Autism and ASDs involve difficulties in relating and forming relationships, communicating (whether with gestures, words, or symbols), and thinking. These complex developmental problems can express themselves differently and can appear in different combinations. Not every child under the same general diagnostic label has all of these problems to the same degree. For example, children with Asperger`s Syndrome often have large vocabularies and may be early readers but have trouble using words meaningfully, in an emotional relevant way. Instead, they may simply repeat words or understand only the dictionary definition of the word. They may also have problems in relating with others in communicating with gestures and emotion.Another variation is seen in children with severe motor planning problems. Some children have oral-motor problems that make it hard for them to their tongue and muscles in their mouth in order to speak. Some children with both sever oral-motor problems and general motor problems may appear to have cognitive disabilities and to lack social skills when they are limited in expressing abilities and skills by their motor impairments. When we help children with oral motor problems communicate through sign language or other augmentative modes such as computer keyboards, we often find that they understand their world to a much more developed degree than we realized.
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