Getting the hook
A brief overview of “getting the hook” or finding your child’s “spotlight of attention” and emerging in play (part of the ESDM).
There are a wide range of causes of a speech delay. Some children may have only a delay in language, for which many children “catch up” as they get older and undergo therapy. Other children may have a more general developmental condition where speech delay is one sign of a broader condition, such as autism. Still other children could have other issues such as a hearing impairment. If you notice speech delay in your toddler, you should speak to your pediatrician or a specialized health care provider about your concerns.
The underlying biology in the brains of people with autism is not fully understood by researchers and scientists, and a single underlying process in the brain has not been found. The general consensus among scientists is that genetic factors cause changes in brain structure and connectivity, which in turn affects socialization and communication skills and causes the characteristic behaviors in people with autism. A significant amount of research time and funding is ongoing to better understand the biology of autism. We have additional details on the biology of autism and links to research in our new parent kit.
It’s important to note that the initial signs of autism in children can vary significantly for each child. Different children will often show different signs — some children may show many signs and other children may show few signs. The time course can also vary by child, with some children showing signs at a very young age (first few months of life), others showing signs after 1-2 years of life, and still other children appearing to have a normal development for their first couple of years and then appearing to regress and lose abilities they used to have (such as losing communication skills). And it is also possible to have some of the symptoms of autism but not have autism spectrum disorder. Because of this complexity, a specialized health care provider is needed to establish a diagnosis of autism.
A wide body of scientific research supports that early detection of speech delays and early intervention is beneficial to young children. Indeed, the CDC has a campaign called Learn the Signs, Act Early to encourage early detection of potential delays in young children.
Conceptually, there are 3 broad categories of treatment modalities used to support children with autism: 1) behavior and communication approaches, 2) medications, and 3) complementary and alternative medicines, including dietary approaches. What is needed for each individual child will vary and should be based on a consultation with an expert provider in autism.