B R E A K I N G D O W N B R I C K W A L L S F O R F A S D

What is Fetal Alcohol Exposure?

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  
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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 mother’s 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:
won’t can’t
bad frustrated defeated, challenged
Lazy  Tries hard
Lies  Fills in
doesn’t try  Exhausted or can’t start
Mean Defensive,  hurt, abused
doesn’t care  cannot show feelings
Refuses to sit still  Overstimulated
Fussy, demanding  Oversensitive
Resisting

 doesn’t "get it"

Trying to make me mad  can’t remember
Trying to get attention  Needing contact, support
Acting younger  Being younger
Thief  doesn’t understand ownership
doesn’t try  Tired of always failing
doesn’t 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

 

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