• (08) 6153 4535
  • Suite 1, Level 1, Medical Centre, SJOG Hospital

Clinical Presentation

  • Discrepancy between Social skills & General development
  • No inherent drive to connect themselves with others or share feelings, thoughts & actions
  • Seeking comfort & affection predominantly when they are injured or anxious
  • Frequently do form attachments with family members
  • Poor joint attention – no pointing to share interest or gain adults attention, with good eye-contact / looking back & forth between object and person for connecting them both socially. No attempt for obtaining help or things & just cry. Some may simply lead parents with hand & simply wait or cry.
  • Poor social orientation – it is the ability to orient to verbal stimuli, particularly turning to one`s name being called.
  • Poor pretend play – sensory-motor play  simple PP (using plastic spoon to feed doll) complex PP (using generic items rather than miniature to represent food)  more complex (several PP scenarios). Play with toys in an unusual way & may enjoy roughhouse play.
  • Poor prelinguistic language skills – unusually quiet or have atypical vocalisation, don’t develop to & fro pattern of babbling & silence, unaware of mum’s speech or presence, no eye contact when mums speak, no bye bye.
  • Absent or delayed speech
  • Language regression
  • Atypical language – speech can be echolalic, ritualistic & not functional. Giant words, pop up words
  • Restrictive interests, stereotypies & repetitive behaviours – prefer harder items, attachment to items can be much more robust, lining objects & unusual temper tantrums with transitions or for no apparent reasons.

Early signs of ASD

  • Parental concerns about deficits in language or social skills, about frequent tantrums, or intolerance to change
  • Any loss of language or social skills.
  • No babbling by 9 months
  • No pointing or gestures and lack of orientation to name by 12 months
  • No single words by 16 months
  • Lack of pretend or symbolic play by 18 months
  • No meaningful, spontaneous (not echolalic) 2 word phrase by 24 months.