Module 4: FASD Signs and Symptoms
Signs and Symptoms: Preschool Period
During the preschool period, behavioral effects are usually more apparent than cognitive
deficits.2 However, Suzanne Kuerschner, an FAS educator/consultant, has noted consistent
cognitive difficulties in some preschoolers. These include difficulty with colors,
rote counting, and letter recognition.5
In addition, problems may be seen that exceed the norm for this age group, such as:
- Hyperactivity
- Attention deficits and distractibility
- Perceptual problems
- Low frustration tolerance
- Trouble organizing own play
- Language problems
- Poor motor coordination
- Lack of physical boundaries, such as touching people inappropriately
- Abuse issues
- Loss and grief issues
- Overly friendly behavior
- Difficulty following instructions
- Temper tantrums and disobedience
- Toilet training delays
Lack of physical boundaries and overly friendly behavior may be overlooked as cute
when the child is young. However, this can become dangerous for the child and
challenging for parents and other caregivers. Inability to recognize who is safe
and familiar and who is not can be cause for concern, especially in the long term.
It is important that caregivers teach positive behaviors with an eye toward what would
be appropriate habits in the future.
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