Autism Spectrum Disorders (ASDs)

Autism Spectrum Disorders (ASDs) are neurodevelopmental disorders, which means that they affect how the brain works. Although every child will go through development stages at their own pace, a child who has significant delays or challenges in social communication, has repetitive behaviors, or restricted interests may have ASD.

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Children with ASD may have different ways of learning, moving, or paying attention.
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Signs and Symptoms

ASDs affect each child in different degrees. Two children with the same disorder can act very differently and can have very different skills. However, all children with ASDs share difficulties in social interaction, social communication, and repetitive and/or restrictive behaviors. 

Typical signs and symptoms related to social interaction problems include being less responsive to social or physical interactions, such as making eye contact, hugging, smiling, imitating, or being aware of other’s feelings.

Typical signs and symptoms related to social communication problems include losing or not developing speech or another method of communicating, such as pointing or gesturing. For example, a child may not have typical speaking skills for their age, not respond to their name or to parents’ questions, or appear not to understand simple requests.

Typical signs and symptoms related to repetitive behaviors or restricted interests include: 

  • Plays with toys the same way every time and may focus on parts of toys or objects
  • Gets upset by minor changes such as a change to their routine or location of objects
  • Being very focused on one interest or topic
  • Repeats words or phrases (called echolalia)
  • Flaps hands, rocks body, or spins self in circles
  • Not imitating other’s actions
  • Playing with toys in unusual ways, such as lining them up 

In addition, a child’s senses (sight, hearing, touch, smell, or taste) may be overactive or underactive. A child may: 

  • Cover their ears
  • Become stiff when held
  • Remove clothes often
  • Refuse to eat certain foods
  • Smell objects frequently
  • Become either overly quiet or hyperactive in noisy or bright environments 

Other related characteristics might include:

  • Delayed language skills
  • Delayed movement skills
  • Delayed cognitive or learning skills
  • Seizure disorder
  • Unusual eating and sleeping habits
  • Gastrointestinal issues (i.e., constipation) 

Treatment

ASDs can be treated by a developmental behavioral pediatrician, a neurologist, a child and adolescent psychiatrist, an advanced practice registered nurse, a psychotherapist, a speech- language pathologist, an occupational therapist, and/or other professionals who specialize in early intervention. If the ASD is affecting the child’s ability to learn, adjustments may need to be made in their education program.

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Treatments for ASDs work to different degrees for different children. Treatment must be tailored to the needs and strengths of your child. Factors to consider when choosing treatments include: your child’s age, level of skills, type of learner (for example, whether they learn better by seeing or hearing things), behaviors, and previous treatments.

Many treatments have been developed to address a range of social, language, sensory, and behavioral challenges that children with ASDs may have. These treatments include parent management training and medications for particular behaviors. 

Read about mental health treatment options

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