Trang chủ blog Autistic children usually prefer to play alone

Autistic children usually prefer to play alone

Autistic children usually prefer to play alone

Therapy: How does the doctor treat pulmonary fibrosis? 

In the case of pulmonary fibrosis, the cause of which is known, these are first fought. This can mean, for example, that those affected have to change their work in order to avoid pollution. In addition, anti-inflammatory drugs, such as cortisone, help reduce inflammation in the lungs. They can be taken in the form of tablets or by inhalation. 

In addition, doctors prescribe preparations to expand the bronchi, so-called bronchodilators, to improve the self-cleaning of the mucous membrane. Antioxidant therapy can slow down further lung function failure. Broad spectrum antibiotics can also be used for bacterial infections. 

Life expectancy: how long do patients with pulmonary fibrosis live? The course and prognosis of the disease vary from person to person and it is therefore not possible to make a general statement with regard to life expectancy. Idiopathic pulmonary fibrosis in particular can be aggressive. Often the patients do not respond to medication either. Life expectancy is then significantly reduced in many cases.

If the disease has progressed too far and the lungs can no longer carry sufficient oxygen into the blood, a lung transplant may be necessary. The lack of oxygen in the blood can usually be recognized by the blue color of the lips and fingernails.

Prevention: what can those affected do?

In addition to medicinal and surgical measures, the behavior of those affected also contributes to the success of the treatment. Exercise such as pulmonary exercise and breathing exercises help to use remaining lung capacity more effectively. 

Is pulmonary fibrosis curable?

The German Society for Pneumology and Respiratory Medicine e.V. (DGP) calls pulmonary fibrosis one "very serious illness, which in numerous cases leads to death". 

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Pulmonary fibrosis cannot be cured. Lung tissue that is already too hardened cannot be converted into healthy tissue. However, through therapy and self-management of the patient, the progression can be slowed down or even stopped. 

Sources used: German Society for Pneumology and Respiratory Medicine e. V. Lungenfibrose e.V. Own researchAdditional sourcesShow less sources

The girl does not like to sit in the sandpit with other children. Instead, it prefers to spend a lot of time alone with a toy. It does not react to other people’s smiles, avoids direct eye contact. These and similar abnormalities can indicate autism.


Definition of AutismWhat is the Autism Spectrum? Symptoms of AutismAutistic BehaviorsDifferent Forms of Autistic DisordersTherapy Forms Causes of Autism

Autistic children have difficulty adjusting because their perception differs from that of other people. Like an invisible and impenetrable wall, autism seems to separate them from their environment. It is a variant of the human being, which – like all others – not only brings difficulties but also advantages: While autistic apparently "simple" Things can be difficult, they can in turn "heavy" Things come easily. Many autistic people would therefore not want to do without their special features and consider them to be one of many ways to perceive the world and people. 

Definition of autism

Autism is a neurodevelopmental disorder that is associated with difficulties in social interaction, social communication (verbal and non-verbal), and social understanding. However, there is disagreement as to whether it should be classified as a disease or rather as a special variant of human information processing. Because the limitations in everyday life also include special processing of perceptions, ways of thinking and problem-solving approaches. However, these peculiarities often represent a handicap in everyday life and when dealing with other people. People with autism have difficulty assessing emotional signals from their fellow human beings and have difficulty sending them out. People with autism also display repetitive, stereotypical behaviors.

What is the Autism Spectrum?

Autism does not express itself in a single trait, and the lines between what is defined as autistic and non-autistic are fluid. Autism is a spectrum. This means that while all autistic people share certain characteristics, none are like the other. Some people are accordingly "a bit autistic" and others a lot. One speaks of autism only when enough "Symptoms" suggest.

Autistic people often repeat the same processes over and over again, for example arranging toys in a fixed order. (Source: Martin Poole / Thinkstock by Getty-Images)

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Perceiving autism as a specialty with distress

British researchers have found that there is one in every 100 children with autism, and boys are four times more likely to be affected than girls. And you actually have to "Suffer" speak, is the opinion of Inge Kamp-Becker from the University of Marburg. "Because even if a point of view is widely propagated, especially on the Internet, that describes autism as a new form of existence and reformulates the symptoms of autistic disorders in a positive way, there are usually great difficulties in participating in society and integrating. Most clinicians and scientists agree, especially when there is no cognitive impairment, the children perceive their ‘otherness’ and suffer from it", explains the head of the Marburg Special Clinic for Autism Spectrum Disorders. 

It is best to have a specialist test it

Often it is the little things that are noticed at some point: the child does not react to a smile, does not laugh himself and prefers to play alone than with other children. When such early signs of autistic disorder occur, many parents are unsettled. However, not every delay in development is necessarily indicative of autism. In addition, autistic disorders are different in each child. "The symptoms are very diverse and require a differentiated and detailed diagnostic examination. For this purpose, standardized methods are used that take into account the entire range of symptoms, which requires specialist expertise and experience", explains Kamp-Becker. People with autism often have trouble eating and sleeping as a baby and develop self-stimulating behaviors.

Test for autism

There are online tests for both children and adults. However, these do not differentiate between different forms of autism. The result should only be seen as an initial assessment. In addition, there may be overlapping results for autistic and non-autistic results. But even with the diagnosis by a psychiatrist, a certain arbitrariness cannot be ruled out as to what is and what is not labeled as autism.

Symptoms of Autism

Despite all the diversity, there are also very typical core symptoms of autism that parents can watch out for. "We noticed that something was wrong when one of our sons was sitting in the sandpit with a boy next door", reports the chairwoman of the regional autism association Göttingen from her own experiences. "Our son didn’t care whether someone was sitting there or not." Autistic children often seem aloof. They avoid eye contact and touch and their interests mostly relate to a few areas in which they can then develop into true experts.

Autistic children like to play alone and are very interested in certain details of something. (Source: natasa778 / Thinkstock by Getty-Images)

Behaviors of autistic people

Everyone with autism is individual, but there are some symptoms that most often occur:

Difficulty building and maintaining relationships Difficulty communicating with other people, for example through language Stereotypical repetitive behavior


This manifests itself in various behaviors: Autistic people tend to isolate themselves from their environment. Autistic children usually prefer to play alone. Through this withdrawal in "their own world" they seem aloof to some people. They usually avoid contact with them, through looks or touch. Some don’t want to shake hands or be hugged. Since autistic people sometimes do not notice that people are around them, they do not greet or say goodbye to them.


Children with early childhood autism (Kanner syndrome) in particular have a restricted way of speaking, for example only begin to speak at the onset of puberty or hardly speak even as adults. They hardly include facial expressions and gestures in their communication and speak with an unusually accentuated, deep tone of voice, which is why they often appear peculiar and cool to the other person. For example, they emphasize a statement like a question. Even if you are speaking to someone from the outside, this is usually more of a monologue than a dialogue because it is difficult for them to respond to the other person. It can also happen that autistic people do not react when they are called, even though they have healthy hearing. In addition, their body language often appears awkward. 


Autistic people never tire of being interested in a certain area, such as sorting things out like stuffed animals. Most autistic children are more interested in a part of an object than in the whole object, for example the wheels of the toy car rather than the car itself.

Autistic people repeat certain behaviors or movements, such as rocking their bodies back and forth or grinding their teeth. On the one hand, this can have a calming effect if external stimuli are perceived as too overwhelming; on the other hand, it has a stimulating effect if external stimuli are too weak to penetrate the autistic person.


Autistic people are very sensitive to change, so it is beneficial for their well-being when things run according to fixed structures. For example, if your favorite shoes are in a different place or if the way to school every morning is a detour, you can react anxiously or angrily to this irritation. Anxiety disorders and sleep disorders are not uncommon in autistic people.

Different forms of autistic disorder

The best known form of autistic disorder is early childhood autism, also called Kanner syndrome. Early childhood autism can already be noticed in infancy. Corresponding signs should be taken immediately as an opportunity to initiate specific diagnostics in order to be able to provide support as early as possible. These children are often below average intelligent and usually need help and support for life. However, a person’s intelligence is independent of the strength of autism. The cognitive abilities of autistic people range from intellectual disability to average intelligence and giftedness. Children with Asperger’s Syndrome or so-called atypical autism, both milder forms, have a good chance of an independent life.

Asperger’s Syndrome and Atypical Autism

In the current ICD-10, a distinction is still made between early childhood autism, i.e. Kanner syndrome, Asperger syndrome and atypical autism. The DSM-5, on the other hand, the dominant psychiatric classification system in the USA, no longer differentiates between subtypes and only speaks of a general autism spectrum disorder.

Children with Asperger’s Syndrome or atypical autism are not noticed until kindergarten age at the earliest, and often only in elementary school. They only make limited contact with other people and appear isolated. Some of them are very intelligent and have perfect knowledge of certain areas, but still have problems learning. They often come across as precocious and very serious, often talk to themselves and speak with a conspicuous melody. It is difficult for them to respond to the other person and what he has said. Outbursts of anger and awkward body language are also typical of these forms. In addition to increased fears, sleep disorders and tics can also occur.

Each individual case requires individual therapy

Not least because of the variety of symptoms and the various forms of autism, it is difficult to make an exact diagnosis. "First of all, a differentiated diagnostic examination is necessary, which should be followed by a detailed and intensive consultation of the parents", explains Inge Kamp-Becker.

"The aim is to get a precise picture of the child’s strengths and weaknesses and to create an individual treatment plan, whereby behavioral therapy measures have proven to be particularly helpful." One often works here with behavioral training called Applied Behavior Analysis (ABA), which, to put it simply, is based on the reward principle. Sometimes it also makes sense to include physiotherapy and speech therapy in the treatment plan. However, according to current knowledge, autism is not completely curable.

Children with early childhood autism, known as Kanner syndrome, have difficulty speaking in particular. (Source: Jovanmandic / Thinkstock by Getty-Images)

Beware of dubious promises of salvation

"But that does not mean that you cannot support people with autism and thus reduce the symptoms. Researchers and doctors agree that early diagnostic assignment and thus early intervention are quite suitable for positively influencing the course of the disorder." Therapy is ultimately about helping children connect with others and build relationships. It should always be geared precisely to the child concerned, observing their individual limitations as well as their strengths. Early detection is important in order to be able to nurture and encourage children with autism at an early age. A special interest, for example, can lead to a later occupation, which makes it easier for autistic people to integrate into society.

However, caution is advised when choosing a suitable therapy offer. "Unfortunately, there is a wide range of different therapeutic approaches, some of which promise the parents ‘miracles’, ‘cures’ or ‘a normal level of functioning’ with ‘normal school attendance’ and ‘normal intelligence quotient’, the ‘scientifically proven’ methods advertise without it being clear what it actually means"warns the autism specialist.