Understanding the spectrum and its impact.
Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects how a person experiences and interacts with the world. While there are common characteristics, autism is not a one-size-fits-all diagnosis — which is why it’s described as a spectrum.
Each individual with autism is unique. Some may need significant support with day-to-day life, while others may live independently and excel in areas like logic, memory, or creativity. What they have in common is a different — not broken — way of thinking and processing information.
What exactly is autism spectrum disorder?
ASD is defined by persistent challenges in social communication, along with restricted or repetitive behaviours, interests, or activities. These differences begin in early development, although the signs may not be obvious until later.
It’s important to note: autism is not a mental illness. It’s a neurodevelopmental condition, meaning it’s related to how the brain grows and forms connections. Many autistic people prefer to identify as “neurodivergent” — a term that challenges the idea that there’s one ‘normal’ way to think, behave, or learn.
Why is it called a spectrum?
The word “spectrum” highlights the broad range of traits and levels of support autistic people may need. One person might be non-verbal with high sensory sensitivity, while another might speak fluently but find social situations deeply confusing and draining.
In short: No two autistic people are exactly alike.
Some individuals may appear high-functioning but still struggle with anxiety, burnout, or sensory overload. Others may need lifelong assistance with daily tasks.
Common features of ASD
While every autistic person is different, some shared characteristics include:
- Challenges with social communication
Difficulty reading facial expressions, understanding tone of voice, or following social ‘rules.’
- Repetitive behaviours and routines
Repeating movements (like hand-flapping), insisting on strict routines, or developing deep interests in specific topics.
- Sensory sensitivities
Over- or under-sensitivity to lights, sounds, textures, or smells — a loud room or itchy clothing can feel unbearable.
- Strong interests or focus
Many autistic individuals develop deep, focused passions for particular subjects — from dinosaurs to computer code.
- Differences in learning and play
Some may struggle with imaginative play or prefer factual, logical tasks. Learning may be uneven — excelling in some areas while lagging in others.
Why awareness and understanding matter
ASD isn’t rare — and diagnosis rates are rising, not necessarily because autism is increasing, but because we’re getting better at recognising it. Still, many autistic individuals go undiagnosed, especially girls and adults, or those in rural or under-resourced communities.
Stigma, myths, and misunderstanding still surround autism. Early diagnosis and support can make a world of difference — but so can acceptance and inclusion.
Whether you’re a parent, teacher, healthcare worker, or simply someone who wants to understand others better, recognising the signs and symptoms of Autism Spectrum Disorder is a powerful first step.
Reviewed April 2025. Always consult a professional for individual guidance.
Laura Hall Speech and Language Therapist Leicester
Challenges and Opportunities for Autistic Adults in SA


