Early Signs of Autism Parents Often Miss—And What to Do Next


As parents, we're wired to notice every milestone—first smiles, first steps, first words. But sometimes, what we don’t notice can be just as important. When it comes to autism spectrum disorder (ASD), many signs are subtle, especially in the early months and years. These early differences often don’t stand out until a child starts falling behind socially or developmentally.

At APG Health, we partner with families throughout Orlando, Winter Park, Altamonte Springs, and the surrounding Central Florida area to help identify the early signs of autism and provide guidance on what to do next. Catching these signs early—and taking action—can make a real difference in a child’s future.

Why Early Identification Matters

Autism is a neurodevelopmental condition that affects communication and social skills, behavior, and how a person experiences the world. It exists on a spectrum, meaning autistic people have a wide range of strengths and challenges.

Research shows that the earlier a child receives an autism diagnosis, the sooner they can access services that support development. Early intervention—especially in the first few years—can significantly improve outcomes for children with autism.

The challenge? Some signs of autism in babies and young children are easy to overlook. They can be mistaken for shyness, temperament, or simply part of a child “being unique.”

Early Signs Parents Often Miss

Here are some of the more subtle signs of autism spectrum disorder (ASD) that parents might not recognize right away:

1. Lack of Joint Attention

Joint attention is when a child shares focus with another person—like looking at a toy together, following a point, or checking a parent’s reaction to something. This typically develops by 9 to 12 months of age.

What to look for:
Your child doesn’t look where you point or doesn’t try to get you to look at something they’re interested in.

2. Limited Eye Contact

Making eye contact is one of the earliest forms of connection, and it’s often reduced in autistic children. This doesn’t mean no eye contact at all—but it may be fleeting or inconsistent.

What to look for:
Your baby may not look into your eyes during feedings or may avoid eye contact during play or smiles.

3. Delayed or Atypical Communication

Autism affects both verbal and nonverbal communication. Early delays in babbling, gesturing, or pointing can be easy to attribute to personality or family speech patterns—but they may be part of a bigger picture.

What to look for:
Your child doesn’t babble by 12 months, point to show interest by 14 months, or use simple words by 16–18 months.

4. Unusual Reactions to Sensory Input

Many autistic people process sensory information differently. Some may be extra sensitive to noise, lights, or touch, while others may seek out sensory experiences.

What to look for:
Your child might cover their ears at common sounds, seem distressed by certain textures, or stare at spinning objects for long periods.

5. Repetitive Movements or Interests

Restricted and repetitive behaviors are a hallmark of autism. These can include flapping hands, lining up toys, or fixating on one topic or object.

What to look for:
Your child prefers routines and may get upset with small changes. They may repeat movements like rocking or have intense interests unusual for their age.

6. Limited Imitation or Pretend Play

By 18 months, most toddlers imitate others, play house, or mimic everyday activities. Children with autism may struggle with or show little interest in pretend play.

What to look for:
Your child rarely copies your actions or doesn’t engage in imaginative games like feeding a doll or pretending to talk on the phone.

What To Do If You’re Concerned

If your child shows any of these signs—or you simply have a gut feeling something is different—trust that instinct. Early action doesn’t mean something is “wrong.” It means you’re giving your child the best possible support.

Here are your next steps:

1. Talk to Your Child’s Pediatrician

Bring up your concerns, even if they feel small. Ask for a developmental screening or referral to a specialist. Many signs can emerge as early as 12–18 months, so it’s never “too early” to start the conversation.

2. Request a Formal Evaluation

A formal autism diagnosis requires assessment by a psychologist, developmental pediatrician, or other trained specialist. At APG Health, we provide thorough evaluations that go beyond surface-level symptoms, helping parents in Orlando and nearby areas understand what’s really going on.

3. Explore Early Intervention Services

If your child is under 3, they may qualify for state-supported services—even without a formal diagnosis. These programs offer speech, occupational, and behavioral therapies aimed at supporting development from a young age.

We can help you navigate options in Central Florida, including referrals and care coordination.

Autism Is Not a Failure—It’s a Difference

It’s important to understand that an autism diagnosis is not the end of anything—it’s the beginning of understanding. Many autistic adults reflect that receiving a diagnosis earlier would have helped them grow up with more self-awareness and support.

Autistic children bring unique strengths, perspectives, and ways of connecting with the world. With the right resources and environment, they can thrive.

Supporting Your Child, Your Way

Every child is different. The goal isn’t to “fix” your child—it’s to help them succeed in their own way. That might mean building communication and social skills, reducing stress from sensory overload, or simply understanding how they experience the world.

At APG Health, we provide more than evaluations—we build partnerships with families in Winter Park, Altamonte Springs, Orlando, and beyond. We walk with you through diagnosis, treatment, and long-term care options.

Take the First Step

If you suspect early signs of autism or just want a professional perspective, reach out to APG Health today. Our team offers compassionate, expert support tailored to your child and family’s needs.

Whether your child is 18 months or 5 years old, we’re here to guide you through next steps—without judgment, and with a plan.

The earlier we understand, the better we can support. Let’s take the next step together.