Each of the behaviors associated with ASDs may range from mild to severe. Some individuals may have relatively good verbal skills and only a minimal language delay but have significantly impaired social skills. Others may be nonverbal or have very little ability or interest in communicating or interacting with others. People with ASDs often do not take part in pretend play, have a hard time initiating social interactions, and engage in self-stimulatory behaviors (e.g., flapping hands, making unusual noises, rocking from side to side, or toe-walking).