top of page

FASD MYTHS/FACTS

Myth #1: It’s safe to have a glass of wine or other alcoholic beverages during pregnancy.

Fact:

  • Wine, beer, spritzers, hard liquor - any form of alcohol - is unsafe to drink at any time in pregnancy.

  • Alcohol is a teratogen.

  • All teratogens, such as thalidomide and lead, cause birth defects.

  • Any amount of alcohol at any time during pregnancy can cause permanent irreversible brain damage to the child.

  • Alcohol is a teratogen that is particularly damaging to the brain of the fetus, but also causes damage to other parts of the body including the kidneys, heart, skeletal system, immune system, visual and auditory systems.

 

    Dr. Susan Hemingway PhD  FAS Diagnostic & Prevention Network

    Your Piña Colada is equal to two "standard alcoholic drinks"  NIAAA Drink Calculator

​

Myth #2: Drinking in moderation will not cause FASD.

Fact:

     University of Washington FASD Researcher Dr. Susan Hemingway Ph.D.   Video

​     PROOF Alliance   Alcohol Use and Fetal Development

     What is a standard alcoholic drink? NIAAA Drink Calculator

​

Myth #3: Every person with FASD has facial abnormalities.

Fact:

  • Only 10% of individuals with FASD have facial abnormalities.

  • Facial abnormalities occur when the prenatal alcohol exposure occurs very early in the first trimester.

  • The absence of facial abnormalities does not rule out FASD; 90% of  individuals with FASD do not have facial abnormalities.

​    Chasnoff Ira J., et al. Misdiagnosis and Missed Diagnoses in Foster and Adopted Children with Prenatal      Alcohol Exposure. Pediatrics. 2015; 135(2):264-270

​    Khazan, Olga.When ADHD Isn't What It Seems. The Atlantic. January 15, 2015

​

​Myth #4: Children outgrow FASD.

Fact:  

  • Many of the effects of prenatal alcohol exposure cannot be cured and have lifelong implications.

  • This includes permanent birth defects, brain injury, and/or disabilities.

  • Although FASD cannot be cured, research shows that early diagnosis by an FASD informed provider, intervention, and treatment, as well as family support and training can improve a child’s development, identify and build on their many strengths, and improve overall quality of life.

​

Myth #5: A person with FASD has a low IQ.

Fact:

  • Each individual with FASD is unique, and no two people with FASD will have the same strengths or challenges.

  • Individuals with FASD may have a low or borderline IQ. Some people with FASD may have a gifted/ superior IQ. Most people with FASD have an IQ in the average to low average range.

  • When assessing the disability of FASD, one needs to consider all areas of this complex brain injury, such as adaptive function, auditory and sensory processing, and developmental deficits. The nature of the disabilities of those affected depends not only on the IQ, but on the parts of the brain or body that have been affected by prenatal alcohol exposure.

​     Hagan, Joseph, F. et al. Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure.                    Pediatrics.2016;138(4)

​

Myth #6: "People with FASD could do better, they just need to try harder!"

Fact: 

  • Individuals with a Fetal Alcohol Spectrum Disorder, no matter where they fall on the spectrum, have a moderate to severe brain injury. 

  • Prenatal alcohol exposure can cause diffuse permanent brain damage to the fetus - damage to the structures, function, neurochemistry, and the brain's ability to grow and repair.

  • This damage affects the child's ability to manage everyday life and learning - memory, executive function, attention, auditory processing, ability to grasp cause and effect, emotional self-regulation, understanding social cues, non-verbal communication, and judgment.

  • Individuals with FASD demonstrate great resilience and perseverance, facing these challenges everyday.

  • When we parents, teachers, and providers learn about the cause of the challenges, we can then take responsibility to accommodate, support and more effectively care for our loved ones. With our support, these children and adults then have a much greater chance at a better quality of life and an opportunity to make the most of their many talents and abilities. 

​     Petrenko, Christine PhD., et al. The Association Between Parental Attributions of Misbehavior and               Parenting Practices in Caregivers Raising Children with Prenatal Alcohol Exposure: A Mixed-Methods           Study. Res Dev Disabil. 2016 Dec; 59: 255–267

​

Myth #7: Adults cannot be diagnosed with FASD.

Fact:

  • FASD informed providers diagnose adult individuals with FASD. 

  • Although FASD is typically encountered during childhood, the clinical manifestations persist into adulthood.

  • Due to the lack of FASD informed providers, delay in diagnosis or misdiagnosis is unfortunately the norm. Erroneous beliefs such as a person with any FASD must have facial abnormalities (very rare, about 10%), or only heavy alcohol use causes FASD,  lead to the delay of diagnosis.

Without early diagnosis and support, secondary disabilities can develop, such as:

  • ​Health/psychiatric problems*

  • Greater risk for suicide

  • Problems with employment 

  • Inappropriate sexual behavior 

  • Disrupted school experience 

  • History of confinement in jail, prison, residential drug treatment, psychiatric unit 

  • Drug/alcohol problems 

​

However, we also know that protective factors allow individuals with FASD to grow into healthy adults, making the most of their neurodiversity, many skills, and talents:

     SAFEST Choice Learning Collaborative FASD ECHO Training Boston Medical Center/PROOF Alliance      

  • FASD diagnosis before age six - Evaluations including neuropsych, PT, OT, auditory and sensory processing

  • Early intervention - parent training in supporting the child's social/emotional skills, self-regulation skills, adaptive skills as well as caregiver support and respite (FASCETS)

  • Peer support groups, find talents/strengths

  • Stable long-term home environment

  • FASD trained/informed - parents/caregivers

  • FASD-informed teachers, school psychologists, social workers

  • FASD-informed foster care system

  • FASD-informed adult support services

  • FASD-informed law enforcement and court system

  • FASD-informed neurodiverse aware communities

​

*  Huggins, Janet E., et al. Suicide Attempts Among Adults with Fetal Alcohol Spectrum Disorders: Clinical     Considerations. Mental Health Aspects of Developmental Disabilities. 2008;11(2):33-41

   Petrenko, Christie L.M., Ph.D, et al. Prevention of Secondary Conditions in Fetal Alcohol Spectrum             Disorders: Identification of Systems-Level Barriers. Matern Child Health J. 2014 August ; 18(6):1496–       1505 

​   Grant, T. M., Novick Brown, N., Graham, J. C., Whitney, N., Dubovsky, D., & Nelson, L. A. (2013).               Screening in treatment programs for Fetal Alcohol Spectrum Disorders that could affect therapeutic           progress. The International Journal of Alcohol and Drug Research. 2(3):37-49.                                         https://doi.org/10.7895/ijadr.v2i3.116

​

   PROOF Allliance:

​      Tips for Adults with FASD​

   Employment Tips for Adults with FASD

​   Video: Two Young adults with FASD Share Their Struggles and Victories

​  NIH/NIAAA Current Research on Adults with FASD

  Fetal Alcohol Spectrum Disorders (FASD) in Adults: Health and Behavior

  Principal Investigators: Claire Coles, Ph.D. (Emory University, Atlanta, Georgia), Therese Grant Ph.D.    (    (University of Washington, Seattle, Washington)

bottom of page