Frequently Asked Questions 常见问题

Answers to common questions about autism, diagnosis, and family support.

关于自闭症、诊断和家庭支持的常见问题解答。

What causes autism? 自闭症的原因是什么?

The exact causes of autism are not fully understood, but research shows it is primarily influenced by genetics. Studies of twins and families show that genetics play a significant role. Environmental factors may also contribute, but there is no scientific evidence linking autism to vaccines, parenting styles, or diet. Autism is a neurological difference present from birth.

自闭症的确切原因尚未完全了解,但研究表明它主要受遗传因素影响。双胞胎和家庭研究表明遗传因素起着重要作用。环境因素也可能有所贡献,但没有科学证据将自闭症与疫苗、养育方式或饮食联系起来。自闭症是一种从出生起就存在的神经学差异。

At what age can autism be diagnosed? 自闭症可以在什么年龄被诊断?

Autism can be reliably diagnosed as early as 18 months of age, though many children are not diagnosed until age 4 or later. The American Academy of Pediatrics recommends screening at 18 and 24 months. Asian American children are often diagnosed later than their peers — studies show a gap of 1-2 years compared to white children. If you have concerns about your child's development, don't wait — talk to your pediatrician immediately.

自闭症最早可以在18个月时被可靠诊断,但许多儿童直到4岁或更晚才被诊断。美国儿科学会建议在18个月和24个月时进行筛查。亚裔美国儿童通常比同龄人更晚被诊断——研究显示与白人儿童相比有1-2年的差距。如果您对孩子的发展有担忧,不要等待——立即与您的儿科医生交谈。

Can my child still be bilingual? 我的孩子还能双语吗?

Yes! Research consistently shows that bilingualism does not cause additional language delays in children with autism. In fact, bilingual exposure may provide cognitive benefits. The American Speech-Language-Hearing Association (ASHA) recommends that families continue using their home language. Speaking Chinese at home helps your child maintain family connections, cultural identity, and communication with grandparents and relatives.

是的!研究一致表明,双语不会导致自闭症儿童额外的语言延迟。事实上,双语接触可能提供认知益处。美国言语语言听力协会(ASHA)建议家庭继续使用他们的母语。在家说中文有助于您的孩子保持家庭联系、文化认同,以及与祖父母和亲戚的沟通。

How do I explain autism to my parents/in-laws? 我如何向父母/公婆解释自闭症?

This is one of the most common challenges for Chinese American families. Here are some approaches that have worked for other families:

  • Use medical terminology: Framing autism as a medical/neurological condition (rather than a behavioral issue) can help older generations understand it's not about parenting
  • Share Chinese-language resources: Provide articles and videos in Chinese that explain autism clearly
  • Involve them in therapy: Inviting grandparents to observe therapy sessions can help them see the progress and understand the approach
  • Be patient: Acceptance takes time. Focus on the progress your child is making
  • Find a Chinese-speaking professional: Having a doctor or therapist explain the diagnosis in Chinese can be very effective

这是华裔美国家庭最常见的挑战之一。以下是一些对其他家庭有效的方法:

  • 使用医学术语:将自闭症定义为医学/神经系统状况(而不是行为问题)可以帮助老一辈理解这与养育方式无关
  • 分享中文资源:提供清楚解释自闭症的中文文章和视频
  • 让他们参与治疗:邀请祖父母观察治疗过程可以帮助他们看到进步并理解方法
  • 保持耐心:接受需要时间。关注您的孩子正在取得的进步
  • 找一位讲中文的专业人士:让医生或治疗师用中文解释诊断结果可能非常有效

Is autism covered by insurance? 保险是否覆盖自闭症?

Yes, most health insurance plans are required by law to cover autism diagnosis and treatment. All 50 states have autism insurance mandates, though the specifics vary by state. Medicaid also covers autism services. If your insurance denies coverage, you have the right to appeal. Visit our Navigate the System page for detailed guidance on insurance coverage.

是的,大多数健康保险计划依法必须覆盖自闭症的诊断和治疗。所有50个州都有自闭症保险授权,尽管具体情况因州而异。Medicaid也覆盖自闭症服务。如果您的保险拒绝覆盖,您有权提出申诉。请访问我们的体系导航页面,获取有关保险覆盖的详细指导。

Can children with autism go to regular school? 自闭症儿童可以上普通学校吗?

Yes! Many children with autism attend regular schools with appropriate supports. Under federal law (IDEA), your child has the right to be educated in the "least restrictive environment." This means they should be included in general education classrooms to the maximum extent appropriate, with supports such as an IEP or 504 Plan. The right placement depends on your child's individual needs — options range from full inclusion with support to specialized classrooms.

是的!许多自闭症儿童在适当支持下在普通学校就读。根据联邦法律(IDEA),您的孩子有权在"最少限制环境"中接受教育。这意味着他们应在最大适当范围内被纳入普通教育课堂,并获得IEP或504计划等支持。合适的安置取决于您孩子的个别需求——选项从全融合支持到专门教室不等。

Can autism be cured? 自闭症可以治愈吗?

Autism is a lifelong condition — there is currently no cure. However, with early intervention and appropriate therapies, many individuals with autism make significant progress in communication, social skills, and daily living. The goal of treatment is not to "cure" autism but to help individuals reach their full potential and lead fulfilling lives. Many autistic adults live independently, have careers, and contribute meaningfully to their communities.

自闭症是一种终生状况——目前没有治愈方法。然而,通过早期干预和适当的治疗,许多自闭症个体在沟通、社交技能和日常生活方面取得了显著进步。治疗的目标不是"治愈"自闭症,而是帮助个体发挥其全部潜力并过上充实的生活。许多自闭症成人独立生活、拥有事业,并对他们的社区做出有意义的贡献。

Where do I start if I suspect my child has autism? 如果我怀疑我的孩子有自闭症,我该从哪里开始?

  1. Talk to your pediatrician: Share your specific concerns. Ask for a developmental screening.
  2. Contact Early Intervention: For children under 3, your state's Early Intervention program provides free evaluations.
  3. Request a school evaluation: For children 3 and older, your school district must evaluate your child if requested in writing.
  4. Seek a comprehensive evaluation: Ask for a referral to a developmental pediatrician or autism specialist for a thorough assessment.
  5. Don't wait: The earlier your child receives support, the better the outcomes. Trust your instincts as a parent.
  1. 与儿科医生交谈:分享您具体的担忧。要求进行发育筛查。
  2. 联系早期干预:对于3岁以下的儿童,您所在州的早期干预项目提供免费评估。
  3. 请求学校评估:对于3岁及以上的儿童,如果您以书面形式提出请求,学区必须对您的孩子进行评估。
  4. 寻求综合评估:要求转介到发育儿科医生或自闭症专家进行全面评估。
  5. 不要等待:您的孩子越早获得支持,效果越好。相信您作为父母的直觉。