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Early Signs of Autism in Children and When to Seek an Evaluation

Autism looks different in every child, but there are some early signs that parents often notice. Seeing one or two of these doesn’t mean your child has autism, but patterns over time are worth paying attention to.

Understanding Autism in Children

Autism can show up in many different ways, and no two children look exactly the same. Some children may communicate or interact differently than expected for their age, while others may show unique patterns in how they play, move, or respond to their surroundings.

These signs can be subtle at first and may come and go, which is why they’re sometimes easy to miss.

Noticing a few differences doesn’t automatically mean a child is autistic, but observing patterns over time can be helpful. If questions or concerns continue to linger, an autism evaluation can provide clarity and guidance.

These evaluations are designed to better understand your child’s strengths and needs, and they can be an important step toward accessing support and resources—when and if they’re needed.

Early Signs of Autism in Children

If you find yourself pausing to wonder about certain behaviors or milestones, you’re not alone. Many families start this journey by noticing subtle patterns and asking thoughtful questions.

If you’re wondering, “Does my child have autism?” or “Is my child autistic?”, there are some signs you can look for.

Communication & Language

Some children may:

  • Not respond to their name by 9–12 months
  • Use few or no words by 16–18 months
  • Lose words or social skills they previously had
  • Avoid eye contact or rarely look at faces
  • Not point, wave, or use gestures to communicate
  • Repeat words or phrases (echolalia) without using them to communicate needs

Social Interaction

You might notice your child:

  • Prefers to play alone most of the time
  • Shows little interest in other children
  • Doesn’t imitate facial expressions or actions
  • Has limited facial expressions
  • Doesn’t seek comfort when upset or share excitement (like showing you a toy)

Behavior & Play

Some behaviors can include:

  • Repetitive movements (hand flapping, rocking, spinning)
  • Lining up toys instead of playing with them
  • Strong attachment to routines or distress with small changes
  • Intense focus on specific objects or topics
  • Sensitivity to sounds, textures, lights, or clothing

Sensory Differences

Children may:

  • Cover ears for everyday sounds
  • Avoid certain textures or foods
  • Seek sensory input (spinning, crashing, touching everything)

When to Seek an Autism Evaluation

It’s a good idea to talk to a professional if:

  • Your child isn’t meeting speech or social milestones
  • You notice a loss of skills at any age
  • Your parental instinct tells you something feels “off”

You do not need to wait for a pediatrician to be concerned or schedule an autism evaluation. Early intervention can start even before a formal diagnosis, and earlier support can make a meaningful difference.

If you suspect your child may be autistic, you can:

  • Talk with your child’s pediatrician and share specific examples
  • Ask for a developmental screening or referral to a specialist
  • Contact your state’s Early Intervention program (available in the U.S. for children under 3)

Most importantly: trust your instincts.

Asking questions and learning more helps you better understand your child, whether they need extra support or are simply developing in their own way. Trusting your instincts and seeking information is a sign of care, not worry, and it’s always okay to want clarity for your child’s well-being.

Interested in an autism evaluation for your child or yourself? Reach out to us today.