Blog

Putting the Pieces Together: The Down Syndrome-Autism Intersection

Exploring dual diagnosis of Down syndrome and autism

By Susan Fawcett, M.Sc., RSLP, PhD Candidate and Glen Hoos

Susan Fawcett is Director of Therapy, Behaviour and Family Support at the Down Syndrome Resource Foundation. Glen Hoos is Director of Communications at the Down Syndrome Resource Foundation, and the father of Becca.

When Becca was born, we had a whole lot to learn about Down syndrome. Like most parents of a new baby, we never imagined our child would be anything other than typical and healthy. And so, we embarked upon a journey of discovery, guided by a team of doctors, specialists, and support workers.

The system just loves to categorize kids – even those who defy the usual categories. As the experts set aside the growth and development charts they use for typical children, they introduced us to the norms and expectations for children with Down syndrome. She should be this size by this age (Becca is off the bottom of the growth charts). She should be crawling by one and walking by two (Becca never crawled, and walked at four-and-a-half). She should be potty trained by the age of seven (at 15, it’s still a major work in progress).

It’s all been incredibly discouraging. Every step of the way, Becca has seemed to be behind her peers – not just typical children her age, but also many other children with Down syndrome.

It’s not just her physical development, either. We started noticing some odd patterns of behaviour that didn’t seem to fit with the Down syndrome profile. As a young child, Becca’s favourite playtime activities were tiling her entire bedroom floor and bed with board books, and taking all her Little People figures and lining them up in one long, straight line.

She was also a major stasher. She would remove the grates from floor vents and stuff the vents with toys and food. She would hide everything, including the shoes of visitors we invited over. Often, she would even hide her own favourite toys and then forget where she put them, causing great upset when she then had to make do without them for weeks or even months at a time.

Even today in her mid-teen years, she hides food all over the house. We find dried out tortillas in between the LP’s in our record collection, wieners between the couch cushions, and boxes of long-thawed frozen food in all sorts of creative places.

The stereotype of people with Down syndrome being easy-going and happy-go-lucky is questionable to begin with, but Becca is on the extreme opposite end. Her need to be in control is so strong that she often gets stuck, refusing to move and therefore missing out on things that she herself desires to do because an unspoken precondition has not been met in just the right way.

The professionals on her team noticed the differences as well. She was diagnosed first with anxiety, and later with OCD. However, it wasn’t until her early teens that it became clear something more was at play. Finally, at the age of 14, Becca received a dual diagnosis of autism. It was “a slam dunk” case, said the developmental psychologist who made the final call.

Why then did it take so long to diagnose?

Prevalence of Autism in Down Syndrome

Traditional thinking held that autism was rare in people with Down syndrome, but that is far from the case. In fact, it is estimated that autism in individuals with Down syndrome is 10-25 times more common than in the typical population.[i] At the Down Syndrome Resource Foundation, our prevalence rate is in line with these studies, with approximately 12% of our students having a dual diagnosis. However, this diagnosis often comes much later than it would for an otherwise typical child.

In fact, Becca’s case is quite common. In one study of subjects with a dual diagnosis, the mean age of autism diagnosis was 14.4 years[ii] – this despite the fact that, as with other children, autistic symptoms are present much earlier in life (rarely do they emerge in kids after the age of three, whether or not they have Down syndrome).

This delayed diagnosis creates many problems. Clearly, children with a dual diagnosis are at a real disadvantage in their development and education, even relative to children with only one of the disabilities. Even more problematic are the faulty expectations that may be placed on the child where the autism has gone undetected. As one study concluded, “inconsistent or poor social relating in a child expected to be ‘charming’ or ‘outgoing’ may create some frustration for all concerned and may lead to a poor fit between the child and the expectations in the environment.”[iii]

Parents, many of whom report that the symptoms associated with autism are more difficult to deal with than Down syndrome, can feel that their child’s slower development is their fault; that they haven’t done enough to help their child with Down syndrome. They notice that other children with Down syndrome are more advanced and exhibiting less severe behavioural problems, leading to feelings of frustration and inadequacy. These parents need extra support, but they may not feel like they fit in well with other Down syndrome families.

Beyond this, there is the practical matter of funding for therapy services. In British Columbia, a Down syndrome diagnosis does not give families access to funding for intervention, even though all children with Down syndrome can benefit from speech therapy, occupational therapy, specialized education services, and more.

On the other hand, the autism diagnosis opens the door to a significant amount of funding for such services: $22,000 per year through age five, and $6,000 per year from ages 6-18. The delayed autism diagnosis for children with Down syndrome, then, results in them receiving far less therapy than those with autism alone, despite facing double the challenges. All told, a child diagnosed at three will receive $144,000 for therapy and supports throughout their childhood. A child with Down syndrome who is diagnosed with autism at 14 will receive $30,000 – all of it coming after their most crucial developmental years have passed. It’s not about the money, it’s about the lost opportunity to build skills necessary for independence.

Why is Diagnosis So Difficult?

Unlike Down syndrome, which is conclusively diagnosed via a simple blood test, Autism Spectrum Disorder is a subjective diagnosis based upon observed behaviours and social communication patterns. In order to be diagnosed with autism, a person must meet all four of the following criteria:

A: Persistent deficits in social communication and social interaction across contexts, not accounted for by general developmental delays, and manifest by all three of the following: social and emotional reciprocity, nonverbal communication behaviours, and developing and maintaining relationships

B: Restricted, repetitive patterns of behaviour, interests, or activities as manifested by at least two of the following: stereotyped or repetitive speech or movements, excessive adherence to routines, highly restricted/fixated interests, hypo- or hyper-reactivity to sensory input

C: Symptoms must be present in early childhood

D: Symptoms together limit and impair everyday functioning

Parents of children with both Down syndrome and autism will often say that they “knew something was different.” It’s often just a matter of degrees, because part of what makes autism so difficult to identify in children with Down syndrome is that many of the characteristics are common to both conditions, particularly in the area of communication. And, although there are a lot of bits and pieces that make up autism, it is primarily a disorder of social communication.

Students with DS can have challenges in almost every area of speech and language development, including:

  • Underlying cognitive skills
  • Expressive language
  • Speech sound production/general intelligibility
  • Stuttering
  • Voice

Social communication is an area of increasing concern among students with Down syndrome. Early in life, many young children with Down syndrome have trouble with differentiating emotions shown on the face, taking turns, interacting appropriately with peers, and greetings. Later, children may continue to have difficulty with eye contact and greetings, and earlier deficits in turn-taking now surface as inappropriate conversational behaviour (asking partner-directed questions, topic maintenance, elaboration of topic, etc.). Still older children and adults with Down syndrome may have trouble repairing communication breakdowns.

If you think this all sounds like autism, you’re right! That’s part of what makes dual diagnosis so tricky.

On the other hand, despite these shared characteristics, there are other traits common to children with Down syndrome that may seem incompatible with autism. It’s a stereotype, yes, but it’s a stereotype because there is some element of truth to it: many people with Down syndrome do have a perceived strength in social abilities. While children with Down syndrome are often seen as friendly and sociable, children with autism can present as socially impaired, aloof and isolative. What we’re learning, however, is that children with both Down syndrome and autism may actually be more social than children with autism alone.

Yet another obstacle to an accurate diagnosis is the nature of the testing itself. The assessment team consists of the same professionals who diagnose any child with autism, which may include a developmental psychologist or psychiatrist, paediatrician, and/or a speech-language pathologist. They use the same assessment measures that are used with all other children who are suspected of having autism. This creates measurement issues with kids who are nonverbal or low-verbal, and/or severely intellectually impaired.[iv]

Formally assessing a child with a developmental disability using a standardized test is incredibly difficult – not to mention extremely discouraging for parents who have to see their child’s scores plotted at the very bottom of the chart. The child may have difficulty with the test due to overall low functioning, poor attending skills, high variability from day to day, environmental factors, or challenging behaviours. Many studies have noted the tendency for autism to be more commonly diagnosed in children with Down syndrome who are functioning at a lower cognitive level.[v]

This is where a lot of challenge with assessment arises: Does a failure to show a particular communication or social skill arise due to an overall low level of intellectual functioning, or is it because of a specific, qualitative deficit?[vi]

Nevertheless, it is possible to tease apart low intellectual functioning and autism. Several studies and researchers in this area refer to an “autistic flavour,” “autistic quality,” or “autistic-like condition” rather than clear-cut criteria.[vii] Assessors have mentioned that their final decision is a “gut” one. It’s far from ideal, but this is the current reality.

What to Watch For

We are often asked by parents whether we think their child may have autism, or whether they should be assessed. We have broken down the most common warning signs into two categories: grey flags and red flags.

Grey Flags

With regard to these grey area characteristics, a good rule of thumb is not to worry about isolated items from this list, as these behaviours are relatively common for children with Down syndrome alone. However, the more you see from this list, the more concern you might develop.

  • prefers sameness; insists on routines (must remember degree here – there is a difference between a general preference for sameness and a rigid insistence that significantly disrupts life on a daily basis); note: this is also a characteristic of OCD
  • does not hear very well, and as a result, does not always respond to their name, or to questions and directions
  • has limited expressive language; and/or uses some stereotyped, repetitive utterances
  • has poor eye contact
  • has sensory issues (e.g. finicky eaters)
  • engages in some repetitive play
  • mouths objects
  • has restricted interests
  • has challenging behaviours
  • slower than normal (for Down syndrome) development (i.e. functioning in the moderate to severe range of intellectual disability)
  • anxiety
  • repetitive, stereotyped behaviours[viii]
  • social communication issues such as: limited perspective-taking ability or limited reciprocal conversation ability

Red Flags

The red flag characteristics are more concerning, as these behaviours are not typically associated with children who just have Down syndrome.

  • no interest in communicating with others (i.e. social indifference/withdrawal)
  • general lack of interest in people
  • no use of gestures
  • regression in cognitive, language, and/or social abilities
  • total lack of verbal communication, coupled with no attempts at using other modes
  • Treating people as inanimate objects i.e. using someone’s hand to get desired object[ix]
  • ‘Odd’ behaviours sometimes associated with autism (e.g. smelling objects) or self-injurious behaviours

 What to Do if You Suspect Autism

If you suspect your child may have autism, the first step is to consult with one or more members of your professional support team, such as your pediatrician, speech therapist, or child psychologist. If they share your concerns, they can provide you with a referral for a formal assessment.

For many parents, another label for their child (and another long series of assessments) is the last thing they want, and that is totally understandable. However, an accurate diagnosis is important for truly understanding your child and getting the best possible support to help them achieve their fullest potential – whatever that may look like.

Whether your child has one diagnosis, or two, or many, their conditions do not define them. They are who they are, in all their strengths, challenges, and quirks of personality. Or as Becca (who hates it when anyone calls her by anything other than her name) says, “I’m not (sweetie/honey/beautiful/sister/daughter/Down syndrome/autism), I’m just Becca!” That she is… and Becca is awesome.

--------------------------

Notes:

[i] Capone, G. T., Grados, M. A., Kaufmann, W. E., Bernad‐Ripoll, S., & Jewell, A. (2005). Down syndrome and comorbid autism‐spectrum disorder: Characterization using the aberrant behavior checklist. American journal of medical genetics Part A134(4), 373-380.

[ii] Rasmussen, P., Börjesson, O., Wentz, E., & Gillberg, C. (2001). Autistic disorders in Down syndrome: background factors and clinical correlates. Developmental medicine and child neurology43(11), 750-754.

[iii] Howlin, P., Wing, L., & Gould, J. (1995). The recognition of autism in children with Down syndrome‐implications for intervention and some speculations about pathology. Developmental Medicine & Child Neurology37(5), 406-414.

[iv] (Capone et al. 2005)

[v] (Capone et al. 2005)

[vi] Starr, E. M., Berument, S. K., Tomlins, M., Papanikolaou, K., & Rutter, M. (2005). Brief report: autism in individuals with Down syndrome. Journal of autism and developmental disorders35(5), 665-673.

[vii] (Capone et al, 2005; Starr et al. 2005)

[viii] Capone, G., Goyal, P., Ares, W., & Lannigan, E. (2006, August). Neurobehavioral disorders in children, adolescents, and young adults with Down syndrome. In American Journal of Medical Genetics Part C: Seminars in Medical Genetics (Vol. 142, No. 3, pp. 158-172). Hoboken: Wiley Subscription Services, Inc., A Wiley Company.

[ix] Ghaziuddin, M., Tsai, L. Y., & Ghaziuddin, N. (1992). Autism in Down's syndrome: presentation and diagnosis. Journal of Intellectual Disability Research36(5), 449-456.

COMMENTS

Susan Chambers
My child is 22. Does his age mean it’s too late to evaluate him for autism? His behaviors are different than his DS friends. Thank you. Great article
Charlene
My son is turning 4 this month and under RedCross children hospital,, can i ask them this do test for autism,,I'm in South Africa
Meddco Healthcare
Amazing ! Blog and Thanks a lot for sharing this useful information. I was very interested to read your honest opinion that you've shared through this post. Please visit https://www.meddco.com/ for more information
Joanna Pierce
My daughter is 24 and at the age of 21 she started acting more withdrawn and she exhibits many autistic symptoms. Did she regress or did I miss a dual diagnosis
Mary C
Great info. I like at the end that you wrote that another diagnosis does not define them. I think we need to remember that. Thank you.
Shanta
Great article! I thought it was only my daughter who would insist that she is not “honey/sweetie/darling” etc. and that “I am Caleigh”! She is now 21 and has been exhibiting many of the signs of dual diagnosis. Is it too late to get her diagnosed? If only so her brothers can say “we told you so”
Margo
My son is 20 years old and I've seen many characteristics of autism since he was a toddler but his dad always told me no, that he can't have autism if he has autism. I left it at that until now. My son is getting worse and very difficult in handling. I am his caregiver and it takes over 4 hours for him to decide to get in the shower for me to bathe him. He will stand and twirl his tee shirt rocking side to side. I NEED HELP! There's more way more than he does or doesn't do because of his undiagnosed autism with down syndrome.I feel his school has let him down as well as his pediatrician and doctors writing his behaviors as normal to down syndrome of course they haven't seen the side I see everyday. He has quite talking all together and he used to sing not great but would try. Now he rocks or sways back and forth tutoring his tee shirt. If he's upset or nervous he twirls faster and vigorously. Please help me get him the help he all so needs and deserves :'(
Killian Comerford
Me and my friends all have autism! It has helped us greatly in life in playing warzone! GET TO THE CIRCLE
Killian Comerford
Me and my friends all have autism! It has helped us greatly in life in playing warzone! GET TO THE CIRCLE
Milagro Reynolds
My son is now 42 for years Ever since he was 30 years old I have been telling his doctors that he seems to Be developing all the symptoms of what I have read about children with Autism, but one doctor told me that was not possible, a few months after that same doctor told me there was a convention he was going to attend with two thousand other doctors concerning parents of Children with Down Syndrome complaining And believing that their child seems to have developed Autism, he would be back in two weeks And we could talk then, however I never saw him again. Although my son is now 42 he has every trait of a person with Autism. From not looking at you to no emotions when someone is hurt, to refusing for nine years now to talk although he was very talkative before this. There are so many other things. I wish they had listen to me back then, and I would have been told of the many programs he could have attended. I feel like I let him down for not fighting harder to get his diagnosed early. He is dual Diagnosed by me as having downs and autism
Milly Reynolds
Is there any support groups for parents with these children wether youth of adults I need others who know what I am going through and I also have what I can share that helped me along the way.
Jasmine
Are there any support groups for parents with kids with down syndrome
Jasmine
Are there any support groups for parents with kids with down syndrome
torontopsychological
As a psychologist, I want to tell all parents who deal with their autism child. Be calm & Patience. If you do your child autism assessment in childhood then there is a chance of improvement. Don't lose your hope. if you need help then visit us https://torontopsychologicalservices.com/assessment/psychological/autism/
BraynHil
Thanks to everyone who is taking their time to read this testimony on how my son was cured from Autism, he was diagnosed four years ago, and he is now 6, I have tried several treatments and medications on him, nothing is working out and I was so frustrated. I keep praying to God and finally God answered my prayers, someone from nowhere walk to me and told me he want to tell me about this doctor he has knew for years now from his own country, after everything I took the contact of the doctor and called and I explained my son condition to him, she asked for my home address and the next day I got a tracking number or a parcel sent to me through DHL from Doctor Solution, after four days I received the parcel, I opened and found a liquid herbal medicine and some herbal medicine grinned and I found a letter containing the instructions on how to use this medicine, I called him again and thanked him so much and he told me we should thank God for everything, the next morning I started giving my son the herbs medicines and after one week I was observing great improvement on my son and I continued until the herbs got finished and everything last for just one month and a week, now my son is free from Autism, he can now talk clearly, behave normal and no seizures anymore. Help me thank Doc Solution for this and you can also connect with him on Whats App + 2 3 4 8 0 7 7 6 8 3 1 0 9
Sue
Dr. Capone is referenced here several times. I cannot tell you how many of those checklists I completed. After 15 years, we finally got the ASD diagnosis by other professionals at Kennedy Krieger. My child is not the only one he did not diagnose correctly. We lost critical years of appropriate interventions because I trusted “the world expert on DS and autism.” I recently found copies of the checklists and for the life of me can’t figure how Capone missed it. Great article!
Sue
Dr. Capone is referenced here several times. I cannot tell you how many of those checklists I completed. After 15 years, we finally got the ASD diagnosis by other professionals at Kennedy Krieger. My child is not the only one he did not diagnose correctly. We lost critical years of appropriate interventions because I trusted “the world expert on DS and autism.” I recently found copies of the checklists and for the life of me can’t figure how Capone missed it. Great article!
Pam Bonsper
My 9 year old granddaughter has an 11 year old brother who has DS/ASD. She is sharing some of her feelings with me. It bothers her when he copies her and she also feels he gets more attention than she gets. She would like to know if you have suggestions as to how she can deal with these issues.
Sinead Ryan
Hi there, my son 11yo with DS just got an autism diagnosis, we are really struggling with ADLs and speech and some behaviours what would be the best to focus on or should we tackle all head on? TIA, Sinead Ryan
Arnold
God bless Dr. Aluda for his marvelous work in my life, I was diagnosed of HERPES VIRUS since 2013 and I was taking my medications, I wasn't satisfied i needed to get the Herpes virus out of my system, I searched about some possible cure for herpes, i saw a comment about Dr. Aluda, how he cured herpes virus with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine through UPS SPEED POST. I took the medicine as prescribed by him and 15 days later i was cured from herpes virus, Dr. Aluda truly you are great, do you need his help also? Why don't you contact him through: (draludaharbalhome@gmail.com) or you can also reach him on phone or whatsAPP: +2348145636867 THANKS 
Dr, David Greene
Amazing post, Thank you for sharing such a thorough post and individuals must not have read such a detailed post on this topic. Dr. David Greene
carter
I thought my life had nothing to offer anymore because life became meaningless to me because I had HERPES virus, the symptoms became very severe and bold and made my family run from and abandoned me so they won't get infected. I gave up everything, my hope, dreams,vision and job because the doctor told me there's no cure. I consumed so many drugs but they never cured me but hid the symptoms inside me making it worse. I was doing some research online someday when I came across testimonies of some people of how Dr Inegbenoise cured them from HERPES virus, I never believed at first and thought it was a joke but later decided to contact him on the details provided and when I messaged him we talked and he sent me his herbal medicine and told me to go for a test after two weeks. Within 9 days of medication the symptoms disappeared and when I went for a test Lo and behold I was NEGATIVE by the Doctor Who tested me earlier. Thank you Dr Inegbenoise because I forever owe you my life and I'll keep on telling the world about you. If you are going through same situation worry no more and contact Dr Inegbenoise on email doctorinegbenoiseherbalcure@gmail.com or WhatsApp him via +2348161312632 
susan williams
I thought my life had nothing to offer anymore because life became meaningless to me because I had HERPES virus, the symptoms became very severe and bold and made my family run from and abandoned me so they won't get infected. I gave up everything, my hope, dreams,vision and job because the doctor told me there's no cure. I consumed so many drugs but they never cured me but hid the symptoms inside me making it worse. I was doing some research online someday when I came across testimonies of some people of how Dr Inegbenoise cured them from HERPES virus, I never believed at first and thought it was a joke but later decided to contact him on the details provided and when I messaged him we talked and he sent me his herbal medicine and told me to go for a test after two weeks. Within 9 days of medication the symptoms disappeared and when I went for a test Lo and behold I was NEGATIVE by the Doctor Who tested me earlier. Thank you Dr Inegbenoise because I forever owe you my life and I'll keep on telling the world about you. If you are going through same situation worry no more and contact Dr Inegbenoise on email doctorinegbenoiseherbalcure@gmail.com or WhatsApp him via +2348161312632 
susan williams
I thought my life had nothing to offer anymore because life became meaningless to me because I had HERPES virus, the symptoms became very severe and bold and made my family run from and abandoned me so they won't get infected. I gave up everything, my hope, dreams,vision and job because the doctor told me there's no cure. I consumed so many drugs but they never cured me but hid the symptoms inside me making it worse. I was doing some research online someday when I came across testimonies of some people of how Dr Inegbenoise cured them from HERPES virus, I never believed at first and thought it was a joke but later decided to contact him on the details provided and when I messaged him we talked and he sent me his herbal medicine and told me to go for a test after two weeks. Within 9 days of medication the symptoms disappeared and when I went for a test Lo and behold I was NEGATIVE by the Doctor Who tested me earlier. Thank you Dr Inegbenoise because I forever owe you my life and I'll keep on telling the world about you. If you are going through same situation worry no more and contact Dr Inegbenoise on email doctorinegbenoiseherbalcure@gmail.com or WhatsApp him via +2348161312632 
Monica Jimenez
Thank you so much for this article. Funny it describes my son to the T. Jesse is 17 with DS. I've always thought this is exactly his case but when I talk about it with his psychologist at school, he says he doesn't see it. Of course, he only sees him about twice a year :/. I'm for sure having him re evaluated. Thanks for sharing.
cynthia williamas
I have been suffering from Herpes for the past 3 years and 8 months, and ever since then i have been taking series of treatment but there was no improvement until i came across testimonies of Dr momoh on how he has been curing different people from different diseases all over the world, then i contacted him as well. After our conversation he sent me the medicine which I took according to his instructions. When i was done taking the herbal medicine i went for a medical checkup and to my greatest surprise i was cured from Herpes. My heart is so filled with joy. If you are suffering from Herpes or any other disease you can contact Dr momoh today on this Email address: dr.momoh9@gmail.com or WhatsApp him on this Tell.Number +2347083724098  ....Dr.momoh also cures: 1. HIV / AIDS 2. HERPES 1/2 3. CANCER 4. ALS (Lou Gehrig's disease) 5. Hepatitis B 6. chronic pancreatic 7. emphysema 8. COPD (chronic obstructive pulmonary disease) 
cynthia williamas
I have been suffering from Herpes for the past 3 years and 8 months, and ever since then i have been taking series of treatment but there was no improvement until i came across testimonies of Dr momoh on how he has been curing different people from different diseases all over the world, then i contacted him as well. After our conversation he sent me the medicine which I took according to his instructions. When i was done taking the herbal medicine i went for a medical checkup and to my greatest surprise i was cured from Herpes. My heart is so filled with joy. If you are suffering from Herpes or any other disease you can contact Dr momoh today on this Email address: dr.momoh9@gmail.com or WhatsApp him on this Tell.Number +2347083724098  ....Dr.momoh also cures: 1. HIV / AIDS 2. HERPES 1/2 3. CANCER 4. ALS (Lou Gehrig's disease) 5. Hepatitis B 6. chronic pancreatic 7. emphysema 8. COPD (chronic obstructive pulmonary disease) 
sherica
My son  has been  suffering from Autism  for  the past 2years, I was given some tablets at the hospital but I refused to give it to him, They said he has to be on it for life, so I don't want him to take drugs everyday for life. No point in taking medicine everyday when u won't get cure from it and I was advice to seek for natural herbal cure, after some time I found dr joseph is the most trustful herbalist that have herbs to cure wicked disease or virus,I emailed dr joseph, after 2weeks been his patient he cured my son Autism with his herbal. I only used his natural herbs for two weeks. and it was 100% cured. My son is not Autism patient anymore. I'm happy about it. he finally got cured out of this mess that has been in my body for 2years. I also recommend you if you're living with (Autism) or any other disease or virus I also want you to be free to contact dr joseph with the email attached to my post. joseph.healinghome@gmail.com
sherica
My son  has been  suffering from Autism  for  the past 2years, I was given some tablets at the hospital but I refused to give it to him, They said he has to be on it for life, so I don't want him to take drugs everyday for life. No point in taking medicine everyday when u won't get cure from it and I was advice to seek for natural herbal cure, after some time I found dr joseph is the most trustful herbalist that have herbs to cure wicked disease or virus,I emailed dr joseph, after 2weeks been his patient he cured my son Autism with his herbal. I only used his natural herbs for two weeks. and it was 100% cured. My son is not Autism patient anymore. I'm happy about it. he finally got cured out of this mess that has been in my body for 2years. I also recommend you if you're living with (Autism) or any other disease or virus I also want you to be free to contact dr joseph with the email attached to my post. joseph.healinghome@gmail.com
sherica
My son  has been  suffering from Autism  for  the past 2years, I was given some tablets at the hospital but I refused to give it to him, They said he has to be on it for life, so I don't want him to take drugs everyday for life. No point in taking medicine everyday when u won't get cure from it and I was advice to seek for natural herbal cure, after some time I found dr joseph is the most trustful herbalist that have herbs to cure wicked disease or virus,I emailed dr joseph, after 2weeks been his patient he cured my son Autism with his herbal. I only used his natural herbs for two weeks. and it was 100% cured. My son is not Autism patient anymore. I'm happy about it. he finally got cured out of this mess that has been in my body for 2years. I also recommend you if you're living with (Autism) or any other disease or virus I also want you to be free to contact dr joseph with the email attached to my post. joseph.healinghome@gmail.com
linda
I was infected with genital herpes in 2017 and I have been on the quest for a cure right from the day I discovered I had the infection. October last year when I almost gave up, I stumbled upon a post on the internet where I copied the email of  a man named Dr ogbekhilu who provides herbal solutions to diseases. i contacted him and got to an agreement with him and he sent me herbal remedy through the united parcel service alongside instruction on how to use it. To my greatest surprise, I got healed after 18 days of using the remedy as assured by the doctor.I decided to share this because I know that there are lots of people out there that need help. contact the doctor via his website https://drogbekhiluherbalhome.simdif.com Contact him for remedy for infection like{1}HIV And AIDS{2}Diabetes{3}Epilepsy{4} Blood Cancer{5} HPV{6} ALS{7}herpes {8}kidney failure{9} autism{10} infertility..... whatsapp contact : +234(810)2460821
jessica
I'm here to share to the worldwide that Dr ogbekhilu is a Powerful Herbal Medicine man. that can cure your disease if only you can contact him and let him help you. I was cured from Herpes Disease. after 2 years of suffering but when i contacted him on the internet, he gave me a Natural cure that ended my sufferings after using it for 2 weeks. I went to check myself at the hospital and I was tested negative. I want to say a big thank you and also use this medium to announce to everyone, don't waste money on any scientific drugs that will only help suppress the symptoms there is a permanent cure, you can contact him anytime on any Kind of Disease he is Ready to help you. You can reach him through Email: drogbekhiluherbalhome@gmail.com ) Dr ogbekhilu whatsapp:+2348102460821 He also have herbal cure for Following DISEASES,-CHRONIC PROBLEMS }BRONCHITIS}COLD SORE-ALS-LOWER RESPIRATORY INFECTION-LOW SPERM COUNT-STAPHYLOCOCCUS AUREUS-STROKE-IMPOTENCE-PILE-HYPERTENSION-LOW SPERM COUNT-AUTISM-CANCER-BARENESS/INFERTILITY-FIBROID-ASTHMA
sandra
Natural herbal medicine is helping millions of people around the world fight herpes,autism, HIV,infertility,HPV, and chronic health conditions, including diabetes, certain stages of cancer, arthritis, and anxiety disorders through the help of Dr. Ogbekhilu. I can really witness this. done because I was saved from incurable deadly diseases by using medicinal herbs.visit dr ogbekhilus website for more information on how to be treated via https://drogbekhiluherbalhome.simdif.com or any kind of health issue. #please # help # share

Feature Video

Home Sweet Home
See More on Youtube

From The Blog

Please check out our latest blog!
Read More on The Blog

Our Next Event

See more Events
3.21 Magazine
Down syndrome information and inspiration for Canadians
Subscribe

DSRF's Down Syndrome Swag Shop

Official DSRF merchandise and exclusive Down syndrome t-shirts, hats, baby items and accessories!
Go to the Down Syndrome Swag Shop
Down Syndrome Resource Foundation
1409 Sperling Avenue, Burnaby
British Columbia, Canada
V5B 4J8

Fax: +1 604 431 9248
Phone: +1 604 444 3773
E-mail: info@dsrf.org