavioral therapy for treating anxiety in people with ASD is not only effective in clinical settings, but in school settings. This has implications people with ASD in special needs classrooms who need treatments for anxiety.