Diagnostic criteria for Pervasive Developmental Disorders (including Autism, Asperger’s, and others) include delays in social interaction skills, communication skills, and the presence of stereotyped or restricted behavior and interests. There is some variability in what is considered “typical” development, and it sounds as though your pediatrician was comfortable with his current level of development.
It can be very confusing to get opposing opinions on your child’s diagnosis from different professionals. Although I’d like to help, the only way to get an accurate diagnosis is through an in-person evaluation by a qualified professional. Given the conflicting recommendations and feedback, I would recommend that you take a conservative and proactive approach: Avail yourself of any services that have been offered (e.g., speech therapy) without going overboard with additional assessment at this time. Give him some time to respond to the therapy (at least a few months, I’d imagine) and then perhaps ask for a re-assessment. If his speech development is later assessed to be typical, and he is not showing any other signs of delay, then you can rest easy. If however, he continues to struggle, then you haven’t lost any time in getting him some help and might consider pursuing further services for him.
Good luck to you and your family.
I have to agree from personal experience. Our son had limited vocabulary at age two but always had great eye contact, interpersonal skills. He did not play with his toys very much but showed interest in other children etc.
We had numerous assessments and many opinions. We settled on speech therapy which led to OT for some sensory issues that were driving the communication delays. Our son flourished in therapy from age 2 to age 5 when the therapist actually used him as the role model for the other children.
We have a Neuro Typical diagnosis at this point and I do believe he probably was a late bloomer all along. I know the therapy was essential in helping him find his way through some communication difficulties and I couldn't be more proud of him!
S
raven, your son sounds just like a little boy in our church. His parents were frustrated over their child's pointing and non verbal ways, and of course, always comparing his behavior with other 3 year olds. Their pediatrician referred him to a speech therapist and that was the best thing! He has so improved in the communication department and is one of the most social and friendly 6 year olds I know. It's like he was released from his prison.
And as far as the school system suggesting autism, well, I will say that a non professional giving that kind of diagnosis possibility is out of line. I work in Special Education in the school system and I can tell you now that saying such a thing to a parent could get someone in trouble and financially responsible for that child's care. Whatever a school person might suggest, they had better have some resources to back up their claims!
You sound like you have a very normal child on your hands. Put little one in speech therapy now! By the time he gets to Kindergarten, he'll be caught up.