Twitter fans root for Lady Gaga to get together with Bradley Cooper after his breakup.
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Bradley Cooper and longtime girlfriend Irina Shayk have reportedly called it quits after four years of dating and the Twitterverse is already playing matchmaker for the "Silver Linings Playbook" star.
Social media users, who have long speculated over the on-screen chemistry in "A Star is Born" between him and co-star Lady Gaga, took to Twitter to both urge the two to get together and joke about Gaga's likely response to learning about the split.
Bradley Cooper and Irina Shayk have protected their relationship from the press. (Getty)
Cooper, 44, and Shayk, 33, ended their relationship and are working to amicably share custody of their daughter, People confirmed. The A-list actor and the Russian-born supermodel first started dating in spring of 2015 and welcomed daughter, Lea De Seine, in March 2017.
Fans began speculating that Cooper’s relationship was in trouble after he and Gaga performed the song “Shallow” from the film at the Oscar’s in February. The two entered holding hands and sat close to one another during the piano ballad.
One Twitter fan posted a clip from the performance when Cooper and Gaga intimately gaze into each other's eyes after singing the duet. "Breaking news: Bradley Cooper and his long time girlfriend Irina Shayk have broken up. Below is exclusive footage of the moment their relationship ended," the user @LukeDiamond19 wrote.
"Anyone get that People alert of Bradley Cooper & Irina splitting up? GAGAAAA WHERE YOU AT GIRL?!" another fan wrote. A third Bradley/Gaga shipper said, "If Lady Gaga and Bradley Cooper don’t get together by the end of this year i’m never listening to shallow ever again."
Several users shared memes that suggested Gaga would pounce on Cooper now that he's newly single. "Lady Gaga heading to Bradley Cooper’s house after hearing the break up news," another person tweeted underneath a gif of Gaga appearing to lunge offstage.
Rumors of an affair escalated so far that Cooper and Gaga spoke out publicly about how their on-stage chemistry was rehearsed and choreographed to mimic their on-screen love story. “From a performance perspective, it was so important to both of us that we were connected the entire time,” Gaga told Jimmy Kimmel earlier this year.
Not everyone was going Gaga over the breakup. "I’m real upset. I LOVED A Star is Born but Bradley and Gaga aren’t supposed to be together in real life all you trolls. He is supposed to be with his lover and baby mama Irina. #TeamIrina," one fan who wanted Cooper to stay with Shayk wrote.
“A Star Is Born” received eight Academy Award nominations after its 2018 release. Gaga and her fiancé Christian Carino ended their two-year relationship in February, People confirmed.
Autism Rates by Country 2020.
Population.
Autism is defined as a developmental disability. Signs are usually observed in the early childhood years. Autism is defined by a certain set of behaviors that affect a person’s ability to interact and communicate with others. There are different degrees of autism, but some common behaviors associated with this disability include poor motor skills, delayed speech, difficulties with skills such as reasoning, and very narrow interests.
In recent years, the cases of autism have risen. No single cause has been identified, but early diagnosis is key to improved outcomes, although there is no cure and children do not grow out of this disability.
Tracking the rates of autism around the world is a bit of a challenge. This is because many nations do not track or report their autism rates. There are also no specific, uniform criteria for assessing autism. Even if there were, there are many nations that do not have the resources to conduct assessments.
Focus For Health took a look at several developed countries to determine current autism rates. At the top of the list is Hong Kong, where 372 children out of every 10,000 have been diagnosed with autism. Put another way, 1 out of every 27 children in Hong Kong has been diagnosed with this developmental disability.
South Korea has the next highest rates of autism. In this country, 263 out of every 10,000 – or 1 in 38 – children have received a diagnosis of autism. The United States comes in third. About 263 children out of every 10,000 have received this diagnosis. This translates to about 1 in 45 children.
The autism rates in other nations include:
Japan: 1 in 55 Ireland: 1 in 65 Switzerland: 1 in 69 Canada: 1 in 94 Denmark: 1 in 145 Singapore: 1 in 149 Belgium: 1 in 167 Estonia: 1 in 167 Finland: 1 in 185 Norway: 1 in 196.
One thing to note is that there may be nations that have higher rates of autism than those listed here. Again, due to the lack of universal criteria and other factors, not all countries have the data needed to fully evaluate the number of autism cases around the world.
Here are the 10 countries with the highest autism rates:
Hong Kong (372 per 10k children) South Korea (263 per 10k children) United States (222 per 10k children) Japan (181 per 10k children) Ireland (153 per 10k children) Switzerland (145 per 10k children) Canada (106 per 10k children) Denmark (69 per 10k children) Singapore (67 per 10k children) Belgium (60 per 10k children)
Autism Statistics and Facts.
Autism Prevalence.
In 2020, the CDC reported that approximately 1 in 54 children in the U.S. is diagnosed with an autism spectrum disorder (ASD), according to 2016 data. 1 in 34 boys identified with autism 1 in 144 girls identified with autism Boys are four times more likely to be diagnosed with autism than girls. Most children were still being diagnosed after age 4, though autism can be reliably diagnosed as early as age 2. 31% of children with ASD have an intellectual disability (intelligence quotient [IQ] 85). Autism affects all ethnic and socioeconomic groups. Minority groups tend to be diagnosed later and less often. Early intervention affords the best opportunity to support healthy development and deliver benefits across the lifespan. There is no medical detection for autism.
What causes autism?
Research indicates that genetics are involved in the vast majority of cases. Children born to older parents are at a higher risk for having autism. Parents who have a child with ASD have a 2 to 18 percent chance of having a second child who is also affected. Studies have shown that among identical twins, if one child has autism, the other will be affected about 36 to 95 percent of the time. In non-identical twins, if one child has autism, then the other is affected about 31 percent of the time. Over the last two decades, extensive research has asked whether there is any link between childhood vaccinations and autism. The results of this research are clear: Vaccines do not cause autism.
Intervention and Supports.
Early intervention can improve learning, communication and social skills, as well as underlying brain development. Applied behavior analysis (ABA) and therapies based on its principles are the most researched and commonly used behavioral interventions for autism. Many children affected by autism also benefit from other interventions such as speech and occupational therapy. Developmental regression, or loss of skills, such as language and social interests, affects around 1 in 5 children who will go on to be diagnosed with autism and typically occurs between ages 1 and 3.
Associated Challenges.
An estimated 40 percent of people with autism are nonverbal. 31% of children with ASD have an intellectual disability (intelligence quotient [IQ]
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Dating: Tips for autistic teens and adults.
February 13, 2020.
This is a guest post written by Lindsey Sterling, Ph.D. and Siena Whitham, Ph.D. Dr. Sterling is a licensed clinical psychologist in Southern California, specializing in the evaluation and treatment of children, teens, and adults with ASD. During now-completed Autism Speaks predoctoral and NIH postdoctoral fellowships, Dr. Sterling deepened understanding of the physiology of anxiety in youth and adolescents with autism. Such research helps advance the development of tailored therapies.
Dr. Whitham is a licensed psychologist working in Los Gatos, CA. provides evaluation, treatment, and consultation to children, teens, and adults.
A few years ago, we posted a piece on the Autism Speaks website, ‘Ten Steps to Help a Teen with Autism Navigate Dating.’ This is such a pertinent topic, and perhaps equally if not more important for teens and adults themselves to have tips to navigate the complicated dating world.
The term dating means seeing someone with a purpose and being romantically involved with them. Dating activities are often the same as socializing with friends, but the person’s thoughts and feelings differentiate dates from friendship. Often, people date with the hopes of establishing a committed relationship.
Being in a romantic relationship can have a lot of benefits, including providing a source of social and emotional support and having someone to enjoy shared activities with. Many people (whether they have ASD or not!) find it confusing and intimidating to initiate and maintain a romantic relationship.
There are a few factors that can make dating uniquely challenging for someone on the autism spectrum. It can be important to keep these challenges in mind when navigating the dating process, both in terms of self-awareness of your own needs as well as the potential needs of others.
Love ‘Fixations’
A common characteristic of someone with ASD is the inclination to develop intense interests in particular topics or even in people. This intense focus can be beneficial when it comes to being knowledgeable or having expertise in a topic, though it could be misinterpreted by someone who is the focus of the fixation. Even with the best of intentions, intense attention like repeated text messages can feel threatening to someone else. Make sure this attention is being reciprocated before making your next move.
Online Dating.
Let’s face it, the majority of people meet online these days! Dating sites can be a great forum for connecting with other people. Just keep in mind that electronic communication can be difficult to interpret, since we don’t have tone of voice, facial expression, or other clues to help us. This goes both ways (in terms of sending and receiving electronic messages), so take the time to clarify and think through potential interpretations before hitting that send button!
Sensory Differences.
Everyone has different thresholds in terms of what feels comfortable to them. When choosing a venue for a date, keep in mind noise and other sensory stimuli that may be distracting to you or your date. For example, maybe choose a restaurant that has an outside patio as an option, in case the inside has too much going on. Similarly, when it comes to touch and other physical connections, make sure you and your date are on the same page about what feels ‘right’.
Rejection.
Rejection is the worst, for everyone! It can hurt, it can feel surprising, and it can be confusing. Everyone has a right to turn down a date or physical advances. It’s okay for you to say that you are not comfortable with something. Similarly, your date (or potential date) can say no, even if you were under the impression that he or she was interested in you. Unfortunately, dating does not always follow concrete ‘rules’ and people’s feelings can change. We don’t always get clear reasons for these changes, but we have to accept that both people have to be on the same page about what they want.
Reading and sending signals.
The social signals involved in dating and flirting can be complex, inconsistent and subtle. Interpreting them presents a challenge for most everyone. It can be particularly difficult when ASD interferes with the ability to read and respond to social signals. This can produce confusion, discomfort and frustration. When social cues are missed, your “date” may feel that their messages or feelings aren’t being heard or validated. This takes some extra attention and communication on your part; it is important to ask follow-up questions and clarify if you are not sure how to interpret a subtle cue.
Ten Tips.
With these potential challenges in mind, here are a few tips to follow when navigating the dating world:
Asking someone on a date: When asking someone out, you want to think about how best to approach it. If you’re asking someone out in person, it’s a good idea to ask them out when no one else is nearby or listening. That way you both have some privacy during the interaction. Further, it’s good idea to ask an open-ended question when first asking someone out, such as, “Do you want to go out sometime?” so that date logistics (like when and where you’ll go) don’t get in the way of making a plan. If you’re asking someone out that you met online, it’s best to keep it casual as you’re both still figuring out if you like each other. Often, it’s a good idea to ask someone out pretty quickly after connecting online since you won’t know if you truly like each other until you meet in person (it’s amazing how sometimes you think you’ll really connect with someone but when you meet them in person you realize you aren’t actually that compatible!). Picking the right place: As noted above, it is important to keep in mind potential sensory stimuli when choosing a venue. Other factors may also be important to consider, including distance (how are you both going to get there? Is it convenient?), cost of the restaurant or activity, and the right amount of time for the date. Meeting at coffee shop or scheduling a shorter activity (e.g., going on a walk) may be a good choice when you’re first getting to know someone. This allows you to spend a limited amount of time with your date until you know that you’re compatible and like spending time with each other! Going with the flow: Plans change and feelings change. This can be really difficult, especially when we have a vision of how things are going to go. When it comes to dating, it’s best to expect some unpredictability. Sometimes your date may run late or have to cancel plans last minute. It’s important to be understanding when this happens. This doesn’t necessarily mean that the person is not interested – sometimes things come up that are unexpected and out of the person’s control. Being open to dating more than one person: Though most people ultimately want to find a partner, it’s important to keep an open mind when dating. Often when people start dating it is considered normal to not be “exclusive” (meaning dating only one person at a time). Many people date more than one person at that same time until they develop a close, meaningful connection with one person. Dating more than one person can also allow you to figure out who you are most compatible with. However, it’s important to be open and honest about the terms of your relationship. Communication about expectations around dating is essential. If you want to date more than one person at a time, communicate your preference to whomever you’re dating. If you want to be exclusive, share your feelings with the other person. There’s no one “right” way to date but making sure each person is okay with the terms of the relationship is vital. Asking questions that the other person will love to answer: The best way to get to know someone is by asking questions about the person! When on a date, you can show the other person that you’re interested by asking him/her thoughtful and relevant questions. When your date shares something make sure to ask follow-up questions to learn more about the person. Generally, people really enjoy talking about themselves and the things that they’re interested in! Be interesting/be interested: Have you ever heard that dating is hard work? One of the reasons people say this is because when you’re starting to date someone, people often try to present the best version of themselves. This doesn’t mean you should pretend to be someone that you’re not, but it’s a good idea to try to present your best self! When on a date, you’ll want to make sure you have ideas of things to talk about and questions to ask the other person. You’ll want to try to stay off your phone as much as possible. Frequently looking at your phone can be a nonverbal signal to the other person that you’re not interested. If prolonged conversation is hard/tiring for you, it can be a good idea to keep the first few dates short and/or pick an activity that can distract you from constant conversation (e.g., mini golf). After going on a date, you may find that you benefit from alone, decompression time! Make good eye contact: Eye contact is one of the main ways you show someone that you’re interested in them. Looking away from someone can unintentionally make that person feel like you’re not listening or interested in them. If making eye contact is hard for you, you might consider telling your date that it’s difficult for you so that they understand that a lack of eye contact isn’t personal. It’s important to think about when you might want to share this information with your date. Usually, people disclose more personal information as they get to know someone better. Be aware of body language: One of the main differences between a friendship and a romantic relationship is physical intimacy. When dating, it’s important to think about what your body language is communicating. When first getting to know someone, it’s a good idea to make sure your body language is communicating interest. You can do this by facing the person and smiling and nodding as they talk. As you get to know someone better, you’ll want to think about your body language in terms of physical intimacy, such as touching your date’s arm when they’re speaking, moving your body close when walking, holding hands, hugging, and kissing. Each person and relationship moves at a different pace when it comes to physical intimacy so it’s a good idea to ask your date directly if they are interested and comfortable before engaging in physical intimacy. Be aware of how you present yourself: As mentioned above, people generally like to present their best selves when dating. Often, this includes making sure you look your best when going out on a date. It’s important to not only consider what you wear but also your personal hygiene – How do you smell? How is your breath? Are your clothes clean? How does your hair look? Additionally, you’ll want to think about where you are going when deciding what to wear. It’s a good idea to try to have your outfit match the activity. Be safe: Safety is important to consider when dating, especially if you don’t know the person you’re going out with very well. When first getting to know someone, you’ll want to make sure to meet in a public place. It’s a good idea to let someone else know where you’ll be and when they can expect you home. When thinking about getting intimate with someone, you want to make sure to only do things that both you and your date are comfortable with. Directly asking is the best way to know for sure what your date is thinking and feeling!
Dating can be intimidating and discouraging for everyone, but it can also be exciting and lead to something that is ultimately rewarding. It takes practice along the way!
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Autism Dating Service Will Take Love to a Whole New Level.
Anyone who is on the Autism spectrum (or their close family members) all start asking the same question sooner or later; that is the question of love. Will I ever find someone to love who loves me? Will I ever meet that special someone? The answer to that question is a resounding "Yes!" especially if you give Autism Dating Service a try.
For those who are looking for a real connection, then Autism Dating Service is the perfect place to make their first foray into romance and love. Here they are surrounded by others who can relate to their difficulties and to their problems. We have thousands of open-minded women and men from all over the USA and you could be among them, meeting them, setting up dates and exchanging experiences and details of your life with them, even right now.
The only thing stopping you is that you don't have a profile on our site. Luckily, this is easy to rectify, especially since we let you create your profile for free. Once that's taken care of, Autism Dating Service will put you in touch with guys and girls from all over who are eager to connect with you. See for yourself who suits you and contact them. By doing so, you can make sure that your actions and contact with others take place in a friendly and relaxed environment. We all know that love can be like sailing the sea in stormy weather but that is just one more reason you should get a little help online! Join Autism Dating Service today and sail into smoother seas ahead!
Disclaimer: 100% Free basic membership allows you to browse the site, view profiles, send flirts and modify your profile. Charges will accrue if you purchase a premium membership which is offered upon completion of your profile. This site is billed by 24-7help.net.
Autism Dating Service is part of the dating network, which includes many other general and autistic dating sites. As a member of Autism Dating Service, your profile will automatically be shown on related autistic dating sites or to related users in the network at no additional charge. For more information on how this works, click Autism Dating Service is part of the dating network. To help you find more potential matches and members near you, your profile will be also be displayed on other autistic dating sites that are part of the dating network at no additional charge.
Your profile will NOT be shown on any other site that is not an autistic dating site to ensure you only are displayed to singles looking for the same interests as you.
if you would like to opt-out of having your profile shown on any other related site, you can update this in your privacy settings to only have your profile displayed on Autism Dating Service and no other site.
Autism Dating Service. Copyright © 2020 Autism Dating Service.
Childhood Autism Rating Scale.
The Childhood Autism Rating Scale, or CARS, is a diagnostic tool designed to evaluate children who are suspected of having autism. Suitable for the evaluation of children two years old or older, CARS examines and scores a number of factors to aid in distinguishing children with autism from those with other developmental disabilities. CARS also helps to determine the degree to which individual with autism are affected. Presented in questionnaire form, this scale is completed based on direct behavior observation by a professional as well as reports from parents, teachers, or caretakers.
Background.
CARS was developed by staff of the Treatment and Education of Autistic and related Communication-handicapped Children program, or TEACCH, and was published in 1980. Over a period of fifteen years, TEACCH staff used a database of over 1,500 cases to develop this comprehensive autism diagnostic tool. Clinicians and other professionals with minimal autism experience can easily administer this test. CARS has shown impressive results in the diagnosis of adolescents as well, according to a study done by the University of Texas Health Science Center.
How the Childhood Autism Rating Scale Works.
CARS examines fifteen categories of behaviors, characteristics, and abilities against the expected development of typical children to determine whether autistic symptoms are present. The categories evaluated are as follows:
Relating to people Imitation Emotional response Body use Object use Adaptation to change Visual response Listening response Taste, smell, and touch response and use Fear or nervousness Verbal communication Nonverbal communication Activity level Level and consistency of intellectual response General impressions.
Scoring.
The Childhood Autism Rating Scale categories are scored on a scale of one through four, with half points awarded for those that are between those steps. For instance a score of 1.5 can be given for a behavior that falls between the criteria for a scores of one or two. Scoring standards are as follows:
1-within the normal range for child's age 2-mildly abnormal 3-moderately abnormal 4-severely abnormal.
Interpreting Results.
CARS scores range from 15 to 60, and the cutoff point for an autism diagnosis is a score of 30 or above. Scores falling within the range for a diagnosis of autism are broken down further to reflect the degree in which symptoms are present. According to the scoring standards of CARS, scores between 30 and 37 indicate mild to moderate autism and scores between 38 and 60 are characterized as severe autism.
While the Childhood Autism Rating Scale is available for sale from a variety of sources and can be found on the Internet, using it to evaluate your child on your own is not advised. CARS was designed to be used by professionals, well practiced in behavioral observation and well versed in child development, depending upon these factors for accurate results.
Autism Rates Around the World.
By Rolando Y. Wee on September 7 2018 in World Facts.
Studies conducted on those with autism show that it affects more boys than girls, and is most prevalent in developed countries. Autism diagnosis occurs across different age groups, though studies also indicate that autism is likely already present at the time of birth, although it is very difficult to form an early diagnosis.
Autism ranges from causing mild symptoms to more obvious abnormal behaviors associated with the condition. Unfortunately, no known cure has been found to alleviate this condition to date. Today, the cases of autism seen in adults and children are still rising. Experts who have been studying the condition have no explanation as to why it is so much more prevalent than before. There are those that believe that autism is caused by unexplained environmental conditions, although the recent rise in autism has also been attributed by increased awareness and effective diagnostic methods specific to the condition.
10. Portugal (9.2 in 10,000)
Portugal has conducted its own recent research on autism, in a study involving 332,808 school-aged children. It found that the prevalence of the disorder was 9.2 per 10,000 children, with the disorder often being detected alongside other associated medical conditions, such as respiratory disorders. An additional study was done in the Portuguese Azores Islands, and the data there indicated a rate 15.6 autistic children per 10,000 children.
9. Brazil (27.2 in 10,000)
Brazil's Ministry of Health has published a guideline on the care of individuals with the disorder following studies showing the high rates of autism among young Brazilians. The disorder was recognized by federal law as a disability, and those with it are entitled to social benefits. However, there has been some deal of confusion and disagreement over the relationship between health, rights, and citizenship in Brazil. Statistics suggest that there are about1.5 million people with autism who live in Brazil today.
8. Hong Kong, SAR of China (49 in 10,000)
According to the Autism Partnership, the Hong Kong SAR of China has an autism rate of 49 for every 10,000. The government of Hong Kong suggests that there are about 3,800 residents with the disorder in their jurisdiction. In Hong Kong, among its student population, less than one percent are affected with the disorder. One autistic charity organization in the city of Hong Kong helps autistic children by providing therapy, although similar organizations have found it difficult to exist there because of a lack of government support.
7. Australia (66.6 in 10,000)
Australian studies on autism have found that the increases in autism cases in the country were not really as pronounced as researchers in many other developed countries have led people to believe. They felt there was just a case of the general populace and medical practitioners alike having more autism awareness, in addition to better diagnostic tools to identify the disorder in its milder forms. The Australian government has granted support for those families with children with formal autism diagnosis n the form of "Carer Allowances". The rate is around 66.6 according to the Australian Institute of Health and Welfare.
6. Denmark (68.5 in 10,000)
Denmark made a study on autism as well, and had some problems with regards to determining what really caused the disorder. The results remain inconclusive. In Denmark, there has been a call for more government resources and organizations to help those affected by autism. The rate of autism in Denmark is 68.5 per 10,000 according to the US National Library of Medicine National Institutes of Health.
5. ireland (100 in 10,000)
France has an autism rate of around 100 per 10,000, according to a study conducted by Dublin City University. This rate is similar to other developed countries such as the United States and the United Kingdom. Again, like other entries on this list, it has been difficult to pinpoint an exact number of children who are affected by autism as diagnosis is complex.
4. United Kingdom (100 in 10,000)
The United Kingdom reports around 1 cases of autism spectrum conditions per 100 children according to the NHS. Like many other places in the world, nearly five times as many males are diagnosed with autism compared to females. However, it is possible that autism is under-diagnosed in females.
3. Canada (152 in 10,000)
Canada has conducted its own autism studies by way of the Public Health Agency of Canada, which found that the rate is 152 per 10,000. The Agency found that there was no correlation at all between autism and the MMR (mumps, measles, and rubella) vaccine. They found that after the introduction of the MMR vaccine, no increase of autism was detected.
2. Japan (161 in 10,000)
Japan has a rate of up to 161 autism cases per 10,000 according to the New Scientist. Although Japan reportedly has the highest incidence of autism in the world, with 161 cases per every 10,000 people, it is hard to pinpoint whether autism is actually more common there or if it is just merely reported more often. Controversy over whether or not the MMR (measles, mumps, rubella) vaccine could be linked to autism was widespread in Japan in the 1990s and 2000s. This led to the government dropping the requirement for MMR vaccination. However, rates of autism did not decrease despite the lack of vaccination, showing a lack of correlation between the two.
1. USA - (168 in 10,000)
The United States' data on autism recently showed that 168 in 10,000 American children have the disorder, according to Center for Disease Control findings. It is, however, unclear whether or not autism rates have actually increases or detection has just grown.
Data & Statistics on Autism Spectrum Disorder.
Prevalence.
Autism Data Resources.
Autism Data Visualization Tool A website that lets users map and graph autism data.
2016 ADDM Network Surveillance Summary Supplemental Slides ppt icon PowerPoint slides that can be used to present CDC’s latest data from the ADDM Network.
Autism Prevalence Studies Data Table A collection of information from peer-reviewed autism prevalence studies.
About 1 in 54 children has been identified with autism spectrum disorder (ASD) according to estimates from CDC’s Autism and Developmental Disabilities Monitoring (ADDM) Network. [Read article] ASD is reported to occur in all racial, ethnic, and socioeconomic groups. [Read summary external icon ] [Read article] ASD is more than 4 times more common among boys than among girls. [Read article] About 1 in 6 (17%) children aged 3–17 years were diagnosed with a developmental disability, as reported by parents, during a study period of 2009-2017. These included autism, attention-deficit/hyperactivity disorder, blindness, and cerebral palsy, among others. [Read summary]
Identified Prevalence of Autism Spectrum Disorder.
ADDM Network 2000-2016 Combining Data from All Sites.
Testing for Autism.
Autism, or autism spectrum disorder (ASD), is a neurological condition that can cause differences in socialization, communication, and behavior. The diagnosis can look quite different, as no two autistic people are the same, and they may have varying support needs.
Autism spectrum disorder (ASD) is an umbrella term that encompasses three formerly separate conditions that are no longer considered official diagnoses in the current Diagnostic and Statistical Manual of Mental Disorders (DSM-5):
In the DSM-5, all of these diagnoses are now listed under the umbrella category of ASD. ASD levels 1, 2, and 3 indicate the level of support an autistic person may need.
According to the Centers for Disease Control and Prevention (CDC), about 1 in 54 children in the United States had ASD in 2016. Autism spectrum disorder occurs across all racial, ethnic, and socioeconomic groups.
It was thought to be about four times more common among boys than girls. But recent research has indicated that since girls with ASD often present differently when compared with boys, they could be underdiagnosed.
Girls tend to hide their symptoms due to what’s known as the “camouflage effect.” Therefore, ASD may be more common in girls than previously thought.
There’s no known cure for ASD, and doctors haven’t discovered exactly what causes it, although we know genes play a role. Many people in the autistic community do not believe a cure is needed.
There may be many different factors that make a child more likely to have ASD, including environmental, biological, and genetic factors.
The early signs and symptoms of autism vary widely. Some children with ASD only have mild symptoms, and others have severe behavioral issues.
Toddlers usually like to interact with people and the environment they live in. Parents are typically the first to notice that their child is showing atypical behavior.
Every child on the autism spectrum experiences challenges in the following areas:
communication (verbal and nonverbal) social interaction restricted or repetitive behaviors.
Early symptoms of ASD can include the following:
developing language skills late (such as not babbling by 1 year of age or not uttering meaningful phrases by 2 years of age) not pointing at objects or people or wave goodbye not tracking people with their eyes showing a lack of responsiveness when their name is called not imitating facial expressions not reaching out to be picked up running into or close to walls wanting to be alone or have solo play not playing make-believe games or pretend play (e.g., feeding a doll) having obsessive interests in certain objects or topics repeating words or actions causing injury to themselves having temper tantrums displaying high sensitivity to the way things smell or taste.
It’s important to note that displaying one or more of these behaviors doesn’t necessarily mean that the child will (meet the criteria) qualify for an ASD diagnosis.
These can also be attributed to other conditions or simply be considered personality traits.
Doctors usually diagnose ASD in early childhood. However, because symptoms and severity vary greatly, autism spectrum disorder can sometimes be difficult to diagnose.
Some individuals aren’t diagnosed until adulthood.
At present, there’s no one official test for diagnosing autism. A parent or doctor may notice early indications of ASD in a young child, though a diagnosis would need to be confirmed.
If symptoms confirm it, a team of specialists and experts will usually make an official diagnosis of ASD. This could include a psychologist or neuropsychologist, a developmental pediatrician, a neurologist, and/or a psychiatrist.
Developmental screening.
Starting from birth, your doctor will screen your child for developmental progress during routine and regular visits.
The American Academy of Pediatrics (AAP) recommends standardized autism-specific screening tests at 18 and 24 months of age in addition to general developmental surveillance.
If you’re concerned about your child’s development, your doctor may refer you to a specialist, especially if a sibling or other family member has ASD.
The specialist will conduct tests such as a hearing test to evaluate for deafness/difficulty hearing to determine if there’s a physical reason for the observed behaviors.
They’ll also use other screening tools for autism, such as the Modified Checklist for Autism in Toddlers (M-CHAT).
The checklist is an updated screening tool that parents fill out. It helps determine a child’s chance of having autism as low, medium, or high. The test is free and consists of 20 questions.
If the test indicates that your child has a high chance of having ASD, they’ll receive a more comprehensive diagnostic evaluation.
If your child is at a medium chance, follow-up questions may be necessary to help definitively classify the results.
Comprehensive behavioral evaluation.
The next step in autism diagnosis is a complete physical and neurologic examination. This may involve a team of specialists. The specialists may include:
developmental pediatricians child psychologists child neurologists speech and language pathologists occupational therapists.
The evaluation may also include screening tools. There are many different developmental screening tools. No single tool can diagnose autism. Rather, a combination of many tools is necessary for an autism diagnosis.
Some examples of screening tools include:
Ages and Stages Questionnaires (ASQ) Autism Diagnostic Interview — Revised (ADI-R) Autism Diagnostic Observation Schedule (ADOS) Autism Spectrum Rating Scales (ASRS) Childhood Autism Rating Scale (CARS) Pervasive Developmental Disorders Screening Test — Stage 3 Parents’ Evaluation of Developmental Status (PEDS) Gilliam Autism Rating Scale Screening Tool for Autism in Toddlers and Young Children (STAT) Social Communication Questionnaire (SCQ)
According to the CDC , the new edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5) also offers standardized criteria to help diagnose ASD.
Genetic testing.
Though autism is known to be a genetic condition, genetic tests can’t diagnose or detect autism. There are many genes and environmental factors that can contribute to ASD.
Some laboratories can test for some of the biomarkers believed to be indicators for ASD. They look for the most common known genetic contributors, though relatively few people will find useful answers.
An atypical result on one of these genetic tests means that genetics probably contributed to the presence of ASD.
A typical result only means that a specific genetic contributor has been ruled out and that the cause is still unknown.