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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