Social communication and interaction A child or adult with autism spectrum disorder may have problems with social interaction and communication skills, including any of these signs: Fails to respond to his or her name or appears not to hear you at times Resists cuddling and holding, and seems to prefer playing alone, retreating into his or her own world Has poor eye contact and lacks facial expression Doesn't speak or has delayed speech, or loses previous ability to say words or sentences Can't start a conversation or keep one going, or only starts one to make requests or label items Speaks with an abnormal tone or rhythm and may use a singsong voice or robot-like speech Repeats words or phrases verbatim, but doesn't understand how to use them Doesn't appear to understand simple questions or directions Doesn't express emotions or feelings and appears unaware of others' feelings Doesn't point at or bring objects to share interest Inappropriately approaches a social interaction by being passive, aggressive or disruptive Has difficulty recognizing nonverbal cues, such as interpreting other people's facial expressions, body postures or tone of voice (All Of This Is The Best Way To Explain How My ASD Or Autism Spectrum Disorder Formerly Known As Asperger's Syndrome Effects Me On A Daily Basis)

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