Psychotic features in autism involve symptoms like hallucinations (hearing voices, seeing things) and delusions (fixed false beliefs, often paranoid), which can stem from or overlap with autism's core traits, like sensory issues, social misunderstandings, and difficulty with reality/imagination, potentially leading to extreme paranoia, unusual ideas (e.g., imaginary counselors), or disordered thinking, requiring careful distinction from typical autistic experiences but still warranting serious attention as they indicate a heightened risk for psychosis.
The most common delusional beliefs in ASD individuals are expansive (29), persecutory and passivity delusions, delusion of reference (30) or delusion of thought insertion and withdrawal (31) and “unusual idea” (32). In some cases, it is not easy to distinguish between “childish fantasies” and delusional beliefs (33).
Positive symptoms of psychosis include: Hallucinations. These are experiences that seem very real to the person but originate in the mind. The most common examples of hallucinations are hearing voices or seeing people or images that others cannot see.
Many autistic people are motivated to have friends, relationships and close family bonds, despite the clinical characterisation of autism as a condition negatively affecting social interaction. Many first-hand accounts of autistic people describe feelings of comfort and ease specifically with other autistic people.
Psychosocial factors may render individuals with ASD vulnerable to developing paranoia. Seven cross-sectional studies have examined paranoia in ASD. Levels of paranoia are higher in ASD, compared to typically-developing samples. ASD traits and neuropsychological functioning may precipitate and perpetuate paranoia.
Around 90% of autism cases are attributed to genetic factors, meaning autism is highly heritable, with many different genes contributing, rather than a single cause, often interacting with environmental influences during early brain development, though specific environmental factors don't cause it but can increase risk. Twin studies show strong genetic links, with concordance rates between 60-90% in identical twins, and research points to complex interactions of many genes and prenatal/perinatal factors.
The "6-second rule" for autism is a communication strategy where a speaker pauses for about six seconds after asking a question or giving information, giving the autistic person extra time to process it without feeling rushed, which helps reduce anxiety and allows for a more thoughtful response, reducing frustration for both parties. Instead of repeating or rephrasing, which can be confusing, you wait, and if needed, repeat the exact same words after the pause.
In general, people who have an active lifestyle are much more emotionally resilient and focused. There also seems to be some evidence that physical exercise helps people with depression and ADHD, which are commonly co-occurring conditions with autism.
The Autism Spectrum Disorder person often has no idea what he or she is feeling, and even less how you are feeling. Discussions tend to stay at a superficial level, often focused on facts, ignoring subtly and nuance, and with little regard to multiple perspectives on any given position.
Puzzle Solving. Many children with autism even those who are non-verbal love puzzles or even enjoy them. This is indeed popular and can be seen among many children. This hobby can be done and shared with friends, family or even doing on their own and it can be done anywhere as well.
Just like everyone, autistic people can have good mental health. However, according to the autism research charity Autistica, seven out of ten autistic people have a mental health condition such as anxiety, depression, attention deficit hyperactivity disorder (ADHD) or obsessive-compulsive disorder (OCD).
2e students have exceptional talents while also experiencing learning differences such as ADHD, autism, dyslexia, dysgraphia, or anxiety. They often have deep passions and remarkable strengths, and they shine in areas that capture their interest.
The acute stage is marked by the emergence of full-blown psychotic symptoms, often causing significant disruption to the individual's life. Key symptoms include. Audio and visual hallucinations (seeing or hearing things that aren't there) and in some cases tactile hallucinations (feeling things that aren't there)
Chinning is a form of repetitive self-stimulatory behavior (stimming) that you may notice in children or adults with autism. It involves pressing, rubbing, or holding the chin against objects, surfaces, or even hands to gain sensory input or comfort.
"Looping" in autism, often called "autism looping," is a non-clinical term for getting stuck in repetitive thought patterns, questions, or phrases, like a broken record, often due to anxiety, sensory overload, or a need for resolution, making it hard to switch focus and causing stress, overlapping with perseveration and rumination. It can manifest as replaying conversations, worrying intensely, or repeating sounds/words (echolalia) as a way to process or self-regulate.
The following disorders share many of the same symptoms as autism, which may result in a misdiagnosis:
Meltdowns can be expressed verbally (eg, shouting, growling, or crying), physically (eg, kicking or flapping) or a mixture of both ways. An autistic person will lose control of their behaviour because they are completely overwhelmed and are unable to express themselves another way.
Examples of literal thinking in autism
Common colloquial phrases are sometimes taken literally by autistic individuals, who may misunderstand the meaning. For example, if someone says, “Break a leg” or “Hit the books,” a literal thinker might take it as actually breaking a leg or physically striking their books.
Destructive and Disruptive Behavior:
Common forms of these behaviors include, but are not limited to, throwing, ripping, tearing, kicking, banging or breaking objects, furniture, or even windows.
People with Autism Spectrum Disorder need three basic factors for support: safety, acceptance, and competence. The focus has shifted from finding a cure to promoting acceptance and neurodiversity over the last two decades.
Sensory objects and toys are perfect for soothing the early stages of a meltdown. They can help decrease sensory overload (even if that seems counterintuitive) and provide a helpful distraction for the person with autism. There are plenty of sensory toys on the market if you want something convenient.
Research suggests that the average autism life expectancy is as low as 39 years. According to a different study, the average autism life expectancy was around 54 years old. That's still lower than the 72-year life expectancy for the general population.
There's no single "hardest" age for autism; challenges shift across developmental stages, with preschool (2-5) often tough due to noticeable differences in social/language skills, elementary (6-10) marked by growing academic/social demands, and adolescence (11-17) frequently being overwhelming due to complex social pressures, puberty, and identity formation, say Bluebell ABA Therapy and Blossom ABA Therapy. While early childhood (ages 3-6) sees initial progress for many, this often stalls around age six, a critical turning point where increased support is crucial, according to research, notes The Transmitter.
Floortime does not work on speech, motor or cognitive skills in isolation. It addresses these areas through its focus on emotional development. Overall, this method encourages children with autism to push themselves to their full potential. It develops “who they are,” rather than “what their diagnosis says.”
Children with autism may exhibit rigidity, inflexibility and certain types of repetitive behavior such as: Insistence on following a specific routine. Having difficulty accepting changes in the schedule. A strong preoccupation with a particular interest.