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.