A DEVELOPMENTAL OVERVIEW OF FAS/E through the Eyes of Parents * 1998 FAS Family Resource Institute TODDLERS (1-5) Parents report that toddlers with FAS/E are: * sometimes medically fragile * usually require high maintenance, keeping parents alert and on duty 24 hours a day * often exhausted and irritable from uneven sleep patterns * highly manipulative * a danger to self and others because they do not grasp the universal laws of cause and effect * void of the normal sequential learning abilities in reasoning, judgment and memory * very difficult to manage when out in public * no natural fear of danger, e.g., lacking in the normal abilities to distinguish between friend and enemy * misunderstood by service providers because their IQ’s appear to be developing normally CHILDREN (6-11) Parents report that children with FAS/E are: * impulsive, unpredictable and mischievous, creating ongoing safety hazards, such as setting fires and running away * often exhausted and irritable from uneven sleep patterns * innately skilled in manipulative tactics * void of normal sense of justice * overlooked as permanently disabled because their IQ’s are normal * desperate for stimulation and excitement to keep them entertained and happy * emotionally volatile and often exhibit wide mood swings throughout the day * often disconnected from their own feelings and are unable to identify or express logical reasons behind their volatile outbursts * isolated and lonely because the desire to be included remains intact while the reasoning skill to figure out why they are excluded is lacking * angry and resentful toward more structure and supervision than their peers need * void of natural empathy for others ADOLESCENTS (12-17) Parents report that adolescents with FAS/E are: * moral chameleons (despite consistent loving care, family values and even general rules of social behavior are not being internalized) * often exhausted and irritable from uneven sleep pattern * at high risk for being drawn into anti-social behavior: stealing, lying, running away, etc. * continuing to be a safety menace to themselves and others * still in need of limits and protection like a three year old * often obsessed by primal impulses such as sexual activity and fire setting * able to recognize and will submit to raw power, making them vulnerable to gangs. * seriously impaired when it comes to making decisions (not having the judgment or reasoning skills to make decisions) * terrified of major transition or change, e.g., middle school, moving, etc. * extremely vulnerable to ideas in movies, videos, music, TV and advertisements * unaware of normal hygiene needs * unable to take responsibility for their actions ADULTS (18 and over) Parents report that their adult children with FAS/E are: * moral chameleons * often exhausted and irritable from uneven sleep patterns * extremely vulnerable to anti-social behavior and at great risk for finding the structure and supervision they need in the criminal justice system * unlikely to follow safety rules concerning fire hazards, safe meal preparation, vehicle operation, infectious diseases, basic life needs, etc. * notably lacking in the ability to manage money * volatile if pushed too far to do something they see as unreasonable, such as asking them for money to pay their rent or groceries. * quite vulnerable to co-dependent relationships, which can turn violent * incapable of taking daily medication or birth control pills on a regular and effective basis * vulnerable to panic attacks, depression, suicide ideation, mental and emotional overload, and sometimes psychotic breaks * very impaired as to entertaining themselves and keeping out of mischief * not nearly as capable as they appear to be * in desperate need of appropriate sheltered employment opportunities Note: These characteristics may appear to be typical behavior in a normal person, but in individuals who have been disabled by prenatal exposure to alcohol, these traits occur in grossly exaggerated form and do not respond to typical interventions.