The toddler years, from ages 1 to 3, are when autism becomes more noticeable for many families. Milestones that were expected don't appear, or skills that were developing seem to stop or go backwards.

❝ If your toddler seems to be in their own world, has strong reactions to changes, or isn't talking, these are signs worth exploring, not waiting on.

Key Signs in Toddlers

Not pointing to show things by 14 months

• Limited or no pretend play by 18 months, such as pretending a banana is a phone

• No 2-word phrases by 24 months

• A strong attachment to routines, with big reactions to small changes

• Walking on tiptoes, spinning, or flapping hands

• Regression, losing words or skills they had before

What About the Social Side?

Autistic toddlers may have strong connections with specific people but can struggle with back-and-forth play, joint attention (looking at the same thing as you), or group social settings.

What Should You Do?

Don’t wait until age 3 to raise concerns. Ask your paediatrician about the M-CHAT screening (Modified Checklist for Autism in Toddlers). It’s a simple, quick tool used at 18 and 24-month check-ups.

❝ Early intervention before age 3 leads to significantly better outcomes, in language, behaviour, and independence.