Diagnosing autism spectrum disorder (ASD) in verbally fluent, socially motivated children, particularly girls, remains challenging due to compensatory behaviors and masking. This case report follows a 7-year-old girl repeatedly referred to autism spectrum evaluation. Despite early developmental delays, attentional variability, and sensory sensitivities, initial community-based multidisciplinary assessment excluded ASD but did not resolve parental concerns. A second evaluation at the…
