Health
Unique therapy helps some young people with autism interact better with others
A New York speech pathologist is using improvisational theater, better known as “improv,” to help young adults with autism spectrum disorder (ASD) to develop their social skills.
Bob Domingo, PhD, a speech language pathologist and assistant professor at Long Island University Post in Brookville, New York, is combining his skills and love of improv to help those with ASD.
“Through improv, I am able to combine my knowledge of speech, language and communication with improv games and activities, to open up new, fun ways to communicate with others in developing spontaneous, unscripted ‘scenes’ or conversations,” Domingo told Fox News Digital in an interview.
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For individuals with ASD, symptoms can vary in severity.
People can be anywhere from completely nonverbal to fully verbal, according to Domingo and other experts.
Bob Domingo, PhD, a speech language pathologist and assistant professor at Long Island University Post, is combining his skills and love of improv to help those with ASD. (Amy McGorry)
Here’s what to know.
Symptoms of autism spectrum disorder
Individuals with the disorder often have social and cognitive impairments that make it difficult to interact with others, according to Domingo.
They may be prone to a limited attention span, which can make it difficult for them to comprehend what others are saying.
“The person [may be] unable to use appropriate social skills in conversations,” Domingo said.
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Those with the disorder might also struggle to maintain eye contact, broach topics and take turns during conversations, he added.
People with ASD may also struggle with “self-advocacy,” Domingo said, which means they’re unable to verbalize their thoughts, feelings and needs.
Domingo’s class consists of eight to 12 young verbal adults with ASD from age 19 through over 30, along with some students and professors from the university. (Amy McGorry)
One in 36 (2.8%) 8-year-old children in the U.S. were diagnosed with autism spectrum disorder as of March 2023, as stated in a report from the Centers for Disease Control and Prevention (CDC).
Currently there is no cure for autism, but intensive, early treatments can help make a difference in the lives of those with the disorder, according to the Mayo Clinic website.
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Domingo said he hopes his improv classes will help strengthen communication through interactive dialogue exercises.
“Games and activities encourage active listening, which is important for interpersonal communication,” he said.
What is improv?
Improv is a live performance in which actors spontaneously create scenes and characters that engage in dialogue based on the audience’s or host’s suggestion, according to experts.
The exchange can be comical or serious.
Members of the improv troop participate in “yes/and” interactions, which is when one person says something and the other agrees by responding with “yes, and” — which moves the conversation along more easily.
In improv, actors spontaneously create scenes and characters that engage in dialogue based on the audience’s or host’s suggestion. (iStock)
Domingo’s class consists of eight to 12 young verbal adults with ASD from age 19 through over 30, along with some students and professors from the university.
They meet each week on the LIU Post campus and also have Zoom sessions, during which they practice speaking, listening and maintaining eye contact.
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“Improv helps people speak with one another in fun, non-threatening ways,” Domingo told Fox News Digital.
At the start of each class, the group gathers in a circle to perform exercises in breathing, voice, facial expressions and physical movements.
The instructor told Fox News Digital that he hopes the practice that those with ASD receive “helps them make good linguistic and interpersonal decisions outside of class.” (iStock)
Next, the students are paired up and assigned roles, and are then given a prompt to start the improv session.
Examples of social encounters they might have include what people to invite to a party, what gift to buy for another person, or how to show support to a partner in a certain situation, Domingo said.
The pair is tasked with coming up with a conversation with a clear beginning, middle and end.
Guided by Domingo’s cues, the pair is tasked with coming up with a conversation with a clear beginning, middle and end that includes a conflict and a resolution.
“The practice they receive in improv hopefully helps them make good linguistic and interpersonal decisions outside of class,” Domingo said.
Real-life benefits
The improv therapy appears to be helping some of the students, according to parents who spoke with Fox News Digital.
Anthony and Deborah D’Alessandri of Long Island, New York, said their 23-year-old son, Anthony Joseph D’Alessandri, was diagnosed with autism spectrum disorder.
“He’s very intelligent and is very funny in his own way. But he doesn’t always connect,” Deborah D’Alessandri said in an interview.
One in 36 (2.8%) 8-year-old children in the U.S. were diagnosed with autism spectrum disorder as of March 2023, as stated in a CDC report. (iStock)
Since their son started improv, his parents have seen an improvement in his interactions in other programs he participates in, such as his culinary classes, they said.
“Bob’s improv has helped Anthony in those programs, which is a huge success for Anthony,” his mother told Fox News Digital.
“He has learned to communicate better with other people. He has learned that sometimes humor adds to the conversation,” she continued. “He has also learned to work with a group.”
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Another parent, Elizabeth Matthew, also from Long Island, told Fox News Digital that the improv classes have helped her 19-year-old son with his anxiety.
“The social aspect of speaking and learning through improv has increased his self-confidence,” she said.
“Part of his issues involve anxiety and not knowing what to say first, so this is enabling a stronger self-confidence.”
“All adults who meet the formal criteria for autism have difficulty with social skills.”
Several peer-reviewed studies have shown that theater-based intervention led to cognitive and behavioral improvements in young individuals with ASD.
Rebecca Landa, PhD, executive director of the Center for Autism Services, Science and Innovation (CASSI) at the Kennedy Krieger Institute in Baltimore, Maryland, was not part of the improv class but commented about it to Fox News Digital.
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“All adults who meet the formal criteria for autism have difficulty with social skills. The specific nature of these difficulties may vary from person to person,” Landa said.
She said the difficulties might be less pronounced in familiar situations with no stressors.
These social challenges can affect a person’s overall sense of well-being, she said.
Several peer-reviewed studies have shown that theater-based intervention led to cognitive and behavioral improvements in young individuals with ASD. (iStock)
“Autistic people may mask their social difficulties, which causes fatigue and is often associated with anxiety,” she said.
“Improv classes can help if the autistic person enjoys the class and wants to participate.”
The expert cautioned, however, that a mental health professional and autism expert should facilitate these types of classes.
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“[They can] provide additional coaching and reflection to support insight and conscious awareness of what is helping, [identify] which skills may be targeted and improved, and [identify] how to apply the skills in real-life situations,” she said.
Domingo said he hopes more professionals will consider using improv to help those with autism.
“Autistic people may mask their social difficulties, which causes fatigue and is often associated with anxiety,” an expert said. (iStock)
In May 2024, he will present at the annual New York State Speech-Language-Hearing Association (NYSSLHA) convention in White Plains, New York. He’ll discuss the use of improv to help with social skills.
He is also teaching a course to several disciplines at Long Island University about using improv to help individuals socially interact.
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Cost may be a barrier for some families, parents noted.
Anthony D’Alessandria told Fox News Digital that he hopes insurance will eventually cover alternative approaches like these improv courses.
“We feel that if this was more mainstream and insurance companies would pick up the tab, we would be able to promote our child to greater heights,” he said.
“And we feel that there is going to be an entire generation that can’t afford this.”
For more Health articles, visit www.foxnews.com/health.
Health
Brain Health Challenge: Try a Brain Teaser
Welcome back! For Day 4 of the challenge, let’s do a short and fun activity based around a concept called cognitive reserve.
Decades of research show that people who have more years of education, more cognitively demanding jobs or more mentally stimulating hobbies all tend to have a reduced risk of cognitive impairment as they get older.
Experts think this is partly thanks to cognitive reserve: Basically, the more brain power you’ve built up over the years, the more you can stand to lose before you experience impairment. Researchers still don’t agree on how to measure cognitive reserve, but one theory is that better connections between different brain regions corresponds with more cognitive reserve.
To build up these connections, you need to stimulate your brain, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. To do that, try an activity that is “challenging enough that it requires some effort but not so challenging that you don’t want to do it anymore,” he said.
Speaking a second language has been shown to be good for cognition, as has playing a musical instrument, visiting a museum and doing handicrafts like knitting or quilting. Reading is considered a mentally stimulating hobby, and experts say you’ll get an even bigger benefit if you join a book club to make it social. Listen to a podcast to learn something new, or, better yet, attend a lecture in person at a local college or community center, said Dr. Zaldy Tan, the director of the Memory and Healthy Aging Program at Cedars-Sinai. That adds a social component, plus the extra challenge of having to navigate your way there, he said.
A few studies have found that playing board games like chess can be good for your brain; the same goes for doing crossword puzzles. It’s possible that other types of puzzles, like those you find in brain teaser books or from New York Times Games, can also offer a cognitive benefit.
But there’s a catch: To get the best brain workout, the activity should not only be challenging but also new. If you do “Wordle every day, it’s like well, then you’re very, very good at Wordle, and the Wordle part of your brain has grown to be fantastic,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School. “But the rest of your mind might still need work.”
So play a game you’re not used to playing, Dr. Selwa said. “The novelty seems to be what’s driving brain remodeling and growth.”
Today, we want you to push yourself out of your cognitive comfort zone. Check out an online lecture or visit a museum with your challenge partner. Or try your hand at a new game, below. Share what novel thing you did today in the comments, and I’ll see you tomorrow for Day 5.
Health
Popular intermittent fasting diets may not deliver the health benefits many expect
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Time-restricted eating has gained popularity in recent years, but a recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits.
The small German study found that participants who were placed on two different time-restricted eating schedules lost weight, but experienced no improvement in blood glucose, blood pressure, cholesterol or other key cardiometabolic markers.
The participants included 31 overweight or obese women. One group ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake, according to a press release.
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The findings, which were published in the journal Science Translational Medicine, suggest that the widely touted cardiometabolic benefits of intermittent fasting may be a result of eating fewer calories rather than meal timing, the researchers say.
The participants also showed a shift in their circadian rhythms (sleep/wake cycles) when they were placed on the time-restricted eating schedules, but the associated health impacts are not known.
A recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits. (iStock)
The study did have some limitations. Some researchers have cast doubt on the significance of the study due to its small size.
“It is severely underpowered to detect any difference, considering how gentle the intervention is,” Dr. Dr. Jason Fung, a Canadian physician, author and researcher, told Fox News Digital. He also noted that the participants were fasting for 16 hours a day instead of the normal 12 to 14 hours.
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Lauren Harris-Pincus, a registered dietitian nutritionist in New Jersey, agreed that the findings could be due to the fact that there was no intentional caloric restriction, and reiterated that the sample size is “quite small.”
“As a registered dietitian, I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day,” Harris-Pincus, who was not involved in the study, told Fox News Digital.
One group in the study ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake. (iStock)
“Only one in 10 Americans consumes the recommended number of fruits and veggies, and 93% miss the mark on fiber goals. Restricting an eating window necessitates more careful meal planning to ensure adequate intake of macro- and micronutrients.”
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The expert also cautioned that skipping breakfast to enable a later eating window may result in lower intake of the “nutrients of concern” in the American diet, including calcium, potassium, fiber and vitamin D.
Looking ahead, the researchers said more studies are needed to explore the effects of time-restricted eating over longer time periods. It also remains to be seen how the combination of caloric restriction and time-restricted eating may affect outcomes. Future research could also explore how different populations may respond.
“I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day.”
Dr. Daryl Gioffre, a gut health specialist and celebrity nutritionist in New York, noted that the study didn’t account for critical factors like chronic stress, sleep quality, medications, hormone status and baseline metabolic health.
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“All of these can significantly blunt fat loss and cardiometabolic improvements,” Gioffre, who also was not involved in the research, told Fox News Digital.
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“Cortisol, the body’s primary stress hormone, is naturally highest in the morning, which overlaps with one of the fasting windows studied,” he went on. “If stress is elevated, cortisol alone can block fat burning, disrupt blood sugar regulation, and mask cardiovascular improvements, regardless of calorie intake or eating window.”
Growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health, an expert said. (iStock)
Gioffre did agree, however, that growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health.
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“These are outcomes that simply cannot be captured in a short, stress-blind study like this,” he added.
Fox News Digital reached out to the researchers for comment.
Health
Brain Health Challenge: Workouts to Strengthen Your Brain
Today, you’re going to do perhaps the single best thing for your brain.
When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.
“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.
Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.
Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.
Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.
All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.
The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.
The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.
Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.
Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.
If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”
For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.
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