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Virtual Autism: A New Threat to Toddlers

Dr. Anne-Lise Ducanda manipulates toy ball

Don’t miss the new interview “A Mother Speaks about Her Son and Virtual Autism”: Watch it here.

Pediatricians are alarmed that babies and toddlers who spend hours a day on phones, tablets, and around TVs can develop autistic-like symptoms, in a newly-identified condition termed Virtual Autism. The good news: the symptoms of Virtual Autism often disappear when the children stop all screen exposure and switch to face-to-face contact, reading, and play with caregivers, other children, and non-electronic toys.

Two doctors in France are leading an awareness campaign about Virtual Autism, which they explain in this video.

“Screen viewing several hours a day prevents the brain from developing and generates behavior problems and relationship problems,” reports Dr. Anne-Lise Ducanda, speaking also for colleague Dr. Isabelle Terrasse. “We decided to make this video to warn parents, professionals, and public bodies of the grave dangers of all screens for children between the ages of zero to four.”

The doctors had noticed more and more toddlers with unusual changes in behavior. Some had stopped responding to their names, they would avoid eye contact, and had become indifferent to the world around themcharacteristics of Autistic Spectrum Disorder (ASD). Others were developmentally behind for their age.

Pediatrician holds up drawings by two 4-year-olds. The drawing by the child who is on screens a lot is much less detailed than the one drawn by a child who doesn't spend much time on screens.

Drawing on left by a 4-year-old who spends little time on screen media. Drawing on right by a slightly older 4-year-old who was highly screen-exposed..

After asking parents in detail about the kids’ media use and household exposure, the doctors discovered almost all the children had spent large amounts of time on and around screens—in some cases, ten hours a day. But when the doctors had families eliminate or greatly reduce the children’s screen exposure, the ASD symptoms would almost always disappear.

Various studies in Romania have come to similar conclusions, one stating “sensory-motor and socio-affective deprivation caused by the consumption of more than 4 hours/day of virtual environment can activate behaviours and elements similar to those found in children diagnosed with ASD.”

Because this phenomenon has been so often observed in Romania, screen withdrawal there is now a therapeutic protocol for early ASD and a campaign is underway informing parents about the problem.

Romanian psychologist Marius Zamfir coined the term Virtual Autism. He worries about lack of motivation among children exposed to excessive screen content. “Children’s brains are used to getting pleasure without making any effort at all,” he says in this video made for the Romanian public information campaign.  

Meanwhile, a study released in 2022 of more than 84,000 Japanese babies and their mothers found that “among boys, longer screen time at 1 year of age was significantly associated with autism spectrum disorder at 3 years of age.”

“With the rapid increase in device usage,” concluded the authors, “it is necessary to review the health effects of screen time on infants and to control excessive screen time.” 

Study Proves Observable Brain Changes

A study of toddlers’ brains seems to bear out the behavioral indicators.

Cincinnati Children’s Hospital researchers show evidence in JAMA Pediatrics that young children who spend more than two hours a day on screens have less brain white matter. The brain’s white matter aids in thought processing and organization, as well as performing other vital functions.

“Think of white matter as cables, sort of like telephone lines that are connecting the various parts of the brain so they can talk to each other,” study author Dr. John Hutton told CNN.

“These are tracks that we know are involved with language and literacy,” he continued. “And these were the ones relatively underdeveloped in these kids with more screen time.”

47 healthy toddlers were studied. Screen exposure among them ranged from zero to about five hours a day.

In their report, the study authors did not make a connection to virtual autism nor did they specifically mention autistic-like symptoms.

Astronomical Rise in Autism Incidence

According to the U.S. Centers for Disease Control, in 1975—when VCRs first came on scene—only one in 5,000 children in the U.S. was reported to have ASD. But by 2016, video on demand had become ubiquitous and the incidence of ASD had risen to one child in 68. The CDC now estimates the rate is 1 child in every 44

Until very recently, “AV (audio-visual) exposure in infancy has been overlooked” as a risk factor for autism, according to research ophthalmologist Karen Frankel Heffler of Drexel University College of Medicine. As she writes in the journal Medical Hypotheses, “There has been an explosion in viewing opportunities for infants over the past 25 years, which parallels the rise in autism.”

“Attention in the vulnerable infant is drawn away from healthy social interactions toward TV, computer screens, and electronic toys,” according to Heffler.

In early 2020, JAMA Pediatrics published an analysis that Heffler co-authored which found that babies who viewed TV and videos at age one had a slightly greater chance of displaying autistic-like symptoms than non-TV watching babies by the age of two. Conversely, the study found, “Less screen exposure and more parent-child play at 12 months of age were associated with fewer ASD-like symptoms at 2 years of age.”

In 2022, Heffler’s team published a pilot intervention involving 9 children between 1 1/2 and 3 1/2 years of age who were diagnosed with ASD and watched at least 2 hours of screen media a day.

As the study shows, when screen time was replaced by increased interaction with caregivers, “Children’s screen viewing decreased from an average of 5.6 hours/day prior to intervention to 5 min/day during the study. Significant improvements were observed in core autism symptoms and parent stress from pre- to post-intervention.”

Heffler’s team also published a case study of two toddlers diagnosed with autism showed that when screen time was stopped and social time increased, there was “marked improvements in developmental trajectories.” 

Australian research also shows that babies with early signs of autism may avoid an autism diagnosis if parents are taught communication skills through video feedback

LEARN ABOUT THE LATEST TODDLERS AND SCREENS RESEARCH HERE FROM DR. KAREN HEFFLER  

Researcher has Firsthand Experience with Virtual Autism 

At the first ever Children’s Screen Time Action Network conference, I happened to meet Dr. Heffler’s research associate, Lori Frome, M.Ed. Frome is an autism treatment specialist who discovered, also by chance, that the symptoms in one of her ASD patients disappeared after her screen exposure was curtailed.

Frome then tried the same treatment on her own young son, who also had an ASD diagnosis. Over the course of several screen-free months and intensive face-to-face interaction with herself and other loved ones, he had “a complete developmental trajectory change in the core deficits of ASD,” as Frome describes in this video. In other words, her son became developmentally normal for his age. 

Screen media has a “very addictive power,” says Dr. Ducanda. “Little by little the child can no longer do without and demands it more and more. If the parents try and withdraw him, he can go into a real meltdown.”

Doctors Ducanda and Terrasse contend that heavy doses of screen time affect what would be, in pre-digital times, the natural wiring of a child’s brain.

Watching a ball move on a screen, for instance, does not register in a child’s mind the same way it does to manipulate and throw a ball. Says Dr. Ducanda: “The small child’s brain cannot develop without this sense of touch.”

Dr. Andrew Doan, an ophthalmologist and neuroscientist, produced this animated video to show how watching screen media can rewire a child’s brain. In this TEDx talk, I discuss the importance of parent-child Attachment and how digital devices can interfere. 

Avoiding Virtual Autism

So, what’s a parent to do? For one thing, to respect a child’s basic developmental needs. For kids to learn to speak, reason, and develop crucial social skills, they need face-to-face interaction with loving people and to use all their senses as often as they can.

A study from Iran proves the power of parent interaction and play. Investigators selected 12 toddlers with autistic-like symptoms who had spent half their waking hours on screen devices. Their parents were then given 8 weeks of lessons in how to play with their children, with an emphasis on eye-to-eye contact, loving touch, and continuous communication. While the parents applied these lessons at home, objects that had absorbed the children’s attention were taken away, including digital devices.

At the end of the two-month period, the children’s screen time had shrunk to a bare minimum, their ASD-like repetitive behaviors were greatly reduced, and brain studies showed ASD-like readings had returned to nearly normal.

Screen time duration drops in Journal of Asian Psychiatry Study from Iran

One of the study’s chief investigators told me consistency is the key. For the intervention to work, the parents had to stick with high-touch, high-talk interaction all day every day during the children’s waking hours. He says researchers can now confidently recommend that children under age three should spend their time playing and interacting face-to-face with caring adults and not using digital devices.

The American Academy of Pediatrics agrees that babies and toddlers should have no solo use of screens. Screen interaction should be limited to video calls with loved ones, with a caregiver standing by.  

Preschoolers shouldn’t have more than one hour of screen time a day “to allow children ample time to engage in other activities important to their health and development,” says the AAP.

The World Health Organization agrees that, for the sake of their health and proper brain formation, children under age one should have no exposure to screens.

Life Balance Guidelines for Infants from the World Health Organization

World Health Organization Infant Guidelines (Under Age One)

Early Childhood is a Once in a Lifetime Opportunity

When you look through Today’s lens, early childhood has become a rarified, once-in-a-lifetime pre-digital opportunity. As I write in The Durable Human Manifesto: Practical Wisdom for Living and Parenting in the Digital Age, each child begins life as a “wild human”—as free and unplugged as any other animal.

“When toddlers range around, freely using all of their senses to examine, taste and play with whatever they choose, they are making rich and lifelong neural connections.”

Boy playing outside with toy trucks

So kids can stay on a healthy developmental track, experts including Dr. Ducanda and Lori Frome recommend that you:

  • Talk, play, and read with your child every day as much as possible
  • Provide materials, toys, and games that require manipulation, such as a play dough, finger paints, and a play kitchen
  • Go outside at least once a day and make sure the child has time to play alone and with other children
  • Not use screens when you are with children
  • Not hand a phone to your baby or young child (and keep the screen locked, just in case)
  • Keep the TV off around kids under age four, even if the child doesn’t seem to be paying attention to what’s on the screen
  • Explain to family members and caregivers why these measures are essential to a child’s healthy development, durability, and well-being

Great grandfather plays on floor with great grandson

As Dr. Heffler points out in her research, autism-like characteristics that develop in very young children can have a variety of causes. Still, if symptoms do arise, Dr. Ducanda and her colleagues recommend keeping the child away from all screens for at least a month, which will require the cooperation of every household member. If that can be accomplished, she claims, the child’s ASD-like problems will likely “miraculously disappear or diminish considerably.”

Conversely, if a child has a full, well-balanced life with minimal time on screens, the symptoms may never emerge.

Virtual Autism Resources

Watch an interview of an American mother who came forward after discovering information on this post to tell the story of how her 14-month-old son developed and then overcame Virtual Autism. 

This site has links to Virtual Autism research and researchers.  

Watch webinars with Lori Frome M. Ed. who explains how to detect, treat, and avoid Virtual Autism: 

See latest webinar on YouTube:

Webinar Welcome Page "Virtual Autism. What to Look For. What to Do."

See previous webinar on YouTube: 

Welcome screen Virtual Autism webinar "Learn More About Virtual Autism"

Download Lori Frome’s specially-curated Parent Resource List from the box on this page.

Finally, in this simple online course, I teach parents why and how to create loving bonds with their babies and toddlers as well as to maximize their brain development and language learning.

Note: This post was last updated on November 15, 2022

About the author:

The mom of three practicing durable humans, DurableHuman.com founder Jenifer Joy Madden is a certified digital wellness instructor, health journalist, digital media adjunct professor, and author of How To Be a Durable Human: Revive and Thrive in the Digital Age Through the Power of Self-Design and The Durable Human Manifesto.

Her work has informed millions on ABC News and Discovery Health Channel, in The Washington Post, Readers Digest and other news outlets.

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Lakshmi

Hi…

I am very depressed…I took off the TV a year ago my son is really improving but he is doing auditory seeking and then crying it makes me very sad

Shumaila

Hi,
I am Shumaila, mother of 3.8 years child it’s been 1 yr of screen fasting he became verbal speaks what he feels, pain, itching, fear etc can ask some basic questions of where and what behaviour has also been improved but he is an extreme picky eater still only on milk biscuits and chips sometimes take bread with chocolate spread my question is how long it take to recover from these sensory issues as eye contact resumes within a month of screen removal. Does it take a long time to go? How much an average please guide.

Jenifer Joy Madden

Hi Lori,

My son is improving alot by removing screen.
He is now 3.4 and 1 year no screen
Name calling, identification ( abc varnmala colours shape family household object etc)
He will wave bye bye or radhey radhey, flying kiss.
Follow basic command (Give keys to dadi, wear sandel, close the door and etc)
If I ask him to say papa, dada, bada Dede he use to babble but no meanings full word yet.
If he want to listen any song like “happy birthday” he will come to me and clap and look into my and force me to sing the song.
Same like “wheels on the bus”
He will come to me and role his hand and he want me to sing d song but he will not utter any word.
He can point whatever he wants.
My question is why no meanings full word yet??

I

Robin

Hello, I am not a doctor but a mother who has been through this before.

When I went through screen removal with my son, language was the last thing to improve. After 5 months of no screens, he started to understand spoken language and gestures. It was very sudden. He only knew his name and “no’ for months…then all of a sudden his receptive language began to improve rapidly. He understood nouns, verbs, adjectives, multi-step instructions, everything. (Which sounds like where your child is at right now!) Next, he started to use gestures himself. He would point, bring flash cards with pictures of the item he needed from me, baby sign language, but no talking. Then 8 months into no screens his verbal language took off just as suddenly and just as rapidly. Now he talks from the moment he wakes up until the moment he falls asleep at night.

I would say don’t think of my timeline of breakthroughs at 5 months and 8 months of screen removal as relevant to your child’s case. Each child is different, had different amounts and different types of screen exposure… But I do think that language being the last thing to resurface and improve is typical.

Chelsea

My son is 18 months old. He started with cocomelon when he was about 6 months old for hours a day. Stays at home with dad. He was our first child who didn’t go to daycare because of cost and the pandemic. We took him for pictures at 12 months old and he would not make eye contact. The photographer mentioned it could a symptom of autism and I just brushed it off. As the months went on I started to notice other symptoms.

-does not respond to name
-no eye contact
– does not point
– language regression
-Hand flapping
– walking on tip toes

We went to his 18 month old check up recently and they recommend speech therapy/hearing test. I kept researching everything and stumbled upon the YouTube video about virtual autism.
The symptoms fit him to a T. We recently cut all screen time and boxed up all light up toys. It’s been about 10 days and his eye contact has improved slightly but still not responding to name. Hand flapping has decreased. Ive been giving as much face to face time as possible without overwhelming him or myself. Lots of peek-a-boo, patty cake and itsy bitsy spider. It’s been a hard process to follow as well as exhausting but I definitely see light at the end of the tunnel. I had a huge success in my eyes today when I was completely at my wits end. He was playing throwing his toys and just did not want to give me any attention (I’m sure he’s sick of me at this point lol) so I started to throw a ball on the wall and catch it. One because I was absolutely exhausted and secondly he was not interested in me joining in while he was playing. When the ball went the other way and I couldn’t catch it; he immediately ran after the ball and brought it to me. Then I began to purposely throw it to other parts of the room so hopefully he would repeat it and HE DID!!! Later on in the day without prompt he brought a ball to my oldest nephew and I could’ve cried. I know we have a long way to go and lots of improvement but I’m so glad I found this page and YouTube channel. I would of never known.

Robin

Congratulations!

I also was so excited at the progress my first two weeks of no screens with my son that I also posted a comment to this article!

You are right, it is such exhausting work. But so worth it. I stopped screens 1 year ago with my son who was 14 months at the time. The night I realized my son was showing symptoms of autism, I also found this info about virtual autism and stopped screens the next morning.

But the day I realized my son had symptoms of autism, I didnt know what life would be like going forward. Would my son ever look me in the eyes again? Would he ever smile at me again? What would life be like for him? I wish I could tell myself then that one year later he would be a happy, goofy, typical toddler that asks for hugs and kisses and talks ENDLESSLY about trains and butterflies. But I can’t time travel. So I can do the next best thing, which is to tell YOU what is to come! Hang in there! I am so proud of you and every other parent here!

Chelsea

Thank you so much! Your words are so encouraging! I have the exact same fears. The days are long but I know it’ll be worth it in the end.

Benita

Hi,

I just wanted some advice on audio books. I have found a pre-school with an autism unit (they provide IEP and work with speech and OT therapists) in the interim as other special needs schools have really long screening and waiting lists. They use printed signs paired with language to help with visual communication but they use a screen as a smart board to show videos of animal hatching and audio of animal sounds during some themes of learning. They sometimes use audio books. Now I know this isn’t fast paced images like movies and cartoons would this be a problem in this protocol even if all other screen time has been removed?

Benita

Thank you for responding. My son hasn’t been exposed to audio books yet, the principle at the pre-school did say they don’t overuse devices but it is used in the day. I will try to find out how often videos are shown but remember this isn’t hours of cartoons but short clip videos to help learner understanding. It is such a struggle to find schools that will cater to his needs with an IEP and not have any screen time and most of the schools are full and will/may only have spaces in 2024 so i don’t want to waste a year when he could get some help towards developing and learning. My son is 5 next week he has made progress in this year, i too do not want screens but they are hard to avoid completely so im completely tied on what to do. Also music is hard to avoid in different shopping malls is difficult but he is still progressing

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