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How to recognise Autism Spectrum Disorder (ASD) in a young child?

Writer: Dr Annabelle ChowDr Annabelle Chow

Updated: 3 days ago

Why doesn’t my child respond when I call his/her name? Parents tend to mention this as one of the first worrying sign that is different about their child. Before we dive into early signs, let’s understand Autism Spectrum Disorder (ASD).


ASD affects approximately 1 in 150 children and is a developmental condition that affects how a child communicates, interacts, and experiences the world. It’s a considered a “spectrum” as every individual with ASD is unique, with own strengths and challenges. Though the exact cause is unknown, research shows a combination of genetic and environmental factors.


Signs of ASD in children

Every child experiences the world in their own unique way. When ASD is suspected, there are some early signs. The child may have difficulty making eye contact, tend to avoid noisy, bright or crowded spaces, or stick closely to routines. Some may have speech delay or struggle to play and connect with peers. Some may fixate intensely on specific interests or have meltdowns if he/she is distracted from the focus. These differences can manifest as early as infancy or toddlerhood.


How early can ASD be diagnosed in children?

Children are usually diagnosed between 4 to 6 years of age, while early signs can appear by 18 months. Research shows that children benefit most from early interventions when diagnosed with ASD before 3 years old. In Singapore, healthcare professionals are working towards improving early detection with special screening tools.


What can parents do to support their child with ASD?


Love and support are crucial to the children’s development and growth.



  1. Start Early Intervention: Therapy programs, such as speech, behavioural, or occupational therapy, can help your child build important skills. The earlier these supports begin, the easier for your child to pick up these skills.


  2. Encourage Communication: Pay attention to how your child communicates, whether through words, gestures or behaviour. Use visual aids, simple instructions and modelling to help them express themselves more effectively.


  3. Create Predictable Routines: Many children with ASD find comfort in knowing what to expect. Prepare for activity transition by giving advanced notice using visual schedules, timers or “First, and Then” statements to make the transition smoother. A consistent and predictable daily schedule help them feel secure and reduce their anxiety.


  4. Celebrate Their Achievements: Every milestone, big or small, is worth celebrating. Positive reinforcement encourages your child to keep learning and growing.


  5. Connect with Support Networks: Don’t navigate this journey alone. Join parent support groups or connect with organisations like the Autism Resource Centre or CaringSG in Singapore. These resources can provide guidance, practical advice, and emotional support and valuable network.


  6. Look After Yourself: Caring for a child with ASD is demanding and there will be moments of mistakes and feeling lost or depressed. Show compassion for yourself, rest and pamper yourself when needed.


Parenting a child with ASD is challenging but can be fulfilling. With the right resources, patience and understanding, you can help your child discover own strengths and achieve his/her potential!



 
 
 

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