Our expert says:
From a distance it's obviously very hard to assess a child like this. It could be one end of the spectrum of normal behaviour at his age, or it could be more problematic. If he has been needing speech therapy for apparently refusing to speak, and a paediatrician who specializes in autism believes he mat have an autism spectrum disorder, it does sound as though there's something more going on than simple problems he'd just grow out of, and more than ADD. See what treatment the paediatrician suggests, and consider also consulting a child neurologist or a child psychologist, for further assessment
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