16 Early Signs of Autism by 16 Months (2023)

Learn the 16 early signs of autism that unfold from 9 to 16 months — to help you detect autism before it’s usually diagnosed. Early detection and early intervention can have a lifetime impact for children with autism.

Babies are natural explorers — motivated to learn from birth. Their drive for learning comes from their fascination with everything that captures their attention.

Babies are drawn to look at faces by 1-2 months and then eager to seek social attention and interaction.

The early signs of autism unfold from 9 to 16 months

The early signs of autism are easy to miss. Autism can be diagnosed by 18-24 months but … it’s not usually diagnosed until 4-5 years.

By catching autism early, you can access intervention earlier and guide your child’s success.

This article illustrates 16 early signs of autism that unfold from 9-16 months — to help you detect autism before it's usually diagnosed.

Diagnosing autism can be difficult because there are no medical or blood tests. The diagnosis is based on behavioral symptoms or features.

The American Academy of Pediatrics recommends that all children be screened for autism at 18 and 24 months. Autism can be diagnosed by 18-24 months, but it’s not usually diagnosed until 4-5 years.

The early signs of autism can have a cascading effect on brain development and lead to significant social, language, and cognitive deficits, as well as challenging behaviors, if they’re not caught early.

1. Hard to get your baby to look at you

It should be easy for you to get your baby to look at you. Babies are motivated to be near you, look at your face, and linger on your eyes.

If it’s hard to get your baby to look at you, this can be an early sign of autism.

2. Rarely shares enjoyment with you

Babies readily share enjoyment with you by smiling or laughing and looking at you.

Some children with autism smile to show they’re happy but don’t share their enjoyment.

(Video) Early Signs of Autism Video Tutorial | Kennedy Krieger Institute

Others show little facial expression or have flat affect and rarely smile so you may not know when they’re happy.

If your baby rarely shares enjoyment with you, especially when you’re available to interact, this can be an early sign of autism.

3. Rarely shares their interests with you

Babies are eager to share their interests with you, first with gestures like showing and pointing, and then with sounds and words.

Notice what your baby is paying attention to — to figure out what they’re interested in.

If your baby rarely shares their interests with you, this can be an early sign of autism.

4. Rarely responds to their name of other bids

Babies are tuned to listen to your voice — when you call their name, they respond by looking toward you.

Babies readily respond to other social bids, like:

  • “come here” with your arms reaching out
  • wave “bye-bye” as you’re leaving
  • touch your nose
  • or look where you’re pointing

Some children with autism don’t respond by looking where you’re pointing but instead look at your hand.

If your baby rarely responds to their name or other bids for social interaction, this can be an early sign of autism.

5. Limited use of gestures such as show and point

Babies are eager to draw your attention to things they’re interested in using gestures such as showing and pointing by 12-14 months of age. These early gestures propel the development of words.

An early sign of autism is limited use of gestures, especially showing and pointing

6. Hard to look at you and use a gesture and sound

Babies learn to use gestures and sounds from 9-16 months to let you know what they want or don’t want, and what they’re interested in.

It should be easy for your baby to use a gesture and sound while they’re looking at you.

(Video) 8 Common Early Signs of Autism

If it’s hard for your baby to look at you and use a gesture and sound, all at the same time, this can be an early sign of autism.

7. Little or no imitatin other people of pretending

By 13 months, children begin to learn by observing others and copying what they do and say.

They use a variety of functional actions — like putting a sippy cup in their mouth to drink and a spoon in their mouth to eat.

From this, they learn to pretend in play — they may offer you a sip with a cup or bottle, give Teddy bear a hug and cover him with a blanket or jiggle a pan with invisible stuff inside to pretend to cook.

Children with autism usually have strengths in using objects in solitary play.

If your child is showing little or no imitating of others, and is not beginning to pretend in play, it can be an early sign of autism.

8. Use your hand as a tool

Babies learn to use a variety of gestures from 9-16 months, like giving, reaching, raising arms, showing, waving, and pointing.

Because children with autism may have limited use of these early gestures, they may develop unusual ways to communicate, like using your hand as a tool.

If your baby is moving or pulling your hand or body part as if it’s a tool, this can be an early sign of autism, particularly if they are not looking at you.

9. More interested in objects than people

Babies are eager to interact with people and use objects as a way to get your attention.

If your baby is more interested in objects than people, this can be an early sign of autism.

10. Unusual ways of moving their fingers, hands, or body

Babies with autism may show unusual stiffening or flaring of their fingers or unusual ways of posturing or moving their hands or body.

11. Repeats unusual movements with objects

Babies with autism may repeat unusual movements with objects such as spinning or wobbling, knocking over and rolling, and lining things up, or other repetitive actions that are unusual for their age.

(Video) 7 Early Signs of Autism Every Parent Should Know

12. Develops rituals and may get upset over change

Babies learn morning and nighttime routines with your help. Making activities predictable can provide opportunities for learning.

Babies usually flow with changes in routines such as ending an activity early or adding a new step.

Children with autism may develop rituals and be unwilling to complete a series of behaviors a different way.

If your child insists on certain things being the same and gets very upset over unexpected change, this may be an early sign of autism.

13. Excessive interest in particular objects or activities

Babies readily shift their attention between people and objects creating opportunities to learn from social interaction.

Babies with autism may show excessive interest in particular objects or activities and can get stuck or overly focused on these.

This interest may be so intense that it’s difficult to shift their attention away from an object of interest to something else.

An intense interest can lead to skills that are advanced for their age, such as building with blocks, or learning the shapes of letters and numbers, and can be missed as a sign of autism.

If your child shows excessive interest in particular objects or activities, this may be an early sign of autism.

14. Very focused on or attached to unusual objects

Babies with autism can be very focused on or attached to objects that are unusual for their age, such as long strips of cloth, utensils, chains, rocks, sticks, flowing water, or gadgets they can take apart and put together.

If your child is very focused on or attached to unusual objects, this may be an early sign of autism.

15. Unusual reaction to sounds, sights, or textures

Babies with autism can show unusual reactions or be very sensitive to certain sounds, sights, or textures. They may get overly excited about a page in a book or hold their hands over their ears in response to loud sounds, squint or flap their hands to certain lights, gag when they eat food with certain textures, or get upset about a tag in a shirt or something sticky or gooey.

If your child shows unusual reactions to sounds, sights, or textures, this may be an early sign of autism.

(Video) What Does Autism Look Like at 18 Months? | Amy Wetherby | TEDxFSU

16. Strong interest in unusual sensory experiences

Babies with autism can show very strong interest in unusual sensory experiences, such as excessive rubbing of certain textures, looking out the side of their eye or closely inspecting a block or toy train as it rolls by, or licking objects.

If your child shows strong interest in unusual sensory experiences, this may be an early sign of autism.

What if your child shows some early signs of autism

Any one of these signs may not be a problem. But in combination, they may signal a need to conduct a screening or diagnostic evaluation.

As a general guide, if your child shows any 4 of these early signs, use our free online Social Communication CheckUp to screen your baby for autism.

If your child shows 8 or more of these early signs, ask for a referral for a diagnostic evaluation.

Talk to your child’s doctor or teacher about any of these early signs or contact your local early intervention program. Share this article with them.

Catching signs of autism early can help you guide your child's success

Early detection and early intervention can have a lifetime impact for children with autism. This opportunity to catch signs of autism early can help you guide your child’s success.

Don't be afraid — learn the 16 early signs of autism

"It's going to be a problem eventually that you will have to deal with. Don't be afraind. Don't let that stop you from helping your child."
— Jacobi's mom

Go to BabyNavigator.com to find tools and resources on what every parents needs to know about early learning. Because, what you do and say can make all the difference.

FAQs

What does autism look like in a 15 month old? ›

Signs of autism in toddlers

Doesn't shake their head yes or no. Doesn't wave goodbye or point to things they want. Doesn't point out objects to show interest in the world around them. By 14 to 16 months, most toddlers point to get your attention and share something they're interested in, such as a puppy or new toy.

Can autism be diagnosed at 18 months? ›

ASD can sometimes be detected at 18 months of age or younger. By age 2, a diagnosis by an experienced professional can be considered reliable. However, many children do not receive a final diagnosis until much older. Some people are not diagnosed until they are adolescents or adults.

At what age may the first signs of autism appear? ›

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.

Can a 15 month old be diagnosed with autism? ›

Current recommendations suggest screening for autism starting at 18 months, but parents are increasingly anxious about their children and a possible diagnosis. According to a recent study, it now may be possible to detect and diagnose autism accurately in children as young as 14 months old.

Can a 16 month old be diagnosed with autism? ›

The diagnosis is based on behavioral symptoms or features. The American Academy of Pediatrics recommends that all children be screened for autism at 18 and 24 months. Autism can be diagnosed by 18-24 months, but it's not usually diagnosed until 4-5 years.

How many words should a 16 month old say? ›

By 16 to 18 months, most kids have a vocabulary of 10 to 15 words. And it doesn't matter if only you can understand the words -- we still count them, and so should you!

What sounds do autistic toddlers make? ›

Autism can be diagnosed in some children from around 18 months of age.
...
For example, children might:
  • make repetitive noises like grunts, throat-clearing or squealing.
  • do repetitive movements like body-rocking or hand-flapping.
  • do things like flicking a light switch repeatedly.
23 Jul 2021

Do autistic toddlers laugh? ›

Young children may express more voiced than unvoiced laughter, as they haven't yet learned to purposely laugh. The test group of autistic children laughed just about as often as the non-autistic kids, but the autistic children's laughter was 98 percent voiced, while non-autistic children produced both types.

Do autistic toddlers watch TV? ›

"Kids with autism are more predisposed to watch screens," he explained. Kids with autism symptoms may use screens as a soothing device, instead of turning to a parent. That may lead a parent to engage less than they would otherwise like to, Bennett explained. The study was published online April 20 in JAMA Pediatrics.

Which parent carries autism gene? ›

Due to its lower prevalence in females, autism was always thought to have a maternal inheritance component. However, research also suggests that the rarer variants associated with autism are mostly inherited from the father.

What are signs of mild autism? ›

Restricted or Repetitive Behaviors or Interests
  • Lines up toys or other objects and gets upset when order is changed.
  • Repeats words or phrases over and over (called echolalia)
  • Plays with toys the same way every time.
  • Is focused on parts of objects (for example, wheels)
  • Gets upset by minor changes.
  • Has obsessive interests.

How do autistic toddlers play? ›

Children with autism play differently than those who don't have autism. They often like to repeat actions over and over and line up objects, rather than playing pretend. They usually prefer to play alone and have challenges working together with others.

What milestones should a 16 month old have? ›

16-month-old milestones

Most 16-month-olds are walking well, which is the lead-up to next steps: climbing, running, walking backward and dancing to music. Speech. About half of toddlers at this age are saying at least three words, and some especially chatty tots are uttering 15 words or more.

Do autistic toddlers run a lot? ›

They have specific repetitive behaviors such as running in circles, lining things in rows, spinning or spot jumping especially when unoccupied, bored, unhappy or upset. They can become rote in routines such as specific seats, routes and schedules.

Do autistic toddlers sleep well? ›

Autistic children can have particular sleep and settling difficulties, including: irregular sleeping and waking patterns – for example, lying awake until very late or waking very early in the morning. sleeping much less than expected for their age, or being awake for more than an hour during the night.

What do I do if my 16 month old isn't talking? ›

The age at which kids begin talking typically ranges from 6 to 18 months. In general, there is no need to worry if your toddler isn't talking and seems "behind"—even if they are at the older end of that range. Of course, if your child is 19 months and still not talking, you may be concerned, but this too can be normal.

What does autism look like in an 18 month old? ›

At 18 Months

A child with delayed speech skills will point, gesture, or use facial expressions to make up for their lack of talking. A child with ASD might make no attempt to compensate for delayed speech or might limit speech to repeating what they hear on TV or what they just heard.

What are the 3 main symptoms of autism? ›

Main signs of autism

finding it hard to understand what others are thinking or feeling. getting very anxious about social situations. finding it hard to make friends or preferring to be on your own.

How do I know if my 16 month old needs speech therapy? ›

If you notice that your toddler cannot produce clear sounds, make sure to take them to a specialist. You can detect this issue by listening to your child and seeing how many sounds they use to produce words. Some children use a limited number of sounds for all words, omitting many vowels and consonants.

Is babbling talking for a 16 month old? ›

The first meaningful word emerges between eight to 15 months. Therefore, if your child has no expressive language words by the time he/she is 16 months old, then it is time for concern and you should discuss this with your paediatrician.

Should my 16 month old be speaking? ›

Vocabulary – Your child should use single words by 15 to 16 months of age at the latest. They should have a 10-word vocabulary by 18 months of age. Following directions – They should be able to follow simple directions by the time they are 21 months old. An example would be “Come here.”

What are autistic toddlers obsessed with? ›

Autistic children and teenagers can be very intense and focused about favourite toys, activities and topics of conversation. For example, younger children might collect things like twigs or balls or want to know the birthday of everyone they meet.

What do autistic kids like to play with? ›

The 10 Best Sensory Toys for Autism
  • Sensory Mats. A great sensory toy for children with autism is a series of sensory mats. ...
  • Chew Toys. ...
  • Sand, Slime, or Putty. ...
  • Pin Art. ...
  • Rainmaker Toys. ...
  • Fidget Spinners. ...
  • Electric Dog Pet. ...
  • Senseez Vibrating Cushion.

Do autistic toddlers recognize parents? ›

"Just as with language, the brain comes with a readiness to recognize faces. But it also requires experience. With autism there may be some other reason why children don't pay attention to faces. They may not find it rewarding, and then that part of their brain does not develop further."

Do autistic children smile all the time? ›

Those who may be on the autism spectrum will mostly avoid any type of eye contact and will typically not smile or exhibit many facial expressions. Autistic children will also likely not be reactive to loud sounds and noises as neurotypical children would.

Do kids with autism smile differently? ›

However, people with autism produce smiles and frowns of similar intensity and size to those of controls, and they also make grimaces and other expressions equally quickly in response to stimuli such as strong odors.

Do autistic kids pretend play? ›

It has been reported that children with autism spectrum disorder (ASD) often exhibit deficits in pretend play and have less playfulness. Children with ASD have been reported to have restricted repetitive and stereotyped patterns of behavior, restricted interests, and a lack of complexity and diversity in play.

Can too much TV make baby autistic? ›

Screen Time for Babies Linked to Higher Risk of Autism-Like Symptoms Later in Childhood. Sitting a baby in front of a tablet or television, as well as less parent-child play time, are associated with developing greater autism spectrum disorder (ASD)-like symptoms later in childhood.

When do autistic toddlers talk? ›

Although typically developing children generally produce their first words between 12 and 18 months old (Tager-Flusberg et al. 2009; Zubrick et al. 2007), children with ASD are reported to do so at an average age of 36 months (Howlin 2003).

Why is autism so common now? ›

The global increase in autism prevalence reflects major improvements in public awareness and public health response to autism. Children are now more likely to be diagnosed earlier, and even underrepresented regions like Africa and the Middle East have been advancing their ability to measure autism prevalence.

What is the root cause of autism? ›

Studies suggest that ASD could be a result of disruptions in normal brain growth very early in development. These disruptions may be the result of defects in genes that control brain development and regulate how brain cells communicate with each other. Autism is more common in children born prematurely.

What can cause autism during pregnancy? ›

Summary. Determining pregnancy-related risk factors for autism is an ongoing area of research. Some risk factors have more evidence of an association than others. Taking certain antiepileptic drugs, being older parents, having a preterm birth, and developing gestational diabetes are believed to be risk factors.

What is borderline autism? ›

“This category should be used when there is severe and pervasive impairment in the development of reciprocal social interaction associated with impairment in either verbal or nonverbal communication skills or with the presence of stereotyped behavior, interests, and activities, but the criteria are not met for a ...

Are there physical signs of autism? ›

People with autism sometimes may have physical symptoms, including digestive problems such as constipation and sleep problems. Children may have poor coordination of the large muscles used for running and climbing, or the smaller muscles of the hand. About a third of people with autism also have seizures.

What mimics mild autism? ›

Medical comorbidities are also commonly seen in autism spectrum disorder including PANS/PANDAS, ADD/ADHD, seizures, dental issues, sleep disturbances and gastrointestinal symptoms. The conditions listed below all exhibit similar behavioral symptoms to autism spectrum disorder.

What do autistic toddlers do with their hands? ›

About stimming and autism

Stimming might include: hand and finger mannerisms – for example, finger-flicking and hand-flapping. unusual body movements – for example, rocking back and forth while sitting or standing. posturing – for example, holding hands or fingers out at an angle or arching the back while sitting.

Do autistic toddlers have trouble eating? ›

It's common for kids on the autism spectrum to have problems with eating. This can make it hard to get them to eat a healthy range of foods. And it can cause a lot of conflict at mealtime. To work on picky eating, the first step is having a doctor rule out stomach issues that might be causing it.

What calms an autistic toddler? ›

Break out your sensory toolkit

Kids have different favorites, but some common sensory tools include weighted lap pads, noise-cancelling headphones, sunglasses, and fidget toys. Don't force these on your child when they're melting down, but if they choose to use them, these products can often help them calm down.

Should a 16 month old know colors? ›

So at what age should your child learn shapes and colors? Although, as a parent, you should introduce colors and shapes whenever it comes up naturally all through infancy, the rule of thumb is that 18 months is the acceptable age when children can developmentally grasp the idea of colors.

How many signs should a 16 month old know? ›

So it's important to remember that by 16 months, children should have at least 16 gestures. Let's consider how gestures develop. While the order or specific gestures may vary slightly, children should be using at least two new gestures each month between 9 and 16 months.

What dont autistic toddlers do? ›

Early Warning Signs: First Year

At this age, a child with an ASD may: Not turn to a mother's voice. Not respond to his own name. Not look people in the eye.

Can autistic child play peek a boo? ›

Specifically, he makes no effort to keep the game going or to play both parts of the game (i.e. both hiding and finding). Such limited ability to play a social imitative game, like peek a boo, is a risk alert for autism.

What does an autistic laugh sound like? ›

Children with autism mainly produce one sort of laughter — voiced laughter, which has a tonal, song-like quality. This type of laughter is associated with positive emotions in typical controls.

Do autistic kids fight bedtime? ›

Bedtime battles are challenging, and children with varying forms of Autism frequently have difficulties going to sleep, and oftentimes wake up throughout the night. Many children with autism tend to be unsettled sleepers, and wake too early in the morning.

Do autistic toddlers have trouble potty training? ›

Many children with autism take longer than is typical to learn how to use the toilet. This delay can stem from a variety of reasons. Many children with autism have a general developmental delay. That is, they simply learn new skills more slowly than other children do.

How did you know toddler was autistic? ›

If your child has autism, they may have delayed speech, use few or no gestures, repeats words or phrases, and give unrelated answers to questions. Unusual behaviors and interests — Repetitive motions are common, such as rocking back and forth. These behaviors are self-soothing.

Is it normal for 15 month old not talking? ›

Parents should speak to a GP, health visitor or speech and language therapist if: Their child has not started to babble to communicate by 12 to 15 months. They are not saying their first words by 18 months. They do not respond well to language, such as not following simple instructions like 'kick ball'.

What should a 15 month old be saying? ›

By 15 months, most toddlers: try to say 1 or 2 words other than “mama” or “dada” show affection with hugs, cuddles, and kisses. follow directions that you give using both gestures and words.

What should I expect from my 15 month old? ›

There's so much going on in toddler development at 15-18 months. At this age, expect curiosity, strong attachments, new words, independent walking, small hand movements and more. Talking and listening, reading, moving, playing outside, working on everyday skills and playing with others are good for development.

What if baby isnt talking at 16 months? ›

The age at which kids begin talking typically ranges from 6 to 18 months. In general, there is no need to worry if your toddler isn't talking and seems "behind"—even if they are at the older end of that range. Of course, if your child is 19 months and still not talking, you may be concerned, but this too can be normal.

What causes speech delay in 16 month old? ›

A delay in speech development may be a symptom of many disorders, including mental retardation, hearing loss, an expressive language disorder, psychosocial deprivation, autism, elective mutism, receptive aphasia and cerebral palsy. Speech delay may be secondary to maturation delay or bilingualism.

What should a 16 month old be doing? ›

Most 16-month-olds are walking well, which is the lead-up to next steps: climbing, running, walking backward and dancing to music. Speech. About half of toddlers at this age are saying at least three words, and some especially chatty tots are uttering 15 words or more.

Is my 16 month old gifted? ›

A gifted infant will show early signs of expression. There might be a high form of intelligence behind that smile. An unusual alertness is also an early sign. They might show early signs of development by rolling over, grasping, crawling or walking.

When do we start potty training? ›

Many children show signs of being ready for potty training between ages 18 and 24 months. However, others might not be ready until they're 3 years old. There's no rush. If you start too early, it might take longer to train your child.

What noises do autistic toddlers make? ›

Autism can be diagnosed in some children from around 18 months of age.
...
For example, children might:
  • make repetitive noises like grunts, throat-clearing or squealing.
  • do repetitive movements like body-rocking or hand-flapping.
  • do things like flicking a light switch repeatedly.
23 Jul 2021

What is the biggest symptom of autism? ›

People with ASD often have problems with social communication and interaction, and restricted or repetitive behaviors or interests. People with ASD may also have different ways of learning, moving, or paying attention.

When should my 16 month old talk? ›

Vocabulary – Your child should use single words by 15 to 16 months of age at the latest. They should have a 10-word vocabulary by 18 months of age. Following directions – They should be able to follow simple directions by the time they are 21 months old.

How much should a 16 month old weigh? ›

Your 16-month-old child's growth

At 16 months, girls weigh in at about 17 to 28 pounds and measure 28 to 33 inches tall. Boys tend to weigh anywhere from 18½ to 29 pounds and measure 29 to 33½ inches tall.

How do I know if my 15 month old is gifted? ›

Characteristics of a Gifted Baby
  1. Constant stimulation-seeking while awake.
  2. Earlier ability to mimic sounds than other babies.
  3. Extreme alertness or always looking around.
7 Nov 2021

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