Many parents notice differences in their child’s behavior and wonder, “Does my child have autism?” Understanding early signs, developmental milestones, and when to seek evaluation can help parents take proactive steps to support their child’s growth and well-being. At The Buddy Center, we focus on early identification, individualized support, and compassionate guidance for families navigating autism spectrum disorder (ASD).
Understanding Autism Spectrum Disorder (ASD)
Autism is a neurodevelopmental condition that affects social communication, behavior, and sensory processing. It is called a “spectrum” because it can present differently in every child, ranging from subtle social differences to more noticeable challenges in communication, behavior, or learning.
Early Signs to Watch For
Children with autism often show differences in social communication, speech, behavior, and sensory processing. While each child is unique, common signs include:
- Limited or no eye contact and reduced response to their name
- Difficulty understanding gestures, facial expressions, or emotions
- Less interest in interactive play or sharing experiences
- Delayed speech development or loss of previously acquired words
- Repetitive speech patterns or echolalia (repeating words or phrases)
- Difficulty starting or maintaining conversations
- Repetitive movements (hand-flapping, rocking, spinning objects)
- Strong attachment to routines and distress with changes
- Intense focus on specific topics or objects
- Overreaction to lights, sounds, textures, or smells
- Seeking excessive sensory input or avoiding certain sensory experiences
Recognizing these signs early can help parents seek guidance and support that maximizes a child’s growth and independence.
Developmental Milestones and Age Considerations
Signs of autism can appear as early as 12 to 18 months, though some children are diagnosed later. By around 12 months, many children should use gestures like pointing or waving and show interest in social games. At 18 months, children may attempt several spoken words and respond to social cues. By 24 months, they often begin combining words and expressing needs verbally, while repetitive behaviors may still be present. Observing delays in these milestones, especially when combined with social and communication differences, can indicate the need for further evaluation.
What Tests Are Done to Verify Autism?
Diagnosing autism involves multiple assessments, combining clinical observation with standardized tests. Common evaluations include:
- Developmental Screening: Questionnaires and brief observations to assess communication, social skills, and behavior.
- Comprehensive Diagnostic Evaluation: Conducted by specialists such as developmental pediatricians, psychologists, or neurologists, this in-depth assessment includes structured observations and parent interviews.
- Autism-Specific Tools: Standardized instruments like the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview-Revised (ADI-R) measure social communication and repetitive behaviors.
- Speech and Language Evaluation: Assesses understanding, expression, and functional communication skills.
- Occupational Therapy Assessment: Evaluates sensory processing, motor skills, and adaptive functioning.
- Hearing and Vision Tests: Ensures sensory impairments are not contributing to communication differences.
These assessments together help professionals determine if a child meets criteria for autism and guides appropriate interventions.
Steps to Take if You Suspect Autism
Parents can take proactive steps to support their child, including:
- Observing and documenting behaviors, milestones, and concerns over time
- Consulting a pediatrician to discuss observations and request a developmental evaluation
- Seeking a specialist evaluation from a developmental pediatrician, psychologist, or neurologist
- Enrolling in early intervention programs if eligible, such as ABA, speech, and occupational therapy
- Educating themselves and their family about autism to advocate effectively and implement supportive strategies at home
Early intervention can significantly impact a child’s communication, behavior, and independence.
How The Buddy Center Can Help
At The Buddy Center, we provide comprehensive evaluations, individualized ABA therapy, and family support for children suspected or diagnosed with autism. Our goal is to empower children and families with tools, strategies, and confidence to thrive. Early support can make a significant difference in communication, behavior, and daily life skills, helping your child reach their full potential.
Clinical Corner
As a BCBA it’s our duty to support not only our learners, but their families. I’ve seen and supported many families as they seek and begin ABA services. This is often scary and unknown territory for many families. More often than not gaining a diagnosis often feels like a big fat label being attached to their child. But that’s where our support can change that stigma. A diagnosis isn’t wrong; it’s just different. Different than what you might have envisioned for your child, but not impossible. ABA can bring positivity and support to help families reimagine a life with and for their child that still supports their growth and independence as they face this big world!
-Lacey Shaw, MA, BCBA