What is Fetal Alcohol
Effects (FAE)?
What are the
Characteristics of FASD?
Physical Characteristics
Related to FASD
Learning Difficulties
Related to FASD
A Shift In How to Understand
Children with FASD
Inappropriate Social
Skills Related to FASD
Developmental Skills
Related to FASD
Positive Characteristics of
Children with FASD
What is Fetal Alcohol Effects (FAE)?
Some children are affected by alcohol but do not have all the features of
FAS. These children may be diagnosed with Fetal Alcohol Effects (FAE).
They may have normal growth and a more normal appearance. They are more likely
to have a normal IQ than a child with FAS. Like children with FAS, those
with FAE can have mild to severe problems. These may involve problems with
reasoning, behavior and learning.
Alcohol
Related Birth Injury (FASD) Quiz
Take the quiz and see how smart you
are About FASD.
ABOUT FASD
What are the Characteristics of FASD?
Not all children with FASD are alike. The effects range from mild to
severe. They depend on the amount of alcohol used and the time in which it is
used. They also depend on the mothers diet, age and drinking history.
Typically, children with FASD have more physical, developmental and
behavioral problems than other children. Early identification is the first step
to an improved prognosis.
The following are the most common characteristics found in children affected
by alcohol use during pregnancy. Remember, not all children with FASD have
all the characteristics.
Physical Characteristics Related to FASD
Growth deficiencies may include:
- Low birth weight
- Small size for age in weight and length
|
- Small head for age
- Failure to thrive
|
Facial malformations may include:
- Short eye slits
- Droopy eyelids
- Widely spaced eyes
- Nearsightedness
- Crossed eyes
- Short upturned nose
|
- Low and/or wide bridge of the nose
- Flat or smooth area between the nose and lip
- Thin upper lip
- Flat midface
- Small underdeveloped jaw
|
Other effects may include:
- Large or malformed ears
- Underdeveloped fingernails or toenails
- Short neck
|
- Poor eye-hand coordination
- Hearing problems
- Joint and bone abnormalities
|

Behavioral Characteristics Related to FASD
Children with FASD often have behavior problems due to brain injury.
Some have more behavioral problems than others. Some are so severely affected
that they cannot function independently in the community.
Behavior problems will
vary. They include:
- Hyperactivity
- Stubbornness
- Impulsiveness
- Passiveness
|
- Fearlessness
- Irritability
- Sleep difficulties
- Teasing or bullying of others
|
Other effects may include:
- Hypersensitivity to sound and touch
- Difficulty with change
- Organizational difficulties
- Poor self-image
|
- Overstimulation difficulties
- Depression or withdrawal
- Problems with truancy
- Problems with sexuality
|

Learning Difficulties Related to FASD
Children with FASD frequently have learning difficulties. These
difficulties result from poor thinking and processing skills. Information may be
known, but cannot be applied to different situations. Learning may occur in
spurts. Easy learning periods may be followed by harder ones. During difficult
periods, children may have trouble remembering and using their learned
information. Because of inconsistent learning, teachers may think they are just
not trying. They may label them as lazy or stubborn.
Difficulties may include:
- Developmental delays
- Attention deficit
- Poor organization skills
- Problems with memory
- Poor mathematical skills
|
- Difficulty with abstract concepts
- Difficulty learning from past experiences
- Difficulty understanding cause and effect
- Speech delays, stuttering and stammering
|
A shift in how to understand children with FASD may
be helpful. This shift includes moving:
Check out article is it the Child won't or can't
|
From seeing a child as:
|
To understanding a child as:
|
| wont
|
cant
|
| bad frustrated
|
defeated, challenged
|
| Lazy
|
Tries hard
|
| Lies
|
Fills in
|
| doesnt try
|
Exhausted or cant start
|
| Mean Defensive,
|
hurt, abused
|
| doesnt care
|
cannot show feelings
|
| Refuses to sit still
|
Overstimulated
|
| Fussy, demanding
|
Oversensitive
|
| Resisting
|
doesnt "get it"
|
|
Trying to make me mad
|
cant remember
|
| Trying to get attention
|
Needing contact, support
|
| Acting younger
|
Being younger
|
| Thief
|
doesnt understand ownership
|
| doesnt try
|
Tired of always failing
|
| doesnt get the obvious
|
Needs many reteachings
|
D. Malbin (1994)
Inappropriate Social Skills Related to FASD
Children with FASD often show socially inappropriate behavior due
to impaired practical reasoning skills. They also may be unable to
consider results of their actions. They may miss cues used as subtle
messages like gestures and facial expressions. They may be socially and
emotionally immature and have difficulty getting along with peers.
Children with FASD can be easily influenced by others. Due to their
trusting nature and eagerness to please, random attraction to strangers may
occur. They may be vulnerable to manipulation and victimization. This can cause
concern for caregivers. Constant supervision may be required.
Developmental Skills Related to FASD
There is a great difference between physical maturity and emotional and
social development. An individual of 18 years of age with FASD may have a
much lower developmental age. Problems can occur if age-appropriate behavior is
expected but cannot be met. Gradual catch-up may occur in adulthood. Go
to Timelines for more information.
Skill Expected at
18 Developmental Age Equivalent
Expressive Language ----------------------------------------> 20 yrs.
Comprehension ----------> 6 yrs.
Money, Time Concepts -----------------> 8 yrs
Emotional Maturity ----------> 6 yrs.
Physical Maturity -----------------------------------> 18 yrs.
Reading Ability ------------------------------> 16 yrs.
Social Skills ------------> 7 yrs.
Living Skills ------------------> 11 yrs.
D. Malbin (1994)
Positive Characteristics of Children with FASD
Children with FASD have many valuable qualities and talents. With early
identification, intervention and family support many can develop their
best qualities.
These children may be:
- Cuddly, cheerful and tactile
- Friendly and happy
- Caring, kind, loyal, nurturing and compassionate
- Trusting and loving
- Determined, committed and persistent
- Curious and involved
- Energetic, hard working and athletic
|
- Artistic, musical and creatively intelligent
- Fair and cooperative
- Highly verbal
- Kind with younger children and animals
- Able to have long-term visual memory
- Able to participate in problem solving
|