Autism spectrum disorder (ASD) is a developmental disability caused by differences in the brain. People with ASD often have problems with social communication and interaction, and restricted or repetitive behaviors or interests.
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Social Communication and Interaction Skills
* Does not respond to name by 9 months of age
* Does not show facial expressions like happy, sad, angry, and surprised by 9 months of age
* Does not play simple interactive games like pat-a-cake by 12 months of age
* Uses few or no gestures by 12 months of age (for example, does not wave goodbye)![]()
* Does not point to show you something interesting by 18 months of age.
Restricted or Repetitive Behaviors or Interests
* Lines up toys or other objects and gets upset when order is changed.
* Repeats words or phrases over and over (called echolalia).
* Plays with toys the same way every time
* Is focused on parts of objects (for example, wheels)
* Gets upset by minor changes
* Has obsessive interests
* Must follow certain routines
* Flaps hands, rocks body, or spins self in circles
* Has unusual reactions to the way things sound, smell, taste, look, or feel.
Other Characteristics
* Most people with ASD have other related characteristics. These might include
* Delayed language skills
* Delayed movement skills
* Delayed cognitive or learning skills
* Hyperactive, impulsive, and/or inattentive behavior
* Epilepsy or seizure disorder
* Unusual eating and sleeping habits
* Gastrointestinal issues (for example, constipation)
* Unusual mood or emotional reactions
* Anxiety, stress, or excessive worry
* Lack of fear or more fear than expected
It is important to note that children with ASD may not have all or any of the behaviors listed as examples here.