Symptoms of autism spectrum disorder are usually clear by two or three years old. The range of behaviors and skills covered here may become apparent between two years old and five years old.
Some signs that a child has autism spectrum disorder may include:
- Not expressing emotion or only a limited range of emotions
- Difficulty interpreting different emotions in others
- Not seeming attached to parents
- Lacking interest in playing social games or the company of other children
- Interest in playing with one particular toy or object
- Echolalia, repeating other people’s words or phrases
- Repeating own words over and over
- Using formal language and expressions, rather than the slang of their peers
- Not developing language skills at all
- Difficulty toilet training
- Having tantrums or meltdowns
- Physically aggressive behaviour
- Challenging behaviour, such as banging head on wall or picking at skin
- Engages in behavior such as flapping hands, rocking or twirling
Children with autism spectrum disorder have difficulty interpreting what other people are thinking and feeling, and often miss social cues. A child with autism may not be able to tell the difference between an adult who says “come here” while happy and smiling, and an adult who says “come here” while angry and frowning. This can be confusing and creates the impression the child is not connecting with people.
Good to know: Echolalia is a normal part of many children’s language development and generally goes away by around three years old. Children with autism are more likely to persist with echolalia as they get older.