People with schizotypal personality disorder have odd behavior, speech patterns, thoughts, and perceptions. [9], Sad clown paradox is characterised by a cyclothymic temperament, which encourages the creation of light-hearted humour in a professional setting, despite inner turmoil. Theres scientific data to back up all of them. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. This includes the makeup, facial expressions, and the distortion of the face. This extra genetic material causes the developmental changes and physical features of Down syndrome. His struggle with bipolar disorder makes the story even sadder: I wonder how many of his clever, at times self-deprecating jibes that made people roar with laughter were actually a cry for help. Paraspinal neurofibromas and hypertrophic neuropathy in Noonan syndrome with multiple lentigines. [7] The constant search for approval may cause mental health issues such as anxiety or depression and when untreated can lead to suicide in extreme situations. Mayo Clinic is a not-for-profit organization. For kids, it may be hiding, covering their eyes, or a physical reaction of fear. In this short film, a young boy and his new autistic friend discover a shared language of their own. [17], The methylation test that is performed for Angelman syndrome looks for methylation on the gene's neighbor SNRPN, which is silenced by methylation on the maternal copy of the gene. [citation needed], Region 15q11-13 is implicated in both Angelman syndrome and PraderWilli syndrome (PWS). When a group of symptoms occur together, they are classified as a syndrome. Some heart problems can occur later in life. Mayo Clinic does not endorse companies or products. If you have a phobia, talk with a healthcare provider about your fear. Coulrophobia (fear of clowns). Coulrophobia. Genetic disorder caused by part of the mother's chromosome 15 being missing, For the rare genetic skeletal disorder sometimes called Engelmann syndrome, see, Williams C (2005) "Neurological aspects of the Angelman syndrome" Brain & Development 27: 8894. Clown Pediatrics PC is a medical group practice located in Greenwood, IN that specializes in Pediatrics. Accessed June 26, 2016. [32], The severity of the symptoms associated with Angelman syndrome varies significantly across the population of those affected. Humor can be a good way to deflect tension. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. So its actually about the working environment and culture. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. In the 2011 Philippine drama series Budoy, the titular character and main protagonist Budoy Maniego (played by Filipino actor Gerald Anderson) is diagnosed with Angelman syndrome. If the fear becomes too great, dont hesitate to talk to your healthcare provider. The saga of Angelman's syndrome is one such story. Accessed June 05, 2019. https://phys.org/news/2006-12-laughter-contagious.html. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. [29] This is important because individuals with Angelman Syndrome who already possess some form of non-verbal communication have a much harder time adapting to changes in a new or existing AAC device because they can communicate their needs much faster nonverbally. Seeing how laughter helped his mother, it was only a matter of time before he decided to spread that same joy to others. On occasion someone will write about it or research it- but then someone else comes along to change the genre. A person with an autosomal dominant disorder in this example, the father has a 50% chance of having an affected child with one changed gene. But how much of that was me projecting after the fact. Read our. Whether or not they are using comedy as a coping mechanism or theyre just funny and want to share that with the world, nobody wants to be funny all the time. I definitely believe that there is a correlation between comedy and mental health. When a person has coulrophobia, there are a variety of components to a clown that can cause the phobia or fear. In an individual with AS, however, the maternal UBE3A gene is absent or not functioning normally. A person can be affected by Noonan syndrome in a wide variety of ways. Listen to his interviews and the people around him and he was a rarely UN-angry comedian and, by most accounts, someone who rarely got angry in life. The sad clown is one of the most well-known paintings out there. Ultimately we will never know. The sooner we accept that and junk the depressive clown trope the better society will be able to handle, support and deal with everyone with mental health issues. It is not uncommon for a child to develop a fear of clowns, whether it's caused by an adverse interaction at a birthday party, the circus, or a community event. Noonan syndrome. [42], Many poems in Richard Price's poetry collections Hand Held (1997), Lucky Day (2005), and Small World (2012) reflect on the disability of the poet's daughter, who has Angelman syndrome. Rhinophyma is a skin disorder characterized by a large, red, bumpy or bulbous nose. There are options to help overcome coulrophobia. Im going to bookmark this article and send a link to various friends. When a person has this condition, they are known to react when they see a photo of a clown, a video, or a clown in person. Kotagal S (expert opinion). Seizures are a consequence, as is excessive laughter,[27] which is a major hindrance to early diagnosis. 1 Verywell / Joules Garcia There are various websites that list hundreds of different types of sexual paraphilias. Accessed June 26, 2016. As the 90s sitcom, Friends, put it, I would hate to be there when the laughing stops.. Advertising revenue supports our not-for-profit mission. [7], It has also been suggested that humour may serve as an attempt to relate to people from a distance, evoked by a childhood desire for social contact. [29] Additionally, affiliative and self-enhancing humour can be used to predict symptoms of depression, with higher levels shown to correlate with lower levels of depression. '"[41] You can also be suspicious and morose. It was purely by chance that nearly thirty years ago (e.g. Appointments 866.588.2264 Movies, TV shows, commercials, billboards and advertisements. 2015;36:1052. When you are always wrong, you seek an audience to disprove that theory.. If your unborn child is at risk because of a family history of Noonan syndrome, prenatal tests may be available. What has not been studied is the effects on the individuals personality or emotional/mental stability when the reality of the situation dawns on the person. [16], Relationships formed with family members are key in adolescent development, particularly for future satisfaction with life. I think this study is suggesting that funny people often have slightly higher predisposition to mental illness than the rest of the population. In the case of class clowns who are defiant, they are sending you a message very similar to the one sent by avoiders: lack of confidence, ability, or sense of security. Robin Williams job did just this. ', Despite comedians often being of high intelligence, the school environment was detested and frequently avoided. "[26] The inability to exhibit direct aggression results in expression through the socially acceptable manner of humour. [11], Comedic performers frequently show humorous tendencies early in life, often identified as the 'class clown' throughout school. This provider may diagnose coulrophobia after evaluating symptoms, including the impact of the phobia on daily life. Or theyre mass-murdering aliens from another dimension who live in drains. One study on hospitalized children found that approximately 10 out of 1,000 children, most of them girls, were afraid of the clowns the hospital brought in to cheer them up. People with coulrophobia may be reacting to a clowns colorful makeup. This content does not have an Arabic version. I did notice melancholy, manic and an undercurrent of existence angst in the performance. Does one cause the other, do they come as a package or is it just a coincidence? The honest answer is that there isnt one. Great article with good examples to support your analysis. An individual with transvestic disorder may experience depression, guilt, or shame because . University of Washington, Seattle; 1993-2017. https://www.ncbi.nlm.nih.gov/books/NBK1116/. They lie about symptoms, sabotage medical tests (like putting blood in their urine), or harm themselves to get the symptoms. If you want others to be happy, spread love and compassion as His Holiness the Dalai Lama has said. https://www.angelman.org/what-is-as/diagnosis/. What is AS: Diagnosis. Waardenburg syndrome refers to several rare genetic diseases that cause hearing loss, changes in the color of the eyes, skin, and hair, and changes in the shape of the face. Accessed June 26, 2016. It feels good to make others feel good, its a natural human response and so to someone who never feels good about themselves, providing laughter gives them a sense of gratification. Story of my life. This is a very thoughtful and level headed article. Whether you agree with that statement or not is down to personal preference but there is something about the image of a sad clown that has endured in pop culture for decades. Not a large enough sample to form any kind of argument, but those were two name that sprung to mind. 5 It goes back to the endorphins. What Is Fear of Hospitals (Nosocomephobia)? More common in children than adults, sleepwalking is usually outgrown by the teen years. I am a sad clown. We told him to keep performing, keep making us laugh, keep smiling youre a funny man and you will soon laugh again only for it to be too late. Oct. 15, 2021. It's the passing glance of a stranger, the earnest offering of a flower, and the knowing smile of a shared secret. You receive your pairs of genes from your parents one copy from your mother (maternal copy) and the other from your father (paternal copy). To understand what drives someone with depression, anxiety, or any other mental health issue, towards humor, one must understand the old saying that laughter is the best medicine. "[23] This childlike view of the world and rejection of family obligations can cause comedians to embody a greater sense of responsibility and a feeling of obligation to protect others, a compensation for their parents unconscious rejection of adult responsibilities. I think a lot of people with mental illnesses dont even realise theyre harnessing comedy as a coping mechanism. And there is a definite link between anger and depression. Later the name was changed to Angelman syndrome. [33], The majority of those with AS achieve continence by day and some by night. These may include: Noonan syndrome can cause hearing deficits due to nerve issues or to structural abnormalities in the inner ear bones. Its a form of acting, whereas back in the day I think the guys who made you laugh could have done it on a one to one as well as a small group and a huge stage, its as though they stumbled into it years back. Comedians are not clowns clowns are not comedians. The growth spurt that's usually seen during the teenage years may be delayed. Angelman syndrome signs and symptoms include: Developmental delays, including no crawling or babbling at 6 to 12 months Intellectual disability No speech or minimal speech Difficulty walking, moving or balancing well Frequent smiling and laughter Happy, excitable personality Sucking or feeding difficulty Trouble going to sleep and staying asleep Noonan syndrome. Persistent anxiety that interferes with daily life or sleeping. This is where the other end of comedys relationship with mental health comes in. Joy that they may not have. [12] Comics recalled mocking the strict nature of school, taking great pleasure in the laughter from their peers. [19] This EEG facilitates the differential diagnosis of AS, but is not pathognomonic. [27], Humour provides the ability to assert control and invincibility in a situation. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. (Ive never been nor was interested in being an artist before), I just started scribbling and surprised myself. Further, the specific genetic mechanism underlying the condition is thought to correlate to the general prognosis of the affected person. The mission of F3 is to plan. It stands alongside dogs playing poker as one of the finest American artworks ever created. I also think its a myth that comedians have low self esteem and that drives them to make jokes about themselves. [23] Theta activity (~5Hz) is much greater in children with partial 15q deletions. Coulrophobia is a fear of clowns. Yvelette Stines, MS, MEd, is an author, writer, and communications specialist specializing in health and wellness. The motivation behind humour could be that of many: acceptance, coping mechanism, insecurity, etc. This is what happens with people that suffer from depression. Diagnostic and Statistical Manual of Mental Disorders" (DSM-5), Intense anxiety when seeing the image of or thinking of a clown. "[13] Johnny Carson also emphasised the role of school in a comedians life stating that:[13], I think, by the fact that you find you can get laughs when you are in school-and this is where most of the guys start, when they are growing up in the neighbourhood-they're jerking around, doing silly things, interrupting the class. I have just started stand-up comedy. We really need more shows like this one. One suffering from said disorder also thinks everything is funny and laughs at anything. Van Venrooij LT, Barnhoorn PC. 1 While its harder to track people who arent well-known, its safe to say that many non-professional funny people also suffer from these issues. Neither are quite stand ups but both John Cleese and Stephen Fry are/started out as comedians and are also sufferers. I dont know what the rate of depression is for comedians, but can imagine that it is higher than average. Making people laugh creates a pseudo-acceptance, as people rarely turn away someone who is an asset like that to have around. 50(11): p. 23312339. I overcame it, healed old wounds while the perpetrator was always there to make sure they were never healed. I can relate this to my personal life, what i feel is each and every single person is clown today., everyone is busy in pretending that life is beautiful even tho they are suffering from plenty of problems mentally and socially. The 1987 graphic novel Watchmen includes the character of Rorschach telling the story and naming the clown as Pagliacci.[50]. I never did the homework. One of the tools that they use is the "Diagnostic and Statistical Manual of Mental Disorders" (DSM-5). [citation needed], Dressing skills are variable and usually limited to items of clothing without buttons or zippers. Excellent article. Whether you agree with that statement or not is down to personal preference but there is something about the image of a sad clown that has endured in pop culture for decades. However, the effects mentally and emotionally on this person is interesting to consider. I assume this is often what gives them the energy to perform so intensively. (https://pubmed.ncbi.nlm.nih.gov/27966019/), (https://www.merckmanuals.com/home/quick-facts-mental-health-disorders/anxiety-and-stress-related-disorders/phobic-disorders-phobias), (https://www.merckmanuals.com/home/mental-health-disorders/anxiety-and-stress-related-disorders/specific-phobic-disorders), (https://link.springer.com/article/10.1007/s00431-017-2896-x), Visitation, mask requirements and COVID-19 information. Issues may include the following: Intelligence isn't affected for most people with Noonan syndrome. Complications can arise that may require special attention, including: Because some cases of Noonan syndrome occur spontaneously, there's no known way to prevent it. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. with Down syndrome: Medical: Individuals with Down syndrome are at an increased risk for developing several medical conditions. Having seen a fair share of live stand up, I always think self deprication is a cheap way to accumulate laughter in a room. To add to it, Ive often wondered if there is some psychological basis that underpins both comedy and mental health problems. Why would someone who finds it hard to socialize be okay with performing to an audience for a living? [1] Woody Allen commented that school "was boring, frightening. Some other signs of this condition include the following: When you speak with a licensed medical healthcare professional, they will evaluate your symptoms and make a diagnosis. Working in the arts is dangerous. However, comedians function for short periods of time, constantly requiring admiration and acknowledgement for their work. This inability to be your true self whenever you want can be devastating to ones mental health. We need to rethink how we allow people with depression to approach those around them and also to rethink how we approach them too. This intent to help people is only momentarily satisfied by audience recognition and approval. You or your child may have a specific phobic disorder like coulrophobia if the fear: There isnt a specific coulrophobia treatment. The best data available are from studies of school age children, ages 613 years, living in Sweden and from Denmark where the diagnosis of AS children in medical clinics was compared to an 8-year period of about 45,000 births. Babovic-Vuksanovic D (expert opinion). Frohlich, Joel, Meghan Miller, Lynne M. Bird, Pilar Garces, Hannah Purtell, Marius C. Hoener, Benjamin D. Philpot et al. On one end of the spectrum, a mutation to the UBE3A gene is thought to correlate to the least affected, whereas larger deletions on chromosome 15 are thought to correspond to the most affected. In view of this I hesitated to write about them in the medical journals. Persistent worries about having panic attacks can lead to panic disorder. I doubt there are many comedians who are successful battling those demons. However, when on holiday in Italy I happened to see an oil painting in the Castelvecchio Museum in Verona called a Boy with a Puppet. Complications associated with Angelman syndrome include: In rare cases, Angelman syndrome may be passed from an affected parent to a child through defective genes. What a wow what a wonderful read! It can occur as part of phymatous rosacea. Its a sad thought to think that bringing laughter in the world could lead to such a tragic outcome but for many comedians, the want and need to please people becomes too much. Knowing the syndrome helps healthcare providers analyze your health to determine the disorder. The process involves: Your provider may combine exposure therapy with cognitive-behavioral therapy (CBT). Fear of clowns in hospitalized children: Prospective experience. Make a donation. This Story Has Already Stressed Ryan Reynolds Out.. [23] Thus, delta activity appears to be chiefly reflective of UBE3A dysfunction with some modulation from other 15q genes, whereas theta activity may be an electrophysiological readout of genes beyond UBE3A such as GABRA5, GABRB3, and GABRG3. Noonan syndrome. I am genuinely sorry for your, and your girlfriends, loss. Accessed Nov. 18, 2019. When we pull or strain a muscle in our leg or other part of the body, we rest it. [22] Slow delta activity (~3Hz) is greatly increased in AS relative to typically developing children, yet more pronounced in children with partial 15q deletions as opposed to those with etiologies principally affecting UBE3A. What Is Fear of Thunderstorms (Astraphobia)? GREAT article. Coulrophobia doesn't appear in the. Yim, Jongeun. [citation needed], The clinical features of Angelman syndrome alter with age. There seems to be a plethora of comedians today who are just not funny in any way, shape or form. This can be due to genetic errors such as the deletion or mutation of a segment of chromosome 15, uniparental disomy, or translocation. By adulthood, some people with Noonan syndrome may have normal height, but short stature is more common. The word "histrionic" means "dramatic or theatrical.". On a simpler level, laughter is contagious. His death almost six years ago, particularly the way he died, is something that has really saddened and also intrigued me for quite a while now. Causes you to avoid certain situations like parties or the movies. You may be more at risk for developing this specific phobic disorder if you already have an anxiety disorder or other phobias. Theres a pressure to being known as a funny person that many dont realize. National Library of Medicine. I'm driving around with my friend, Lauren, when we spot, in the middle of nowhere, a clown standing on top of a truck with the slogan "Coco-man" on the side. When your brain detects laughter, it preps you to join in. As far as comedy and actual film/TV is concerned, I have just started watching a show called Youre the worst. [18] Sad clown paradox can evolve from these incohesive environments from a young age, where a child desires social contact, using humour to obtain intimacy and somewhat relate to others from a distance. Theyre not arsed about the other 22.5 hours of that persons day. The most convincing explanation Ive heard is that in the artistic industries (ugh) there is a greater tolerance of eccentric,dysfunctional or outlier behaviours.Not everywhere obviously, and this is a very broad brush stroke. 866.588.2264 Movies, TV shows, commercials, billboards and advertisements are many comedians who are just not in. Hiding, covering their eyes, or a physical reaction of fear than average, bumpy or bulbous nose detested. And surprised myself there isnt a specific coulrophobia treatment further, the clinical features of Angelman 's syndrome is of! Situations like parties or the Movies projecting after the fact short film, a young and..., prenatal tests may be more at risk for developing this specific phobic disorder like coulrophobia if the:... Neurofibromas and hypertrophic neuropathy in Noonan syndrome may have normal height, but can imagine that it is than... To the general prognosis of the symptoms group practice located in Greenwood, in that specializes in Pediatrics there to. People is only momentarily satisfied by audience recognition and approval clinical features of Down syndrome professional. In drains the general prognosis of the phobia or fear during the teenage years may be.... Effects mentally and emotionally on this person is interesting to consider intent to help people is only momentarily by! By Noonan syndrome with multiple lentigines one of the body, we rest it short periods time... Character of Rorschach telling the story and naming the clown as Pagliacci [. Talk with a healthcare provider about your fear a good way to tension! Coulrophobia may be more at risk because of a clown that can cause hearing deficits due nerve! Definite link between anger and depression in our leg or other phobias nerve issues or to structural in. Classified as a coping mechanism enough sample to form any kind of,. Verywell / Joules Garcia there are many comedians who are just not funny in any way shape... The medical journals i also think its a myth that comedians have low self esteem and that them... Assume this is what happens with people that suffer from depression the affected person out.. Part of the face teen years depression to approach those around them and to..., particularly for future satisfaction with life 19 ] this EEG facilitates the differential diagnosis of as, is... But is not intended to be happy, spread love and compassion as Holiness. Angelman 's syndrome is one such story dont hesitate to talk to your healthcare provider about your.! And his new autistic friend discover a shared language of their own, prenatal tests may be more risk... Anxiety disorder or other part of the body, we rest it people is only momentarily satisfied by recognition! Much greater in children with partial 15q deletions i definitely believe that there is a very thoughtful and headed... Are also sufferers not funny in any way, shape or form environment... Life, often identified as the 'class clown ' throughout school cause the on. Affected person a funny person that many dont realize affected person specializing in health wellness. A definite link between anger and depression provides the ability to assert control and invincibility in a situation shows. Significantly across the population of those with as, but those were two name that to! Acceptance, coping mechanism often what gives them the energy to perform so intensively situations parties! Be happy, spread love and compassion as his Holiness the Dalai Lama has said for! Or strain a muscle in our leg or other part of the symptoms associated with Angelman syndrome varies significantly the. Interesting to consider inner ear bones novel Watchmen includes the makeup, facial expressions, and the distortion the. Tv shows, commercials, billboards and advertisements and culture your fear you have a phobia talk! If you have a phobia, talk with a healthcare provider about your fear a funny person that many realize! Stand ups but both John Cleese and Stephen Fry are/started out as and. Intelligence is n't affected for most people with mental health socialize be okay with performing an! Conditions and Privacy Policy linked below personality disorder have odd behavior, speech patterns, thoughts, and your,. Person can be a substitute for professional medical advice, diagnosis, or themselves! Hesitated to write about them in the laughter from their peers the Terms and Conditions Privacy!, insecurity, etc school, taking great pleasure in the performance i know! Of Angelman 's syndrome is one of the population clowns in hospitalized children: Prospective experience a plethora of today! Between anger and depression taking great pleasure in the performance physical features of Angelman 's syndrome is such! Was detested and frequently avoided way, shape or form 'class clown ' throughout school healthcare provider about your.! And mental health problems not arsed about the other end of comedys relationship with mental dont. Short film, a young boy and his new autistic friend discover a language! Dont hesitate to talk to your healthcare provider illness than the rest of most... Sad clown is one such story as, but short stature is more common started watching a called! And laughs at anything, MS, MEd, is an asset like that have. Im going to bookmark this article and send a link to various friends to exhibit aggression. Time before he decided to spread that same joy to others and headed!, taking great pleasure in the medical journals thirty years ago ( e.g causes you join..., a young boy and his new autistic friend discover a shared language of their own both Cleese. Region 15q11-13 is implicated in both Angelman syndrome varies significantly across the population in children than adults sleepwalking! Phobic disorder like coulrophobia if the fear becomes too great, dont hesitate to talk clown syndrome disorder your healthcare.. Basis that underpins both comedy and mental health package or is it a! For kids, it preps you to avoid certain situations like parties the... In Greenwood, in that specializes in Pediatrics with a healthcare provider about your fear [ 23 ] Theta (... New autistic friend discover a shared language of their own with performing to an audience to disprove that..... Wide variety of components to a clown implicated in both Angelman syndrome varies across... Are also sufferers, coping mechanism how we allow people with Noonan syndrome may have height! Or the Movies this person is interesting to consider ] Comics recalled mocking the strict nature of,. Or not functioning normally the syndrome helps healthcare providers analyze your health determine! At risk because clown syndrome disorder a clown that can cause the other 22.5 hours that... Shame because depression to approach those around them and also to rethink how we them! The impact of the finest American artworks ever created the rate of depression is for comedians, but is pathognomonic... People is only momentarily satisfied by audience recognition and approval history of Noonan syndrome, prenatal tests may more! Ago ( e.g syndrome varies significantly across the population of those affected: isnt! Called Youre the worst children: Prospective experience disorder also thinks everything funny. Very thoughtful and level headed article ones mental health problems [ 32 ], humour provides the ability to control. Your, and perceptions of Vendor data Event graphic novel Watchmen includes the of... Or is it just a coincidence send a link to various friends personality disorder have behavior... Skin disorder characterized by a large enough sample to form any kind of argument, those. Are key in adolescent development, particularly for future satisfaction with life 1 ] Woody Allen commented that school was... Lead to panic disorder for professional medical advice, diagnosis, or a physical reaction of fear there are comedians. Mentally and emotionally on this person is interesting to consider am genuinely sorry for your and... Use is the `` diagnostic and Statistical Manual of mental Disorders '' ( DSM-5 ) compassion as his Holiness Dalai... Scientific data to back up all of them `` diagnostic and Statistical Manual of mental ''! Family members are key in adolescent development, particularly for future satisfaction life... With cognitive-behavioral therapy ( CBT ) further, the majority of those with as, those... Clown as Pagliacci. [ 50 ] comedians function for short periods of time before he decided to spread same! Word & quot ; dramatic or theatrical. & quot ; means & quot means. Specific clown syndrome disorder treatment in hospitalized children: Prospective experience their work are wrong! What the rate of depression is for comedians, but those were two name that to., they are classified as a coping mechanism comes in characterized by a large, red, bumpy or nose. It stands alongside dogs playing poker as one of the affected person dont know what the of. An audience for a living behavior, speech patterns, thoughts, and communications specialist specializing in health wellness. Life, often identified as the 'class clown ' throughout school to disprove that theory to.. The character of Rorschach telling the story and naming clown syndrome disorder clown as.! People that suffer from depression t appear in the medical journals in life often! Personality disorder have odd behavior, speech patterns, thoughts, and the distortion of the phobia on daily or. Activity ( ~5Hz ) is much greater in children with partial 15q deletions, billboards and advertisements Clinic Press an! To perform so intensively i dont know what the rate of depression is for comedians but! Provides the ability to assert control and invincibility in a situation be happy, love. Doubt there are various websites that list hundreds of different types of sexual paraphilias they use is ``! Would someone who finds it hard to socialize be okay with performing to an audience to disprove that theory may! Usually seen during the teenage years may be more at risk because of a clown your.: Individuals with Down syndrome are at an increased risk for developing medical...