A Helpful Reference for Parents
Early identification of autism can lead to earlier support and better outcomes. If you're starting to notice behaviors or developmental delays that feel different from typical milestones, this checklist can help you organize your observations. Remember, every child is different—checking a few boxes does not mean a diagnosis, but it may be time to speak with your pediatrician or a developmental specialist.
🧠 Social Communication and Interaction
- Rarely makes eye contact or avoids it altogether
- Does not respond to their name
- Limited use of gestures (e.g., pointing, waving, showing objects)
- Difficulty engaging in back-and-forth interactions (smiling, cooing, or simple conversations)
- Prefers to play alone or does not show interest in peers
- Has trouble understanding or expressing emotions
- Doesn’t imitate actions or facial expressions
📢 Speech and Language Development
- Delayed speech or language milestones
- Repeats words or phrases (echolalia) instead of using language to communicate
- Speaks in an unusual tone, rhythm, or pitch
- Doesn’t use language to express needs or wants
- Limited or no pretend play involving speech (e.g., talking to dolls or action figures)
🔁 Repetitive Behaviors and Interests
- Repeats movements such as flapping hands, rocking, or spinning
- Becomes distressed by small changes in routines
- Has very focused or intense interests (e.g., lining up toys, fixating on parts of objects)
- Rigidly follows routines or rituals
- Shows unusual attachments to certain objects
👂 Sensory Sensitivities
- Overreacts or underreacts to sensory input (sounds, textures, lights, smells)
- Unusual reactions to pain, heat, or cold
- Seeks or avoids certain sensory experiences (e.g., spinning, squeezing, loud noises)
🕒 Developmental Milestones
- Delays in reaching motor milestones (sitting, crawling, walking)
- Regression in skills they had previously mastered (e.g., loss of words or social interest)
✅ What to Do If You Notice Signs:
- Write Down Observations – Note specific examples of behaviors, including when and how often they occur.
- Talk to Your Pediatrician – Share your concerns and observations. They may recommend developmental screening.
- Mindcolor Autism offers a free M-CHAT screening! The Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) is an evidence-based screening tool designed to assess the risk of autism spectrum disorder (ASD) in children aged 16 to 30 months. Answer 20 questions to receive your child's immediate results and potential next steps if further evaluation is recommended. The M-CHAT-R is not a diagnostic tool but is an important first step in identifying potential signs of ASD. A result that indicates moderate or high risk for ASD does not necessarily mean your child will be diagnosed with ASD but suggests that further follow-up with your child's pediatrician and diagnostic testing is recommended.
- Seek a Referral – For more in-depth evaluation, ask about a referral to a developmental pediatrician or a psychologist who specializes in autism.
❤️ Remember
Early signs of autism can be subtle or easy to miss. Trust your instincts—if something feels “off,” it's okay to ask questions. Early support can make a significant difference in your child’s development and quality of life.
You're not alone, and resources are available to guide you every step of the way.