I've been worried for a while that something was not right with our new 28 month old son - from reading through this site it looks like I need to have some type of evaluation but I'm interested to hear opinion(s) on what could possibly be wrong. I'll start with my main concern - my 2 year old, who has always been an intense and demanding kid, has started having the most out of control fits you can imagine - some for small things (not reading the book he wants, not being picked up by Dad, whatever) and some for no reason at all. He throws himself on the floor and is screaming and crying and very upset and nothing can console him. After 20 - 30 minutes of this finally you can distract him - often by putting him in the car and taking him somewhere. Because of his limited communication skills he can't tell you whats wrong other than a tearful "help?". It breaks my heart and really concerns me at the same time. This is NOT the normal "terrible twos." This is happening once to three times a day. But only at home - not at pre school and usually not with the nanny. Some other obvious areas of concern - he is severely speech delayed. We've had him in speech therapy for 4 months - now he is up to about 20 words - but he still does not really use them to communicate (other than "help"). Other words he just knows if you ask him (mama - but does not call for mama - boat, apple, elmo, woof woof, etc.). He has definitely shown great progress here since starting therapy but is definitely very behind. He lines up his toys (I didn't realize this was a red flag until reading the site), is very picky about textures and food, and now freaks out if you put an unfamiliar type of clothing on him. He has obsessive tendencies towards toys. AKA - he gets into a phase where he has to have his toy hammer with him at ALL times. Lately he's also obsessed with the swing. He goes into a trance and looks like he's going to fall asleep almost as soon as you put him in it. I'm thinking this is some sort of sensory issue - maybe autism? Anyway - there's more dtl but those are the basics. I'm wondering if any of you are thinking some type of obvious diagnosis. I want to know what to tell the pedi when I ask for a referral. Thanks for listening.