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Academy of St. Louis Academy of St. Louis

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Understanding Autism Spectrum Disorder (Previously Known as Asperger’s)

What was once referred to as Asperger’s syndrome is now diagnosed as part of Autism Spectrum Disorder (ASD) under current clinical guidelines. People who may have previously been diagnosed with Asperger’s often have average to above-average intelligence and strong verbal skills, but may experience challenges with social communication, flexibility, and sensory processing.

These individuals may require minimal support, though the level of support needed can vary from person to person. While the term “Asperger’s” is still commonly used in casual conversation, it is no longer a formal medical diagnosis.

At its core, autism is not a deficit—it’s a different way of experiencing and interacting with the world.


Early Signs of Autism in Children Formerly Diagnosed with Asperger’s

Parents may begin noticing signs of ASD when their child starts preschool or begins interacting with peers in more structured settings.

Common early signs may include:

  • Difficulty interpreting social cues (like facial expressions or body language)

  • Struggles with starting or maintaining conversations

  • Preference for routines and discomfort with unexpected changes

  • Tendency to take things literally, missing sarcasm or jokes

  • Speaking in a formal or advanced manner for their age

  • One-sided conversations focused on specific, intense interests

  • Avoiding eye contact or displaying unusual facial expressions

  • Unusual posture or body movements

  • Deep interest in a narrow topic or hobby

  • Delayed motor skills (e.g., difficulty catching a ball or using utensils)


What To Do If You Notice These Signs

1. Observe and Document

Keep track of your child’s behaviors and how they affect everyday life. Details such as when and where behaviors occur can be helpful during an evaluation.

2. Speak With Your Child’s Teacher

Teachers may notice social differences or communication challenges during classroom interactions. Their insights can provide important context during the diagnostic process.

3. Trust Your Instincts

If something feels off, don’t hesitate to speak to your child’s doctor. Early support can help your child build skills, improve communication, and reduce stress related to sensory or social challenges.


Getting a Diagnosis

If concerns persist, your child’s pediatrician can refer you to a specialist with experience in evaluating and supporting children on the autism spectrum. These professionals may include:

  • Developmental Pediatrician – Specializes in child development and related challenges

  • Child Psychologist – Focuses on emotional and behavioral development

  • Pediatric Neurologist – Treats conditions related to brain and nervous system development

  • Child and Adolescent Psychiatrist – Can assess and manage mental health concerns, and prescribe medications if needed

  • Speech-Language Pathologist – Supports communication skills, both verbal and nonverbal

A diagnosis can open the door to supports such as therapy, educational accommodations, and social skills training.


Looking Ahead

With the right supports, children on the autism spectrum can flourish. Many go on to do well in school, form meaningful relationships, and lead successful, fulfilling lives.

Understanding your child’s unique way of thinking and communicating is the first step toward empowering them to thrive in their own way.

What is ASD?

What is ADHD?

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