Autism spectrum disorders: observations in the developmental pattern. What the parent tell us?

The need to improve early detection of Autism Spectrum Disorder (ASD) implies improving tools in the first line of care for the child. The dimensionality of ASD, according to the international classifications (APA and ICD), recognizes the heterogeneous nature of the disorder and the involvement of multiple areas at different levels of severity. In order to avoid delay in the diagnosis process, it is proposed that the paediatrician could include in the general anamnesis the exploration of behavioural manifestations that usually concur in the evolutionary pattern of these children to expedite the evaluation by the corresponding specialist who finally determines the diagnosis, if applicable. These observations are differentiated in 11 areas, also reflecting how parents express these problems in the consultation. This contribution is expected to serve as a practical guide for the early detection of ASD among the professionals who care for the child first.