Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

How to talk to a child with autism

Kathleen O’Grady
Conditions
December 25, 2013
Share
Tweet
Share

The holiday season means most of us will be socializing with colleagues and neighbors, friends and family.  Chances are good this circle of friendly acquaintances and loved ones will include a child with autism.

Why? An estimated 1 in 88 children are now diagnosed with the neurological disorder, with a four times prevalence for boys.  Among other challenges, those with autism often have difficulties with social communication (be it verbally or via a communication device) which can make casual conversation challenging.  But that doesn’t mean they should be left out.

Contrary to popular belief, most kids with autism are not anti-social.  Yet, many “neurotypicals” still struggle when it comes to including a child with autism in the conversation.  Those that do try, often fail because they don’t know a few essential rules that can help make the interaction possible.

1.  Don’t start the conversation with a question — begin with a statement. A question, even a simple question like, “How are you?” or “What’s your favorite color?” can be like an exam for some children with autism.  If they fail the first question, the conversation is over before it starts.

It’s often not that they don’t know what you are saying or how to answer, but that the answer sometimes gets ‘trapped’ between the thought and the verbal expression of the thought. The slightest change in environment — background noise, pace of speech, accent or their own anxiety when exposed to new environments and people — can make the answer to even a simple question enormously difficult.

So start the conversation with a statement instead, then the child does not have to ‘pass or fail’ at the outset.  They can build on your statement with a statement of their own if they so choose.  “I love your shirt;” or “Cool dinosaurs” are observational statements that invite the child to comment in kind, should they so choose.  Each statement then functions like a Lego block that you can add to piece by piece.

2.  Wait longer for an answer. Kids with autism don’t usually need you to speak slowly, but they do need time to form a response of their own.  Too often I’ve seen adults wait for a child’s response to a question, and when the response doesn’t come, immediately throw another question out there in hopes that the child will respond to the second attempt.

If they’d simply waited another twenty or so seconds, they may have had a response to their first query.  But now that they’ve thrown a second item out there, the child may get confused and freeze up trying to figure out if they should continue to respond to the first or second query.

Be patient.  Wait longer.  And just when you think you’ve waited long enough, count out five more seconds in your head, and wait again.  Each child has their own response time, so it may take a few tries to figure out how long they need.

3.  Don’t take it personally, and try again later. I know adults who have tried to engage children with autism and failed, and presume that the child doesn’t like them or is anti-social generally.  Neither is likely to be the case.

Kids on the spectrum sometimes just don’t respond to social communication — even when they are fully able, and even when they understand what’s going on.

It may be that the child is imagining something terrific in their head — their favorite video game or story line — and this is so powerful that they can’t be pulled out of their imaginary world into your social world at that moment.  You can’t compete, in other words.

Or sometimes the environment can be overwhelming and is making them too anxious or overloaded with sensory stimulus to respond.  But sometimes, it’s just that they don’t feel like talking.

By all means, try again and see if you can convince them that joining your conversation is worth the effort.  But if they still don’t respond, it’s not you, but it’s also not them — it’s just their present mood.  It will pass.

Try again later, and don’t take it personally.

Bottom line: Don’t ever leave a child with autism out of the conversation.  Chances are they want to engage, but they need to do so on their terms and within their abilities.  Make the effort, and not only will you make a child happy, it’ll make your day too.

Kathleen O’Grady is a research associate, Concordia University, Montréal. She has two sons, one with autism. She can be reached on Twitter @kathleenogrady.

Prev

Merry Christmas, American health care!

December 25, 2013 Kevin 3
…
Next

Can defensive medicine ever be stopped?

December 25, 2013 Kevin 56
…

Tagged as: Neurology, Pediatrics

< Previous Post
Merry Christmas, American health care!
Next Post >
Can defensive medicine ever be stopped?

ADVERTISEMENT

More by Kathleen O’Grady

  • a desk with keyboard and ipad with the kevinmd logo

    Parenting a child with autism

    Kathleen O’Grady

More in Conditions

  • The evolutionary intelligence of human milk: HMOs and lactose

    Rao M. Uppu, PhD
  • Grief and healing: Learning to live with absence

    Michele Luckenbaugh
  • I lost 218 pounds and my ability to walk: a bariatric surgery regret

    Stephanie Mojica
  • When a code blue happens on a psychiatry unit

    Devina Maya Wadhwa, MD
  • Why quality of life in health care is often overlooked

    Jeffrey Junig, MD, PhD
  • Menopause and the drop in cervical cancer screening

    Nenrot S. Gopep, MD, MPH
  • Most Popular

  • Past Week

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The future of U.S. medicine: 10 health care trends in 2026

      Richard E. Anderson, MD & The Doctors Company | Physician
    • The passion vine: a lesson on restraint in medicine and life

      Rao M. Uppu, PhD | Conditions
    • Navigating the patchwork of CME requirements by state

      Vladislav Tchatalbachev, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Heat therapy activates proteins that repair cells and protect the heart [PODCAST]

      The Podcast by KevinMD | Podcast
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • The evolutionary intelligence of human milk: HMOs and lactose

      Rao M. Uppu, PhD | Conditions
    • The hidden risks of AI-generated progress notes in psychotherapy

      Arthur Lazarus, MD, MBA | Tech
    • How AI in dentistry is changing your next checkup

      Sowjanya Gunukula, DDS | Tech
    • Grief and healing: Learning to live with absence

      Michele Luckenbaugh | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 2 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The future of U.S. medicine: 10 health care trends in 2026

      Richard E. Anderson, MD & The Doctors Company | Physician
    • The passion vine: a lesson on restraint in medicine and life

      Rao M. Uppu, PhD | Conditions
    • Navigating the patchwork of CME requirements by state

      Vladislav Tchatalbachev, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Heat therapy activates proteins that repair cells and protect the heart [PODCAST]

      The Podcast by KevinMD | Podcast
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • The evolutionary intelligence of human milk: HMOs and lactose

      Rao M. Uppu, PhD | Conditions
    • The hidden risks of AI-generated progress notes in psychotherapy

      Arthur Lazarus, MD, MBA | Tech
    • How AI in dentistry is changing your next checkup

      Sowjanya Gunukula, DDS | Tech
    • Grief and healing: Learning to live with absence

      Michele Luckenbaugh | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

How to talk to a child with autism
2 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...