What Types of Routines Do Autistic Toddlers Develop?

PostedNovember 5, 2025

UpdatedNovember 5, 2025

ByMy Patient Advice

Author: Lucia Alvarez, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Autistic routines in toddlers are often marked by repetitive behaviours and a strong preference for consistency. These routines can provide comfort and predictability, helping toddlers manage sensory overload or anxiety. While all children benefit from structure, toddlers with autism tend to develop more rigid routines that are an integral part of their daily lives. Recognising these patterns early can provide insight into autism traits and help parents create environments that support their child’s needs.

Some common examples of repetitive behaviours in toddlers with autism include the need to line up toys, follow specific sequences of actions, or insist on particular routines for activities like mealtime or bedtime.

Common Autistic Routines in Toddlers

Autistic toddlers often develop specific routines that help them feel secure. These behaviours may seem unusual but are essential for their emotional regulation.

Repetitive Play:

Many autistic toddlers develop a strong preference for repeating the same play activities. This could include stacking blocks, lining up toys, or spinning objects. These actions provide a sense of control and calmness in their environment.

Rigid Routines:

Toddlers with autism often insist on specific patterns for daily activities, such as having meals at the same time or following the same sequence when getting dressed. Any changes in these routines can cause distress or anxiety.

Resistance to Change:

Autistic toddlers may become upset if there’s a change in their usual schedule, whether it’s a new caregiver, an altered mealtime routine, or a change in their environment. This resistance to change is often linked to their need for predictability and structure.

Recognising autistic routines in toddlers other early signs of autism can help parents and caregivers implement strategies to support transitions and create a more stable environment. For expert guidance and tailored consultations, visit providers like Autism Detect for one-on-one support specific to your child’s needs.

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

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

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.