This stage starts when the regression stage is over, usually between ages 2 and 10 and can last for years. The typical hand stereotypies now become noticeable and constitute the hallmark of the disorder.

Apraxia, motor problems, and seizures are prominent during this stage. However, there may be improvement in behavior, with less irritability, crying, and autistic-like features.

 

The children may show more interest in her surroundings and her alertness, attention span, and communication skills may improve. Many girls remain in this stage for most of their lives. This girls and women still learn effectively about new things, situations and persons.