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How do autistic toddlers behave?

If young children are autistic, they might: rarely show interest in other children – for example, they might not look towards them or try to get their attention. rarely start games like peekaboo or round the garden. rarely do pretend play – for example, they might not pretend to feed a teddy bear.

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About early signs of autism

Some early signs of autism usually appear in the first 1-2 years of life. Early signs of autism are listed below. Some children have many early signs, whereas others have only a few. The number of signs varies according to children’s ages and stages of development. Sometimes early signs of autism change over time or become clearer as children get older.

Communication: early signs of autism

In the first year of life, children’s social interaction and communication development is an important area to watch for early signs of autism. Typical social and communication development in children includes things like responding to their name, making eye contact, and using gestures.

Social interaction and communication

If young children are autistic, they might:

not consistently use eye contact to get someone’s attention – for example, they might not always look at you and then at a snack to show you they want it, or not look back towards you when they see something that excites them rarely point to or hold up objects to show you things – for example, they might not point to a dog and look back at you to make sure you’ve seen it too, or they might drop a toy in your lap and walk away instead of holding it up and looking at you

not consistently respond to their name being called

not consistently use gestures on their own – for example, they might not wave bye-bye or clap without being asked to, or they might not nod for yes or shake their head for no not consistently smile back at you or other familiar people when you smile at them rarely copy other people’s actions, like combing their hair when you comb yours not sound like they’re having a conversation with you when they babble, or they might not babble at all have difficulty understanding simple, one-step instructions by 1-2 years old – for example, ‘Give me the block’ or ‘Show me the dog’.

Relationships and play

If young children are autistic, they might:

rarely show interest in other children – for example, they might not look towards them or try to get their attention

rarely start games like peekaboo or round the garden

rarely do pretend play – for example, they might not pretend to feed a teddy bear.

Behaviour: early signs of autism

Repetitive and intense interests

If young children are autistic, they might:

have intense interests in certain objects or toys – for example, play mostly with cars or dolls have repetitive behaviours – for example, they might spin the wheels of a toy car or pram repeatedly, or take the clothes on and off a doll repeatedly interact with toys and objects in unexpected ways – for example, they might enjoy lining up objects or putting toys into piles be very interested in certain activities and get upset if they can’t do that activity – for example, watching the same TV show over and over.

Routines

If young children are autistic, they might be easily upset by change and prefer routines. For example, they might need to follow the same route to child care or a grandparent’s house all the time.

Repetitive movements

If young children are autistic, they might repeat body movements or move their bodies in unexpected ways. For example, they might:

arch their backs

flap their hands

hold their arms stiffly

walk on the tips of their toes.

Sensory sensitivities

If young children are autistic, they might:

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At what age autism appears?

The behavioral symptoms of autism spectrum disorder (ASD) often appear early in development. Many children show symptoms of autism by 12 months to 18 months of age or earlier. Some early signs of autism include: Problems with eye contact.

The behavioral symptoms of autism spectrum disorder (ASD) often appear early in development.1 Many children show symptoms of autism by 12 months to 18 months of age or earlier.2,3 Some early signs of autism include:4,5,6

Problems with eye contact

No response to his or her name

Problems following another person's gaze or pointed finger to an object (or "joint attention")

Poor skills in pretend play and imitation

Problems with nonverbal communication

Many parents are not aware of these "early" signs of autism and don't start thinking about autism until their children do not start talking at a typical age. Most children with autism are not diagnosed until after age 3, even though health care providers can often see developmental problems before that age.7,8,9,21 Research shows that early detection and early intervention greatly improve outcomes,10 so it's important to look for these symptoms when a child is as young as possible.11 Regression Some children with autism regress, meaning they stop using language, play, or social skills that they've already learned. This regression may happen between ages 1 year and 2 years. It might happen earlier for some social behaviors, such as looking at faces and sharing a smile. Researchers don't know why some children regress into autism or which children are likely to regress.12,13,14,15,16 Other Early Signs There also may be early biological signs of ASD. Recent studies have shown that: People with autism have unique brain activity, structures, and connections even at very young ages. 17,18 There are differences in brain growth in ASD as early as 6 months of age.19,20,22,23

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