Early identification of autism spectrum disorder (ASD) can make a significant difference in a child’s development. Many children on the autism spectrum show differences in social and language skills during infancy and toddlerhood. However, they often reach major motor milestones like sitting, crawling, and walking on time. Because of this, the more subtle differences in gestures (such as pointing), pretend play, and social communication can sometimes go unnoticed.
At The Children's Clinic in Jackson, TN, we are committed to helping parents recognize early signs of ASD so that children can receive the support they need as soon as possible. Here are three key developmental differences to be aware of:
1. Delayed or Limited Joint Attention
One of the earliest indicators of ASD is a delay or lack of joint attention, which is the ability to share focus on an object or event with another person. This skill is a fundamental building block for communication and social interaction.
What is Joint Attention?
Joint attention involves looking back and forth between an object and a person, signaling an understanding that they are sharing the experience. This interaction helps develop social engagement, communication, and learning.
Typical Joint Attention Development vs. ASD
By 12 months: Most babies will follow a parent’s pointing gesture, look at the object, and then back at the parent, often sharing a smile.
Children on the autism spectrum may not follow the pointing gesture, sometimes leading parents to wonder about their hearing.
By 15 months: Most toddlers point to things they want.
Children on the spectrum may instead take a parent’s hand and lead them to the object without making much eye contact or may place the parent’s hand on the object itself.
By 18 months: Most toddlers point to interesting objects and look back at their parent to ensure they are paying attention.
Children with ASD may only point to request something rather than to share their interest in it.
2. Language Delays & Differences
Nearly all children on the autism spectrum experience delays in nonverbal communication and spoken language. Some key differences to look for include:
Use of Labels vs. Requests: A child with ASD may learn words for objects but not use them to make requests. They may name a toy but not say “want toy.”
Repeating & Echoing: Many children repeat words and phrases, but those on the spectrum may do so for an extended period. Some repeat lines from movies or conversations in the exact tone they heard, a behavior called echolalia.
Unusual Speech Patterns: Some children with ASD develop speech but may use language in an unusual way. For example, they might sound more like an adult than a toddler.
Some children may appear to develop language typically and then suddenly or gradually stop using certain words. This regression, which can also include increased social withdrawal, typically occurs between 15 and 24 months.
3. Regression in Skills
Approximately 25% of children later diagnosed with ASD experience a regression in language or social engagement. They may stop using words they previously spoke or become more withdrawn. This can be an early sign that intervention is needed.
Screening & Early Intervention
The American Academy of Pediatrics (AAP) recommends that all children be screened for autism at 18- and 24-month well-child visits. Research shows that early intervention can significantly improve outcomes for children with ASD.
When to Talk to Your Pediatrician
If you have concerns about how your child plays, communicates, or interacts with others, don’t wait—speak with your pediatrician. At The Children's Clinic in Jackson, TN, we encourage parents to trust their instincts. You know your child best, and your concerns matter.
Early action can make a big difference in your child’s development. Schedule an appointment with our team today to discuss any concerns and explore the best support options for your child.
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