Child developmental regression is when a child loses certain developmental skills they previously acquired. It might seem as if they’re almost moving backward in their development. This is different from developmental delay, when kids reach certain milestones later than expected or their developmental progress flattens or stalls.
The condition is pretty rare, though it is sometimes associated with a number of diagnoses, each warranting prompt attention and intervention. The good news is that for the more common conditions, treatment can be effective when problems are caught early.
Examples of the conditions most commonly associated with child developmental regression are:
- Autism spectrum disorder. This condition isn’t always associated with child developmental regression, but as researchers have noted, it is the most frequent condition in which regression is diagnosed. In rare instances, it can be associated with Heller’s Syndrome, also known as child disintegrative disorder (CDD). This is characterized by late onset (age 3 and older) developmental delays, social function, motor skills, and even cognitive function. Children with CDD will develop typically for the first 2 to 10 years before sharply regressing.
- Neurodegenerative disorders. These include conditions like Rett’s Syndrome and Metachromatic leukodystrophy.
- Trauma or stress. Traumatic or stressful events can cause some children to regress in some respects or act younger than their age. Examples of this include things like potty accidents, sleep disturbances, decreased independence and behavior disruption.
For this article, we’re focusing primarily on regression as it pertains to autism. It should be noted though that with the other conditions, medications, therapies, and other supports are known to help manage symptoms, prevent complications, and improve life quality.
What We Know About Child Developmental Regression and Autism
Regression with autism appears to occur very rapidly or gradually. In either case, the child struggles to regain skills they’ve lost.
Some researchers have concluded that while regression among some kids with autism can be very real, many instances are more likely a pileup of deficits and missed indicators that finally become unmistakable. Parental reports that classify the onset of autism can often be flawed – not because parents aren’t paying attention to their kids, but because they usually aren’t child developmental experts who even know what to watch for.
In other words, loss of social interest or communication deficits can take place at varying ages and to different degrees – it just becomes more noticeable at certain points. When it happens to kids who are little older, it can appear drastic and sudden. When it happens in kids who are a lot younger, it can seem very subtle.
In the past, doctors used to think that “regressive autism” was a subtype of autism, but the more we learn about the condition, the more those lines have been blurred. One study published in the Journal of Developmental and Behavioral Pediatrics found as many as 1 in 5 cases of autism involved regression – a rate that has risen as we’ve grown to include more people with unique presentations of autism.
Often, it looks something like this: An 18-month-old who seemed to be developing typically “withdraws suddenly,” ignoring his own name, talking less (to the point of not talking at all), ignoring engagement with other kids to play almost exclusively with inanimate objects, losing previous interests, and appearing to obsessively focus on a few things or activities. This may occur at the same time as the child begins to display behavior characterized as “odd” and repetitive.
Although doctors used to consider “regressive autism” to be its own subset of the condition, physicians increasingly argue that such classifications aren’t as pertinent because most kids with autism lose some skills, and there is a lot of variation on the types of skills they lose, to what degree, and at what age. A study published in the journal Autism in 2016 found that there were a range of onset patterns, with some parents reporting early developmental delays with no skill loss to no delays and then a clear loss of skills. Ultimately, this may tell us something about the onset of the condition, but it doesn’t necessarily change the approach and treatment in helping kids “catch up” in their social, emotional, and communication skills.
Child developmental regression typically occurs among children younger than 3, with the average age being around 21 months. The risk of children losing their developmental skills becomes increasingly unlikely the older they get, but early intervention speech therapy, occupational therapy, and ABA therapy can help them retain what they have and make gains where they’ve fallen behind.
Early Intervention Therapies Can Help Kids Who Have Developmental Regression
When it comes to children with autism, regardless of the onset pattern, waiting for the child to “catch up” on their own simply isn’t going to work.
Our Brecksville speech therapy, occupational therapy, ABA therapy, physical therapy, and special education team work together as a team in formulating an early intervention plan that can help children on the autism spectrum communicate, play, and learn. Our approach is going to be based on the skills they have compared to the skills they should be displaying for a child their age.
Therapy is not a “quick fix” solution. It is a commitment for families, but is well-established as one of the most effective means of treating children who’ve experienced developmental regression attributed to autism.
Therapy & Wellness Connection – your connection to a life without limitations – provides speech therapy, occupational therapy, ABA therapy, physical therapy, and special education services to children in Akron, Cleveland, Brecksville-Broadview Heights and surrounding communities. We also offer summer camp, day programs, vocational counseling and more. Call us at (330) 748-4807 or send us an email.
Why Act Early if You’re Concerned About Child Development, U.S. Centers for Disease Control and Prevention
More Blog Entries:
At What Age Should My Child Begin Brecksville Speech Therapy? Oct. 16, 2021, Brecksville Speech Therapist Blog
Both occupational therapy and physical therapy practitioners are committed to improving lives. But often when parents come to us for services, in some cases recommended for both types of therapy, they aren’t all that clear on the unique role each plays. Physical therapy is generally better understood than occupational therapy, but both are equally vital in helping children with injuries, disabilities and delays reach their full potential.
The fields are quite similar, but they’re also unique in both scope and focus.
What is Occupational Therapy?
It’s probably worth first explaining occupational therapy. The name throws a lot of people off, as if it might have something to do with one’s job. The reality is that our Brecksville occupational therapists assist kids and young adults with a wide range of tasks that “occupy” their life. Many of the kids we work with are far too young for jobs, but offering assistance in finding and maintaining work could be goals for some of our teen or young adult patients.
Occupational therapists can help individuals focus on one major thing or just a few things, but are also dedicated to treating the “whole person.” That means we can help with everything from handwriting to self-care to social interactions to play. Occupational therapists in Ohio must have a master’s degree and be licensed through the state to practice.
What is Physical Therapy?
These are our movement experts! Physical therapists are committed to helping children with conditions that impede their ability to move and can often offer ways to prevent injury, provide surgery and minimize pain.
Physical therapists in Ohio are required to earn a doctor of physical therapy (DPT) to practice. In addition to studying anatomy, kinesiology and neuroscience, these practitioners also study things like communication, child development and ethics. They too must be licensed through the state.
In What Ways Are Pediatric Occupational and Physical Therapists the Same?
As previously mentioned, both types of practitioners (OTs and PTs) are committed to wellness. Beyond that, both evaluate patients and offer customized plans of care. Treatment plans are monitored routinely for progress and also whether changes are needed.
They also treat many of the same conditions, such as brain injuries, spinal cord injuries, autism, down syndrome, torticollis, reflex integrations, proprioceptive awareness and neurological conditions. Further, both work with caregivers and family members to ensure patients have the support they need to thrive. Although OT and PT practitioners can both work in clinics, hospitals and nursing homes, ours practice in our Brecksville clinic as well as in patient homes and schools.
Both can become certified in specialties like pediatrics.
So What’s the Difference?
The primary difference between physical and occupational therapy practitioners is the scope of what they do. While physical therapists want to help people move better, occupational therapists are more focused on a holistic function that can include social, emotional and work-related scenarios. Whereas the physical therapist would be focused primarily on facilitating movement, the occupational therapist would also be concerned with developing/restoring the ability to complete certain functions.
If your child needs physical therapy, occupational therapy or both, our Brecksville pediatric therapy clinic is a one-stop-shop for both.
Therapy & Wellness Connection – your connection to a life without limitations – is a pediatric therapy center providing occupational therapy, physical therapy, speech therapy and ABA therapy to children with special needs in Northeast Ohio. We also offer summer camp, day programs, education services, vocational counseling and more. Call us at (330) 748-4807 or send us an email. Serving Brecksville, Akron, Cleveland and surrounding communities in Northeast Ohio.
Occupational Therapy Versus Physical Therapy, June 22, 2021, Medically Reviewed by Poonam Sachdev, MD, WebMD
More Blog Entries:
When Your Child Can’t Write His Name Yet: Tips From an Akron Occupational Therapist, June 18, 2021, Brecksville Occupational Therapy Blog