Every parent knows that feeling. Something seems a little “off,” but you are not sure what it is or whether it is worth worrying about. With autism, acting early can make a big difference. Kelcey Bruen, a board-certified behavior analyst at the Riverside ABA Therapy Clinic, helps caregivers understand what to look for... and what to do next.
Early Signs to Watch For
Some signs of autism can show up before a child turns one year old. One of the earliest is a lack of social reciprocity; the natural back-and-forth of human connection. This might look like a blank face or no reaction when someone tries to play with them. It can also mean not responding when someone calls their name.
Other signs include language delays and sensory sensitivities. "Different restrictive repetitive behaviors such as lining up toys, resisting changes in routine, and displaying limited interests are all worth noting," Bruen offers. A loss of skills between 15 and 30 months of age is also a big red flag.
It Is About the Full Picture
Seeing just one of these signs is usually not a cause for worry. But, when several show up together, they can point to something worth looking into. Bruen notes that behaviors often dismissed as phases—picky eating, sleep problems, and toileting struggles—can mean more when they appear alongside other concerns. According to the National Institutes of Health, between 40-83% of people with autism have sleep problems. Toileting resistance was also found to be 49% more likely in children with autism
"When you put all those together in combination with behavioral challenges you're seeing, it could paint a better picture for a provider who might point you in the direction of an autism diagnosis," Bruen explains.
When to Speak Up
If something feels off, do not wait. Bruen's advice is simple. "As soon as your gut's telling you something isn't right, I would seek support," she urges. "The earlier you raise concerns, the sooner a child can get help."
When preparing to talk to a pediatrician, Bruen recommends taking detailed notes beforehand. Do not just say your child is having tantrums. Describe what those tantrums look like, how long they last, and how often they happen. "This will help paint a better picture," she emphasizes. Walking in prepared makes the conversation much more useful.
What Is ABA Therapy?
For families who have received an autism diagnosis, ABA therapy is worth knowing about. ABA stands for applied behavior analysis. It uses science to help children learn by making changes to their environment. The goal is to create positive behavioral change in a supportive setting.
Any child with autism is a good candidate. At the Riverside ABA Therapy Clinic, the therapists build goals around five key areas. These are cognitive, communication, adaptive, behavioral, and social skills. That wide range means therapists can work on many different things. Some children work on using utensils or learning letters. Others focus on play skills or building social connections.
You Are Not Alone
For caregivers who feel overwhelmed, Bruen has one message she wants everyone to hear: "You are not alone. There is so much support to be found in your community, so don't be afraid to ask for that support." To learn more about the Riverside ABA Therapy Clinic, call 815-939-4470 or visit riversidehealthcare.org/location/riverside-aba-therapy-clinic. If you do not yet have a primary care provider, visit myrhc.net/acceptingnew to find one near you.