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Act 1 · Understand

Understanding Autism

Autism is not one thing. It is a spectrum — vast, varied, and deeply human. Here is what it means to live with autism, in all its complexity.

What is autism?

"Autism is not a disease to be cured. It is a different way of experiencing and engaging with the world — one that comes with its own strengths and challenges."

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects how a person perceives, communicates, and interacts with the world around them. It is present from birth, though it may not always be identified until later in life.

The word "spectrum" is important — no two persons with autism are the same. Some may be highly verbal and independent; others may be non-verbal and require significant support throughout their lives. What they share is a different way of processing the world.

Autism is not caused by parenting, diet, or vaccines. It is not something to be "fixed." For many, it is a core part of who they are.

Key facts

  • Autism affects approximately 1 in 100 people worldwide
  • It is diagnosed about 4 times more often in males than females, though females are often underdiagnosed
  • Many persons with autism have co-occurring conditions such as ADHD, anxiety, or epilepsy
  • With the right support, persons with autism can lead meaningful, fulfilling lives

What assumptions have you made about autism before today — and how has what you've learned changed them?

The spectrum
The spectrum

"When you've met one person with autism, you've met one person with autism."

The autism spectrum is not a linear scale from "mild" to "severe." It is more like a colour wheel — a wide, multidimensional space where each individual has their own unique profile of strengths and support needs.

A person may excel at pattern recognition or memory, while finding social communication or sensory environments challenging. Another may be deeply empathetic but struggle with transitions or unexpected change.

Support needs also vary enormously — and can change over time, across environments, and with the right tools and understanding in place.

What the spectrum looks like

  • Some individuals are highly verbal; others use augmentative communication devices or sign language
  • Some live independently; others need lifelong support with daily living
  • Some have exceptional abilities in specific areas such as music, art, or mathematics
  • Behaviours and needs can look very different in different settings — home, school, community

How can understanding the spectrum help you respond to each person as an individual rather than a diagnosis?

Early signs and diagnosis
Early signs and diagnosis

"Early identification opens doors — but it is never too late to understand and support someone with autism."

Autism is typically identified in early childhood, though many individuals — particularly females and those with higher support needs masked by coping strategies — are not diagnosed until much later.

Early signs can include differences in eye contact, social interaction, language development, play, and response to sensory stimuli. However, these vary widely and no two children present the same way.

A diagnosis is not a limitation — it is often a key that unlocks the right support, understanding, and community. It helps families, educators, and the individual themselves make sense of their experience.

Common early signs

  • Limited or unusual eye contact
  • Delayed speech or using language in unusual ways
  • Preference for sameness and difficulty with transitions
  • Intense focus on specific interests
  • Unusual reactions to sensory input — sounds, textures, lights
  • Differences in social play or understanding others' perspectives

If a child in your life showed some of these signs, how would you respond with curiosity and care rather than alarm?

Autism in Singapore
Autism in Singapore

"Singapore has made significant strides — but every person with autism still deserves more than we are currently offering."

In Singapore, autism prevalence has risen steadily — from 1 in 150 in 2004 to 1 in 100 today. As awareness and diagnosis improve, more families are seeking support earlier.

Organisations like St. Andrew's Autism Centre (SAAC) work to bridge critical gaps — from early intervention and special education to post-school programmes and lifelong residential care. Yet demand continues to outpace supply, particularly for adults with moderate to severe support needs.

The need for community understanding, inclusive environments, and sustainable funding has never been greater.

SAAC at a glance

  • Founded in 2005 to serve persons with moderate to severe autism
  • 536 students, trainees, clients and residents served in 2025
  • Services span a special education school, day activity centres and a 24/7 residential home. SAAC also runs pilot programmes in supported employment (Dignity of Work), and supported living in the community (Enabled Living Programme).
  • SAAC is a service arm under St. Andrew’s Mission Hospital (SAMH)

What is one thing Singapore's community — including you — could do to better support persons with autism and their families?

Exhibition panels
Understanding Autism — panel 1
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Understanding Autism — panel 2
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