Getting Diagnosed

There is no medical test a child can take to determine if she has autism. Instead, health professionals make a diagnosis by observing whether or not the child has age-related behaviors and skills. For instance, is a two-year old using two-word phrases (“want juice!”) to get what she wants? Or does a toddler point to objects and look at her mother’s eyes? Health professionals also look at behavior that may be occurring too often. For example, does he tantrum easily when he cannot get what he wants? Does he move his body or hands in a repetitive manner?

Many of these signs aren’t worrisome when they appear on their own, but a combination of difficulties in communication, socialization and behaviors may indicate an ASD. These signs can usually be recognized by the time a child is three, but may appear much sooner, when the child is a toddler.

How to Speak to Your Pediatrician

If unsure whether your child has an ASD, but you feel like something is wrong, see your pediatrician as soon as possible. Here are some pointers to get the most out of your doctor’s visit:

• Look at a development chart to see if your child can do the things listed in his age grouping. Give your pediatrician examples that demonstrate your concerns based on comparing your child’s skills and abilities to the developmental chart.
• Be specific about your child’s behavior. Notice the way your child acts and compare him with other children that same age. If you notice significant differences, be specific, for example:
  • “My son used to say certain words but doesn’t anymore.”
  • “My daughter likes to stare at ceiling fans.”
  • “She is constantly lining up her toys.”
  • “He doesn’t like playing with other children. He only likes to sit and spin the wheels of his toy truck.”
  • “She doesn’t like when anyone hugs her anymore.”
  • “He has a tantrum when he has to stop watching tv”
• Look at the early signs of autism and think about your child as you scan the list. Do you notice many red flags? If so, be sure to share them. If your pediatrician tells you not to worry but you still have concerns, bring your child to another doctor who will take your concerns more seriously. Request a screening test like the M-CHAT to help determine whether or not your child needs further evaluation.
• If your pediatrician suspects your child has developmental delays, ask for a referral to a specialist that deals with ASDs. Depending on your child’s age, you can also be referred to Early Intervention (age 0-3 years) or your child’s school district (age 3-21 years) for an evaluation.

Talk to your pediatrician right away if you have concerns.

Who Should You See?

Questions to Ask