Delayed development of spoken language
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Child has a vocabulary of less than 50 single words
and/or no 2 word phrases
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Failure to use nonverbal forms of
communication to compensate for delayed
language development
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Child demonstrates inconsistent use of eye contact,
expressions to convey needs and desires
gestures (such as pointing or shaking head), and
facial expressions to convey needs and desires
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Inconsistent response to sounds
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Child may not respond to his/her name being called;
deafness may be suspected
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Failure to direct the parent’s attention to
objects or events to share interest
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Child may point to juice to request, but does not point
to the sky to share interest in an airplane. Child may
bring a toy to the parent for help, but does not hold
up a toy to show it to the parent for the purpose of a
conveying interest
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Failure to imitate simple adult movement
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Child does not wave good-bye or imitate hand
movements in games like pat-a-cake
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Failure to act in a reciprocal,
back-and-forth manner
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Child may interest only on his/her terms. May initiate
games (or affection) but not respond when parents
initiate them
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Lack of interest in simple social games
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Child may be more interactive during physical games
with parents, such as swinging or tickling, than during
social games such as peek-a-boo
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Lack of interest in other children
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Child may show limited interest in watching or playing
with other children
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Repetitive and restrictive toy play
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Child may show limited interest in toys, may play with
toys in an unusual manner (for example, lining them
up), may play with toys the same exact way each time,
and/or may show limited imaginative
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