Oh, but I think they are truly autistic...my daughter fits all the criteria for severe autism. Its just that those criteria only identify symptoms of something! I say my daughter is autistic, its just that the autism was caused by PANDAS, which interfered with her development. Since she had it at a very young age, it interfered with her very early development. Children who get this at an older age, have completed early childhood development, so do not present as severely, and are more easily identified because its clear that they were normally developing and then something changed drastically.But, I think you're right, many of your clients probably have PANDAS as the cause of their autism.
I think that "true autism" is something genetics gives you, the kind that a physician sees maybe once in his career, prior to the 1980s. This "new" autism, ASD spectrum, pdd, blah, blah, may, in fact be all immunologically-related and may well be as common as strep gone awry...I don't mean to oversimplificate it by any means, but some of these kids, even the ones who have had developmental issues from an early age as undiagnosed Pandas can still be helped greatly, or even saved with aggressive treatment. My dd is making good progress and she's had it for 7 years and she just turned 10. I think it is great that special ed teachers and providers are beginning to talk about this and begin to question and not simply accept the "autism diagnosis" especially in the very young. Especially not now. I often think of that TV commercial that says, "The odds of a child being in a Broadway play, 1 in 10,000...the odd's of a child being diagnosed with autism, 1 in 166".... they may someday should substitute "Pandas" for "Autism."
I am right there with peglem leaning towards PANDAS has caused the behaviors of Autism in our son. And I do believe he got it before he turned two before he started speaking more than a few words. We have had the up all night episodes for a long time in our house, just not with the intensity that caused us to finally seek out Dr. Latimer. Dr. Latimer has him on 5mg Azith two times a week. When he has been exposed to strep (in class we have it on his IEP that they have to let us know if there has been an exposure at school) we bump it to 5 mg the first night and three nights of 250 mg, then return back to 5mg two times a week. DS is also on Kyodophilus (probiotic) and Quercitin (supplement for inflammation given by DAN doctor).