Pediatric Autism

Autism spectrum disorder (ASD) is a complex neurodevelopmental condition that typically appears in early childhood. It affects communication, behavior, and social interaction in a variety of ways, as it exists on a spectrum.
Key Areas Affected by Autism:
Social Interaction
Children with ASD may:
● Avoid eye contact
● Struggle to initiate or respond to social interactions
● Have difficulty interpreting facial expressions or body language
● Find it hard to engage in conversations or imaginative play
● Miss subtle social cues or use limited smiling and gestures

Behavioral Patterns
Common behaviors include:
● Repetitive movements such as hand-flapping or rocking

● A strong need for routine and predictability (May line up toys or perform specific sequence of actions)
● Distress when routines are disrupted
● Intense focus on specific topics (like trains, dinosaurs, or computers)
● Sensitivity to sensory input (lights, sounds, or textures)

Language and Communication
Possible communication delays:
● No babbling or name response by age 1
● No single words by 16 months
● No two-word phrases by age 2
● Repeating phrases (echolalia)
● Flat or sing-song tone
● Limited pointing or gesturing

Supporting a Child with Autism
Early intervention is key. Caring for a child with autism involves patience, understanding, and access to the right support. Early intervention—such as speech therapy, behavioral therapy, and occupational therapy—can make a significant difference in helping children build communication and social
skills. Earlier intervention can not only be beneficial for the child, but also the parents. The sooner parents understand their child’s specific needs, the better they can support their child. When early intervention is done, a child with ASD has more opportunities to live more independently as they transition into adulthood.

Parents can also help by:

● Creating a predictable, structured environment
● Using clear and consistent communication
● Celebrating small achievements
● Seeking their own support through counseling or parent groups

Diagnosis and Next Steps

ASD is diagnosed by evaluating a child's development in social, behavioral, and communication areas. While there is no single test, early assessment is key. If you have questions or concerns about your child, call or book an appointment online with Dr. Sima Stein, a board-certified pediatrician, who is experienced in diagnosing and managing ASD using both behavioral and medical approaches.