**6. Conclusions**

The child with ASD in Covid-19 is experiencing an extremely difficult situation with their families. Everything that we as health professionals believe is important and emerging to be worked towards in order to better adapt their functionality, we now have enormous restrictions in enhancing their capabilities, in removing them from rigid patterns of behavior, stereotypes, rituals and isolation. It is not easy, however it is important not to forget, that even though it is not ideal, it is possible to work with them, through strengthening the parental potential, enabling parents for the tasks, promoting cooperation between family, school and professionals, by digital platforms, and by the technologies and social networks to which we have access, or even by telephone and by mail, to get closer, to guide parents and together, we reduced some of the inherent difficulties, making it possible to be close, thus continuing to develop activities and tasks that, if they were in a school context, they would possibly be carrying out, so as not to lose the essential routines, such as, for example, parents establishing waking times, cleaning times, structured task times, promoting playful and relationship moments and broader, if the nuclear family allows it, without calling into question public health guidelines. The pandemic risks widening inequalities for children, particularly in vulnerable groups. As such, this presents an opportunity to redress the imbalance and support children and families' wellbeing as we emerge into the 'new normal' world.

As we have seen, the impact of the pandemic can be even more worrisome in children suffering from autism spectrum disorders. Sudden changes in daily routine have consequences and can potentiate existing symptoms, increasing the risk of emotional, behavioral and relationship complications.

Children with special health needs may need additional support to adapt to new routines and to understand changes.

In the future, with the opening of schools and the return to routine, it is essential to create a balance between the public health measures necessary to minimize the impact of the pandemic and the gradual resumption of interpersonal relationships and school, professional and leisure activities, maintaining the child safely.
