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Autistic Spectrum Disorder
What is autism?
Autism is a lifelong developmental disability that affects how people perceive the world and interact with others.
Autistic people see, hear and feel the world differently to other people. If you are autistic, you are autistic for life; autism is not an illness or disease and cannot be 'cured'. Often people feel being autistic is a fundamental aspect of their identity.
Autism is a spectrum condition. All autistic people share certain difficulties, but being autistic will affect them in different ways. Some autistic people also have learning disabilities, mental health issues or other conditions, meaning people need different levels of support. All people on the autism spectrum learn and develop. With the right sort of support, all can be helped to live a more fulfilling life of their own choosing.
Find out how many people are autistic, how autistic people see the world, how autism is diagnosed, and how you can help.
Could my Child have Autism?
There are no individual symptom is a sign of autism, and no two children with autism have identical symptoms. There are no medical tests that can determine whether a child is autistic, and there are no hard and fast rules for how autism should be diagnosed. In fact, in some cases, it can be tough for even a professional to diagnose an autism spectrum disorder. But if your child has several of the following symptoms—and they can't be attributed to any other disorder—it might be a good idea to consider an autism screening or evaluation.
Speech and Communication Delays and Differences
Children with autism spectrum disorders almost always have challenges with speech and language, but unless the challenges are obvious (a five-year-old with no spoken language, for example), they can be hard to spot. That's because children with autism may use plenty of words, and may even use more words than their typical peers. Here are some tips for determining if you child is having difficulties with verbal communication; it's important to note that these difficulties are not, in themselves, signs of autism:
Children with autism interact in unusual ways with objects, toys, and potential playmates. They are most likely to prefer their own company than the company of other children or to demand that playmates interact with them in certain predictable ways. Here are some forms of play that are common among children with autism:
People with autism often have unusual physical behaviors that set them apart from their peers. While none of these behaviors is, in itself, a sign of autism, all of them can be part of the autism "package." For example, autistic children may:
Physical Symptoms or Mental Disorders
While the criteria for autism spectrum disorder do not include physical or mental symptoms or illness, such issues are unusually common among children with autism.
Autistic people of all ages are more prone than their typical peers to social anxiety, generalized anxiety, ADHD, depression, OCD, and other developmental disorders and mental illness.
Again, none of these symptoms, individually, are signs of autism but combined with other symptoms, they may raise enough concerns to warrant an evaluation.
Less Common Signs
Quite a few people with autism have unusual symptoms that may not cause problems in themselves but which do suggest a different developmental path. A few such symptoms include:
Hyperlexia: a very precocious ability to decode written language without the accompanying ability to understand the meaning of the text;
Synesthesia: unique responses to sound, color, letters, or numbers (for example, some people with synesthesia "see" sounds, "hear" colors, or otherwise experience unique responses to sensory input;
Savant syndrome: Autistic savants, who represent a small percentage of the autistic population, may have amazing abilities to memorize information, do complex calculations, play piano, and so forth—much like the character of Raymond in the movie "Rain Man."
When to Seek an Evaluation
If you've read through this checklist and find that your child seems to exhibit some of these symptoms, now is the right time to seek an autism evaluation. Start by contacting your pediatrician and asking for a referral to a clinic, developmental pediatrician, or another specialist. If your pediatrician can't help, consider contacting your school district for suggestions.
You may choose to seek an evaluation before your pediatrician suggests it, and that choice is perfectly appropriate. The reality is that parents are often the first to notice their child's differences and delays. After all, your pediatrician only sees your child once a year, or when he's sick, so she may not have a chance to see what you notice every day.
There really is no downside to seeking an evaluation. While you may discover that your child is not autistic, chances are you've discovered some issues that can and should be addressed while your child is young. And if your child is autistic, now is a great time to start providing therapies that can give your child the tools she needs to be successful.