At what age should autism be treated?

nichd.nih.gov - Early Intervention for Autism | NICHD

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Research shows that early diagnosis of and interventions for autism are more likely to have major long-term positive effects on symptoms and later skills.1,2,3,4,5 Autism spectrum disorder (ASD) can sometimes be diagnosed in children before they are 2 years of age. Some children with ASD whose development seems typical up to that point begin to regress just before or sometime during age 2 years.6

Family training

Speech therapy

Hearing impairment services

Physical therapy

Nutrition services Early intervention programs often include:

Early interventions occur at or before preschool age, as early as 2 or 3 years of age. In this period, a young child's brain is still forming,7 meaning it is more "plastic" or changeable than at older ages. Because of this plasticity, treatments have a better chance of being effective in the longer term.6 Early interventions not only give children the best start possible, but also the best chance of developing to their full potential. The sooner a child gets help, the greater the chance for learning and progress. In fact, recent guidelines suggest starting an integrated developmental and behavioral intervention as soon as ASD is diagnosed or seriously suspected.6 With early intervention, some children with autism make so much progress that they are no longer on the autism spectrum when they are older. Many of the children who later go off the spectrum have some things in common:3

Diagnosis and treatment at younger ages

A higher intelligence quotient (IQ, a measure of thinking ability) than average for a child with autism

Better language and motor skills

Goals of Early Intervention Early intervention programs help children gain the basic skills that they usually learn in the first 2 years of life, such as: Physical skills

Thinking skills

Communication skills

Social skills

Emotional skills State-Run Programs Each state has its own early intervention program for children from birth to age 2 years who are diagnosed with developmental delays or disabilities, including ASD. These programs are specified by Part C of Public Law 108-77: Individuals with Disabilities Education Improvement Act (2004), sometimes called "IDEA."8 Some states also provide services for children who are at risk for developmental delays and disabilities. To learn more about early intervention services, visit one of the following sites:

Autism Speaks: Early Intervention Offices by State

https://www.autismspeaks.org/early-access-care/ei-state-info

https://www.autismspeaks.org/early-access-care/ei-state-info Building the Legacy: IDEA 2004

https://sites.ed.gov/idea/

https://sites.ed.gov/idea/ Center for Parent Information and Resources

http://www.parentcenterhub.org

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At what age do autism symptoms appear?

The behavioral symptoms of autism spectrum disorder (ASD) often appear early in development. Many children show symptoms of autism by 12 months to 18 months of age or earlier. Some early signs of autism include: Problems with eye contact.

nichd.nih.gov - When do children usually show symptoms of autism? | NICHD

The behavioral symptoms of autism spectrum disorder (ASD) often appear early in development.1 Many children show symptoms of autism by 12 months to 18 months of age or earlier.2,3 Some early signs of autism include:4,5,6

Problems with eye contact

No response to his or her name

Problems following another person's gaze or pointed finger to an object (or "joint attention")

Poor skills in pretend play and imitation

Problems with nonverbal communication

Many parents are not aware of these "early" signs of autism and don't start thinking about autism until their children do not start talking at a typical age. Most children with autism are not diagnosed until after age 3, even though health care providers can often see developmental problems before that age.7,8,9,21 Research shows that early detection and early intervention greatly improve outcomes,10 so it's important to look for these symptoms when a child is as young as possible.11 Regression Some children with autism regress, meaning they stop using language, play, or social skills that they've already learned. This regression may happen between ages 1 year and 2 years. It might happen earlier for some social behaviors, such as looking at faces and sharing a smile. Researchers don't know why some children regress into autism or which children are likely to regress.12,13,14,15,16 Other Early Signs There also may be early biological signs of ASD. Recent studies have shown that: People with autism have unique brain activity, structures, and connections even at very young ages. 17,18 There are differences in brain growth in ASD as early as 6 months of age.19,20,22,23

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