What Are Developmental Screening Tests
Developmental screening tests are simple tests a doctor gives to a child to assess speech, behavior, learning ability, and movement. Doctors conduct these tests during regular visits when the child is well.
Doctors recommend additional testing if your baby was premature, had a low birth weight, or if some of the early autism signs are already present. Since autism may retain a genetic component, a child that has siblings with autism should also receive additional screening.
The tests given to children vary depending on the childs age. Children under the age of 30 months are given tests that involve playing. Older children may have difficulty taking tests, so this is taken into account. The test is designed for each individual child. This way doctors and specialists may account for the whole spectrum of autism.
May Have No Interest In Interacting With The World Around Them
For the neurotypical child, the world is full of bizarre and wonderful things that they have never seen or encountered before things that naturally pique their curiosity and draw them in. The normal response to a new experience or discovery is typically wide-eyed wonderment, dismay, amusement and inquisitiveness.
Children with ASD respond to the world very differently. You might notice that your child doesnt really respond with eye contact or normal outward signs of curiosity when you try to get their attention. Perhaps they dont even turn their head in your direction when you say their name. They might not point at objects, show a normal level of curiosity, or attempt to engage you by showing you their toys and drawings in an effort to share their interests and elicit a positive response.
A lack of responsiveness to stimuli and a lack of interest in trying to seek parental attention is a pretty common sign that a child may fall somewhere on the spectrum.
Children typically learn through imitation. Even at an early age, the neurotypical child will begin copying adult behaviorsyou might catch them pretending to cook, holding an object up to their ear as if they are talking on the phone, or pretending to feed and care for a doll.
Children on the spectrum may also have adverse reactions to normal physical contact, such as a hug, holding hands, or being picked up off the floor and held.
Early Signs Of Autism In Adults
Autism spectrum disorder occurs in all age groups. It is generally characterized by social and communication difficulties.
Severe forms are usually diagnosed in the first two years of a childs life. However, high-functioning individuals may not be diagnosed until later in their lives.
Here are some of the symptoms in autistic adults:
- Difficulty in regulating emotion
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What Are The Symptoms Of Autism
Autisms early warning signs usually emerge sometime before a child turns three. Symptoms can start as early as 12 or 18 months for some children, while other kids with autism may not be diagnosed until the second or third grade, Pandey says. Symptoms occur over time, and they dont always happen in a doctors office, she says. Thats why parents watching for symptoms and providing that information is important.
Pandey also says parental symptom-spotting is vital because the sooner a health professional can intervene, the better off the child will be. You cannot get autism-specific intervention until you get a diagnosis, she adds.
So what are the symptoms of autism? Here are 12 that parents need to know. Just keep in mind: Diagnosing autism is complicated. We need to see a number of these symptoms to make a diagnosis, not just one, Pandey says.
Also, different symptoms emerge at different ages. What may be a red flag for autism at age 3 could be considered typical behavior at age 1 or 2. While you should tell your childs doctor if you notice any of these symptoms, spotting one of themor even several of themis not a guarantee that your child has autism.
Lack Of Eye Contact And Joint Attention
Joint attention refers to two people sharing a focus on the same object after one alerts the other to the item using verbal or nonverbal cues. For example, a parent or caregiver will point to a toy or tell the child about it, and the child will then look at the toy. Joint attention is an important way of connecting and interacting with other people.
According to a 2016 article in PLOS ONE , from about 9 months old, a baby should be able to make regular eye contact and share focus with their caregivers.
Autistic babies can find it challenging to pick up on these social cues and may ignore the person or the object that they are pointing out.
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Little Pointing Or Gesturing
Babies usually learn to gesture before they learn to talk. In fact, gesturing is one of the earliest forms of communication. Autistic children generally point and gesture much less than children with nonautistic development. Less pointing can sometimes indicate the possibility of a language delay.
Another indicator of a developmental difference is when an infants gaze doesnt follow you when youre pointing at something. This skill is sometimes called joint attention. Joint attention is often decreased in autistic children.
Screening Tools And Tutorials
There are some great screening tools and tutorials to help parents and carers spot the early warning signs for autism. Below are some we highly recommend. Please be mindful that they are just screening tools, and not a diagnosis.
These screening tools are a great place to start, particularly if you are unsure what the early warning signs of autism look like.
Once you have completed the assessments, you should always discuss the results with a medical professional. Its also a good idea to do the assessments more than once, at different stages of your childs development.
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What Is Just Behavior
So instead, lets look at behavior. Because just the word behavior is kind of a loaded term.
If I asked you to list out some behaviors, what would you list? My guess is it would be things like hitting or kicking or refusal or defiance.
We typically think of behavior in the form of negative behaviors. But the fact is, behavior is simply the things we do.
So waving hi, using your voice to make sounds, and twirling your hair are all behaviors, too.
Everything humans do is behavior.
So when someone asks, is this autism or behavior? the answer is most often, yes.
But again, lets remember the question behind this question: what behaviors should I accept, and what behaviors should I change?
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How To Test A Child For Autism
You may ask your childs healthcare provider to periodically check your child for signs of autism with a developmental screening test. A screening test alone will not result in a diagnosis but can indicate if your child should see a specialist. A developmental pediatrician, child psychologist or psychiatrist, pediatric neurologist, speech-language pathologist, occupational therapist, or other specialist can conduct a formal developmental evaluation.
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What Does An Autism Diagnosis Mean For My Child
An autism diagnosis can result in some beneficial effects, but also comes with associated risks, disadvantages, and contraindications. Once your child is diagnosed with autism, you can expect your doctor to devise a specific treatment plan, comprised of therapy and/or medication to help your child function more easily in daily life. You can also seek specific guidance and support for your child to thrive at school. Despite these benefits, a diagnosis of autism also come with the risk of social stigmatization for the child. There is also a range of physical and mental-health conditions that frequently accompany autism including but not limited to: gastrointestinal problems, epilepsy, ADHD, anxiety, and depression.
How Accurate Is It
This quiz is NOT a diagnostic tool. Mental health disorders can only be diagnosed by licensed healthcare professionals. If youd like to learn more about autism read Psycoms guide to autism spectrum disorder .
Psycom believes assessments can be a valuable first step toward getting treatment. All too often people stop short of seeking help out of fear their concerns arent legitimate or severe enough to warrant professional intervention.
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Autism Signs By 12 Months
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She doesn’t say single words.
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She doesn’t use gestures such as waving or shaking her head.
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She doesn’t point to objects or pictures.
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She can’t stand when supported.
It’s important to note that these criteria aren’t conclusive evidence of autism. “Theyre simply things we look for to determine if we need to further assess the baby, says Mandi Silverman, PsyD, MBA, senior director of the Autism Center at the Child Mind Institute. Another social or developmental factor may be to blame.
Delayed Language Or Speech
Research shows that young autistic children often say and understand fewer words than children with nonautistic development at 12 months. If a child isnt saying single words by 16 months or isnt using two-word phrases by age 2, its a good idea to talk with a pediatrician.
The National Institutes on Deafness and Other Communication Disorders says language development could be uneven, with exceptional language development in some areas and impairment in other areas.
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Who Is This Child Autism Quiz For
Answer the quiz questions below to see if your child could have autism.
Below is a list of questions that relate to life experiences common among children diagnosed with autism spectrum disorder . Please read each question carefully, and indicate how often your child has experienced the same or similar challenges in the past few months.
Please be aware that some behaviors are developmentally appropriate for your young child and are not signs of autism.
Which Treatment Strategies May Help Children With Autism
The main treatment for autism is called applied behavioral analysis . This is a behavioral program that breaks actions and behaviors down into small steps. It encourages positive behaviors and discourages negative behaviors. Other treatments include occupational therapy, sensory integration therapy, and strategies to improve communication, such as using pictures that children can point at to let caregivers know what they want.
Heres the thing: ABA and the other treatments are helpful for children with developmental problems, no matter what their cause. There is no downside to doing them even if the child ultimately is found to have a different problem or no problem at all. They are good for the child with autism, the child with a language disability, or a late bloomer. Yes, its hard for parents to hear a diagnosis of autism. But there is much reason for hope when it comes to autism, and we should never waste time when a child needs help.
The CDCs Act Early campaign has a whole host of resources to help parents and caregivers know if a child is developing normally, or if there might be a problem. If you think there is a problem, ask for help. You have nothing to lose, and everything to gain.
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When Should I Tell My Child They Have Autism
When to tell your child they have autism depends on their age, cognitive ability and social awareness, as well as your readiness to have the conversation, says Arnold. Theres no right age. It depends on the child and the family, she says, adding that its not a one-time conversation but an ongoing process.
In general, though, the experts agree that the earlier you start the dialogue, the better. This doesnt just ensure the news comes from you starting early also allows you to tap into younger kids accepting nature. Its only as kids become older and start to acquire the prejudices of society at large that they see those differences as negative things, Smith says. Starting earlier allows you to help break down the stigma and capitalize on this more positive view that were all different and were all of value.
Dundon recommends setting the stage for the conversation before the assessment even happens. You wouldnt say, Were going to assess if youre autistic, but you might say, Were going to see some people to get a bit more of an idea of how your brain works, she says. Then, after the assessment, you can tell them what the results are.
Some kids will have these thoughts but not express them, so its important to check in with other people involved in your childs care to see if theyve noticed any changes.
What Are The Signs Of Autism
The autism diagnosis age and intensity of autisms early signs vary widely. Some infants show hints in their first months. In others, behaviors become obvious as late as age 2 or 3.
Not all children with autism show all the signs. Many children who dont have autism show a few. Thats why professional evaluation is crucial.
The following may indicate your child is at risk for an autism spectrum disorder. If your child exhibits any of the following, ask your pediatrician or family doctor for an evaluation right away:
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Use Your Hand As A Tool
Babies learn to use a variety of gestures from 9-16 months, like giving, reaching, raising arms, showing, waving, and pointing.
Because children with autism may have limited use of these early gestures, they may develop unusual ways to communicate, like using your hand as a tool.
If your baby is moving or pulling your hand or body part as if its a tool, this can be an early sign of autism, particularly if they are not looking at you.
Early Signs Of Autism Spectrum Disorder
Studies have shown that autism can be diagnosed as early as 14 months. It typically appears in the early ages of an individual.
This means that the infants first year is crucial in terms of the diagnosis of the disorder.
Many children with autism spectrum disorder show developmental differences. This can especially be seen in their social and language skills. There are certain developmental milestones babies hit while they are growing up.
Parents and caregivers should observe their childrens behaviors so as to be able to catch the disorder early on.
The 10 early signs of Autism Spectrum Disorder in children can be as follows:
- Little to no eye contact during infancy,
- No babbling,
- Not expressing emotions,
- Not seeming attached to parents.
Subtle differences caused by autism may appear before the childs first birthday. These differences will be visible in childrens interaction with their surroundings.
When 2-months old, babies generally begin to smile at people, coo, and are able to pay attention to faces. This may not be the case for children with autism spectrum disorder. By 6 months, if a baby
- doesnt smile,
- doesnt smile as big,
- is not showing any other warm, joyful, and engaging expressions
It may be a sign of autism spectrum disorder.
By 9 months, children with ASD:
- make limited or no eye contact with anyone
- dont share sounds,
- dont smile back-and-forth with parents.
Before their first birthday, babies on the autism spectrum,
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Why Should I Tell My Child They Have Autism
If you dont tell your child they have autism, theres a good chance someone else will let it slip, or your child will eventually figure it out themselves, says Kelly Price, a registered psychologist who assesses children for autism in Victoria, B.C. This is particularly true if your child is participating in programs and receiving services for people with autism because the A-word is bound to come up, he adds. You dont want someone else to spill the beans before youve had the opportunity to describe it yourself, he says, adding that its unfair for parents to withhold information about their child from them when they reach a certain age, and their child may feel betrayed if they do so.
Dundon adds that kids may feel ashamed if they find out theyre autistic from someone other than their parents because it may seem like their parents were trying to hide it. She says its important for kids to know that theyre autistic because it helps them understand who they are, particularly in relation to their peers. Kids do sense that theyre different, and not helping them see why isnt okay, she says. It causes distress because they cant fit in, they dont know why things are difficult for them, they feel like theres something wrong with them. When they do find out, its like, Oh, that explains it. But Ive had all of these years of thinking that I was somehow less than my peers and that there was something wrong.
If You Suspect Signs Of Autism In Infants
During your childs development, its helpful to keep a notebook to jot down events, milestones, and unusual things you may witness during their development. This is a great way of keeping a log of both memories, but also any potential issues that a medical professional might want to look into.
If youve read through all the signs of autism in infants and suspect your child may be in need of an assessment, please contact us to book an appointment. Our office proudly serves Texas families and residents just like you!
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Center For Disease Control: Learn The Signs Act Early Campaign
The Autism Science Foundation is a partner in the CDCs Learn the Signs, Act Early Campaign. The following early indicators of autism were developed by the experts in this program.
Get a PDF of these early warning signs. Also, read more about the importance of early diagnosis.
If your child is two months old, you should consider talking to your doctor if your child exhibits the following behavior:
- Doesnt respond to loud sounds
- Doesnt watch things as they move
- Doesnt smile at people
- Doesnt bring his/her hands to mouth
- Cant hold his/her head up when pushing up on tummy
If your child is four months old, you should consider talking to your doctor if your child exhibits the following behavior:
- Doesnt watch things as they move
- Doesnt smile at people
- Cant hold his/her head steady
- Doesnt make sounds or coo
- Doesnt bring things to his/her mouth
- Doesnt push down with legs when feet are placed on a hard surface
- Has trouble moving one or both eyes in all directions
If your child is six months old, you should consider talking to your doctor if your child exhibits the following behavior:
- Doesnt reach for things
- Shows no affection for caregivers
- Doesnt respond to sounds around her/him
- Doesnt make vowel sounds
- Doesnt laugh or squeal
- Seems unusually stiff or unusually floppy
If your child is nine months old, you should consider talking to your doctor if your child exhibits the following behavior:
If you of autism in older children, teens and adults: