eople living with autism have difficulty with communication. Some individuals may not communicate verbally.  Children who do have language can be speech delayed, or may use speech inappropriately. Many are “echolalic”, which means they echo, or repeat words, phrases or questions that are spoken to them. Some autistic people are very well-spoken and others can have greater difficulty. This has no direct relation to their cognitive or social abilities. According to Temple Grandin, many autistics are visual thinkers, who “think in pictures”. From a communication standpoint, many people with autism can have difficulty using language to make their needs known. Sometimes, people with autism use American Sign Language or PECS (a system that relies on pictures to communicate ideas) as their way of communication.