Thursday, October 22, 2015

Co-morbidities in Autism and the use of Aromatherapy

Below is my research paper on the use of Aromatherapy in Autism Spectrum Disorders, specifically the co-morbidities of ASD.  I can help you create an aromatherapy blend that is right for your child!
Always work with a reputable and well-trained aromatherapist.  Never apply directly to the skin and never ingest orally.





Autism Spectrum Disorders encompass a wide range of co-morbid conditions.  In this project, we will explore some of these co-morbid conditions and the use of Essential Oils. 
To begin, let’s get an understanding of what an Autism Spectrum Disorder (ASD) is.  We now understand that an ASD is a whole-body disorder, affecting every system in the body.  It is now widely believed that ASDs are the result of the body’s inability to detox and a large toxic burden being placed upon the body.  The toxins can be passed down from mother to baby in utero, introduced through the food, water, and air, and through vaccinations.  Because of the large toxic burden which overwhelms the system, the immune system shuts down, heavy metals become stored in the cells, yeast (which is the body’s protective system) attempts to encompass and eliminate the heavy metals but instead becomes overgrown and the inflammation begins to affect the gut, the brain, and every system in the body.
Because the gut is affected, most individuals with autism experience either chronic constipation, chronic diarrhea, or both.  Either condition can cause malnutrition, and the re-absorption of toxins.  There are several oils that are recommended for either constipation or diarrhea, but because it’s often not clear by symptoms which you’re dealing with, I recommend Black Pepper for either condition.  It is safe and has no contra-indications, so it’s safe for epileptics, which is another co-morbid condition we’ll talk about later in this paper.  Black Pepper’s digestive benefits include: stomachic (improves stomach function), antispasmodic (suppresses muscle spasms), and carminative (prevents the formation of gas).  Black pepper is remarkably beneficial for digestion because it stimulates the whole digestive system, from the salivary glands in the mouth to the large intestine, including promoting secretion of digestive juices like acids and bile into the stomach to facilitate digestion.  It can be used topically as a massage oil, compress or poultice, or an ointment applied to the abdomen.  It can also be diffused.
Another co-morbid condition I mentioned earlier is seizures.  It is unclear why seizures are so common among individuals with an ASD, but one theory is that an underlying Lyme infection may be to blame in some cases.  Seizures may begin in childhood but for individuals with ASD, many begin in adolescence.  Severity of the seizures range from Petit-mal (absence) to Grand-mal (drop), with several other types in between.  If a person has experienced two or more seizures, they are considered Epileptic.  Seizures are often a contra-indication, themselves, of essential oils.  Some helpful oils for seizures include: Roman Chamomile, Lavender, Sweet Marjoram, Neroli, Melissa, and Ylang Ylang.  A common trigger for seizures is stress, so choosing oils that are calming and sedative are useful.  Used in conjunction with mindfulness training, essential oils can be an effective treatment in controlling seizures.  Because you never know when a seizure disorder will appear, it’s best to always use seizure-safe oils with anyone who has an ASD.  Application methods include massage and inhalation.
Probably the most common co-morbid condition associated with ASDs is anxiety.  It is estimated that as much as 80% of individuals with autism also have an anxiety disorder.  The inability to understand or express feelings of anxiety often manifest as behaviors such as stimming, head banging, screaming, or aggression.  Several oils are useful in the treatment of anxiety, but finding safe oils that do not trigger seizures is important.  All six oils that were indicated helpful for seizures are indicated helpful for anxiety, as well.  The type of anxiety you’re treating is helpful to know which oil would be most beneficial.  According to Chinese medicine, anxiety is commonly linked to an energetic imbalance of the heart, therefore, both Lavender and Melissa oil would be beneficial as they cool the heart and are considered the most comforting oils for the mind.  Neroli helps more with anxiety expressed through compulsive behaviors (stimming) and are beneficial for feelings of shame, guilt, or rage.  And Ylang Ylang is beneficial in calming the restless mind.  Application could include adding to a bath, inhalation, massage, or diffused.  Because many parents also deal with anxiety, diffusing a stress blend might be beneficial to everyone in the household at the same time.
As mentioned earlier, inflammation is one of the main co-morbid conditions associated with ASDs, creating a heightened immune response leading to immune system shut down.   The exact role of heightened immune response in the central nervous system (CNS) of patients with autism is uncertain, but may be a primary factor in triggering and sustaining many of the comorbid conditions associated with autism.   Several essential oils are useful in the treatment of inflammation but as we learned earlier, seizures should always be a consideration when choosing oils for individuals with an ASD because you never know when a seizure disorder will make itself known.  With that in mind, one oil stands out as being most beneficial with the least amount of risk in addressing inflammation: Lavender.  It is an ideal choice, too, because of its possible effects of stimulating the immune system.  There are many different applications appropriate, including bath and rub, but the best may be diffusion.
Sleep disorders are also a very common co-morbid condition for individuals with an ASD.  It is not widely understood why so many with an autism spectrum disorder also have insomnia, but it is estimated that insomnia affects between 53-78% of individuals with ASD (and their families).  It is characterized by the inability to fall asleep, sleep disturbances, and early-morning awakening.  If not addressed, insomnia can affect behaviors such as self-injury.  And where there’s a child with ASD awake, you’ll find his or her parent.  Lack of sleep is one of the most common complaints of special needs parents.  The calming, soothing, balancing and anxiety-reducing benefits of essential oils makes aromatherapy very effective for treating insomnia.  Some useful oils would include: Bergamot, Roman Chamomile, Lavender, Lemon, Sweet Marjoram, neroli, Petitgrain, Sweet Orange, Sandalwood, and Valerian.  The most commonly used of these is Lavender.  Clinical trials have found Lavender to be effective as a nocturnal sedative for elderly patients with sleeping disorders, so it stands to reason this oil would be beneficial for anyone suffering from insomnia.  Suggested uses are in a bath before bed (no more than three drops), spritzed in the bed room, drops of oil on the pillowcase, or diffused in the room.  And because individuals with ASD typically suffer with anxiety, as well, a massage blend before bed can be very beneficial.
Migraine headaches are another common co-morbidity in individuals with an ASD.  While the exact cause is unknown, it is believed to be the result of inflammation, nutritional deficiencies, constipation, anxiety, hormonal imbalance, and exposure to irritants such as pollution.  The most effective oils in treating headaches of any type are Lavender, Peppermint, and Rosemary.  Other useful oils include Roman Chamomile and Marjoram.  Most migraine sufferers also experience nausea, making Peppermint possibly the most useful of these oils.  A cold or warm compress that includes both Peppermint and Lavender oils may be beneficial if applied to the back of the neck during a migraine.  If touch is not welcome, diffusing may be better tolerated.  Be careful not to use Peppermint oil in pregnancy or on children under the age of 7.  Rosemary should not be used by individuals with epilepsy and because of this, not with individuals with an ASD. 
Depression is not only a common co-morbidity for an individual with an ASD, but is one of the most common human experiences.  The presentation of depression in ASDs can depend on level of cognitive functioning, with lower functioning children displaying more behavior issues and higher functioning children displaying more traditional depressive symptoms. Depression is thought to develop and occur more in high-functioning individuals during adolescence, when they develop greater insight into their 
differences from others.  Helpful oils can include: Basil, Bergamot, Frankincense, Roman Chamomile, Geranium, Lavender, Sweet Marjoram, Neroli.  For depression accompanied by agitation, Melissa may be of help.  For irritability, Ylang Ylang may also be of assistance.  The choice of essential oils for the treatment of depression is quite extensive.  It is important to select the most appropriate oil or blend of oils for the client at any given time, as the client’s needs change from day to day.  Application may include bath, inhalation, massage, or diffusion.  Keeping in mind the seizure-safe oils, a good blend might include Ylang Ylang, Lavender, Roman Chamomile, and Neroli. 
There are many more co-morbid conditions association with Autism Spectrum Disorders that can be effectively treated with essential oils but the important points to keep in mind are:
·         Only use seizure-safe oils even in individuals that appear to be seizure-free
·         Needs change daily so re-evaluate the oils you’re using on a daily basis and adjust as needed
·         Individuals with an ASD tend to react the opposite way you’d expect so if your individual has a negative reaction to an oil, honor that over what the research indicates should happen
·         Never apply directly to the skin (neat) or take orally


Bibliography
Battaglia, Salvatore.  The Complete Guide to Aromatherapy.  The International Center for Aromatherapy, 2014.
 www.organicfacts.net, Essential Oils
Worwood, Susan, Worwood, Valerie Ann.  Essential Aromatherapy.  New World Library.  1995.
 www.wikipedia.com, Conditions comorbid to autism spectrum disorders