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18 mos old, spinning, doesn't talk, Autism or SPD?

Ever since he was 5 months old he would always have this repetitive hand movement opening and shutting his hands all day over and over he would never stop unless to sleep. Now at 18 months he still does these things but add to hitting every object in the room he can find and this is also non stop repetidly. He also hits his mouth really hard over and over again to where he hurts himself pretty badly. He spins in circles a lot and he throws horrible tantrums. It's getting to be a lot and I'm still just trying to get ideas on if this is SPD or something else. He is a great sleeper, great eater, he took a while to walk and crawl but now he does it no problem, he can't talk except for saying mama and meme other than that he babbles all day but while he's babbling he's hitting everything and I can't make him stop and if I do he throws a tantrum and 5 seconds later he's hitting himself and everything again it's like his brain won't let him stop hitting and it's really hard to see. He does it from the time he's awake to the time he goes to sleep. He doesn't really "play" with toys he scratches objects. He also claps over and over again repetidly in a bad way. What do you think this is? He is loving he lays his head on me all the time but he is not at the level that an 18 month old should be at. Does this sound like autism or SPD or something else? Any ideas on what to do? He smacks everything and hurts himself, he's alright around other kids but he is always always hitting. Help please??!
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replied February 3rd, 2019
Thank you for asking at Ehealth forum!

I read your question and I understand your concern.
These symptoms are consistent with mild autism.
He would need psychiatric assesment for clarification.
I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care
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