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Autism levels & types

What Is Level 1 Autism?

Last updated 24 October 2026 · 9 min read · By Sarah M., Support Coordinator
In short

Level 1 autism is the lowest of the three support levels in an autism diagnosis, described as “requiring support”. A person at this level still needs support, and what that support looks like differs from person to person.

This guide explains what this level means, how it shows up in children, adults and women, how it differs from level 2, and what support exists. It sits within our guide to the different levels of autism.

Key points

  • A DSM-5-TR autism diagnosis includes a support level, and level 1 is the one where a person needs support but not substantial support.
  • Support levels are given separately for social communication and for repetitive behaviour, special interests or sensory differences, and they can change over time.
  • People at level 1 may have difficulties with social interactions and need help with organisation or planning.
  • NDIS access depends on meeting the NDIS access requirements set out in the NDIS guideline.
Level 1 autism at a glance
What it isThe lowest of three support levels in a DSM-5-TR autism diagnosis, often written as ASD level 1
Who can assess itA qualified health professional through a formal assessment; ask your GP about referral options
Support that existsHelp with organisation, planning, social communication and sensory needs, at home, work, school or in the community
NDIS relevanceAccess depends on meeting the NDIS access requirements set out in the NDIS guideline
Free helplineAutism Connect on 1300 308 699, 8am to 7pm Monday to Friday

What is level 1 autism?

The term describes the amount of support an autistic person needs, as set out in the diagnostic manual clinicians use. A diagnosis gives a level for each area rather than a single score.

TermWhat it meansWhy it matters
Level 1“Requiring support”, as the Autism Association of Australia describes itSupport is needed, but usually not as much as at levels 2 or 3
ASD level 1 meaningAutism spectrum disorder with the lowest support level in the DSM-5-TRIt is a description of support needs, not a measure of ability or worth
Two areasSocial communication, and repetitive behaviour, special interests or sensory differencesA person can have the same or different levels in each area, according to the Raising Children Network

For children, the Raising Children Network lists level 1 as “children need support”, level 2 as “substantial support” and level 3 as “very substantial support” (Raising Children Network).

Signs of level 1 autism

Signs differ from person to person, and the Autism Association of Australia says people at level 1 may have difficulties with social interactions and need help with organisation or planning (Autism Association of Australia). This list is for reflection only, and only a qualified professional can assess this.

AreaWhat it can look like
ConversationFinding it hard to start or keep a chat going, or taking what is said very literally
FriendshipsPreferring one or two close friends, or being unsure how to read unspoken social rules
Routines and changeFeeling very unsettled when plans change without warning
Sensory differencesStrong reactions to noise, light, textures or crowds
Organisation and planningNeeding help to start tasks, manage time or switch between activities
Special interestsDeep, lasting interest in particular topics

Level 1 autism in adults

These points describe areas where adults at this level may need support. They are not a checklist.

  • Social interactions may be difficult, for example in meetings, small talk or friendships.
  • Planning meals, bills, appointments and household tasks may need support, such as visual calendars, reminders or a regular support person.
  • Support levels can change over time, so a level recorded in childhood may not describe your needs as an adult.
  • Adults often ask whether they can live independently; supports around organisation, health and money can be part of that conversation.

Our guide to symptoms of mild autism looks at what people mean by “mild” autism.

Looking for NDIS support at home?

TQN Care support workers help with personal care, community access, respite and help around the home across Sydney, Melbourne and surrounding areas (NSW & VIC). Tell us what you need and we will call you back.

Make a referral →

Level 1 autism in women and girls

The support level descriptions are the same for women and girls as for everyone else. An adult woman who thinks she may be autistic can talk to her GP about an assessment.

  • If you hide differences in public (often called masking), describe what daily life is like at home too, not only how you appear to others.
  • Describe difficulties with social interactions, organisation or planning in your own words, with examples from work, study and friendships.
  • Bring examples from childhood, school reports and your own notes to an assessment; they can help clinicians understand your history.

Level 1 vs level 2 autism: the difference

The difference between level 1 and 2 autism is the amount of support needed. Our level 2 autism guide and level 3 autism guide go into detail.

LevelSupport description (children)
Level 1Children need support
Level 2Children need substantial support
Level 3Children need very substantial support
  • Can level 2 autism become level 1? Support levels can change over time, so a later assessment may record a different level, but this depends on the person.
  • Can level 3 autism improve to level 1? Levels can change, and a clinician is the right person to explain what a change means for support.
  • Is level 1 the same as “high-functioning”? No. Level 1 is a support level, and “high-functioning” is not one of the levels, so describe the support a person needs instead.

To compare other labels you may see on reports, read about the types of autism and PDA autism.

How level 1 autism is assessed in Australia

A level is given as part of a formal autism assessment by qualified professionals, not from an online quiz. Online checklists can prompt you to seek an assessment, but they cannot tell you whether you are autistic.

  1. Write down what you notice. Note examples from home, school or work over a few weeks, including sensory sensitivities, routines and social difficulties.
  2. Book a GP appointment. Share your notes and ask which assessment options suit your age and situation.
  3. Ask for a referral. Your GP can explain which specialists assess autism in your area and whether there are waiting lists.
  4. Attend the assessment. Expect questions about your development and daily life, and bring any school reports or earlier assessments.
  5. Ask what the support levels mean. Request a written report that names the level for each area so you can use it for planning.

Level 1 autism life expectancy and health

This is a hard topic, and the facts matter. An Autism CRC study (February 2019) of autistic people in NSW, aged 5 to 64 between 2001 and 2015, found autistic people had double the comparative mortality rate of the general population (Autism CRC).

  • The most common causes were injury or poisoning, including accident and suicide, followed by nervous system disorders such as epilepsy.
  • The study looked at autistic people overall, so it does not give a separate figure for this level.
  • Talk to your GP about injury safety, mental health and epilepsy where they apply, and keep regular health checks.
  • If you or someone you know is thinking about suicide, call Lifeline on 13 11 14, or call 000 if someone is in immediate danger.

Level 1 autism and the NDIS

Access to the NDIS depends on meeting its requirements. The NDIS guideline says evidence of a List A diagnosis means the NDIA will likely decide you meet the disability requirements, while List B includes pervasive developmental disorders not meeting severity criteria in List A (NDIS guideline, 26 August 2026).

  • Ask your assessor to describe how autism affects your daily life, not just the level.
  • Keep diaries, school or work reports and therapy notes to show where you need help.
  • Read our autism funding guide for how plans and evidence work.
  • Our guide is autism a disability explains how the law, the NDIS and income support each define disability.
  • If you need help from a worker, the disability support worker levels guide explains the roles.

When to talk to a GP or specialist

Seeing a GP is a sensible step if any of these sound familiar. You do not need to wait for a crisis, and in an emergency, call 000.

  • You or your child often feel overwhelmed by noise, change or social situations, and it affects school, work or relationships.
  • A past assessment gave a level, and you would like to know whether it still reflects your support needs.
  • You are exhausted from masking and want to understand your experiences.
  • Anxiety, low mood or sleep problems are affecting daily life.
  • You want to start an NDIS application and need medical evidence.

You can also call Autism Connect on 1300 308 699, a free national helpline delivered by Amaze, open 8am to 7pm Monday to Friday (Amaze).

Looking for NDIS support at home?

TQN Care support workers help with personal care, community access, respite and help around the home across Sydney, Melbourne and surrounding areas (NSW & VIC). Tell us what you need and we will call you back.

Make a referral →

Your next step

If you or someone you care for is autistic with level 1 support needs and could use practical help at home or in the community, we can talk it through. TQN Care offers personal care, community access, respite and help around the home as part of our NDIS services. Tell us what you need and a member of our team will call you back to discuss options.

SM
Sarah M., Support CoordinatorTQN Care is a registered NDIS provider supporting people across Sydney, Melbourne and surrounding areas (NSW & VIC).
Common questions

FAQs about level 1 autism

What is level 1 autism? +

Level 1 autism is the lowest support level in a DSM-5-TR autism diagnosis, described as requiring support. It means a person may have difficulty with social interaction and need help with organisation or planning, but the details differ for everyone.

What does level 1 autism look like? +

It can look like difficulty starting conversations, strong reactions to sensory input, discomfort with change and trouble with planning. Some people hide these traits well in public. Only a qualified professional can assess whether someone is autistic.

Can people with level 1 autism live independently? +

Living arrangements differ for every autistic person with level 1 support needs, and help with organisation, health and money management can be part of planning for independence. What suits you depends on your circumstances, so discuss goals with your GP, assessor or a support coordinator.

Can level 2 autism become level 1? +

Support levels can change over time, so a later assessment may give a different level. That does not mean autism goes away. Ask your clinician how any change affects the supports you need.

References

Sources

  1. DSM-5-TR criteria for autism diagnosis: a guide for parents — Raising Children Network
  2. What is autism? — Autism Association of Australia
  3. Mortality rates for Autistic Australians (Q&A) — Autism CRC
  4. Our Guideline – Applying to the NDIS — National Disability Insurance Agency
  5. Autism Connect – national autism helpline — Amaze
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