When to Seek an Autism Evaluation for Your Toddler
Autism spectrum disorder is a diagnostic classification. It is a neurodevelopmental disorder, meaning the brain has formed differently and these differences can be observed even prior to 18-months-old.
Autistic children communicate differently and are often slower to develop spoken language though not always. It is a spectrum because there is a wide range of differences and functioning in autistic people.
Most children are screened at their 18-month well child check and often pediatricians give a questionnaire called the M-CHAT-R. This questionnaire surveys the child’s behavior and if it is elevated additional assessment is necessary to determine the cause of the elevation. Though symptoms can also be easily missed, especially in girls.
Early intervention is crucial to supporting autistic children and ensuring they thrive. A diagnosis is the first step.
Once your child is referred to JUST Psychological Services, one of our psychologists will do a comprehensive assessment. For toddlers, this includes a developmental assessment as well as observing and interacting through play to assess their social communication and behaviors. An assessment of their strengths and struggles can minimize the long-term impact of the challenges associated with the disorder and build on the child’s unique strengths. Research shows that early diagnosis and intervention helps autistic children move through life more easily.
Some autistic traits in toddlers are:
later to start talking (no first word at 12-months, few to no words by 18-months)
using words to label things but not to make request (may say ball, car, and others, but not more or names)
repeats words or phrases, but does not seem to understand what they mean
not pointing or using other gestures by 12-months
insistence on sameness and big emotions when there are deviations
not responding consistently when their name is called
not smiling when you smile at them
flapping their hands, jumping up and down or other repetitive movements
getting very upset if they do not like a smell, taste, or sound
eye contact is uncomfortable (or effortful)
prefers to play alone
Our team has 20 years of experience in comprehensive psychological evaluations for infants, children, and teens. If you’ve received an autism diagnosis for your child, or are worried about their development, contact our team to discuss how we can help you and your family.