Signs of autism in toddlers

Signs of autism in toddlers (ages 1-3)

The toddler years are when most parents first notice signs. Here is what to look for between ages 1 and 3, and what to do about it in Colorado.

Toddler playing with toys on the floor while a parent watches closely
Signs show by 18 months

The CDC says autism can be detected by 18 months and reliably diagnosed by age 2.

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The main signs of autism in toddlers are not pointing, not responding to their name, little eye contact, delayed speech, and repetitive play like lining up toys. Most parents notice their first sign in the toddler years, and the CDC says autism can be detected by 18 months. A toddler who does not point to show you things by 18 months or lost words they once had should be checked. At Budding Futures ABA, our Colorado BCBAs work with toddlers at home, where real behavior happens.

Signs of autism in toddlers by age

These are the CDC's toddler red flags, tied to the developmental milestones most children reach. The clearest early one is no pointing to share something by 18 months.

AgePossible signs of autism
By 12 monthsNo babbling back and forth, no waving or pointing, no pat-a-cake
By 15 monthsNo first words, does not share interest by handing you things or looking where you point
By 18 monthsDoes not point to show you something interesting, little pretend play, limited eye contact
By 24 monthsNo two-word phrases, does not notice when others are upset, prefers to play alone
2-3 yearsDoes not join other kids in play, lines up toys and melts down at change, repeats words instead of using them, walks on toes

What is the earliest sign of autism in a toddler?

Not pointing is often the clearest early sign. By 18 months, most toddlers point to show you something they find exciting, not just to ask for it. A toddler who does not point to share, and does not look where you point, is worth a closer look.

“Yes, you should be concerned. Get a second opinion.”

A parent on r/toddlers worried their 26-month-old was not really talking. A pediatric behavior analyst replied plainly, and other parents urged the same thing: do not wait and see, and self-refer to free early intervention now.

Reply in r/toddlers, “26-month-old still not talking” thread · read the thread →

What are signs of autism in a 2-year-old?

By age 2, watch for no two-word phrases, not noticing when others are hurt or upset, little pretend play, lining up toys, repeating words instead of answering, and toe walking. A 2-year-old can be reliably evaluated, so this is a good age to ask.

What are signs of autism in a 3-year-old?

By age 3, signs often show up around other children: not joining play, struggling to take turns, big upset over small changes in routine, and intense, narrow interests. Speech may be missing, or present but used in a scripted, repeated way.

My toddler is not talking. Is that autism?

Maybe, maybe not. A late talker who still points, shares, copies you, and plays pretend is different from one who does not connect. Either way, a speech delay is worth acting on. You do not have to figure out which it is before you ask for help.

My toddler lost words they used to say. Should I worry?

Yes, mention it to your doctor soon. About 30% of autistic children lose skills, usually around 20 months, and losing words is one of the most common. This is a reason to ask for an evaluation now, not to wait.

What to do next in Colorado

Toddlers under 3 have the simplest path in Colorado. You can refer your own child, for free, without a diagnosis.

Your child's ageWhere to start in Colorado (free)What happens
Birth to age 3Early Intervention Colorado (call 1-888-777-4041, or refer yourself)A free evaluation and services, with no cost and no diagnosis needed first.
Age 3 and olderChild Find through your local school districtA free evaluation, finished within 60 days of your written okay.
Any ageYour pediatricianAn autism screen (M-CHAT-R) at the 18- and 24-month visits, then a referral for a full evaluation.
After a diagnosisIn-home ABA with a Colorado BCBABudding Futures builds the plan, checks your Medicaid or insurance, and starts with no current waitlist.

After an autism diagnosis, Budding Futures provides in-home ABA across Colorado, works with Health First Colorado (Medicaid) and major insurers, and starts families with no current waitlist. A Board Certified Behavior Analyst, Rachel Blackburn, reviews each plan.

Not sure what you are seeing? Talk to a Colorado BCBA

We can talk through the signs, point you to the right free evaluation, and if your child has a diagnosis, build an in-home plan and check your Medicaid or insurance.

Call (720) 613-8837