What is an Intellectual Disability ?
An intellectual disability is characterised by someone having an IQ below 70 (the median IQ is 100), as well as significant difficulty with daily living such as self-care, safety, communication, and socialisation.
Children with an intellectual disability may process information more slowly, find communication and daily living skills hard, and also have difficulty with abstract concepts such as money and time.
About 7% of Indians have an intellectual disability, making it the most common primary disability. An intellectual disability may be caused by a genetic condition, problems during pregnancy and birth, health problems or illness, and environmental factors.
Types of Intellectual Disabilities/Disorders
Fragile X syndrome
Fragile X syndrome is the most common known cause of an inherited intellectual disability worldwide. It is a genetic condition caused by a mutation (a change in the DNA structure) in the X chromosome.
Children born with Fragile X syndrome may experience a wide range of physical, developmental, behavioural, and emotional difficulties, however, the severity can be very varied.
Some common signs include a developmental delay, intellectual disability, communication difficulties, anxiety, ADHD, and behaviours similar to autism such as hand flapping, difficulty with social interactions, difficulty processing sensory information, and poor eye contact.
Boys are usually more affected than girls – it affects around 1 in 3,600 boys and between 1 in 4,000 – 6,000 girls
Down syndrome is not a disease or illness, it is a genetic disorder which occurs when someone is born with a full, or partial, extra copy of chromosome 21 in their DNA.
Down syndrome is the most common genetic chromosomal disorder and cause of learning disabilities in children. In India, approximately 780 children, or one in 400, are born with Down syndrome each year.
Children with Down syndrome can have a range of common physical and developmental characteristics as well as a higher than normal incidence of respiratory and heart conditions.
Physical characteristics associated with Down syndrome can include a slight upward slant of the eyes, a rounded face, and a short stature. Children may also have some level of intellectual and learning disabilities, but this can be quite different from one child to to another.
When a child develops at a slower rate compared to other children of the same age, they may have a developmental delay.
One or more areas of development may be affected including their ability to move, communicate, learn, understand, or interact with other children.
Sometimes children with a developmental delay may not talk, move or behave in a way that’s appropriate for their age but can progress more quickly as they grow. For others, their developmental delay may become more significant over time and can affect their learning and education.
Prader-Willi Syndrome (PWS)
Prader-Willi syndrome (PWS) is a rare genetic disorder which affects around 1 in 10,000 – 20,000 people. This disability is quite complex and it’s caused by an abnormality in the genes of chromosome 15.
One of the most common symptoms of PWS is a constant and insatiable hunger which typically begins at two years of age. Children with PWS have an urge to eat because their brain (specifically their hypothalamus) won’t tell them that they are full, so they are forever feeling hungry.
The symptoms of PWS can be quite varied, but poor muscle tone and a short stature are common. A level of intellectual disability is also common, and children can find language, problem solving, and maths difficult.
Someone with PWS may also be born with distinct facial features including almond-shaped eyes, a narrowing of the head, a thin upper-lip, light skin and hair, and a turned-down mouth.
Fetal Alcohol Spectrum Disorder (FASD)
FASD refers to a number of conditions that are caused when an unborn foetus is exposed to alcohol.
When a mother is pregnant, alcohol crosses the placenta from the mother’s bloodstream into the baby’s, exposing the baby to similar concentrations as the mother.
The symptoms can vary however can include distinctive facial features, deformities of joints, damage to organs such as the heart and kidneys, slow physical growth, learning difficulties, poor memory and judgement, behavioural problems, and poor social skills.
Many cases are also often misdiagnosed as autism or ADHD as they can have similarities.
The World Health Organisation recommends that mothers-to-be, or those planning on conceiving, should completely abstain from alcohol.
Environmental and other causes
Sometimes an intellectual disability is caused by an environmental factor or other causes. These causes can be quite varied but can include:
- Problems during pregnancy such as viral or bacterial infections
- Complications during birth
- Exposure to toxins such as lead or mercury
- Complications from illnesses such as meningitis, measles or whooping cough
- Exposure to alcohol and other drugs
- And even unknown causes