Autism Symptoms & Signs: A Complete Guide for Parents

Understanding autism spectrum disorder (ASD) symptoms can help parents recognize early signs and seek appropriate support. This comprehensive guide covers symptoms across all ages, from infancy through school age.

Key Facts About Autism Symptoms

  • Autism affects approximately 1 in 36 children in the United States according to the CDC
  • Early signs can appear as young as 6-12 months
  • Boys are 4 times more likely to be diagnosed than girls
  • Early intervention significantly improves outcomes

Expert Insight: Recognizing the Signs Early

"With over 20 years of experience in ABA therapy, I've worked with hundreds of families who initially weren't sure whether the behaviors they noticed were cause for concern. Trust your instincts as a parent. If something feels different about your child's development, seeking an evaluation is never the wrong choice – even if everything turns out to be typical development, you'll have peace of mind."

Jennifer Harbour, M.S., BCBA, Clinical Director at Buzz ABA
Specializing in verbal behavior and early childhood development

Autism Symptoms by Age

Autism symptoms can vary significantly depending on age. Here's what to look for at different developmental stages:

6-12 Months

  • Limited or no eye contact
  • Doesn't respond to name by 9 months
  • Doesn't smile back when you smile
  • Limited facial expressions
  • Doesn't reach to be picked up
  • Doesn't follow objects with eyes

12-18 Months

  • No single words by 16 months
  • Doesn't point to show interest
  • Loss of previously acquired skills
  • Limited imitation of others
  • Doesn't wave goodbye
  • Prefers to play alone

18-24 Months

  • No two-word phrases by 24 months
  • Doesn't engage in pretend play
  • Lines up toys or objects
  • Gets upset by minor changes
  • Unusual reactions to sounds or textures
  • Repetitive movements (rocking, spinning)

2-3 Years

  • Difficulty with back-and-forth conversation
  • Unusual tone of voice
  • Repeats words or phrases (echolalia)
  • Intense interest in specific topics
  • Difficulty understanding feelings
  • Prefers routines and resists change

4-5 Years

  • Difficulty making friends
  • Trouble understanding social cues
  • Takes things literally
  • Difficulty with imaginative play
  • Strong reactions to sensory input
  • Difficulty with transitions

School Age

  • Struggles with group activities
  • Difficulty reading social situations
  • Intense focus on specific interests
  • Challenges with flexibility
  • May experience bullying
  • Anxiety in social situations

Core Autism Symptoms Explained

According to the American Psychiatric Association's DSM-5, autism spectrum disorder is characterized by two main categories of symptoms: social communication challenges and restricted/repetitive behaviors.

Social Communication

Challenges with verbal and nonverbal communication in social contexts

Difficulty maintaining eye contact
Trouble understanding body language and facial expressions
Delayed speech development or unusual speech patterns
Difficulty with back-and-forth conversation
Challenges understanding humor, sarcasm, or idioms
Limited sharing of interests or emotions

Social Interaction

Difficulties developing and maintaining relationships

Reduced interest in peers
Difficulty making and keeping friends
Trouble understanding social rules
Challenges with cooperative play
Preference for solitary activities
Difficulty adjusting behavior to different social contexts

Restricted Interests

Highly focused interests that may be unusual in intensity or focus

Intense preoccupation with specific topics
Extensive knowledge about narrow subjects
Difficulty shifting attention from preferred topics
Strong attachment to specific objects
Detailed memory for facts about interests

Repetitive Behaviors

Repetitive movements, speech, or use of objects

Hand flapping, rocking, or spinning
Lining up toys or objects
Repeating words or phrases (echolalia)
Following rigid routines
Ritualistic behaviors
Distress at small changes

Sensory Differences

Unusual responses to sensory input

Over-sensitivity to sounds, lights, or textures
Under-sensitivity to pain or temperature
Seeking sensory input (spinning, jumping)
Avoiding certain textures in food or clothing
Fascination with lights, spinning objects, or movement
Covering ears or eyes in response to stimuli

When to Seek Professional Help

The American Academy of Pediatrics recommends autism screening for all children at 18 and 24 months. However, you should contact your pediatrician if you notice:

  • No babbling by 12 months
  • No pointing or waving by 12 months
  • No single words by 16 months
  • No two-word phrases by 24 months
  • Any loss of language or social skills at any age

Free Autism Screening Tools

Take our free, validated screening tools to help identify potential signs of autism:

M-CHAT-R Screener

For toddlers ages 16-30 months. A 20-question screening tool recommended by pediatricians.

Take M-CHAT Screening

CAST Screener

For children ages 4-11 years. A comprehensive 37-question assessment tool.

Take CAST Screening

Frequently Asked Questions

Related Resources

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Autism Symptoms & Signs: Parent Guide | Buzz ABA Blog