![]() ![]() The speaker outlines two studies on the intersection of autism, pica, and GI issues in children (16:08). Pica Prevalence and ImpactĪround 23.2% of autistic children and up to 60% of autistic adults experience pica (14:20). The presenter notes that pain attenuation is often related to dental issues (14:01). Solutions to sensory drivers can include finding substitute foods with similar sensory properties (i.e., grape nuts in place of dirt) or engaging individuals with play during unstructured hours (13:00). Sensory stimulation, he continues, is often a significant factor in maintaining pica behavior and can be challenging to address. The presenter notes the importance of functional behavioral assessments, which help identify the factors that drive and maintain pica behavior, like attention-seeking, sensory issues, pain attenuation, or escape/avoidance (11:00). Įstablishing effective behavioral treatments for pica can be challenging due to costs, availability, environmental restrictions, and the generality of treatments across time (8:00). Alexander highlights the simplicity of this case, noting the trial and error implicit in creating holistic treatment strategies (6:43). Over six months, the client’s nicotine and cotinine levels decreased from those of a chain smoker to zero (5:22). The presenter explains how treatment strategies capitalized on the individual’s preferences by incorporating soda cans and a red rubber ball into his walk to work. Alexander details a case study involving a 50-year-old autistic man who ingested cigarette butts. Items frequently ingested include generally harmless things like dirt, leaves, and grass, as well as dangerous and potentially lethal items like rubber gloves, clothing tags, and screws (3:30). ![]() ![]() Pica is the ingestion of inedible substances and is the most dangerous form of self-injurious behavior associated with autism (2:12). 8:00 – Challenges with behavioral treatmentsġ7:30 – Study: Autism, GI symptoms, and picaġ9:00 – Study: Pica prevalence in autistic adultsĢ6:30 – Studies: polyvisol, vivinex, iron supplements, zinc and antioxidant therapyĢ9:46 – Metabolic profiles and phenotypic subgroupsģ4:04 – Comprehensive vitamin-mineral interventionsĤ4:28 – SMART interventions Pica and behavioral treatments ![]()
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