Children with autistic disorder have difficulties with interaction and communication with others. The condition is often diagnosed when it becomes clear that a child’s social behaviour and language aren’t developing in a typical way.
Some children will meet developmental milestones at first, but then seem to lose skills at about the age of 18 months to two years. This is called ‘regression’.
Children with autism have difficulties relating to and communicating with other people.
When they are babies, they don’t look at others a lot. By two years of age, they often won’t respond to their name, babble without changing their pitch or tone or smile at others. Also they won’t imitate others with behaviour like clapping or waving.
Children with autism will often repeat a particular behaviour over and over, or become fixated on an object. For example, they might repeatedly turn lights on and off, or focus on the wheels of a toy car, rather than playing with the whole car and engaging in pretend play.
Many children with autism also have unusual sensory issues, although this is not required for a diagnosis. They might:
Some children with autism have below-average intelligence. Others will have intelligence within the typical range – often called ‘high-functioning’ autism.
Autism can also be present with other conditions, such as epilepsy, and other disorders like Fragile X syndrome.
Autistic disorder can be diagnosed at about two years of age in most children. At this age, it can usually be seen whether a baby or child’s development is conforming to accepted, age-based milestones, particularly in relation to social and emotional interaction and communication.
Social interactions
Children with autism might:
Communication
Children with autism might:
Repetitive or persistent behaviours
Children with autism might:
Sensory issues
Children with autism might:
If you're concerned about your child’s development, or already have an ASD diagnosis, the important thing is to get help and support as soon as possible. The sooner children receive intervention services, the more effective these services can be in fostering positive outcomes.
Here are some places to start:
American Academy of Pediatrics (2008). Autism – Caring for children with autism spectrum disorders: A resource toolkit for clinicians. Elk Grove Village, IL: Author.
American Psychological Association (2004). DSM-IV-TR: Diagnostic and statistical manual of mental disorders (4th ed., Text revision). Washington: Author
Autism Speaks (n.d.). First 100 days kit:A tool kit to assist families in getting the critical information they need in the first 100 days after an autism diagnosis. Retrieved November 2008, from http://www.autismspeaks.org/docs/family_services_docs/100_day_kit.pdf.
Autism Victoria (2003). Assessment guidelines and protocol for the identification of autism spectrum disorders. Retrieved November 2008, from http://www.bsdgp.com.au/content/Document/Resources/Prac%20Support/MBS%20Item/assessment-protocol.pdf.
O’Brien, M. & Daggett, J.A. (2006). Beyond the autism diagnosis: A professional’s guide to helping families. Baltimore, Paul H. Brookes.
O’Reilly, B. & Smith, S. (2008). Australian autism handbook: The essential resource guide for autism spectrum disorders. Edgecliff, NSW: Jane Curry Publishing,
Siegel, B. (2008). Getting the best for your child with autism: An expert’s guide to treatment. New York: Guilford.
Article developed in collaboration with Cheryl Dissanayake and Cherie Green, The Olga Tennison Autism Research Centre, La Trobe University.