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.
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.
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.
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.
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.
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.
“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.
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.”
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Health
Americans breathe in carcinogenic chemicals found in cars: study
Researchers have found that a source of carcinogenic chemicals is in Americans’ cars – but there may be a way to reduce your risk.
Environmental Science and Technology, a peer-reviewed scientific journal, published a study called “Flame Retardant Exposure in Vehicles Is Influenced by Use in Seat Foam and Temperature” on Tuesday.
The study explains that Americans breathe in chemicals from the flame retardants in their vehicles. The chemicals can cause issues ranging from developmental neurotoxicity to thyroid hormone dysregulation and even cancer.
The types of chemicals found in flame retardants range from polybrominated diphenyl ethers (PBDEs), which were common in cars until the early 2000s, to alternative brominated flame retardants (BFRs) and organophosphate ester flame retardants (OPEs).
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The federal government requires a level of flame retardants in vehicles. The National Highway Traffic Safety Administration (NHTSA) mandated the use of flame retardants in the 1970s.
“Flame retardant (FR) chemicals are intentionally used in electronics, furnishings, and building materials to meet flammability standards,” the study explains.
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“Most [flame retardants] are used in an additive manner (i.e., not chemically bound), and many are semivolatile, indicating that they can be present in both the gas phase and partially in the condensed phase (e.g., particles and surfaces), depending on environmental conditions.”
Americans who drive professionally or face long commutes may be at a higher risk of harm from the chemicals.
“These findings highlight that commuters are likely to be exposed to [flame retardants], especially those with longer commutes or those who drive vehicles full time as part of their employment,” the paper read.
“In addition, children, who breathe a greater amount of air per kg body weight compared to adults, would also be at risk of greater exposures for equivalent commuting times.”
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Drivers and passengers in warmer states may face a greater risk of breathing in the flame retardant chemicals. But rolling down car windows, turning off the AC and parking in covered garages may help reduce exposure to the dangerous chemicals, researchers say.
“Increasing ventilation by opening vehicle windows and avoiding recirculating interior cabin air may also reduce exposures,” the study said. “However, the greatest reduction in exposure from vehicle air would come from significantly reducing the amount of FRs added to personal vehicles.”
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Health
Ask a doc: 'Is it dangerous to crack my neck or back?'
Cracking your back or neck might provide quick relief and a satisfying popping noise — but is it a safe practice?
“When you stretch or manipulate your spine, such as by twisting or bending, the pressure within the joint changes,” Dr. William Kemo, a neurosurgeon at the Virginia Spine Institute, told Fox News Digital.
“This can cause a sudden release of gas bubbles, leading to a cracking sound.”
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People often crack their back or neck out of habit, or to temporarily relieve tension or stiffness, Kemo noted.
“Typically, they do this to loosen up their back or neck when it is feeling tight or stiff. The ‘cracking’ is the popping of a tight or stiff facet joint.”
While the act of cracking can release endorphins (feel-good chemicals) for temporary relief, it doesn’t address the source of the tension, according to Tori Hartline, a chiropractor at Sunlife Chiropractic in Frisco, Texas.
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Popping or cracking can even lead to injury, she warned.
“Chiropractors are trained to look for restricted areas in the spine and perform specific adjustments to decrease tension and improve range of motion,” Hartline said.
“When an individual tries to pop their own back or neck, the segments that release gas are hypermobile segments versus the area of restriction. The joints above and below the area of restriction will move too much to compensate.”
She added, “Therefore, these cracks do not address the problem and can instead lead to further injury.”
The impacts of cracking your back or neck can include joint hypermobility, sprains or strains due to taking the joint too far past its proper range of motion — and even a fracture if too much pressure is applied, Hartline noted.
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Kemo agreed, warning that cracking your back can cause unnecessary wear and tear on your spine.
“It may lead to strain on the muscles and ligaments surrounding the spine, potentially causing injury or exacerbating existing issues,” he added.
It’s especially dangerous to crack the neck, which could impede blood flow and, in very rare cases, could increase stroke risk, according to Dr. Todd Sinett, a chiropractor at Tru Whole Care in New York.
Alternatives to cracking
There are plenty of safe alternatives that will provide longer-term relief without exacerbating potential issues with the spine, Kemo said.
“Commit to a daily stretching routine, and engage in core muscle exercises to strengthen the muscles supporting the spine,” he recommended.
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Regular physical activity can also be helpful.
“A body in motion stays in motion, and helps avoid stiffness and alleviates tension,” Kemo said.
The doctor also suggested optimizing your ergonomics at home, at work and in the car.
“Examine your daily routines to see if there may be repetitive situations that leave you feeling stiff or experiencing tension/tightness,” Kemo suggested.
This might include hunching in your chair or seat in the car, holding your device and looking down for prolonged periods, or sleeping in a certain position.
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Hartline also suggested seeing a licensed chiropractor, who can identify the areas of restriction and prescribe therapeutic exercise and stretches to give you the best results.
“If you’re experiencing persistent discomfort or pain, it’s best to consult with a medical specialist for proper evaluation and treatment.”
Overall, both experts agree that it’s important to listen to your body and avoid forceful manipulation of the spine.
“If you’re experiencing persistent discomfort or pain, it’s best to consult with a medical specialist for proper evaluation and treatment,” Kemo said.
“Remember, what works for one person may not be suitable for another — so personalized guidance is key.”
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Health
Seniors and breast cancer: Why aren’t older women told to get mammograms?
A major public health agency last week expanded its breast cancer screening guidelines to include younger women — but some people are concerned that one key age group has been excluded.
The U.S. Preventive Services Task Force (USPSTF) announced on April 30 that women between ages 40 and 74 should get mammograms every other year.
This is a significant change from previous guidelines, which said women should begin biennial mammograms at age 50, but could opt to begin as young as 40.
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Some experts object to the fact that the agency doesn’t include official screening recommendations for women older than 74.
“The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening mammography in women 75 years or older,” the agency stated in the guidance.
Dr. Denise Pate, medical director with Medical Offices of Manhattan and contributor to LabFinder, voiced her disagreement with the lack of mammogram recommendations for older women.
“I think it is an antiquated view that sells short the potential of women older than 75,” she told Fox News Digital.
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“The recommendations consider that the older population may be over-diagnosed, potentially with slow-growing breast cancers — but this does not take into account the increase in life expectancy for American women.”
A woman who is 75 right now has a life expectancy of 87, according to the U.S. Centers for Disease Control and Prevention (CDC).
Lack of research
One of the main reasons that women over 74 were excluded is that the age group was not included in clinical trials.
“When the major randomized controlled trials were performed in the 1970s and 1980s to show how effective mammograms are, they didn’t include enough women in those age groups to confirm their necessity,” Dr. Jacqueline Holt, medical director of women’s imaging for national radiology provider RadNet in Wilmington, Delaware, told Fox News Digital.
“Cancer risk doesn’t drop off at 74 — the risk increases,” she said.
“It’s misinformation that cancers grow slower in this age group and that women will die of something else first.”
Risks vs. benefits
The primary risk noted for screening older women is the potential for false positives.
“The potential harms of breast cancer screening in older women include false positive results and overdiagnosis,” said one study published in the Journal of the American Board of Family Medicine.
“Cancer risk doesn’t drop off at 74 — the risk increases.”
Among women 75 years and older, 200 out of 1,000 who are screened over a 10-year period will experience a “false alarm,” the researchers noted, “which can cause pain, anxiety and distress.”
Pate acknowledged that this risk does exist.
“Of course, with continued screening, there is the continued risk of finding breast cancer in an earlier stage or finding a suspicious image that prompts recommendations for biopsy, proving to be a false positive — and this can cause a lot of anxiety,” she said.
The risks of not screening, however, are “leaving these women in the dark about their status,” the doctor said.
“As I always explain to my patients, knowledge is power,” Pate told Fox News Digital.
“I would rather choose anxiety about a biopsy that may or may not prove breast cancer versus anxiety of surgery, radiation and chemotherapy for a cancer that is found too late due to lack of screening.”
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Holt agrees the benefits outweigh the risks.
“The primary risk that the USTF focuses on is anxiety due to false positives or callbacks that don’t lead to a diagnosis of cancer,” she told Fox News Digital.
“The death rate has decreased by at least 40% since 1995, thanks to mammographic screenings finding the cancer earlier and better treatment.”
Women do have the option to continue screening beyond the age of 74 if they choose, the doctors noted — and this should be covered by their insurance plan.
“There is no cut-off for age,” Holt noted. “Medicare will still cover the cost of a mammogram.”
The American College of Obstetricians and Gynecologists (ACOG), the American Cancer Society (ACS) and the National Comprehensive Cancer Network (NCCN) all recommend mammograms starting at age 40.
“Age alone should not be the basis to continue or discontinue screening.”
“Each of these three groups bases its stop age on a woman’s life expectancy and not simply on their age,” Pate noted.
The ACS has stated that women should continue receiving mammograms as long as they are in overall good health and expect to live for another 10 years or more.
More than one-quarter of cases of breast cancer are diagnosed in women 75 years and older, according to ACOG.
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“Age alone should not be the basis to continue or discontinue screening,” according to a statement from ACOG.
“Beyond age 75 years, the decision to discontinue screening mammography should be based on a shared decision-making process informed by the woman’s health status and longevity.”
Dr. Wanda Nicholson, chair of the USPSTF, sent a statement to Fox News Digital about the decision to omit women over age 74 in the recommendations.
“Women deserve to know what the science says about how they can best stay healthy as they age,” she said.
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“We looked carefully at all the available evidence about whether women who are 75 and older should be screened for breast cancer, but unfortunately, the available research was limited.”
“None of the studies of breast cancer screening included women in this age group, so we are urgently calling for more evidence on this important population.”
She added, “In the meantime, we encourage women who are 75 and older to talk with a trusted health care professional about what preventive care is right for them, given their specific health circumstances.”
Fox News Digital reached out to the ACOG and the ACS requesting additional comment.
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