Explosão de casos de autismo e TDAH: entenda a questão

Brasil Paralelo
27 Aug 202406:56

Summary

TLDRThe script discusses the importance of early diagnosis in autism due to neuroplasticity, emphasizing the need for early intervention. It highlights the increase in autism and ADHD diagnoses, possibly due to better diagnostic practices and societal changes. The conversation touches on the simplification of autism diagnosis criteria and the potential influence of the 'autism industry.' It also addresses the stigma around mental health diagnoses and the importance of public policies to support families affected by autism, noting the significant stress on caregivers.

Takeaways

  • 🧠 Early diagnosis of autism is crucial due to neuroplasticity, which allows the brain to adapt and learn more effectively at a young age.
  • 📈 There has been a significant increase in autism and ADHD diagnoses, which could be attributed to improved diagnostic practices and societal awareness.
  • 🔍 The Diagnostic and Statistical Manual of Mental Disorders (DSM) has simplified the diagnostic criteria for autism, potentially leading to an increase in diagnoses.
  • 💊 The 'autism industry' has emerged, suggesting that there may be financial incentives in diagnosing and treating autism.
  • 🤔 It's become more socially acceptable to say a child has autism rather than intellectual disability, which has seen a decrease in diagnoses.
  • 🤷‍♂️ There's a debate on whether certain public figures are correctly diagnosed with autism, questioning the accuracy of some diagnoses.
  • 👨‍👩‍👧‍👦 Families with children with autism face significant stress, with some studies comparing the stress levels to those of soldiers in war.
  • 🏥 There is a need for public policies and interventions to support families with children with autism, which are currently lacking.
  • 🧐 The podcast discusses the controversy and complexities surrounding autism diagnoses, including the potential overdiagnosis and societal implications.
  • 🌐 The conversation highlights the global nature of the issue, with statistics from the United States showing a high prevalence of autism among children.

Q & A

  • Why is early diagnosis of autism emphasized?

    -Early diagnosis is crucial due to neuroplasticity. It's easier to teach life skills to young children, as the brain is more adaptable. If a child doesn't learn by a certain age, it becomes increasingly difficult and requires more time and effort.

  • How does the brain's neuroplasticity relate to learning and autism?

    -Neuroplasticity refers to the brain's ability to reorganize and form new neural connections. In autism, early intervention can help strengthen neural pathways, making it easier for individuals to learn and adapt.

  • What is the significance of the statement about teaching a child at 2 years old versus at 14 years old?

    -The statement highlights the importance of early intervention. Teaching a child at 2 years old requires less time and effort compared to teaching an older child, emphasizing the need for early diagnosis and treatment in autism.

  • Why has there been an increase in autism and ADHD diagnoses?

    -The increase in diagnoses could be due to better diagnostic tools and awareness, but also a shift in classification from intellectual disabilities to autism and ADHD.

  • How has the diagnostic criteria for autism changed over time?

    -The diagnostic criteria have evolved, with the DSM-5 simplifying the process by listing specific criteria that must be met for a diagnosis. This has made it easier to diagnose but may also contribute to an increase in the number of diagnoses.

  • What is the 'industry of autism' mentioned in the script?

    -The 'industry of autism' refers to the economic and service sector that has grown around the diagnosis and treatment of autism, sometimes leading to overdiagnosis and profit-driven practices.

  • Why might it be easier to say a child has autism rather than intellectual disability?

    -Society has become more accepting and less stigmatizing of autism, making it easier for parents and individuals to acknowledge and seek help for autism rather than intellectual disability.

  • What are the challenges faced by families with children with autism?

    -Families with children with autism face significant stress and require support. The stress levels can be comparable to those of soldiers in war, highlighting the need for public policies and interventions.

  • Why is it important to differentiate between autism and other conditions like intellectual disability?

    -Differentiating between conditions is crucial for appropriate treatment and support. Misdiagnosis can lead to inadequate interventions and perpetuate stigma.

  • What is the role of public policies in supporting families with children with autism?

    -Public policies play a vital role in providing necessary resources, support, and interventions for families dealing with autism, helping to alleviate stress and improve quality of life.

  • How does the script address the issue of celebrities and public figures disclosing autism diagnoses?

    -The script questions the accuracy of some public figures' autism diagnoses, suggesting that the diagnosis might be given without meeting all the criteria, which can affect public perception and understanding of autism.

Outlines

00:00

🧠 Early Diagnosis and Neuroplasticity in Autism

The paragraph discusses the importance of early diagnosis in autism due to neuroplasticity. It mentions a study that highlights the increased difficulty and time required to teach basic life skills to children with autism as they age, emphasizing the need for early intervention. The speaker also touches on the increase in autism and ADHD cases, suggesting a societal shift in diagnosis from intellectual disabilities to autism. The paragraph points out the change in diagnostic criteria, making it easier to diagnose autism, but also raising concerns about overdiagnosis and the potential influence of the 'autism industry.' The speaker reflects on the stigma associated with different diagnoses and the societal acceptance of autism as a less stigmatized condition compared to other mental health disorders.

05:01

👨‍👩‍👧‍👦 The Impact of Autism on Families and the Need for Public Policies

This paragraph delves into the challenges faced by families with children diagnosed with autism, highlighting the significant stress levels experienced by parents, particularly mothers. It compares the stress levels to those of soldiers in war, indicating the severity of the emotional and psychological burden. The speaker calls for public policies and support systems to assist these families, criticizing the lack of adequate interventions and societal understanding. The paragraph also addresses the misdiagnosis issue, where individuals may be diagnosed without meeting all the necessary criteria, and the societal trend of preferring autism as a diagnosis over other mental health conditions due to reduced stigma.

Mindmap

Keywords

💡Autism

Autism, or Autism Spectrum Disorder (ASD), is a developmental disorder that affects communication and behavior. In the script, autism is discussed in the context of early diagnosis and the importance of intervention due to neuroplasticity. The video emphasizes the increased number of autism cases and the debate around the reasons behind this increase, including changes in diagnostic criteria and the influence of the 'autism industry'.

💡Neuroplasticity

Neuroplasticity refers to the brain's ability to reorganize itself by forming new neural connections throughout life. The script mentions the significance of early diagnosis in autism because of neuroplasticity, suggesting that the younger a child is when they start learning, the more effective the learning process will be, as supported by the example of teaching life skills to a 2-year-old versus a 14-year-old.

💡Early Diagnosis

Early diagnosis is the identification of a condition, such as autism, at an early stage of development. The script argues for the importance of early diagnosis to take advantage of the brain's neuroplasticity, which allows for more effective intervention and learning. It contrasts the ease of teaching a child at a young age with the increased difficulty and time required as they grow older.

💡DSM (Diagnostic and Statistical Manual of Mental Disorders)

The DSM is a manual published by the American Psychiatric Association, outlining criteria for the diagnosis of mental disorders. The script discusses how the 2013 edition of the DSM simplified the diagnostic criteria for autism, which may have contributed to an increase in the number of autism diagnoses. It highlights the shift from older terms like 'intellectual disability' to the current autism spectrum.

💡Intellectual Disability

Intellectual disability, previously referred to as 'mental retardation,' is a developmental disorder characterized by significant limitations in intellectual functioning and adaptive behavior. The script contrasts the historical use of this term with the current focus on autism, noting a decrease in the diagnosis of intellectual disability and a corresponding increase in autism diagnoses.

💡ADHD (Attention Deficit Hyperactivity Disorder)

ADHD is a neurodevelopmental disorder characterized by symptoms such as inattention, hyperactivity, and impulsivity. The script mentions the perceived 'explosion' of ADHD diagnoses, suggesting that societal perceptions and diagnostic practices may be contributing to an increase in the number of children diagnosed with the condition.

💡Stigma

Stigma refers to the negative attitudes and discrimination associated with certain conditions or characteristics. The script discusses the stigma associated with mental health conditions, noting that autism has become more socially acceptable and less stigmatized than other conditions like bipolar disorder or schizophrenia, which may influence diagnostic trends.

💡Industry of Autism

The 'industry of autism' refers to the economic and commercial aspects surrounding autism, including services, treatments, and products. The script suggests that the growth of this industry may influence the number of autism diagnoses, as there is a financial incentive to identify and treat the condition.

💡Public Policies

Public policies are initiatives and programs implemented by governments to address societal issues. The script calls for public policies to support families with children who have autism, acknowledging the significant stress and challenges these families face. It highlights the need for societal support and resources to help manage the complexities of caring for a child with autism.

💡Cortisol

Cortisol is a hormone produced in response to stress. The script mentions a study comparing the stress levels of mothers caring for children with autism to those of soldiers in war, using cortisol levels as an indicator. This emphasizes the intense stress and burden that caregivers of children with autism may experience.

Highlights

Early diagnosis is crucial due to neuroplasticity in autism.

Teaching a child basic life skills at 2 years old requires less time and effort compared to teaching an older child or adult.

Neuroplasticity allows for learning and development at any age, even in a 60-year-old.

The number of autism cases has increased, as has the number of ADHD cases.

The increase in diagnoses could be due to better diagnostic methods rather than an actual increase in prevalence.

In the past, autism was often misdiagnosed as intellectual disability, which has since changed.

The DSM-5 has simplified the diagnostic criteria for autism, potentially leading to more diagnoses.

The 'autism industry' has emerged, suggesting a commercial aspect to the condition's diagnosis and treatment.

It's become more socially acceptable to say a child has autism rather than intellectual disability.

Some children with intellectual disabilities may exhibit behaviors similar to autism.

The purpose of a diagnosis should be to prevent or treat conditions that can lead to significant impairment.

Famous individuals claiming autism without meeting diagnostic criteria raise questions about the accuracy of such claims.

Diagnosing autism in adults has become more common, possibly as an alternative to other mental health conditions.

Autism diagnosis has become more socially acceptable and less stigmatized compared to other conditions.

Families of children with autism face significant stress, with some studies comparing it to the stress of war soldiers.

Public policies are needed to support families of children with autism, but many are lacking.

The discussion highlights the need for accurate diagnosis and appropriate support for individuals with autism.

Transcripts

play00:00

ah dentro do autismo eh a gente fala a

play00:03

gente trabalha muito essa questão do

play00:04

diagnóstico precoce por causa dessa

play00:06

neuroplasticidade Porque existe um

play00:08

estudo que fala assim olha o que eu

play00:10

preciso para ensinar uma criança em 30

play00:13

minutos aos 2 anos ações de vida básica

play00:17

tá se ela não aprender aos 14 anos eu

play00:21

vou precisar de 52 vezes 30 minutos e

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mesmo assim ela não vai aprender direito

play00:27

então isso fala da neuropad então assim

play00:29

quando antes você entender que você tá

play00:32

colocando o seu filho em risco e mudar a

play00:34

sua atitude melhor mas por outro lado se

play00:38

você tá hoje com seu filho de 60 anos e

play00:42

você ainda não conseguiu resolver os

play00:43

problemas Ainda há Tempo tá a gente

play00:46

ainda consegue aprender a gente consegue

play00:48

desenvolver sinapse neurônios que

play00:50

disparam juntos se fortalecem não

play00:53

importa a idade então se você aprender

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uma nova habilidade hoje e começar a

play00:57

repetir essa nova habilidade e se você

play00:59

começar a fazer isso com seu filho ele

play01:01

vai se fortalecer e vai ter isso nele

play01:04

você falou do autismo eu queria te

play01:06

encaminhar um pouco a a direção na nossa

play01:08

conversa para ir eh tem realmente

play01:10

aumentado o número de casos de autismo e

play01:13

com relação a TDH também porque TDH é

play01:17

algo que a gente sempre ouve falar

play01:19

parece que hoje virou uma explosão de

play01:21

toda criança tem TDH e às vezes a

play01:23

criança só é ansiosa só é agitada é

play01:26

assim mesmo de fato tem aumentado tanto

play01:30

vou ganhar o prêmio Nobel nós vamos ser

play01:32

presos

play01:33

aqui então polêmica só tem polêmica

play01:35

nesse podcast po presta atenção o número

play01:38

de de pessoas diagnosticadas tem

play01:40

aumentado Ponto Isso é fato tá bom assim

play01:43

eh eu lembro quando eu estava fazendo

play01:46

residência de Pediatria H alguns anos

play01:48

atrás meu professor Marcão ligou que que

play01:51

você tá fazendo aí na enfermaria tô

play01:52

evoluindo Professor corre aqui porque eu

play01:54

vou atender uma criança com autismo eu

play01:56

queria que você a visse Poxa nem tem

play01:58

tanto tempo que eu fiz Pediatria assim

play01:59

uhum hoje dificilmente você não vai ver

play02:02

uma criança se atende eh 50 crianças por

play02:05

dia você vai ver alguma criança com

play02:06

autismo caramba eh nos Estados Unidos

play02:09

com 8 anos de idade uma em cada 36

play02:11

crianças preenche critério diagnóstico

play02:14

que que aconteceu primeira coisa é

play02:16

mudança de Diagnóstico porque

play02:19

antigamente a gente não sabia fazer o

play02:21

diagnóstico adequadamente e a gente

play02:23

classificava todo mundo como deficiência

play02:25

intelectual f70 f71 f72 eu mesmo tem um

play02:30

tio lá na roça que eu tenho certeza hoje

play02:32

já falecido tenho certeza que ele era

play02:33

autista aí ficou como que ah o o o

play02:36

retardo Ah ele tem retardo ele tem

play02:38

retardo hoje a gente nem usa mais esse

play02:39

termo né e isso é uma coisa então a

play02:42

gente melhorou o diagnóstico em 2013 o

play02:45

saiu dsm que é o manual estatístico de

play02:47

transtornos e diagnóstico de transtornos

play02:49

mentais ele simplificou a forma de fazer

play02:52

o diagnóstico ele colocou eh oito itens

play02:56

sete itens e desses sete itens a gente

play02:58

tem que ter cinco então simplificou pra

play03:00

pessoa poder fazer o diagnóstico também

play03:02

só que ah tem alguns estudos mostrando

play03:06

que assim para eu aumentar o número de

play03:09

Diagnósticos de autismo eu teria que

play03:11

também aumentar o número de pessoas com

play03:13

traços

play03:14

autísticos é mais ou menos assim Artur

play03:17

para eu aumentar o número de diabéticos

play03:20

eu tenho que aumentar pessoas com

play03:23

eh insensibilidade a a à insulina ou

play03:28

seja aquela pessoa que tá ali mais acima

play03:31

e tem um estudo que mostra que tá

play03:32

aumentando e tem um estudo que mostra

play03:34

que não tá aumentando uhum existe uma

play03:35

outra coisa que é a indústria do autismo

play03:37

e a gente não pode deixar de discutir

play03:39

isso autismo virou dinheiro autismo é a

play03:42

pessoa quer produzir produzir produzir

play03:44

igual a Indústria Farmacêutica também

play03:46

uma Indústria Farmacêutica e eh uma

play03:48

outra coisa que eu tenho observado hoje

play03:51

é que é muito mais fácil você falar que

play03:53

seu filho tem autismo do que falar que

play03:55

ele tem deficiência intelectual 2% das

play03:58

Crianças podem ter deficiência

play04:00

intelectual e hoje a gente não vê mais

play04:02

os colegas fazendo diagnóstico de

play04:03

deficiência intelectual é maior do que o

play04:05

de autismo bem maior do que o de autismo

play04:07

né assim e algumas crianças com

play04:09

deficiência intelectual elas vão ter

play04:11

alguns comportamentos que parecem com

play04:12

autismo eh eu não vou falar de

play04:15

aprendizado né Essas coisas um atraso no

play04:18

desenvolvimento motor dificuldade de

play04:20

relacionamento dificuldade na fala que

play04:22

podem sugerir um quadro semelhante de

play04:25

autismo E aí vem aqueles casos assim que

play04:28

por exemplo discutir se messe é autista

play04:32

se João da mídia aí é ou não autista e

play04:35

quando eu olho pra pessoa aquela pessoa

play04:38

ela não tem nenhum prejuízo qual

play04:40

prejuízo não adaptável de Messi hum

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casado com filho o melhor jogador do

play04:46

mundo tá tudo certo Néo E aí entra uma

play04:48

outra coisa assim para que que serve um

play04:50

diagnóstico para que que eu faço

play04:51

diagnóstico de você ah você tem

play04:53

hipertensão arterial porque eu sei que

play04:55

se eu prevenir se eu te tratar eu vou

play04:58

evitar três vezes a chance de que você

play05:00

tenha infarto agudo miocárdio que você

play05:02

tenha lesão

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renal E aí às vezes a gente esquece de

play05:07

olhar esse lado e começa a dar

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diagnóstico pra pessoa que não cumpre

play05:13

todos os critérios isso eu tenho visto

play05:15

acontecer outro dia saiu um famoso aí na

play05:17

mídia falando que tem autismo o cara é

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apresentador e quando você pega o dsm as

play05:22

três primeiras coisas que não podem

play05:24

faltar é alteração de comunicação social

play05:27

e fala Poxa como é que uma pessoa que

play05:29

que é apresentador tem dificuldade na

play05:31

comunicação social e na fala então assim

play05:34

eu não eu não identifiquei Como fizeram

play05:37

o diagnóstico Desse colega eh mas é mais

play05:40

fácil hoje principalmente pro adulto

play05:42

falar que tem autismo do que tem

play05:44

transtorno bipolar Uhum é mais fácil

play05:46

falar que tem autismo do que tem

play05:48

esquizofrenia porque falar que tem

play05:50

autismo ficou eh mais aceito na

play05:53

comunidade entendi não tá estigmatizado

play05:56

né os outros parece que já carregam o

play05:57

estigma né agora a gente tem que lembrar

play05:59

um outro negócio sabe essas famílias de

play06:01

crianças com autismo são famílias que a

play06:04

gente precisa ter um olhar diferente eh

play06:07

porque assim e eu tô quase que fazendo O

play06:09

Advogado do Diabo aqui né E a gente tem

play06:12

que lembrar dos dados dessas famílias

play06:14

por exemplo tem um estudo que mostra que

play06:17

o estresse de uma mãe Eh que tem autismo

play06:21

por que a mãe porque o pai geralmente

play06:23

não fica né stress de uma mãe que cuida

play06:26

de uma criança com autismo são

play06:27

semelhantes ao stress de um soado em

play06:30

guerra é então assim o nível de cortisol

play06:33

dela que é aquele caso que eu acabei de

play06:35

falar ó me ajuda ou você eu me mato eu

play06:38

mato ele ou você me ajuda né assim então

play06:41

o stress delas são muito grandes então

play06:43

então assim requer realmente que a gente

play06:45

tenha políticas públicas para ajudar

play06:47

essas famílias e a gente ainda não tem

play06:50

essas políticas a gente tem gente

play06:52

falseando que tá fazendo uma intervenção

play06:55

adequada

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関連タグ
Autism AwarenessEarly DiagnosisNeuroplasticityChild DevelopmentMental HealthEducational NeedsSocietal StigmaParental StressHealthcare PoliciesIndustry Insights
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