3 Levels of Autism: Differences & Similarities

In this article, we'll go over the differences and similarities between the three levels of autism.

judah schiller
Judah Schiller
August 13, 2023
Published On
August 13, 2023

What Are The 3 Levels of Autism?

Autism Spectrum Disorder (ASD) is a developmental disorder that affects communication, social interaction, and behavior.

It is a complex condition that affects people in different ways, and there are three levels of severity that are used to diagnose individuals with ASD.

In this article, we will explore the differences and similarities between the three levels of autism.

Level 1: Requiring Support

Level 1 is the mildest form of ASD. Individuals with Level 1 autism require some support to function in social situations. They may have difficulty initiating and maintaining conversations, making friends, and understanding social cues.

They may also have repetitive behaviors or restricted interests. However, they are able to function independently in most areas of their lives.

Symptoms of Level 1 Autism

In addition to requiring some support to function in social situations, individuals with Level 1 autism may exhibit a range of symptoms. These can include difficulties with nonverbal communication, such as maintaining eye contact or reading body language. They may also struggle with changes in routine or have very specific interests that they focus on intensely.

Other common symptoms of Level 1 autism can include sensory sensitivities, such as being easily overwhelmed by loud noises or bright lights.

They may also have difficulty processing and organizing information, which can make it challenging to follow instructions or complete tasks that involve multiple steps.

It's important to note that the symptoms of autism can vary widely from person to person, even within the same level of severity. However, understanding the common traits associated with each level can help parents and caregivers provide appropriate support and interventions for individuals with ASD.

Diagnosis of Level 1 Autism

Diagnosing Level 1 autism involves a comprehensive evaluation by a qualified healthcare professional. The diagnostic process typically includes a thorough review of the individual's medical history, developmental milestones, and behavior patterns.

Medical professionals may also use standardized assessments to evaluate the individual's communication and social skills, as well as their cognitive abilities.

One commonly used assessment is the Autism Diagnostic Observation Schedule (ADOS), which involves observing the individual in various social situations and noting any behaviors that suggest ASD.

It's important to note that diagnosing Level 1 autism can be challenging because individuals with this level of severity may not exhibit obvious symptoms or behaviors. However, early diagnosis is critical for providing appropriate support and interventions to help individuals with ASD reach their full potential.

Treatment of Level 1 Autism

While there is no cure for autism, early intervention and treatment can significantly improve outcomes for individuals with ASD. Treatment for Level 1 autism typically involves a combination of behavioral therapy, medication, and support services.

Behavioral therapy focuses on developing social skills and improving communication abilities.

This can include individual or group therapy sessions that aim to teach individuals with ASD how to initiate and maintain conversations, read nonverbal cues, and understand social norms.

Medication can also be used to manage symptoms associated with Level 1 autism. For example, selective serotonin reuptake inhibitors (SSRIs) may be prescribed to help manage anxiety or obsessive-compulsive behaviors.

Support services such as occupational therapy or speech therapy may also be recommended to help individuals with ASD develop practical skills that will enable them to function independently in daily life.

Overall, the goal of treatment for individuals with Level 1 autism is to help them reach their full potential by providing appropriate support and interventions. With early diagnosis and ongoing treatment, many individuals with ASD are able to lead fulfilling lives and make meaningful contributions to their communities.

Level 2: Requiring Substantial Support

Level 2 is a moderate form of ASD. Individuals with Level 2 autism require substantial support to function in social situations. They may have significant difficulty with communication, social interaction, and behavior.

They may have limited speech, difficulty expressing their needs, and may engage in repetitive behaviors or have restricted interests. They may also have difficulty with daily living skills, such as personal hygiene and self-care.

Symptoms of Level 2 Autism

Individuals with Level 2 autism may exhibit a range of symptoms that are more severe than those associated with Level 1. In addition to requiring substantial support to function in social situations, they may have significant difficulty with communication, social interaction, and behavior.

One common symptom of Level 2 autism is delayed language development. Individuals with this level of severity may not begin speaking until later than expected or may have limited speech abilities.

They may also have difficulty understanding and using nonverbal cues, such as facial expressions or gestures.

Other common symptoms of Level 2 autism can include repetitive movements or behaviors, such as flapping their hands or rocking back and forth. They may also have restricted interests that they focus on intensely to the exclusion of other activities.

In addition to these symptoms, individuals with Level 2 autism may also struggle with sensory processing issues. They may be hypersensitive to certain stimuli, such as loud noises or bright lights, or hyposensitive to others, making it difficult for them to understand the world around them.

It's important to note that while these symptoms are common among individuals with Level 2 autism, they can vary widely from person to person. A comprehensive evaluation by a qualified healthcare professional is necessary for an accurate diagnosis and appropriate treatment plan.

Diagnosis of Level 2 Autism

Diagnosing Level 2 autism involves a comprehensive evaluation by a qualified healthcare professional. This typically includes a thorough review of the individual's medical history, developmental milestones, and behavior patterns.

Medical professionals may use standardized assessments to evaluate the individual's communication and social skills, as well as their cognitive abilities. One commonly used assessment is the Autism Diagnostic Observation Schedule (ADOS), which involves observing the individual in various social situations and noting any behaviors that suggest ASD.

Other assessments may include the Childhood Autism Rating Scale (CARS), which assesses communication, social interaction, and behavior; or the Social Communication Questionnaire (SCQ), which is a parent-report measure that evaluates social communication skills.

In addition to these assessments, medical professionals may also conduct physical exams or refer individuals for further testing if necessary.

For example, they may order genetic testing or brain imaging studies to rule out other conditions that can mimic the symptoms of autism.

It's important to note that diagnosing Level 2 autism can be challenging because individuals with this level of severity may have more subtle symptoms or behaviors than those with Level 3 autism. However, early diagnosis is critical for providing appropriate support and interventions to help individuals with ASD reach their full potential.

Treatment of Level 2 Autism

Treatment for individuals with Level 2 autism typically involves a combination of behavioral therapy, medication, and support services. The goal of treatment is to help individuals with ASD improve their social communication and daily living skills so that they can function independently as much as possible.

Behavioral therapy focuses on developing social skills, improving communication abilities, and reducing challenging behaviors. This can include individual or group therapy sessions that aim to teach individuals with ASD how to initiate and maintain conversations, read nonverbal cues, and understand social norms.

Applied Behavior Analysis (ABA) is one type of behavioral therapy that has been shown to be effective for individuals with Level 2 autism.

ABA uses positive reinforcement techniques to increase desired behaviors and decrease challenging behaviors. It also focuses on breaking down complex skills into smaller steps so that individuals with ASD can learn them more easily.

Medication may also be used to manage symptoms associated with Level 2 autism. For example, antipsychotic medications may be prescribed to reduce aggression or self-injurious behavior. However, it's important to note that medication should always be used in conjunction with behavioral therapy and other support services.

Support services such as occupational therapy or speech therapy may also be recommended to help individuals with ASD develop practical skills that will enable them to function independently in daily life.

Occupational therapists can work with individuals on activities of daily living (ADLs), such as dressing, grooming, and meal preparation. Speech therapists can help individuals improve their communication abilities by teaching them alternative forms of communication, such as sign language or picture exchange systems.

Overall, early intervention and ongoing treatment are critical for helping individuals with Level 2 autism reach their full potential. With appropriate support and interventions, many people with ASD are able to lead fulfilling lives and make meaningful contributions to their communities.

Level 3: Requiring Very Substantial Support

Level 3 is the most severe form of ASD. Individuals with Level 3 autism require very substantial support to function in social situations. They may have little or no speech, and may communicate through nonverbal means such as gestures or pictures.

They may have significant difficulty with social interaction and behavior, and may engage in self-injurious behaviors or have aggressive outbursts. They may also have significant difficulty with daily living skills, such as personal hygiene and self-care.

Symptoms of Level 3 Autism

Individuals with Level 3 autism may exhibit a range of symptoms that are more severe than those associated with Level 2. In addition to requiring very substantial support to function in social situations, they may have significant difficulty with communication, social interaction, and behavior.

One common symptom of Level 3 autism is the absence or limited use of speech. Individuals with this level of severity may not speak at all, or may only use a few words or phrases.

They may communicate through nonverbal means such as gestures, pictures, or electronic devices.

Other common symptoms of Level 3 autism can include self-injurious behaviors such as head-banging or biting themselves, aggression towards others or objects, and repetitive movements like hand flapping or rocking back and forth. They may also have restricted interests that they focus on intensely to the exclusion of other activities.

In addition to these symptoms, individuals with Level 3 autism may also struggle with sensory processing issues.

They may be hypersensitive to certain stimuli such as sounds or textures, making it difficult for them to tolerate everyday experiences like getting dressed or brushing their teeth.

It's important to note that while these symptoms are common among individuals with Level 3 autism, they can vary widely from person to person. A comprehensive evaluation by a qualified healthcare professional is necessary for an accurate diagnosis and appropriate treatment plan.

Diagnosis of Level 3 Autism

Diagnosing Level 3 autism is a complex process that requires a comprehensive evaluation by a team of qualified healthcare professionals. This typically includes a thorough review of the individual's medical history, developmental milestones, and behavior patterns.

Medical professionals may use standardized assessments to evaluate the individual's communication and social skills, as well as their cognitive abilities.

One commonly used assessment is the Autism Diagnostic Observation Schedule (ADOS), which involves observing the individual in various social situations and noting any behaviors that suggest ASD.

Other assessments may include the Childhood Autism Rating Scale (CARS), which assesses communication, social interaction, and behavior; or the Social Communication Questionnaire (SCQ), which is a parent-report measure that evaluates social communication skills.

In addition to these assessments, medical professionals may also conduct physical exams or refer individuals for further testing if necessary.

For example, they may order genetic testing or brain imaging studies to rule out other conditions that can mimic the symptoms of autism.

It's important to note that diagnosing Level 3 autism can be challenging because individuals with this level of severity may have more subtle symptoms or behaviors than those with Level 1 or 2 autism.

However, early diagnosis is critical for providing appropriate support and interventions to help individuals with ASD reach their full potential.

Overall, an accurate diagnosis of Level 3 autism requires a multidisciplinary approach that takes into account all aspects of the individual's development and behavior.

With early diagnosis and ongoing treatment, many individuals with ASD are able to lead fulfilling lives and make meaningful contributions to their communities.

Treatment of Level 3 Autism

Treatment for individuals with Level 3 autism typically involves a comprehensive approach that focuses on addressing the individual's unique needs and challenges. The goal of treatment is to help individuals with ASD improve their quality of life by providing appropriate support and interventions.

Behavioral therapy is a critical component of treatment for individuals with Level 3 autism. This can include applied behavior analysis (ABA), which uses positive reinforcement techniques to increase desired behaviors and decrease challenging behaviors.

ABA can also help individuals with ASD learn new skills, such as communication, social interaction, and daily living skills.

In addition to behavioral therapy, other types of therapy may also be recommended. For example, speech therapy can help individuals with limited or no speech develop alternative forms of communication, such as sign language or picture exchange systems.

Occupational therapy can focus on improving daily living skills, such as dressing, grooming, and meal preparation.

Medication may also be used to manage symptoms associated with Level 3 autism, such as aggression or self-injurious behavior. However, it's important to note that medication should always be used in conjunction with behavioral therapy and other support services.

Individuals with Level 3 autism may also benefit from specialized education programs that are designed to meet their unique needs. These programs can provide structured learning environments that focus on developing communication skills and promoting independence.

Finally, support services such as respite care or in-home assistance may also be recommended for individuals with Level 3 autism and their families.

These services can provide much-needed relief for caregivers while ensuring that the individual receives consistent care and support.

Overall, treatment for individuals with Level 3 autism requires a multidisciplinary approach that takes into account all aspects of the individual's development and behavior. With appropriate support and interventions, many people with ASD are able to lead fulfilling lives and make meaningful contributions to their communities.

Similarities Between the Three Levels

Despite the differences between the three levels of autism, there are some similarities. Individuals with ASD may have difficulty with sensory processing, which can lead to hypersensitivity or hyposensitivity to certain stimuli.

They may also have difficulty with executive function, which can affect their ability to plan, organize, and complete tasks.

Additionally, individuals with ASD may have difficulty with transitions and changes in routine, and may become upset or anxious when their routine is disrupted.

Frequently Asked Questions

Can an individual's autism level change over time?

Yes, an individual's autism level may change over time. With appropriate support and intervention, individuals with ASD may acquire new skills and improve their ability to function in social situations. However, it is important to note that some individuals with ASD may require lifelong support.

Is Level 3 autism the same as low-functioning autism?

No, the terms "Level 3" and "low-functioning" are not interchangeable. While Level 3 is the most severe form of ASD, it does not necessarily mean that an individual has intellectual disability or low cognitive ability. It simply means that they require very substantial support to function in social situations.

Are there any treatments for autism?

While there is no cure for autism, early intervention and appropriate support can help individuals with ASD acquire new skills and improve their ability to function in social situations. Applied behavior analysis (ABA), speech therapy, occupational therapy, and medication are among the treatments that may be recommended for individuals with ASD.

How common is autism?

According to estimates from the Centers for Disease Control and Prevention (CDC), approximately 1 in 54 children in the United States has been diagnosed with ASD. It is four times more common in boys than girls.

What should I do if I suspect my child has autism?

If you suspect your child has ASD, it is important to seek a professional evaluation as soon as possible. Early diagnosis and intervention can lead to better outcomes for individuals with ASD. You can start by talking to your child's pediatrician or contacting a local organization that provides services for children with developmental disabilities.

Conclusion

In conclusion, Autism Spectrum Disorder is a complex condition that affects individuals in different ways. The three levels of autism provide a framework for understanding the severity of the condition, and the support that individuals may require.

While there are differences between the three levels, there are also similarities in the challenges that individuals with ASD may face.

Understanding these differences and similarities can help individuals with ASD, their families, and their caregivers to better understand and support their needs.