Early Signs of Autism: What Parents Should Look For

Why Early Recognition Matters

Autism Spectrum Disorder (ASD) can be reliably identified as early as 18–24 months, though many children aren't diagnosed until age 4 or later. That gap represents years of missed opportunity — because research overwhelmingly shows that early intervention leads to significantly better outcomes in communication, social skills, and independence.

At WellCare & Nurture, we don't diagnose autism — but we do provide free screenings that can help identify whether your child might benefit from a full developmental evaluation.

Early Signs by Age

Every autistic child is unique. Not every child will show all of these signs, and some of these behaviors can be part of typical development. But a pattern of several signs is worth exploring.

6–12 Months

• Limited or no eye contact
• Doesn't smile back when you smile at them
• Doesn't respond to their name by 9 months
• Doesn't babble or use gestures (pointing, waving)
• Seems unusually focused on objects rather than people

12–18 Months

• No single words by 16 months
• Doesn't point to show you things (not just to request)
• Limited interest in other children
• Doesn't engage in simple pretend play
• Loss of previously acquired skills (words, babbling, social engagement)

18–24 Months

• Doesn't use 2-word phrases by 24 months
• Lines up toys or objects repeatedly
• Gets very upset by small changes in routine
• Unusual reactions to sounds, textures, or lights
• Prefers to play alone
• Doesn't look where you point

2–4 Years

• Delayed or unusual speech patterns (echolalia — repeating phrases)
• Difficulty with back-and-forth conversation
• Intense, focused interests in specific topics
• Repetitive movements (hand flapping, spinning, rocking)
• Difficulty with transitions or changes in routine
• Challenges making or keeping friends

What Autism Is NOT

There are many misconceptions about autism. Here's what we want families to know:

• Autism is not caused by parenting. It's a neurodevelopmental condition with a strong genetic basis.
• Autism is a spectrum. Every child's experience is different — from those who need significant daily support to those whose differences are more subtle.
• Autistic children can and do thrive. With the right support, children with autism build meaningful relationships, develop communication skills, and reach their full potential.
• A diagnosis is not a limitation. It's a roadmap for understanding your child and getting them the support that fits.

Girls and Autism: The Underdiagnosis Problem

Autism is significantly underdiagnosed in girls. This is partly because:

• Girls often develop stronger social imitation skills that "mask" autistic traits
• Diagnostic criteria were historically based on research with boys
• Girls may present with different patterns — anxiety, intense friendships, or restricted interests that seem "typical" (like horses or art)

If your daughter seems to struggle socially despite appearing outwardly typical, it's worth discussing with a professional.

What to Do If You See These Signs

Don't wait for someone else to bring it up. Many parents notice differences early but are told "wait and see" by well-meaning friends and even some providers. You know your child best.

Steps you can take today:

1. Try our Little Leaps Milestone Checker — a free, no-sign-up developmental screening
2. Talk to your pediatrician — share your specific concerns and ask for a developmental screening (the M-CHAT is commonly used for autism)
3. Schedule a free screening with us — we can observe your child and let you know what we're seeing
4. Request a full evaluation — through your pediatrician, school district (ages 3+), or early intervention program (under 3)

Early Support at WellCare & Nurture

If your child is identified as autistic or showing early signs, our team provides:

• ABA Therapy — evidence-based behavioral support focused on communication, social skills, and independence
• Speech Therapy — including AAC (alternative communication) for children who need it
• Occupational Therapy — sensory processing, self-care skills, and emotional regulation
• Family Coaching — helping you understand and support your child's unique needs

We take a trauma-assumed, strengths-based approach — meaning we focus on what your child CAN do and build from there. We never force compliance or use punitive methods.

📋 Schedule a free screening | 📞 Call (719) 598-5555

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For more information on autism signs and screening, visit the CDC's Autism Resources or the Autism Society.