As parents, you are the most important advocate in your child’s development, and you know them best. Sometimes, the journey of raising a child can involve observing behaviors or patterns that make you wonder whether your child’s development is unfolding in a way that is different from other children. While all children are unique and develop in their own time and style, some children may show signs of autism spectrum disorder (ASD), which is a neurodevelopmental difference that affects how children interact with the world around them, communicate, and process information.
It's important to remember that there is no single “right” way for children to grow and develop. Children with autism may simply have a different way of interacting with their environment, processing sensory information, and engaging with others. Autism is a spectrum, meaning it can present in a wide range of ways, from very subtle differences to more noticeable behaviors. If you have concerns, know that it’s okay to ask questions and seek help—early support can make a world of difference.
What are Some Signs of Autism Spectrum Disorder?
While every child is unique, there are some common behaviors and traits that may suggest a child is on the autism spectrum. These signs don’t necessarily mean there is a problem, but they may be signals that your child could benefit from support in certain areas. Here are a few characteristics you might observe:
Communication Differences: Children with autism may have differences in how they communicate. This could be in the form of speech delays, difficulty with eye contact, challenges in understanding or using nonverbal cues (like gestures or facial expressions), or using language in a more literal or repetitive way. They may also show a preference for using fewer words or may rely on alternative ways to express themselves, such as through actions or technology.
Social Interaction Preferences: Children with autism may have difficulty understanding social cues or participating in back-and-forth conversations. They might not readily engage in play with peers or may prefer solitary activities. They might also show less interest in making friends or playing in groups, preferring to do things alone or with specific people they feel comfortable with.
Sensory Sensitivities: Many children with autism experience heightened sensitivity to sensory input, such as lights, sounds, textures, or smells. This can cause them to be more sensitive to things like the tags in their clothes, certain noises, or crowded spaces. They might also seek out sensory experiences in a unique way, like spinning, jumping, or seeking deep pressure.
Repetitive Behaviors: Children with autism may engage in repetitive activities, such as rocking, hand-flapping, repeating phrases (echolalia), or lining up toys in a specific order. These behaviors are often soothing or self-regulating, but they can sometimes be misunderstood as “odd” when, in fact, they’re part of how the child processes the world.
Intense Focus on Interests: Many children with autism show a deep interest in certain topics or activities, often becoming highly focused on them. These interests can be incredibly unique, like an affinity for specific animals, vehicles, or patterns. These interests may become a way for the child to communicate and find comfort in the world around them.
Delayed Play Skills and Limited Joint Attention: Children with autism may also show delays in their play skills or engage with toys differently than expected. For instance, they might not be as interested in playing with toys the way they are typically intended (e.g., stacking blocks or pretending to feed a doll). Instead, they may be more interested in lining up the toys, spinning wheels, or engaging in sensory aspects of the objects. Additionally, limited joint attention—the ability to share focus on something with another person, like pointing to a picture to show excitement or following a parent’s gaze—can be a sign of autism. Children with limited joint attention may not consistently make eye contact or share interest in activities with others in the same way other children might.
What to Do If You Have Concerns About Your Child’s Development
If you're noticing signs that make you wonder about your child's development, start by talking to your pediatrician, who can help assess your child’s development. Pediatricians are trained to evaluate developmental milestones and can help guide you through the next steps. This may include a referral for formal autism testing, as well as referrals for therapies to help your child's development such as speech, feeding, occupational, and/or behavior therapy. If your child is diagnosed with autism or another developmental difference, it’s simply a way to better understand their needs and strengths. Early support, through therapies or other interventions, can make a big difference in your child’s growth and well-being. Trusting your instincts and seeking guidance is key to helping your child thrive.
How Can a Speech-Language Pathologist (SLP) Help?
While an SLP does not diagnose autism, they can play a crucial role in identifying potential signs and helping you understand your child’s communication needs. SLPs are trained to assess language development, social communication skills, and feeding abilities. If your child shows signs of autism or has a diagnosis, an SLP can offer therapy that helps build important skills in areas like:
Communication Skills: An SLP can help your child develop their ability to communicate, whether through verbal speech, gestures, sign language, or augmentative and alternative communication (AAC). Therapy may focus on developing social communication skills, improving the ability to express needs, and building functional language for daily life.
Social Skills: Social interactions can be challenging for children on the autism spectrum. An SLP can work with your child on skills like turn-taking, making eye contact, understanding facial expressions, and responding appropriately in conversations. These skills are essential for developing meaningful relationships and feeling more comfortable in social situations.
Feeding and Mealtime Skills: Many children with autism experience feeding challenges, including picky eating, sensitivities to certain textures, or difficulty with chewing and swallowing. An SLP with experience in feeding therapy can work with your child to improve mealtime routines and build positive associations with food.
Sensory Processing: Some children with autism may benefit from sensory integration techniques, which help them manage sensory sensitivities or seek sensory input in a more regulated way. An SLP can offer guidance on sensory processing strategies that help your child feel more comfortable and less overwhelmed during daily activities.
Augmentative and Alternative Communication (AAC): If your child has difficulty with verbal communication, an SLP can explore options like AAC devices, which help children express themselves using technology. This can be especially empowering for children who may not be able to express themselves verbally but can still communicate effectively with the right support.
Moving Forward with Support
If you’re concerned about your child’s development, starting the conversation with your pediatrician is an important first step. While autism is not something to be “fixed,” early intervention and support can help your child build skills in the areas where they may need assistance, while also embracing their strengths and unique ways of being in the world.
With the right support and therapy, children on the autism spectrum can thrive and lead fulfilling, meaningful lives. Remember, every child has their own path, and there’s no “one size fits all.” As parents, you are doing an incredible job by noticing when your child may need help and advocating for their needs—this is a big part of the journey.
If your child shows signs of autism or you want to explore therapy options to support their communication and social skills, please reach out to a speech-language pathologist. They are here to help, and with time, patience, and the right support, your child will have the tools they need to succeed.