Mild Autism: Initial Symptoms in Children

Pediatrician and Pediatric Pulmonologist
June 2022
  1. Symptoms 
  2. Online test
  3. Diagnosis 
  4. Treatment 

Mild autism is not an accurate diagnosis used in medicine. Although it is a popular term, even within healthcare teams, it is used to describe a person on the autism spectrum that is capable of completing all activities of daily living. Some examples include communicating, reading, writing and completing basic hygiene measures independently. 

Currently, mid autism is considered to fall within level 1 autism, as the symptoms of this type are very mild. Symptoms in children with this type of autism are noted at around 2 to 3 years old, when they start having interactions with other people and start completing more complex tasks that are observed by family, friends or teachers.

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Main symptoms 

The characteristic symptoms of mild autism or level 1 autism can fall within these 3 areas: 

1. Communication problems 

One sign that the child may have autism is problems communicating with other people. Children may not be able to speak correctly and use incorrect words. They may not be able to express themselves with words. 

2. Difficulty socializing

Another very characteristic sign of autism is the difficulty socializing with other people. Children may have difficulty making friends, starting or keeping a conversation, or even making eye contact. 

3. Changes to behavior

Children with autism often have some challenging behavior that would otherwise not be observed in a child without autism. Some examples include having a repetitive pattern of movements and having a fixation for specific objects. Generally, some characteristics that may contribute to a diagnosis include: 

  • Interpersonal relationships are impacted 
  • Inappropriate laughing 
  • Lack of eye contact
  • Emotional distance
  • Reduced demonstrations of pain
  • Desire to always plays with the same toy or object
  • Difficulty focusing on one task and completing it 
  • Preferring to play on their own rather than with other children 
  • Not showing any fear in dangerous situations 
  • Repeating words or sentences in inappropriate places
  • Not responding to or ignoring their name 
  • Tantrums
  • Difficulty expressing their feelings with speech or gesture

People with mild autism are generally very intelligent and extremely sensitive to unexpected changes. 

Autism test

To assess the probability of your child having autism, report their characteristics in our online test below: 

Could it be autism?

Start the test
Illustrative picture of the questionnaire
Does your child like to play, jump on your lap, and enjoy being close to adults and other children?
  • Yes
  • No
Does your child have a fixation on a specific part of a toy, like the wheel of a car?
  • Yes
  • No
Does your child enjoy playing hide and seek, and laughs while playing and looking for the other person?
  • Yes
  • No
Does your child use their imagination while playing? For example: Pretending to cook and eat imaginary food?
  • Yes
  • No
Does your child take the adult's hand directly to an object they desire instead of grabbing it with their own hands?
  • Yes
  • No
Does it seem that your child can't play appropriately with toys (e.g. stacks cars instead of rolling them on the floor)?
  • Yes
  • No
Does your child like to show you objects by bringing them to you?
  • Yes
  • No
Does your child look into your eyes when you talk to them?
  • Yes
  • No
Does your child know how to identify people or objects? For example. If someone asks where Mom is, do they know who to point to?
  • Yes
  • No
Does your child show repetitive movements, like swinging their arms back and forth or flapping them?
  • Yes
  • No
Does your child like affection and reciprocate kisses and hugs?
  • Yes
  • No
Does your child lack motor coordination, walk on their tiptoes or is easily unbalanced?
  • Yes
  • No
Does your child become very agitated when he hears music or is in an unfamiliar environment, such as a crowded cafeteria, for example?
  • Yes
  • No
Does your child like to hurt himself by scratching or biting on purpose?
  • Yes
  • No

This test is not a diagnostic tool. If you suspect autism in your child, you should consult a pediatrician for a thorough assessment. 

Autism diagnosis 

The only way to confirm an autism diagnosis is to consult a pediatrician, who will formally assess the child’s behavior together with a health care team. The team will additionally discuss observed behavior with the parents and caregivers. 

Diagnosis can take months to years due to fear of a wrong diagnosis, even after parents or caregivers have noticed the initial signs. For this reason, autism interventions related to developmental obstacles can be initiated by a psychologist, even if a diagnosis is not confirmed. 

Treatment options 

Treatment of mild autism should be guided by a healthcare team, which may consist of a speech therapist and a psychotherapist. Different health care professionals can help the child to develop and to interact better with others, to help in their daily life. In addition, nutrition is very important for the treatment of autism, therefore children should also consult with a registered dietitian. 

Most children with autism require some assistance with some tasks, but with time, they may be able to gain independence to complete most of their activities of daily living. This autonomy will depend on the child’s level of commitment and interest. 

Is there are cure for level 1 autism?

Mild autism is not an illness, and therefore it is not a condition that requires curing. With the right stimulation, speech therapy, nutrition, occupational therapy, psychology and specialized education, a person with mild autism can achieve high levels of development. 

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Written and updated by Daisy Oliveira - Registered Nurse on June of 2022. Medical review by Dr.ª Sani Santos Ribeiro - Pediatrician and Pediatric Pulmonologist, on May of 2022.
Pediatrician and Pediatric Pulmonologist
Obtained medical degree at Rio Grande Federal University. CRM license #28364. Member of the Brazilian Pediatric Association.