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Social Communication Limited eye contact or inconsistent response to their name Delayed speech or language development Difficulty understanding or using gestures, facial expressions, and tone of voice Challenges initiating or sustaining back-and-forth conversation Repetitive Behaviors Repeating words, phrases, or sounds (echolalia) Insistence on sameness in routines or environment Intense, narrow focus on specific topics or objects Repetitive physical movements such as hand-flapping, rocking, or spinning Sensory Sensitivities Strong aversions to specific sounds, textures, lights, or smells Seeking out intense sensory input such as pressure or movement Unusual pain tolerance, either heightened or significantly reduced Distress in busy or unpredictable environments Why Do Families Choose Panama for Autism Screening

doi: 10.1161/CIRCINTERVENTIONS.109.889881 350

Mandal et al, 1994), yet none of these observations have proven pathogenic associations with PSC