Its a very difficult experience. My son is 12, going through puberty and is verbal. I have noticed more OCD like behaviors, needing to be more on a schedule than ever before. I have also seen progress in his receptive language. I am just taking it one day at a time. Even though he's verbal, it is difficult for him to ask questions about his body. Wish I could offer more advice.

Yes, I saw a big change when my nephew entered High School, totally different kid. Besides puberty, the whole high school environment is unfriendly and not equipped for theses kids. I begged the school to assign a peer mentor to him, this made the most sense to me, but they refused to do anything, I also asked if they could get peers to help him join extracurricular activities, this was also refused, came to a point where I was not even allowed in classroom unless I made appt a few weeks in advance. He also started with OCD like issues and refused meds of any kind. We are using breathing and visualization techniques which definitely help.

I would never let my Ped diagnose meds or anything like that unless he/she is trained in autism. I would go seek the assistance of a pediatric neurologist.

My neurologist that puberty is when it gets haywire. If aggressions are getting worse at school. I will tell you to go to school in the morning and shadow him

What's interesting to me is that he may be having some bullying problem that your aides may not even be conscious of.

I had sat at PE and the kids were so comfortable messing with my son that they did it right in front of me. I approached the coach and told him to handle it. YOU never confront a kid direct when they bully your kid.

So for example my son's PE was twice a week for 2hrs so I would be there for the full two hrs and walk him to this class. PE was were he got into the most trouble.
I did this for almost 6 months.

my son is 14 and non verbal. I just started looking on here to see what to expect. it has been hard so far. I see some OCD behaviors but he has never been diagnosed with this. I plan to speak to his ped soon to ask what to do and expect. He is engaging in some new behaviors, puberty related, and also he has had a few bad days at school. some aggression with paras. Worried it will get worse. Not sure how this puberty stuff plays out. I'm feeling lost also. If I get any information I'll post it.