In Practice

A practicing doctor's views on psychiatry and contemporary culture.

Dear Abby: Is Autism a Mental Illness?

“Dear Abby” has been “corrected” by readers who find her “way off base” for misclassifying autism. In a prior column, she had called it a “mental-health disorder.” Now she accepts that she was mistaken.
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Neither here nor there

Those who come to have chronic depression,aren't they genetically predetermined to wither and buckle to stress and not extraordinary stress but even very mild stress? One of the developmental differences between Autism (ADD) and DEPRESSION is the emotional development. The former tend to improve over the years the ladder(DEPRESSION) tend to get worse.Too bad this could not of developed into a longer discussion.-Were you hinting at another book, when you said ''longer writing projects''. IF you need cover art for it, you can procure me for free. Enjoy your time off !-Sincerely David

Is Autism a Mental Illness

It may be irresponsible to characterize autism as any of the three things you wrote with absolute certainty. Is it true that the social environment has no influence on the development of autism?

- A student

Autism is NOT a genetic or developmental disorder- it is impossible.

As a parent of a child who has been diagnosed with autism, and one who has educated herself fully on the scope of autism, I can tell you that this article misses the boat entirely. It is an antiquated idea that autism is a genetic disorder at all. It is impossible to have a genetic or developmental epidemic. Epidemic is what you call it when over a 30 year period, the chances of your child developing "autism" goes from 1 in 20,000 to 1 in 100. That means 1% OF THE POPULATION. The symptoms of autism are caused by a medical disease that affects the immune system. Children with family histories of autoimmune disorders are likely culprits. The evidence is out there. Look for it. It is treatable. A cure is possible. Our daughter is on her way to recovery. Let's get our heads of the sand and look around. Children and their families are suffering.

Mental illness implies a

Mental illness implies a chemical imbalance which can be treated by using the right combination of medications (chemicals) to treat the imbalance. My son was diagnosed with autism. The MD who diagnosed him explained that autism is a brain disorder. Neuro-developmental disorder, to use the fancy term. Autism is not a genetic disorder. But, it can run in families. Behavior Modification can help; but, there is no medication that can change how my son sees the world. Even he will admit to that.

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Peter D. Kramer is a psychiatrist and author. His books include Against Depression and Listening to Prozac.

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