ActNowASD
My child's age

Tailors each page to their stage — you can change it anytime.

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Everything on this site

Every reference page on the site, grouped by section. Use the search box at the top for long-tail questions (sleep, IEP goals, M-CHAT, seizures), or browse the list.

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Early years

Early intervention and the age-3 school handoff

Under age 3, most states offer early intervention without an autism diagnosis. At 3, services usually move to the school district. Here is how both systems work, how to avoid a gap at the birthday, and what to do this week.

22 min read · Start here

Newly diagnosed

Just diagnosed: what actually matters first

You have been handed a diagnosis and a stack of leaflets. Shock, grief, and relief can all show up at once. Most of the to-do list can wait. A small number of things genuinely cannot.

20 min read · Start here

By age

Signs of autism by age — what parents actually notice

Autism traits show up differently at two, at seven, and at fifteen. Here is what parents and clinicians look for at each stage — drawn from developmental surveillance guidance — and what to do if the pattern is familiar.

20 min read · Start here

Start here

What autism is — a plain-language explanation

Autism is a lifelong difference in how a person experiences the world, communicates, and processes information. It is not a disease. Here is what that means day to day — and what to do with the information.

20 min read · Start here

Every day: sleep, food, behaviour, bodies

Safety at school

Bullying and social rejection at school

Autistic students face higher rates of bullying. Changes in mood, school refusal, or ‘behaviour’ after school are often the first clues. Document, report, and demand a plan.

18 min read · Every day

Social

Friendships and social time

Many autistic children want connection and still find unstructured social time exhausting or confusing. Quality of friendship matters more than a large social calendar.

18 min read · Every day

Every day

Family gatherings, outings, and trips

Holidays, restaurants, museums, and travel can work — with preview, sensory plans, exit routes, and permission to leave early. Here is how to prepare so the day is not only survival.

18 min read · Every day

Growing up

Puberty, hygiene, privacy, and consent

Body changes, new sensory experiences, and social rules arrive together. Clear, concrete teaching works better than hints — and privacy, consent, and dating need the same plain language as hygiene.

21 min read · Every day

Every day

Sensory differences in autistic children

Many autistic children experience sound, light, touch, movement, and taste more intensely or less intensely than others. Changing the environment usually helps faster than trying to train the child to tolerate overload.

17 min read · Every day

Start here

Nobody in this house is sleeping

Sleep is the load-bearing problem. When it goes, behaviour, eating, learning and your own ability to cope go with it. It is also one of the most treatable things on this site.

20 min read · Every day

Every day

Stimming — what it is and when to worry

Stimming is common in autistic children. Most of the time it is regulation, joy, or sensory seeking — not a behaviour to extinguish. Here is how to support it and when safety needs a plan.

16 min read · Every day

Every day

Toilet training and toileting delays

Many autistic children toilet-train later than peers. Medical causes, sensory issues, and communication access matter more than “try harder.” Here is a practical order of steps.

18 min read · Every day

Talking and communication

Evidence

Giving a child a way to be heard

The fear that a device will stop a child speaking is the single most common worry parents raise. The evidence points the other way. Here is what AAC is, how to start, and how to get access at school and at home.

18 min read · Talking

Talking

Joint attention — sharing focus and early connection

Joint attention is the skill of sharing focus with another person about something — looking where you look, pointing to show, enjoying a moment together. It is a common early difference in autism and a practical place to start support.

18 min read · Talking

Safety

Safety

Online safety for autistic children and teens

The internet can be connection, special-interest joy, and risk — scams, grooming, cyberbullying, and sleep collapse. Here is how to teach skills, set boundaries, and respond when something goes wrong.

19 min read · Safety

Appointments

Getting through the appointment

Untreated dental and ear pain are major drivers of pain-related behaviour, and children who can't tolerate an examination are exactly the children whose problems go unfound.

18 min read · Safety

Safety

Self-injury and head-banging — safety first

Some autistic children hit their head, bite themselves, or otherwise cause injury when overloaded, in pain, or unable to communicate. This is a safety and communication problem — not a character flaw.

16 min read · Safety

School and services

School plans

IEP or 504? The difference in plain language

Both are legal documents. They come from different laws, they do different things, and schools do not always steer families toward the right one. Here is how to choose, request, and judge the goals.

17 min read · School

School rights

IEP disputes — when you disagree with the school

Disagreement with a school is common and does not make you a difficult parent. Here is how Prior Written Notice, facilitation, mediation, state complaints, and due process fit together — and what to do before you escalate.

20 min read · School

School plans

IEP goals for autistic students

Good IEP goals name a real skill, how it will be measured, and why it helps your child learn or participate — not how typically they look. Here is how to read present levels, rewrite weak goals, track progress, and walk into the meeting prepared.

24 min read · School

School

Starting school — preparation and placement

The jump into preschool or primary school is a major transition for autistic children. Here is how to prepare, what to ask about placement, and how to build supports before the year unravels.

19 min read · School

Looking ahead

Transition planning ages 14–16 and after school

By the mid-teens, schools must plan for life after high school. Here is what belongs in the plan, how to involve your teenager, what a Summary of Performance is, and how families think about adulthood decisions without treating guardianship as automatic.

22 min read · School

Health and genetic testing

Co-occurring

Autism and ADHD together

Autism and ADHD often occur together. Overlap can confuse families and schools. Here is how they differ, how both can be true, and what to ask for in assessment and support.

16 min read · Health & testing

Mental health

Anxiety in autistic children and teens

Anxiety is extremely common alongside autism and is treatable. It often shows up as rigidity, avoidance, stomach-aches, or meltdowns around uncertainty — not only as worry talk. Here is how to recognise it and what to try first.

20 min read · Health & testing

Codes & systems

Autism diagnostic codes — DSM-5, ICD-10, insurance

Reports and bills use different coding systems. DSM-5-TR is how many US clinicians describe the diagnosis. ICD-10 codes often appear on insurance claims. Here is how to read both, what DC:0–5 is, and how to use documentation when services are denied.

22 min read · Health & testing

Screening

M-CHAT-R screening explained — what it is and what it is not

The M-CHAT-R is a short parent questionnaire used to screen toddlers for autism-related social communication concerns. It is not a diagnosis. Here is how the tool works, what risk bands mean, what the follow-up interview adds, and exactly what to do next.

22 min read · Health & testing

Health

Losing skills — developmental regression

When an autistic child loses words, toileting, or other skills, treat it as a medical and developmental signal — not only a behaviour phase. Here is what to watch and what to do.

15 min read · Health & testing

Mental health

Anxiety, depression, and burnout in autistic youth

Autistic teenagers face high rates of anxiety and depression, and many describe burnout after years of masking. Here is what parents can watch for, what helps day to day, how school should respond, and when to get urgent help — without treating distress as ‘just autism.’

24 min read · Health & testing

Explained

Genetic testing, explained without the jargon

Testing cannot diagnose autism — your child already has that answer. What it can do is find an underlying condition that carries its own health risks, its own screening plan, and occasionally its own treatment.

19 min read · Health & testing

Something for you

For you

Autism awareness months, colours, and symbols

April is autism awareness and acceptance month in the US. Some common symbols are contested. Here is what the dates mean, what many autistic people prefer, and what is actually useful for families.

11 min read · For you

For you

Unsolicited advice, relatives, and boundaries

After a diagnosis — or when your child is simply having a hard day in public — advice arrives uninvited. Here is how to protect your plan, your privacy, and your energy without winning every argument.

17 min read · For you

For you

Protecting your partnership after a diagnosis

A child’s autism diagnosis does not end a relationship — but uneven load, sleep debt, and endless admin can strain it. Here is how couples and co-parents reduce systemic fatigue without making the child the problem.

18 min read · For you

Family

Brothers and sisters

Siblings usually cope well and quietly, which is exactly the problem. Coping quietly is easy to mistake for not needing anything.

17 min read · For you