Expert: Jene Aviram - 6/18/2009

Question
Hi!  I am concerned that my child may have a mild form of autism.  His speech seems delayed, or everyone around me seems to think so.  He says a few words, momma, papa, ball.  It concerns me that he does not say bite, cup or what he wants.  He only grunts for those things.  He will occasionally wave or say byebye but doesnt very often.  He does however know EVERY animal sound you can imagine and when you ask him what they say or he sees them he will make their sound, but he will not say the animal name.  He is an only child and doesnt go to a day care.  He makes eye contact and loves to give kisses.  He loves to play peekaboo and laughs all the time.  I really dont think he plays with toys funny, and he loves to watch cartoons on TV.  It does seem like he ignores me when I call his name sometimes.  He seems to do some strange things...like he walks on his toes occasionally (the dr said this was normal when I asked at his 18mo checkup) and sometimes when he runs he has his arms behind him.  He however does not seem clumsy, he has very good balance.  He loves to walk up and down stairs.  He does seem to have a high pain tolerance.  He does not seem especially social when we are around other kids, but I have always thought that was probably because he is usually only around adults.  I am sorry this is so long.  I am trying to decide if I need to make a special trip to the doctor or if I should just wait until his 2 year old checkup.  Thank you!

Answer
Hi Kim,

It sounds like your son is very smart. He might not be talking a lot but he certainly understands.  My philosophy is never delay when you're concerned.  If I were in your shoes, I would definitely request an evaluation from Early Intervention.  Your son has some great skills and positive points, but there are also enough concerning aspects to warrant an evaluation.

I think it will help you greatly to read this article called "How do you know if your child has autism?"  Your son is still young, but I think it will help you determine if your concerns are warranted or not.  You can find the article at http://www.nlconcepts.com/autism-howdoyouknow.htm

In summary, I think it's wonderful how your son makes eye contact, loves to play, laughs and is affectionate.  I definitely think an evaluation is important for some of the other behaviors you mentioned.  Make sure you print out your post so that you remember to tell the evaluator the concerns you mentioned here.

I wish you great luck with a positive outcome.

Jene Aviram
http://www.nlconcepts.com