By Dr. Ma. Priscilla Pacifico–Ereño
Consultant, Section of Developmental and Behavioral Pediatrics
Department of Pediatrics
Asian Hospital and Medical Center
We often hear the saying, "Everyone is different." This is true in every aspect of our humanity, from how we look to how we think. Our brains, in particular, shape the way we understand and interact with life. For some, their unique way of processing the world is part of a neurodevelopmental difference known as autism
The Diagnostic and Statistical Manual of Mental Disorders (DSM 5) defines Autism Spectrum Disorder as persistent deficits in social communication and social interaction seen in multiple contexts, and the presence of restricted or repetitive behaviors and interests, with symptoms arising early in childhood and causing significant impairment. The signs, symptoms, and developmental course of the condition vary widely among individuals and across the lifespan.
The signs and symptoms
It is well established that developmental milestones follow a predictable pattern. Professional organizations, including the American Academy of Pediatrics, the Centers for Disease Control and Prevention, and the Philippine Pediatric Society, recommend that parents track developmental milestones to support early identification of autism.
Studies suggest that most children with ASD display typical social behaviors until around nine months of age, after which their social and communication abilities gradually decline. One of the earliest signs of autism is an infant’s inability to sustain eye contact by around nine months of age. Between 12 and 18 months of age, additional symptoms may become more apparent, including a limited ability to share enjoyment with parents, inconsistent responses to their name or other social bids for interaction, reduced use of gestures, and the emergence of atypical communication behaviors, such as using a parent’s hand as a tool rather than employing a range of gestures like waving or pointing.
Atypical patterns of object exploration, including repetitive manipulation (e.g., spinning), atypical visual inspection, circumscribed object-focused visual interests, and sensory aversions, are frequently observed, particularly with increasing age.
Although these represent the more common or typical signs and symptoms of autism, it is important to note that the manifestation of the condition varies with severity and may be less apparent in individuals with higher cognitive and language abilities.
Many individuals with ASD may also have co-occurring medical conditions such as seizures, restrictive food intake, and gastrointestinal issues, to name a few. Emotional and behavioral problems are also observed in some, including unusual mood responses, heightened anxiety or stress, or aggression.
It is important to emphasize that children with ASD may not present with all the described symptoms; however, early identification of signs is crucial to enable timely intervention and optimize outcomes.
Specialized care for every mind
Recognizing that ASD is a lifelong condition, the Center for Autism and Neurodevelopmental Disorders (CANDI) of the Asian Hospital and Medical Care Center combines clinical excellence with compassion and patient- and family-centered care.
What sets the CANDI apart is its multidisciplinary approach, wherein neurologists, developmental pediatricians, psychiatrists, internists, therapists, neuropsychologists, and other specialists work together to address the complex and distinct needs of each patient. This is especially valuable for individuals with ASD, as the CANDI looks beyond symptoms to support individuals with autism and their families across all stages of their life journey.
Each journey with ASD is unique, but help is always within reach. You may call us at 8771-9000 local 8444 or send us an email at [email protected] for inquiries. For more information, follow Asian Hospital social media pages for up-to-date information at AsianHospitalPH.