My (local equivalent to) hv stunned me a year ago by suggesting my perfect but shy dd (3.5) had behavioural and developmental issues. I tried to reassure her that I had been just like that As a child but it didn't sway her.
Anyway, i was livid and devastated and I went for a second opinion and they said she was just fine.
The second opinion was wrong.
My dd has high functioning autism. Which can "mask" really well.
Fortunately I did a lot of research between the two appointments and was starting to put two and two together by the 2nd one, and walked out just thinking well, that was a waste of time.
I went private for full asd assessment to "put my mind at rest" and they all said asd... Even though not one of my friends or even my dp agreed. He does now tho.
She is wonderful: happy, polite, well mannered and cuddly. Great eye contact at home.
However, she can't interact in groups at all, daydreams (spaces out) and has slightly peculiar speech patterns when we can entice her to speak , which isn't all that often. No eye contact outside the home apparently.
I didn't think we had restrictive/repetitive behaviour but in hindsight It's tiny things like having the exact same size toothpaste every time. Cushions have to face right way. Watch tv programs in specific order. Must have an apple In the car. None of them seem significant but when you write them all down together and realise the lengths you go to to avoid conflict.......
We don't get the huge meltdowns that everyone thinks are a given for asd, we get shutdowns. She'll just lie down(the old stop and drop) and not move if the toothpaste is wrong, or if she's tired and the xyz is facing the wrong way. Doesn't talk AT ALL when tired or stressed. Except for the word quack or bum.
Your ds sounds like my dd. So, get it checked out. To put your mind at rest. Then you know you've done the best for your child.
I don't want to change dd, she's a delight, ( how many kids do you know that prefer tidying up to tipping toys out - we are always shell shocked when other kids come to visit, the noise, the mess) but I do want to make sure that if SHE decides she WANTS to have friends she can, and if she WANTS to converse she can. So we'll do the speech and OT and we'll learn as much as we can to make that WE understand HER and can support her learning style.
As an added note, she's only 4 and although we haven't told her "you have autism" cos she's just not ready yet, we have talked about how she thinks a little differently, ..... Just like mummy and daddy do.