Behaviours of concern
Behaviour that is distressed, aggressive or unsafe is usually communication. It tends to arise when a need is unmet, an environment is overwhelming, a routine has been disrupted, or something is causing pain or discomfort that the person cannot easily report.
Australian practice looks first for the cause rather than at the behaviour alone. That means checking for pain, illness, dental problems, constipation, poor sleep, sensory load, communication barriers and changes in environment, and addressing what is found. Positive behaviour support, delivered by qualified practitioners, builds strategies around the person and their setting.
Diagnosis
Around 3 times more males than females are diagnosed with autism, though autism is thought to be underdiagnosed in females. Autistic girls and women often have stronger language and communication skills and greater capacity to mask by imitating social behaviour, which delays recognition. Many find out in adulthood.
Autism is diagnosed by a psychiatrist or a psychologist, using standardised tools, and support levels from 1 to 3 are assigned according to the level of support a person needs. In children, a paediatrician is often involved alongside speech pathology and occupational therapy assessment.
Support available in Australia
Support is built around the individual rather than aimed at changing who they are. It commonly includes speech pathology, occupational therapy including sensory strategies, psychological support, positive behaviour support, and educational adjustments.
The National Disability Insurance Scheme funds supports for eligible people, and early intervention is recommended for children. Adults seeking diagnosis or support can start with a GP.