Evolving Autistic Behavior Patterns & Mental Wellness Across the Lifespan: A 3-Core Experience Domain Perspective

Kok Hwee Chia *

Merlion Paediatric Therapy Clinic, Singapore.

*Author to whom correspondence should be addressed.


Abstract

The aim of this conceptual paper is to explore the gradual evolving development of autistic behavior patterns (ABPs) across the lifespan, focusing on how the three Core Experience Domains (CEDs), i.e., sensory needs (Dynia et al., 2023), communication differences (Golson et al., 2022), and social interaction patterns (Chen et al., 2021), intersect to shape mental health outcomes for individuals with autism. It begins by tracing the historical development of autism, from its early psychiatric roots to the current understandings in neurodiversity-affirming frameworks. The paper highlights how behavioral changes over time are influenced not by a change in the autistic neurotype, but by lifespan developmental stages, environmental factors, support systems, and co-occurring conditions. The author’s proposed CED framework offers a strength-based model for understanding and supporting individuals with autism in ways that affirm their unique identity and promote long-term mental wellness. Using a hypothetical case study (Liam) with a ABP change curve, the author illustrates the critical role of individualized, context-sensitive support in reducing stress, enhancing self-esteem, and improving the overall well-being of a person with autism. The CED model encourages autism professionals and caregivers to prioritize autonomy, inclusive communication, and sensory-respectful environments across all lifespan developmental stages when working with individuals with autism.

Keywords: Autistic Behavior Patterns (ABPs), Autism Spectrum Disorder (ASD), Core Experience Domains (CEDs), mental health and wellness, neurodiversity-affirming frameworks


How to Cite

Chia, Kok Hwee. 2025. “Evolving Autistic Behavior Patterns & Mental Wellness Across the Lifespan: A 3-Core Experience Domain Perspective”. Asian Journal of Medicine and Health 23 (8):108-23. https://doi.org/10.9734/ajmah/2025/v23i81289.

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