Autism Screening
Autism Spectrum Disorder
Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by persistent challenges in social communication, interaction, and the presence of restricted or repetitive behaviors. The term “spectrum” reflects the wide variation in symptoms and severity among individuals. ASD typically emerges in early childhood and can significantly impact functioning across home, school, and community settings.
According to the CDC’s Autism and Developmental Disabilities Monitoring (ADDM) Network, the estimated prevalence of Autism Spectrum Disorder among children aged 4 years is approximately 1 in 34.
Symptoms May Vary Widely, But Common Features Include:
- Difficulty with eye contact and nonverbal communication
- Limited interest in peer relationships or social play
- Delayed speech or language development
- Repetitive movements (e.g., hand-flapping, rocking)
- Insistence on routines or resistance to change
- Intense focus on specific topics or objects
- Unusual sensory responses (e.g., sensitivity to sounds or textures)
- Limited use of gestures or facial expressions
- Challenges with imaginative or pretend play
Diagnosing ASD:
Accurate diagnosis of ASD requires a comprehensive evaluation that integrates behavioral observations, developmental history, and standardized tools. As a psychiatric nurse practitioner specializing in child and adolescent psychiatry, I provide thorough assessments that include clinical interviews with caregivers, direct observation of the child, and use of validated instruments such as the Autism Spectrum Quotient 10 (AQ-10-Adolescent and AQ-10-Child), Modified Checklist for Autism in Toddlers (M-CHAT), and the Toddler Autism Symptom Inventory (TASI).
Additionally, criteria from the DSM-5-TR are incorporated into making a diagnosis of ASD. This involves the analysis of the child or adolescents direct clinical observation, detailed developmental history, and analysis of behavioral characteristics as aligned with the DSM-5-TR diagnostic criteria.
This overall process allows for early identification and tailored recommendations that support both the child and family. These services in a collaborative and accessible setting, can help to reduce delays in diagnosis and connect families to appropriate interventions and educational supports.
Historically, long wait times for autism evaluations—often several months to over a year—can delay diagnosis during a critical developmental period. These delays hinder access to early intervention and school accommodations, impacting long-term outcomes. To help address this gap, my office offers prompt appointments, allowing families to move forward without unnecessary barriers to care.
Schedule an appointment if you are interested in having your toddler, young child or adolescent tested for ASD or call the office if you would like more information.