Very interesting. My daughter also has a lot of friends but is literal (not extremely so--it's not a big problem, but is notiecable), has a poor sense of space, and shows some other ASD red flags as well as some ADHD flags. I think she may also have SPD, which sort of comes and goes. She is considered mildly low in muscle tone. My other child is officially diagnosed with hypotonia but has no symptoms of anything SPD-ish or ASD-ish.

We have seen some things really improve with time with no intervention. Others remain of concern. The psych who evaluated her felt that her anxiety was causing the symptoms we saw as ASD-ish.

She is not having any issues whatsoever at school or with friendships. We have behavioral concerns at home that seem mostly driven by emotional intensity/depression, but I also feel she seems jittery/dysregulated and unfocused. No one seems concerned about that at school at this time and she is a straight A student, so I don't know what to make of that.