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February 8, 2025

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Recognizing Early Signs of Autism: A Parent’s Guide

EEvery child grows and reaches developmental milestones at their own pace. Some start talking early, while others may walk or speak later than their peers—and in most cases, that’s perfectly normal. Still, it’s natural to feel concerned if your child’s development doesn’t follow the typical timeline. You might start to worry when your child doesn’t respond to their name, avoids eye contact, or isn’t speaking while other kids are already forming complete sentences.

Recognizing the early signs of autism and knowing what to look for can help you reach out for a diagnosis and other types of support when your child needs it.

What Is Autism, and Why Is It Called “A Spectrum”?

Autism spectrum disorder (ASD) is a neurodevelopmental condition related to brain development that affects how a person goes about everyday life and interacts with others. Children with autism may experience challenges with communication, emotional control and regulation, and social interaction. They may have restricted or specific interests and behaviors, and experience learning challenges.

However, no two individuals with autism are exactly alike. Autism includes many strengths, challenges, and behaviors that vary from person to person. Some people with autism may need significant support, while others live very independently. It is called “a spectrum” because it affects each person in a unique way.

Autism spectrum disorder (ASD) is typically diagnosed in early childhood and continues into adolescence and adulthood.

Common Early Signs of Autism in Babies and Toddlers

Not all children on the autistic spectrum will show every behavior listed, but many will exhibit several. This is why professional evaluation is essential. If you notice several of these behaviors, it may be worth considering an autism diagnosis.

Communication and Social Interaction Skills

Children on the autism spectrum often show differences in how they engage and respond to others or how they express themselves. You might notice that your infant or toddler:

  • Avoids or has limited eye contact

  • Doesn’t respond to their name by 12 months

  • Doesn’t wave, point, or use other gestures

  • Doesn’t show different facial expressions like happy, sad, angry, or surprised

  • Struggles with language development

  • Has delayed speech

  • Doesn’t play simple social games by 12 months of age

  • Prefers playing alone rather than engaging with other children


Restricted or Repetitive Behaviors or Interests

Children with autism often engage in repetitive behaviors and have a strong need for routines, so the following behaviors might be signs:

  • Repeating behaviors like hand-flapping, rocking, or spinning

  • Putting toys or objects in a line and having a tantrum when the line is disrupted

  • Playing with the same toys over and over in the same exact way each time

  • Staring intently at one feature of an object (e.g., spinning wheels)

  • Fussing at small changes in routine or environment

  • Mimicking words or phrases (echolalia)

  • Deep and commonly fixed interests in specific topics or objects


Other Characteristics

In addition to communication and behavior, many children with autism may also experience:

  • Atypical sensitivity to noise, texture, lights, or smells

  • Delayed motor functions or coordination issues

  • Trouble falling asleep or remaining asleep

  • Excessive emotional reaction or mood management issues


How Early Diagnosis Helps

Getting an autism diagnosis early can open the door to early intervention and support that truly makes a difference for kids with autism and their families.

Trust your instincts, and if you notice signs that concern you, don’t wait. Our team at Josi Health is here to support you with autism screenings, diagnosis, and guidance for your next steps.

References

https://www.cdc.gov/autism/signs-symptoms/index.html

https://www.autismspeaks.org/signs-autism

https://www.mayoclinic.org/diseases-conditions/autism-spectrum-disorder/symptoms-causes/syc-20352928

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Frequently Asked Questions

Josi Health is a provider of expert diagnostic services for Autism Spectrum Disorder (ASD) and ADHD. We’re dedicated to offering fast, high-quality evaluations, detailed reporting, and guidance so that clients (or parents) understand their results and next steps.

Josi Health specializes in providing high-quality, online autism and ADHD diagnostic evaluations for children and adults. We aim to offer accessible, efficient, and expert-led autism and ADHD assessments through an effortless online process.

Our Josi Health care team is also here to guide you and your family through the entire process. They’ll help you schedule, answer questions, and check in after you or your child is evaluated.

Currently, our services are only available in English.

However, we are always exploring ways to support our clients better. If multilingual services are something you’d like to see in the future, please let us know—your feedback is important to us!

At Josi Health, we encourage children and young people to attend the results debriefing session, as long as they are mature enough to understand and benefit from the discussion. This enables them to be active participants in their own care. But we do recognize that every family is different, and it is up to the parent or carer. We are happy to schedule the appointment in any manner that best assists your child and your family.

We typically recommend re-evaluation every 3–5 years, especially in children. This allows clinicians to track developmental changes, adjust support plans, and ensure continued access to appropriate services. Re-evaluation in adults is less common but may be helpful if you experience new challenges or need more recent documentation for accommodations at school, work, or in healthcare settings.  

This varies by state, but in general, clinical psychologists, developmental pediatricians, and neurologists can provide autism and ADHD diagnoses. At Josi Health, our licensed clinical psychologists have autism- and ADHD-specific training and experience to ensure the highest quality of care.

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