A more accurate way to understand autism symptoms is to see them as differences in communication and behavioral patterns.
When you’re autistic, it can feel as if there’s a communication gap between you and allistic (nonautistic) people.
You’ll likely experience differences in communication habits and behavioral patterns as an autistic person. Learning about these patterns can help you understand these gaps.
The differences that come with being autistic can bring both unique benefits and challenges. For example, some people find their ability to hyperfocus allows them to power through work, but small changes in the daily routine impact them much more than they do other people.
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Autism exists on a spectrum, which is why it’s currently called autism spectrum disorder (ASD). The level of your support needs will usually help clinicians find where you are on the autism spectrum.
Since autism exists on a spectrum, the level of support needed in day-to-day life varies greatly from person to person.
The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) looks at three levels of needs, which are defined by how much support the autistic person requires.
- Requires support. People at this level may be more independent. Challenges with social interaction, change, or uncertainty may still be hard to manage without some support.
- Requires substantial support. Some social interaction and change may be manageable for people at this level, but a consistent level of support is necessary.
- Requires very substantial support. People in this category may have minimal speech and social interaction. Handling change may be a significant challenge.
In addition, many diagnoses tied to autism spectrum disorder are now outdated and seen as part of the autism spectrum. Some autistic people still identify with these diagnoses.
Some of these diagnoses and labels include:
- Asperger’s disorder
- Rett syndrome
- Kanner’s autism
- high-functioning autism
- atypical autism
- pervasive developmental disorder
Every autistic person is unique. An autistic person won’t always fit exactly into one of these levels or categories. For instance, some autistic people may be nonverbal but need only minimal support in day-to-day life.
If you’re autistic, you might find that differences in the way you interact with others leads to misunderstandings or miscommunication.
And if you haven’t gotten a diagnosis but think you might be autistic, it can be frustrating to navigate these differences when you’re not sure what’s causing them.
The DSM-5 places autism symptoms into two main categories:
- patterns of communication and social interaction
- patterns in behavior and interests
Since autism is a neurodevelopmental disorder, the first signs tend to appear in early childhood and infancy. Still, some autistic people don’t get a diagnosis until adulthood, especially if they’ve gotten used to masking their differences.
Autistic people may show certain patterns of communication. These patterns usually involve verbal or spoken communication and nonverbal communication like facial expressions and body language.
These communication-related autism symptoms impact:
- social skills and interaction
- nonverbal communication
- relationships and social connection
You can learn more about these communication patterns below.
Social skills and interaction
Hand gestures during a conversation and figures of speech can be hard to decode for some autistic people. Still, these communication differences can show up differently from person to person.
For autistic people who need higher levels of support, it can be harder to initiate or respond to social interaction. And while many autistic people speak in full sentences, other people might be nonverbal — meaning they tend not to speak out loud — and communicate in other ways.
Nonverbal communication is how people communicate with each other without words. Autistic people tend to engage in nonverbal communication differently than nonautistic people.
Autistic people might have difficulty with:
- eye contact
- decoding facial expressions or hand gestures
- expressing their thoughts and feelings
- matching the facial expressions of behaviors of other people
Relationships and social connection
People with autism may find it difficult to connect emotionally with other people, especially nonautistic people.
Difficulties adjusting speech and behavior to match the mood of a conversation might make it harder for some autistic people to start or maintain a relationship, for example.
In autistic children, this can look like not participating in games that involve imagination. Autistic children may also show a lack of interest in making friends, although this is not true for all autistic people.
A large part of autism also involves behavioral differences. These differences usually involve limited and repetitive behaviors.
These can include:
- stereotyped behaviors (repetitive behavioral patterns)
- rigid routines and dislike of change
- “narrowed,” or strong and specific focus
- differences in responses to surroundings
You can learn more about these behavioral patterns below.
Stereotyped behaviors are behaviors that are repeated over and over but don’t seem to have a clear purpose.
Still, these behaviors do
These behaviors can involve:
- hand flapping
- finger flicking
- coin spinning
- lining up objects
- other repeated actions
Autistic people might also tend to repeat the speech of other people. This is called
Rigid routines and preference for structure
If you’re autistic, you might feel strongly about certain daily routines, habits, or rules.
Changes to these things can also be difficult. A change that seems insignificant to someone else might feel like a big impact for you.
For example, you might have a specific walking route or always eat a certain brand of cereal. If someone tries to change these routines or something happens that makes them impossible, it can bring feelings of instability, feeling lost, or not knowing what to do next.
Narrowed focus, interests, and preoccupations
Autistic people may have a strong focus or “narrow” interest in certain topics or subjects.
For example, an autistic child might prefer to play with a single toy over all other objects. An autistic adult might have an area of interest in a specific topic that they know a lot about.
Hyperfocus on certain activities and
Responses to stimuli in the environment
Over- or under-sensitivity to stimuli in the environment is another common behavioral sign of autism.
- Someone with hypersensitivity may react in a way that seems out of proportion to a situation. For instance, an autistic person might cover their ears in a room where multiple people are talking at once.
- An autistic person with hyposensitivity might react less strongly to stimulation or sensations. They might not react to pain or changes in temperature, for example.
Some autistic people may also be drawn to certain sensory experiences, including:
For example, while one person might repetitively smell or touch an object, another person might fixate on objects of a certain color or texture.
In most situations, autism is diagnosed during childhood. Parents may notice behavioral differences in their child and consult a doctor for more information.
After watching the child’s communication and behavior, the clinician will be able to help determine whether the child meets the criteria for autism. Your doctor might also refer you to a specialist who is skilled at recognizing autism in children.
According to the DSM-5, you might meet the criteria for an autism diagnosis if your communication and behavioral patterns:
- impact multiple areas of your life
- have been present since your early childhood
- make areas of your life, like work or relationships, harder to manage
- aren’t better explained by an intellectual disability
A clinician who’s diagnosing autism will also note whether it’s accompanied by intellectual and/or language impairment or with catatonia.
If you’re an adult and think you might be autistic, it can be difficult to find a specialist who knows how to diagnose autism in adults. While this can be a challenge, it’s not impossible.
It can help by sharing your thoughts with your primary care doctor and asking if they can refer you to a specialist who can provide more insight.
While autism spectrum disorder is most often diagnosed in childhood, milder presentations of autism may not be diagnosed until adulthood.
Autistic adults who are “high functioning,” or who have less noticeable communication and behavioral differences, may experience:
- anxiety in new or unstructured situations
- difficulty decoding what makes sense to say in conversations
- stiff or exaggerated body language or hand gestures
- the wish to make friends but lack understanding of how to do it
Autistic adults may camouflage their repetitive behaviors when around other people. Suppressing these behaviors, which can be soothing, may lead to autistic burnout for some people.
If you’re autistic, you’ll likely show certain patterns of behavior and communication. And while some autistic people need a lot of day-to-day support, others need only a little.
Many autistic people lead happy, full lives. For some autistic people, behavioral patterns make day-to-day living harder or negatively impact their mental health. If this sounds like you, learning ways to manage these patterns can help.