Level 2 Autism

Level 2 Autism is a moderate level of autism that indicates a need for substantial support. The levels of autism are determined based on the level of support required by an individual in specific areas such as social communication and restricted or repetitive behaviors. These levels help caregivers, professionals, and clinicians understand and plan for the support an individual may need.

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Key Characteristics of Level 2 Autism

1. Social Communication Challenges

• Greater difficulty initiating or sustaining conversations.

• Reduced or inappropriate responses to social interactions.

• Limited ability to understand or interpret non-verbal cues (e.g., gestures, facial expressions).

• Communication often fails in back-and-forth exchanges (pragmatic language difficulties).

• Significant challenges in forming or maintaining relationships, even in structured social settings.

2. Restricted or Repetitive Behaviors

• More noticeable and disruptive repetitive behaviors or rituals compared to Level 1.

• Resistance to changes in routine or environment, leading to emotional distress if routines are interrupted.

• Narrow, highly focused interests that may dominate thoughts or conversations.

• Sensory sensitivities, such as being overwhelmed by loud noises, bright lights, or certain textures.

3. Need for Substantial Support

• Requires consistent support in daily activities at school, work, or home to manage communication and interactions with others.

• Difficulty adapting to changes without support and guidance.

• Daily living routines may need to be adjusted to accommodate sensory or behavioral needs.

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How Level 2 Differs from Other Autism Levels

• Compared to Level 1:

  • Greater reliance on support for communication and adaptability.

  • Restricted and repetitive behaviors are more apparent and interfere significantly with daily life.

• Compared to Level 3:

  • Less severe, but still requires substantial support.

  • Individuals may have some verbal communication but still face notable difficulties.

 

Examples of Challenges

• A person might be able to use speech but struggles to maintain a two-way conversation beyond basic exchanges.

• They may insist on eating the same food every day or arrange objects in a specific manner and experience distress if the routine or arrangement changes.

• Social gatherings or unpredictable environments may cause anxiety or meltdowns.

 

Support Strategies for Level 2 Autism

• Speech and Language Therapy: To improve communication skills and assist in using alternative forms of communication if necessary (e.g., visual aids or augmentative communication).

• Behavioral Therapy (e.g., ABA): Focuses on reducing repetitive behaviors and teaching adaptive skills.

• Occupational Therapy: Helps with sensory integration and daily living tasks.

• Social Skills Training: Structured programs to help individuals practice and improve social interactions.

• Environmental Accommodations: Creating stable routines, reducing sensory triggers, and providing predictability.