While many parents would not even consider it a big issue unless the child reaches a school going age where they are no longer able to mix with children of their age.

But the haunting truth is that the child may have developed virtual autism.

Virtual autism happens when a child, specifically under 2 years of age, get unrestricted access to longer screen times, say four hours or more. The repeated exposure to screens, where a child is primarily watching cartoons that are highly addictive due to bright colours, spontaneous transitions and attractive sounds, send them in trans state.

Here, the child gets engulfed in a world of their own which is dominated by screens where, in many cases, they also start speaking cartoonish language, mostly gibberish. And no, this doesn't mean the child is learning foreign accent, as most parents happily believe.

Virtual autism, in simple words, is when a child starts to show autism-like symptoms due to regular exposure of long screen time. It has become such a nuisance that doctors are strictly warning against the exposure of screens in children below two years of age.

"The problem arose specifically during the Covid-induced lockdown where people were locked in their homes for two years that too with limited resources for entertainment and therefore had to resort to screens. Which is when virtual autism also took a boom," said Dr Gayathri K, Consultant - Child & Adolescent Psychiatrist, Maarga Mind Care in Yelahanka, Bengaluru.

However, she insists, that it not wise for parents to automatically assume that any kind of autism symptoms can solely be attributed only to virtual autism. Since, this may lead them to delay seeking treatment.

But how to differentiate virtual autism from genetically rooted autism?

"Virtual autism only stems from autistic features which come because of extended screen time. Since, it's primarily environment induced, if this environment was changed and if the screen time is restricted and the children are made to interact with the outside world, most of these symptoms would resolve on their own. This is what technically was meant by virtual autism when it was supposedly coined around 2018," added Dr Gayathri

If the symptoms do not improve even after, it can mean the child suffers from genetically rooted autism.

About 30 per cent of the patients that visit the child psychiatry department in a month, Dr Gayathri said, fall under the spectrum.

However, not all instances of avoiding eye contact in children should be confused with autism spectrum disorder. Sometimes it could be something completely different, like extreme social anxiety in children, which is also becoming increasingly common.

"Eye contact is only one symptom of ASD. That alone does not make or break a diagnosis. We need to identify an entire spectrum of symptoms which make up a certain diagnosis," Dr Gayathri explained.

While ASD is heavily genetic and there is no documented cure for it, therapies can help manage symptoms.

"There's applied behaviour analysis and behavioural training, behavioural modification, which can be given primarily for behavioural concerns. Sensory integration techniques and occupational therapy, fine motor training, and sometimes cognitive retraining therapies are all helpful in the management of the disorder," Dr Gayathri said, insisting that there is no one-size-fits-all approach here.

A personalised treatment protocol is curated for every child based on the assessment and based on the challenges the child is facing in their day-to-day life ranging from intellectual to speech problems.

What are the early signs of genetically rooted autism?

The earliest red flags of autism that can be seen are as early as one or even one and a half years but are often ignore include name call response.

"When a parent is calling out for their child, the child will learn to turn when their name is being called at around one year. So by one, one and a half years, if there is no consistent response to name call, that is definitely a red flag," Dr Gayathri noted.

Second, when a parent is trying to reach out to lift the child and they're going closer to the child, or they're smiling at the child and the child is not recognizing and smiling back is a warning sign.

"This means that the child is not able to anticipate that they're getting picked up by the mother or father. Those are early signs that can be noted as early as one to one and a half years," she added.

Apart from these, the first thing which is generally noted by parents or Pediatricians when the child is taken for their vaccination schedules is if the child's milestones are delayed.

"Take for example if there is any speech or communication delay. We usually see if the child is able to communicate non-verbally, even if the verbal or speech skills are not fully developed yet. Then we also check for if the child able to point to things which they like, which is also called a single finger pointing," she said while concluding that early diagnosis and treatment is the key in managing both virtual and genetically-rooted autism.