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[quote=Anonymous]I don't have much expertise to offer other than parenting experience with a small subset of these issues.  So I guess the first thing I'd offer is just empathy for your difficulties and the frustrations with getting a child with challenges where they need to go.

For what it's worth, you've mentioned perseverative interests, sensory hyperacuity, and difficulties with empathy and social understanding/behavior.  Those all certainly sound like there could be ASD issues in play, but others have pointed out that there are challenges that aren't necessarily rooted in ASD. I think my main caution is that a diagnosis is only useful insofar as it leads to your child getting the help he needs.

No label or diagnosis applies perfectly to any child; your child is an individual, unique.  A diagnosis doesn't magically translate into a solution, it only points to things that can be tried that have helped other children with similar challenges.

This is uninformed speculation on my part so please feel free to disregard it; but perseverative interests are often a result of difficulties in making sense of a chaotic world, causing the child to retreat to familiar scripts and routines.  And some of the antisocial behavior described seems to reflect a failure of perspective-taking, an insufficient focus on others' perspectives relative to one's immediate wants.  I don't think there are Pavlovian shortcuts to addressing these things, only the steady work of building up one's sensory management and social cognition and perspective-taking abilities.

Regardless, I wish you and your son well.

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