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The Centers for Disease Control and Prevention estimates that about 3 percent of children in the U.S. have been diagnosed with autism spectrum disorder.
ASD is over three times more common among boys than girls.
ASD is a developmental disability caused by differences in the brain. People with ASD may act, talk, socialize and learn in ways that are different from most other people.
The abilities of people with ASD can vary a lot. For example, someone with ASD might have strong communication skills, while someone else might be nonverbal. One person might need help with everyday activities. Another might live, work and go to school with little to no support.
Trouble connecting with others is one of the hallmarks of ASD. This includes social interaction and communication. Even those who do speak often struggle to understand others and make themselves understood.
Children with ASD may:
Although ASD appears to be tied to very early brain development, most signs and symptoms tend to appear between the ages of 2 and 3. But others can appear earlier. The CDC provides examples of communication and interaction traits related to ASD at different stages of a child’s early development.
Research shows that early diagnosis and intervention for children with ASD can make a big difference in their development. It can lead to major long-term positive effects on symptoms and skills later in life.
Early interventions can occur at 2 or 3 years old, says the CDC. A young child's brain is still forming, meaning it is more ‘plastic’ or changeable than at older ages. Because of this plasticity, treatments have a better chance of being effective in the longer term.
Parents are often the first to notice their child showing unusual behaviors. You should monitor your child’s development and see if they are meeting important milestones in playing, learning, speaking, behaving and moving. Check the CDC's Developmental Milestones to see what signs may appear at specific ages.
If you notice your child is not meeting milestones or have other concerns, talk with your pediatrician and ask about developmental screening.
Developmental screening takes a closer look at how your child is developing. Your child will get a brief test, or you will fill out a questionnaire about your child. These are formal tools based on research. The screening can be done by a doctor or other health care professional, an early childhood educator, or in a school or community setting.
The American Academy of Pediatrics recommends screening every child for ASD during regular well-child visits at 18 and 24 months. If your pediatrician doesn’t screen your child, you can ask for screening.
When a child or adolescent shows signs of conditions such as anxiety, depression or attention-deficit/hyperactivity disorder (ADHD), it may alert a health care provider to screen for ASD. That’s because these conditions occur more often in people with ASD than in people without, says the CDC.
ASD can also share similar symptoms or signs with mental and medical health conditions. It can be hard to distinguish between them. That’s why it is so important to have open communication with your child’s doctor if your child is having social, behavioral or learning challenges. That will help make sure your child gets the right screening and support.
There is no one cause of ASD. Several different factors have been identified that may make a person more likely to have ASD, including environmental, biological and genetic factors, says the CDC.
There is still a lot to learn about specific causes, but current evidence suggests the following things may put a person at greater risk for ASD:
While there have been concerns that some vaccines may contribute to autism, numerous studies around the globe have concluded that there is no relationship between the two.
Current treatments aim to lessen symptoms that can hinder daily functioning and quality of life. ASD affects each person differently, so each person has unique strengths, challenges and treatment needs.
Treatments fall into the following categories, though some treatment plans involve more than one approach:
Early intervention can make school and life easier for most kids with autism.
Contact your child’s doctor to discuss the screening options available. You may also ask your doctor for a referral to a specialist who can do a more in-depth evaluation of your child. These specialists may include a developmental pediatrician, child neurologist, child psychologist or psychiatrist to guide your child’s treatment.
There are also many resources available to parents.
Free evaluations
You can request a free evaluation from your state’s public early childhood system, called a Child Find evaluation.
Additional support resources for families may include:
Early diagnosis and intervention are key to helping your child reach full potential. If you think your child might be on the autism spectrum, work with your doctor, state and/or school and community to find the right resources.
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