Grewal Pediatrics
Autism and Early Intervention
As a pediatrician one of the most common topics parents ask me about is the Autism Spectrum Disorder (ASD), commonly referred to as Autism. Autism refers to a range of conditions that can cause significant social, communication, and behavioral problems. The span of symptoms can range from very bright and able to severely challenged and requiring daily assistance. While the exact cause is unknown, Autism is thought to be related to genetics and environmental factors.
Early diagnosis is key for effective intervention and treatment. In most cases, differences become apparent before your child is 24 months old. There is a lot of scary stuff and misinformation online about autism, which makes it hard for parents to know where to begin. So what should parents do? Your pediatrician is here to help you.
One thing I always tell parents is that you know your child better than anyone else. Trust your Mama intuition! Learn the early signs of autism and become familiar with the typical developmental milestones that your child should be reaching. If something feels wrong to you, speak with your pediatrician. Your visit with your pediatrician should be a collaboration between the two of you. Be confident in voicing your concerns and work with your pediatrician to come up with the best plan for your child. I tell my patients there is no harm in getting an early evaluation, it may pick up something important. The earlier children with autism get help, the greater their chance of successful treatment and living a happier, more successful life.
Signs and Behaviors to Pay Attention to in Children
Familiarize yourself with the following signs of autism (from the American Academy of Pediatrics):
Social Differences
- Your child doesn’t keep or make eye contact
- They don’t respond to your facial expressions or smiles
- Does not reciprocate facial expressions or have the appropriate ones
- Doesn’t respond to parent’s pointing
- Has problems making friends
- Shows a lack of concern for others
Communication Differences
- Your child hasn’t spoken by 16 months
- Repeats or parrots what others say
- Doesn’t feel the need or want to communicate
- Starts missing language and social milestones after 15 months
- Doesn’t pretend play but does have a good memory for numbers, songs, and letters
Behavioral Differences
- Has an affinity for routines and schedules and does not like altering them
- Likes to twirl their fingers, sway, rock, or spin
- Has strange activities that they enjoy doing repeatedly
- They are sensitive to sounds, lights, touch, textures, and smells
- They are more interested in the parts of a toy instead of the whole thing
If you think your child may have autism, please contact for a consultation as soon as possible.
Dr. Kirat Grewal, MD, FAAP
Grewal Pediatrics
