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Are Early Signs of Autism Different in Toddlers Compared to Infants? 

Yes, Early signs of autism can manifest at different stages of a child’s life, but the signs may look different in toddlers compared to infants. While both age groups can show signs of autism, the symptoms might be more noticeable or develop differently as a child grows. Understanding these differences is crucial for parents and caregivers to seek the right support at the right time. 

The signs of autism in infants may be subtle and harder to detect, especially in the early months. Delayed milestones, like not responding to sounds or avoiding eye contact, may be overlooked as typical developmental variations. In contrast, autism in toddlers is often easier to spot, as by this age, many children are expected to engage in more social interactions, speak simple words, and show more interest in the world around them. When these milestones aren’t met, it may signal the presence of autism. 

Developmental Differences in Autism Signs 

Here’s a look at how early signs of autism can differ between infants and toddlers: 

Social Engagement

In infants, signs like a lack of response to their name or minimal eye contact can be early indicators. However, by the time children reach toddlerhood, more clear social challenges may appear, such as difficulty with playing with others or limited interest in social games like peek-a-boo. Autism in toddlers can lead to a preference for solitary activities, such as playing alone or engaging in repetitive actions. 

Speech and Communication

Infants with autism may show delayed development of sounds, such as babbling, or may not respond to cooing and other attempts at communication. In toddlers, the delay becomes more apparent, with some children showing little to no speech by age two. They may also struggle with using language in ways typical for their age, such as having difficulty starting conversations or repeating phrases. 

Repetitive Behaviours

In infants, you may see limited signs of repetitive behaviours, though some may rock or flap hands occasionally. As children grow into toddlers, these behaviours can become more pronounced, such as spinning objects or lining up toys, which are hallmark signs of autism in toddlers. 

For personalised guidance and support, visit providers like Autism Detect for one-on-one consultations. Recognising the early signs of autism can lead to timely interventions and better outcomes for children. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Early Signs & Symptoms of Autism. 

Lucia Alvarez, MSc, author for my patient advice - mypatientadvice.co.uk

Lucia Alvarez, MSc

Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.