Every parent dreams of seeing their child grow up happy, healthy, and thriving. But sometimes, you may notice things that don’t quite feel right. Perhaps your child is not speaking much, or they seem less social than their peers. One possible explanation could be autism.
Autism Spectrum Disorder (ASD) is a developmental condition that can show up in children as early as infancy. It’s not something to be afraid of, but it’s something parents should be aware of. The earlier it’s identified, the better we can support our children.
In Pakistan, where awareness is still growing, it’s important for families to know what early signs to look out for. Especially during extreme colder or hotter months, when children are indoors more and routines change, paying close attention to your child’s behavior can help.
Early Signs of Autism in Toddlers: Key Developmental Red Flags to Watch For
This comprehensive guide on early signs of autism in toddlers is an invaluable resource for parents and caregivers, especially in regions like Pakistan where awareness about autism spectrum disorder signs is still growing. The focus on developmental red flags in toddlers such as eye contact avoidance in babies, lack of speech autism sign, and repetitive behavior in toddlers highlights crucial aspects of early detection.
We have enlisted 10 Red Flags you must know and recognizing these autism milestones checklist items early is essential for timely intervention.
1. Limited or No Eye Contact
By around six months of age, most babies will start making eye contact with their parents or caregivers. If your child avoids eye contact or doesn’t respond when you call their name, this could be an early sign of autism. Some children may also seem less expressive, not smiling back at you or reacting to your facial expressions.
Recent studies on eye contact avoidance in babies show it as a strong indicator for ASD.
2. Lack of Back-and-Forth Play
Most babies enjoy simple games like peek-a-boo or copying sounds and expressions. They smile when you smile and try to respond in their own little way. However, children with autism might not respond this way. They may not try to mimic your voice or play with you in a shared, back-and-forth manner.
A systematic review has identified that deficits in social reciprocity, such as lack of back-and-forth play, are among the early warning signs of ASD.
3. Delay in Talking or Using Words
It’s natural for parents to compare their child’s development to others, especially when it comes to talking. Some children with autism may not speak at all by age two, or may use very few words. Others might start speaking and then suddenly stop. If you feel your child is falling behind in speech, it’s worth getting it checked.
Studies have shown that early language delays are a common characteristic in toddlers who are later diagnosed with ASD.
4. Lack of Interest in Communication
Even before they can speak, most toddlers will try to get your attention with gestures, pointing, or making sounds. But children with autism may not show this interest. They might not wave goodbye, point to things they want, or use their hands and face to express themselves. This can make it difficult for parents to understand what their child is feeling or needing.
Research indicates that early deficits in non-verbal communication are significant indicators of ASD.
5. Repetitive Movements or Sounds
One common sign of autism is repetitive behavior. You might see your child flapping their hands, rocking back and forth, spinning in circles, or repeating the same sound or word again and again. While many children show repetitive behaviors sometimes, in autism these actions tend to be more frequent and intense.
Machine learning models have been developed to detect such repetitive behaviors, aiding in early diagnosis of ASD.
6. Extra Sensitivity to Sights, Sounds, or Touch
Children on the autism spectrum may react strongly to everyday things like loud noises, bright lights, or even certain textures in food or clothing. Some may dislike being hugged or touched, while others might cover their ears at sounds that most people don’t even notice. These sensitivities can sometimes make regular activities feel overwhelming for them.
Studies have found that sensory sensitivities are prevalent in children with ASD, affecting their daily functioning.
7. Trouble Adjusting to Change
All children like routines, but children with autism may become very upset if there’s even a small change. Whether it’s a different bedtime, a change in their school routine, or someone moving their toys, these changes can lead to meltdowns or distress. They often feel safer and more comfortable when things stay exactly the same.
Research highlights that rigidity and resistance to change are common in children with ASD.
8. Very Focused on a Single Topic or Activity
It’s normal for children to have favorite things, but children with autism might become completely absorbed in one topic. For example, they might only want to talk about trains or watch the same cartoon over and over. They might not show much interest in other toys or games.
Studies have shown that restricted interests are a hallmark of ASD, often manifesting in early childhood.
9. Unusual Way of Playing with Toys
When children play, it tells us a great deal about how they perceive the world. A child with autism might not play with toys in the expected way. Instead of pushing a toy car around like it’s driving, they might just spin its wheels again and again. They might also line up toys or objects in a specific order rather than using them for pretend play.
Research indicates that atypical play behaviors are early indicators of ASD.
10. Less Social with Other Children
Most children are naturally curious about other kids. Even shy toddlers will look, smile, or try to interact with their peers. Children with autism, on the other hand, may not show interest in playing with others. They might seem more focused on objects or prefer to play alone without trying to join group activities.
Studies have found that social withdrawal is a significant early sign of ASD.
Why Early Detection Matters
Recognizing these signs early is crucial. Research indicates that parents often notice developmental concerns, particularly in social development, by 18 months of age. However, in many cases, autism is typically diagnosed between 3 and 7 years of age. Early identification allows for timely intervention, which can significantly improve outcomes for children with autism.
Evidence-based educational and interventional strategies are most effective when introduced early. Being proactive about developmental concerns enables children to build competencies in areas of need. Pediatricians play a vital role in detecting early warning signs of developmental delays.
What You Can Do as a Parent
First of all, take a deep breath. Not every child who shows one or two of these signs has autism. Children grow and develop at different rates. But if you’re noticing multiple signs or something just doesn’t feel right, it’s a good idea to talk to a professional. There’s no harm in checking and it could make a huge difference in your child’s future.
In Pakistan, where access to developmental services can be limited, early action is even more important. With the right support, many children with autism can improve their communication, social, and learning skills over time.
AOT is Here to Support You
Parenting is full of questions, and it’s okay to ask for help when something feels off. If you think your child might need an autism evaluation, or if you’re worried about how they’re developing, don’t wait.
AOT provides assessments, evaluations, sensory integration therapy, and early intervention services for children in Pakistan.
If you are concerned about your child’s development or want a full assessment, contact us anytime. We’re here to support you and your family every step of the way.