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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]A lot of kids tend to be anxious in that setting. I think it's the rare little kid that doesn't get anxious at the pediatrician.  Stop blaming OP.  [b]She could have role played all day with this child but it seems to me this doctor blew it, big time.  The comment about autism speaks volumes.[/b][/quote]

I don't agree. The child's behavior looked like the behavior of a kid with an ASD, per the OP's description.  It's sufficiently like an ASD that I was wondering about whether the kid has an ASD and OP is in denial, until she said that it had been ruled out.

On the other hand, my kid was "ruled out" for Asperger's at age 5 and diagnosed with an ASD at age 8.  OP's doctor is 100% right to keep that diagnosis in mind. [/quote]

Autism is not a "default" diagnosis when a child has trouble speaking.  That is pure ignorance.  Any pediatrician who peppers a young child with questions at a yearly appointment and then makes wisecracks about autism is on the level of a quack.  And I can't imagine how patients who are actually autistic are approached -- with TLC???
 [/quote]

Not a default, but always a possibility when a child doesn't speak. It has to be part of the differential.  It also has to be an open question until a child is much older than 4.  Asperger's is often not diagnosed until age 8, and sometimes as late as 10 or 12.  The doctor would be irresponsible if she wasn't still keeping it open as a possibility.

I don't perceive her comment as a wisecrack or an insult. Interesting that you perceive an ASD diagnosis as an insult.  Your bigotry is showing.  [/quote]

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