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Early Signs of Autism in Toddlers: What Parents Should Know 

As parents, it’s natural to wonder whether your child is developing on track. Every child grows and learns differently, but sometimes certain behaviors or developmental differences may be signs that additional support could be helpful. 

Recognizing the early signs of autism in toddlers can help families seek guidance, ask questions, and access resources earlier. Early awareness does not mean something is “wrong” with your child, it simply creates an opportunity to better understand how they communicate, learn, and interact with the world around them. 

At Ascend Autism, we work closely with families to support children through evidence-based, play-focused, autism services around communication, social development, and everyday learning. 

What is ASD? 

Autism Spectrum Disorder (ASD), is a developmental condition that can affect: 

  • Communication 
  • Social Interaction 
  • Behavior 
  • Sensory Processing 
  • Learning Styles 

Autism is called a “spectrum” because every child is unique. Some children may show very noticeable signs early on, while others may develop differently in more subtle ways. 

When Do Signs of Autism Usually Appear? 

Some early signs of autism may begin appearing between: 

  • 12 – 24 months old 
  • Toddler years 

In some cases, parents notice developmental differences gradually over time. In others, milestones may seem delayed or social interaction may feel different compared to peers

Early Signs of Autism in Toddlers 

Every child develops differently, and having one or two of these signs does not automatically mean a child has autism. However, these behaviors may indicate that further evaluation could be beneficial. 

Limited Eye Contact 

Some toddlers with autism may: 

  • Avoid eye contact 
  • Look away frequently 
  • Have difficulty maintaining visual engagement during play or communication 

Delayed Speech or Communication 

Communication differences may include: 

  • Delayed speech development 
  • Limited babbling 
  • Not using gestures consistently 
  • Repeating words or phrases 
  • Difficulty expressing wants and needs 

Some children may also appear to understand language differently than expected for their age. 

Not Responding to Their Name 

Parents may notice their child: 

  • Does not consistently respond when called 
  • Seems “in their own world” 

This can sometimes be mistaken for hearing concerns at first. 

Preference for Playing Alone 

Some toddlers may: 

  • Engage in limited social play 
  • Avoid group interaction 
  • Prefer independent activities 

Repetitive Behaviors 

Examples may include: 

  • Lining up toys 
  • Repetitive movements 
  • Hand flapping 
  • Spinning objects 
  • Strong interests in repeating routines or activities 

Difficulty With Changes in Routines 

Children with autism may become upset by: 

  • Transitions 
  • Unexpected schedule changes 
  • New environments 
  • Changes in routines or activities 

Predictability and structure may feel especially important to them. 

Sensory Sensitivities 

Some toddlers may be especially sensitive to: 

  • Loud sounds 
  • Textures 
  • Lights 
  • Clothing  
  • Food textures 
  • Crowded environments 

Others may seek sensory input through movement or touch. 

What Should Parents Do If They Notice These Signs? 

The most important thing parents can do is ask questions early. 

Speaking with: 

  • Pediatricians 
  • Development specialists 
  • Autism professionals (can help families understand whether additional screening or evaluation may be appropriate) 

Early support can help children strengthen: 

  • Communication skills 
  • Social interaction 
  • Daily routines 
  • Emotional regulation 
  • Play skills 

What Is an M-CHAT Screening? 

The M-CHAT (Modified Checklist for Autism in Toddlers) is a commonly used developmental screening tool that helps identify early signs of autism in young children. 

The screening: 

  • Is quick and parent-friendly 
  • Does not diagnose autism 
  • Helps determine whether additional evaluation may be helpful 

Ascend Autism Nashville will be offering a free M-CHAT screening to create opportunities for families in the Nashville area. 

The Importance of Early Intervention 

Research consistently shows that early intervention can help children build important developmental skills during critical years. 

Support may focus on: 

  • Communication 
  • Social development 
  • Play skills 
  • Independence 
  • Behavior support 
  • School readiness 

Every child’s journey is different, and early support can help families better understand their child’s strengths and needs. 

Supporting Families Every Step of the Way 

At Ascend Autism our goal is to create supportive, welcoming environments where children can learn, grow, and build meaningful skills through play-based, evidence-based care.  

If you have questions and developmental milestones, autism screenings, or early intervention services, our team is here to help. 

Our Farmington ABA Center 

Address: 2603 Westwood Drive, Nashville, TN 37204

Phone: (615) 703-3531

Wondering if your toddler may benefit from a screening? Ascend Autism offers M-CHAT screening support to help families better understand possible early signs of autism and next steps.

Learn more about M-CHAT screenings

Take the Next Step with an M-CHAT Screening

If you have noticed early signs of autism in your toddler, you do not have to wait to ask questions. The M-CHAT screening can help you better understand whether your child may benefit from further evaluation or support.

Schedule or learn more about an M-CHAT screening

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