What is Autism?

Signs and Symptoms of Autism Spectrum Disorder

Signs and Symptoms of Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a developmental disability caused by differences in the brain. Scientists do not know yet exactly what causes these differences for most people with ASD. However, some people with ASD have a known difference, such as a genetic condition. There are multiple causes of ASD, although most are not yet known.

There is often nothing about how people with ASD look that sets them apart from other people, but they may communicate, interact, behave, and learn in ways that are different from most other people. The learning, thinking, and problem-solving abilities of people with ASD can range from gifted to severely challenged. Some people with ASD need a lot of help in their daily lives; others need less.

A diagnosis of ASD now includes several conditions that used to be diagnosed separately: autistic disorder, pervasive developmental disorder not otherwise specified (PDD-NOS), and Asperger syndrome. These conditions are now all called autism spectrum disorder.

Learn more about Autism Spectrum Disorder by visiting the Centers for Disease Control.

Possible Early Signs of Autism

Possible Early Signs of Autism

A person with ASD might:

  • Not respond to their name by 12 months of age

  • Not point at objects to show interest (point at an airplane flying over) by 14 months

  • Not play “pretend” games (pretend to “feed” a doll) by 18 months

  • Avoid eye contact and want to be alone

  • Have trouble understanding other people’s feelings or talking about their own feelings

  • Have delayed speech and language skills

  • Repeat words or phrases over and over (echolalia)

  • Give unrelated answers to questions

  • Get upset by minor changes

  • Have obsessive interests

  • Flap their hands, rock their body, or spin in circles

  • Have unusual reactions to the way things sound, smell, taste, look, or feel

Learn more about ASD here.

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Social Skills

Social issues are one of the most common symptoms in all of the types of ASD. People with an ASD do not have just social “difficulties” like shyness. The social issues they have cause serious problems in everyday life.

Examples of communication issues related to ASD:

  • Delayed speech and language skills

  • Repeats words or phrases over and over (echolalia)

  • Reverses pronouns (e.g., says “you” instead of “I”)

  • Gives unrelated answers to questions

  • Does not point or respond to pointing

  • Uses few or no gestures (e.g., does not wave goodbye)

  • Talks in a flat, robot-like, or sing-song voice

  • Does not pretend in play (e.g., does not pretend to “feed” a doll)

  • Does not understand jokes, sarcasm, or teasing

People with ASD who do speak might use language in unusual ways. They might not be able to put words into real sentences. Some people with ASD say only one word at a time. Others repeat the same words or phrases over and over. Some children repeat what others say, a condition called echolalia. The repeated words might be said right away or at a later time. For example, if you ask someone with ASD, “Do you want some juice?” he or she might repeat “Do you want some juice?” instead of answering your question. Although many children without an ASD go through a stage where they repeat what they hear, it normally passes by three years of age. Some people with an ASD can speak well but might have a hard time listening to what other people say.

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