April 10, 2025 – As parents, understanding your child’s development is essential, especially when it comes to recognizing potential differences in communication, behavior, and social interactions. Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that presents in various ways, and early detection can make a significant impact on a child’s growth and quality of life. By learning the early signs of autism and seeking professional guidance, parents can help ensure their child receives the support they need to thrive. Malia Beckwith, MD, Assistant Vice President of Ambulatory Medical Practices and Section Chief of Developmental and Behavioral Pediatrics at Children’s Specialized Hospital, an RWJBarnabas Health facility, shares key insights on recognizing autism early and the steps parents can take to seek support.
While each child develops at their own pace, certain developmental differences may indicate the need for further evaluation. Potential early signs of autism often appear in the following areas:
Social Differences
- Reduced eye contact and limited response to facial expressions
- Less engagement in social interactions, such as sharing interests or pointing to objects
- Fewer gestures, such as waving or nodding
Communication Differences
- Delayed language milestones (no single words by 15 months, no two-word phrases by 24 months)
- Repetitive speech (echoing what others say without understanding the meaning)
- Limited response to their name
- Possible regression of communication or social skills between 15 and 24 months
Play and Behavior Differences
- Preference for repetitive play, such as lining up toys
- Less engagement in pretend play
- Strong preference for routines and difficulty handling change
- Special interests that may become intense and highly focused
Sensory Differences
- Heightened sensitivity to sounds, smells, textures, or lights
- Repetitive movements like rocking or spinning to self-soothe
- Strong reactions to certain sensory inputs that may cause distress
The Importance of Early Intervention
Early intervention plays a critical role in improving outcomes for children with autism. Children who receive early intervention often develop better coping strategies, improve their ability to interact with others, and gain more independence as they grow. Pediatricians and developmental specialists recommend autism screenings during well-child visits at 18 and 24 months. If you have concerns about your child’s development, it is important to seek an evaluation promptly. The sooner interventions begin, the more opportunities there are to support your child's development and well-being.
What to Do if You Suspect Autism
If you notice potential signs of autism in your child, consider the following steps:
- Discuss your observations with your pediatrician
- Seek a developmental evaluation from a specialist
- Explore therapy options, such as speech therapy, behavioral therapy, and occupational therapy
- Contact the NJ Early Intervention System (888-653-4463)
- Connect with support groups and educational resources
Autism is a spectrum, and every child has unique strengths and challenges. With early intervention and the right support, children with autism can thrive at home, in school, and in the community.
Our pediatric providers at RWJBarnabas Health focus on quality of life for children with autism spectrum disorder. Children’s Specialized Hospital’s Center of Excellence for Autism Services, Training, Advocacy, and Research is to support fulfilling lives for autistic individuals and their families. Learn more: rwjbh.org/cshautism.