Humans can not be separated from communication, both interpersonal communication and intrapersonal communication in everyday life. Interpersonal communication is a communication that is often done in a family. Good communication between parents and children will have a good impact on families such as harmony in a family. It's just that not all families are able to communicate well with family members. Especially families who have children with special needs autism, where not all parents are able to accept children born with autism disorder. This acceptance will have an impact on the pattern of communication made by parents to children with autism needs. The purpose of this study is to find out how the pattern of communication made by parents to children with special needs in Yogyakarta. This research was a qualitative descriptive study. Characteristics in this study were four people with two parents having mild autism disorder and two more with moderate autism disorder. The technique of collecting data was conducted by interview as the main method and based on supporting method. The results of the study showed that three people use interactional communication patterns and one family using stimulus-response patterns. Communication patterns performed by parents of children with special needs will affect the pattern of care carried out in a family. Three families used a pattern of democracy and one other family using permissive communication patterns. In addition, the supporting factor of communication made by parents is with the help of visual and audio media. While the inhibiting factor of communication performed by parents is the lack of focus on children because it has autism disorder and hyperactive child behavior.