Prof. Dr. İlknur EROL

She was born in Karabük in 1972. She completed her primary education at Karabük Demir Çelik Primary School, her secondary education at Karabük Beşbinevler Secondary School, and her high school education at Karabük Demir Çelik High School. She graduated from Marmara University Faculty of Medicine between 1989-1996. Between 1997-2002, she completed her specialization in the Department of Child Health and Diseases at Gazi University Faculty of Medicine.

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Autism spectrum disorder is a neurodevelopmental condition characterized by difficulties in social communication and repetitive behaviors. Speech delay, lack of eye contact, and restricted interests are among the most common symptoms in children.

Signs of autism are usually noticed during early childhood. Difficulty in communicating with peers, limited play skills, and excessive adherence to routines are important in the diagnostic process.

Diagnosis is made through detailed observation, developmental tests, and specialist opinions. Early diagnosis is critically important for achieving positive outcomes in the child’s education and social life.

Individualized education programs, speech therapy, and behavioral approaches are applied in treatment. Together with family support, regular specialist follow-up improves the child’s quality of life and social skills.

CategoryInformation
Medical NameAutism Spectrum Disorder (ASD)
Common NameAutism
Frequency1 in every 44 children; 4 times more common in boys than girls
Age of OnsetSymptoms are usually noticed between 18-36 months
Main CausesGenetic predisposition, neurodevelopmental differences; the effect of environmental factors is being investigated
SymptomsLack of eye contact, difficulty in social interaction, repetitive behaviors, language delay, restricted interests
Diagnostic Criteria (DSM-5)Persistent deficits in social communication + repetitive behaviors and interests
Accompanying ConditionsIntellectual disability, attention deficit, epilepsy, anxiety disorders
Diagnostic MethodsDevelopmental evaluation, behavioral observations, ADOS (Autism Diagnostic Observation Schedule), family interviews
Treatment MethodsBehavioral therapies (ABA), special education, speech-language therapy, sensory integration therapy, social skills training
Medication TreatmentDoes not treat autism on its own; it may be recommended for accompanying conditions (anxiety, hyperactivity)
Conditions Requiring Emergency InterventionSelf-harming behaviors, severe anxiety crises, seizures
ComplicationsInsufficiency in academic and social areas, difficulties in independent living, emotional problems
Follow-up and MonitoringCooperation between pediatric neurology and child psychiatry; regular evaluation of the individualized education plan
Lifestyle RecommendationsEstablishing routines, regulating stimuli, family support, structured learning environments, early intervention
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    What Is Autism?

    Autism is actually a neurodevelopmental condition that we can define as a developmental difference in the brain. Just like every person’s fingerprint, every child’s developmental path is unique. However, in autism, some distinctive features and differences become evident along this developmental path. We can think of this condition as the different instruments of an orchestra not playing in harmony. There may be some disruptions in communication between different parts of the brain, and this may affect the child’s way of engaging in social interaction, communicating, and displaying repetitive behaviors.

    What Are the Early Signs of Autism?

    The early signs of autism can usually be noticed in the child’s first years, and sometimes even in infancy. These signs may appear with different severity and in different forms in every child. Some of the most common early signs we encounter are the child not showing social interest like peers, avoiding eye contact, not responding to their name, delay in speech or no speech at all, playing with toys in unusual ways (for example focusing on the wheels of cars), displaying repetitive movements (such as hand flapping or rocking), and showing extreme sensitivity to changes in routines. Do not be alarmed immediately when you see these signs, because not every delay or difference means autism. However, if you notice some, even if not all, of the following findings in your child, it is very important to consult a pediatric neurology and child psychiatry doctor without delay. Because studies show that the most important step in the treatment of this condition is early diagnosis and correct guidance. For this reason, it is very important for parents and caregivers to observe the child’s behavior and compare it with the development of peers so that they can notice some problems early.

    How Is Autism Diagnosed?

    There is no special blood test or imaging method to diagnose autism. Diagnosis is made entirely through the evaluation of the child’s behaviors and developmental features by a specialist team. In this process, specialists from different disciplines such as pediatric neurologists, child psychiatrists, special education specialists, speech and language therapists, and occupational therapists may cooperate. By playing with your child, observing them, and having a detailed conversation with you, specialists evaluate your child’s developmental history and current condition. As a result of this evaluation, it is determined whether your child is on the autism spectrum and, if so, what level of support they need. Remember that an accurate diagnosis is vital for planning the most appropriate education and support programs for your child.

    What Are the Causes of Autism?

    Autism spectrum disorder is a broad umbrella diagnosis. If we take the example of a sore throat, a sore throat may be caused by talking too much, a tonsil infection, or throat cancer. Determining the underlying cause is possible with detailed tests to be carried out in the pediatric neurology department. Many genetic neurological diseases may begin in the form of autism spectrum disorder. In 30% of children with autism spectrum disorder, there may be mild to severe abnormalities in the electrical functioning of the brain. Again, showing the cause with imaging methods (, brain) or with more detailed neurogenetic and metabolic tests is also important in terms of determining targeted treatments in addition to special education and preventing recurrence within the family.

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    Is There a Treatment for Autism?

    Since many genetic neurological diseases can begin in the form of autism spectrum disorder, identifying the cause makes it possible to start targeted treatments quickly in addition to special education. In the group where the cause cannot be identified, although there is no known definitive treatment, significant progress can be made in the development of children with autism through intensive and individualized education and therapy programs started at an early age. These programs aim to improve the child’s communication skills, increase their ability to engage in social interaction, reduce repetitive behaviors, and help them acquire daily living skills. Just as a flower grows in the right soil and with the right care, children with autism can maximize their potential with early and proper support. The main therapy methods used include applied behavior analysis (ABA), speech and language therapy, occupational therapy, play therapy, and social skills training. In some cases, medication treatment may also be required for accompanying conditions such as attention deficit hyperactivity disorder (ADHD) or anxiety. However, medication treatment is aimed not at the core symptoms of autism but at controlling these accompanying conditions.

    How Common Is Autism?

    Autism is being seen with an increasing frequency worldwide. Current studies show that approximately 1 in every 36 children has autism spectrum disorder. Among the reasons for this increase are changes in diagnostic criteria, increased awareness, and the development of better diagnostic methods. Autism can be seen in every child regardless of race, ethnicity, or socioeconomic level. It is seen approximately four times more frequently in boys than in girls.

    What Should I Do If I Suspect Autism in My Child?

    If you notice differences in your child’s development or behavior and suspect autism, the most important thing you should do is consult a specialist without delay. First, you can take your child to a pediatric neurology or child psychiatry specialist. Specialists will evaluate your child and, if necessary, refer you for a more comprehensive evaluation. Remember that early diagnosis and early intervention are the greatest opportunities for children with autism to realize their potential. Just like watering a seed early, support and education programs started at an early age will make a significant difference in your child’s development. During this process, remember that you are not alone and that many families go through similar experiences. Specialists and support groups are ready to guide and support you on this journey.

    Frequently Asked Questions

    How does autism affect social communication and interaction in children?

    Autism in children leads to marked difficulties in social communication skills such as initiating reciprocal conversation, making eye contact, and understanding gestures and facial expressions, as well as challenges in social relationships.

    At what ages do signs of autism begin to be noticed in children?

    Signs of autism are generally observed between ages 1-3; they may manifest through limited eye contact, not responding to one’s name, repetitive behaviors, or speech delays.

    Why do sensory sensitivities occur in children with autism?

    In children with autism, the brain may process sensory information differently; therefore, hypersensitivity or hyposensitivity may develop toward stimuli such as sound, touch, light, or taste.

    How is autism related to genetic factors in children?

    Genetic predisposition plays an important role in the development of autism; changes in some genes and a family history of autism may increase the risk.

    What additional health problems can be seen together with autism in children?

    Additional health problems such as epilepsy, attention deficit, anxiety disorders, and gastrointestinal problems may be seen more frequently in children with autism and require special follow-up.

    How are speech and language development supported in children with autism?

    Speech and language skills in children with autism can be improved through speech therapy, individualized education programs, and alternative communication methods.

    Which evaluation methods are used for the diagnosis of autism in children?

    Observation, developmental screening tests, and neuropsychological evaluations are used in the diagnosis of autism; the definitive diagnosis is made by a multidisciplinary team.

    Why is early intervention important in children with autism?

    Early intervention accelerates the development of social and communication skills, reduces behavioral problems, and may increase the child’s independence in the long term.

    What behavioral therapies are applied for autism in children?

    Behavioral development in children with autism is supported through methods such as applied behavior analysis (ABA), sensory integration therapy, and social skills training.

    What is the role of families in the education of children with autism?

    Families’ patient and understanding approach, structuring daily routines at home, and active participation in the educational process positively affect the child’s development.

    Which Department or Doctor Should Be Consulted for Autism in Children?

    Autism spectrum disorder is characterized by difficulties in social communication, repetitive behaviors, and restricted interests. The Pediatric Neurology department should be consulted for the diagnosis and neurological evaluation of these symptoms.