Cyndi O'Toole Cyndi O'Toole

Is This Typical? When to Consider an Autism Evaluation

Wondering whether your child’s development is on track? You're not alone, and you don't have to navigate those questions alone either.

Welcome to our blog. This is a space for parents, caregivers, and professionals seeking guidance, clarity, and trusted insight on autism and ADHD evaluations.

We’re beginning with one of the most common and important questions parents ask: “Is this typical, or should I be concerned?”

You’re not alone in asking this question. Many families find themselves navigating the space between developmental differences and developmental delays, unsure of when to seek help or what the first step should be.

Developmental Expectations Are Shifting, and That Matters

In 2022, the Centers for Disease Control and Prevention (CDC), along with the American Academy of Pediatrics, updated developmental milestone guidance for the first time in nearly two decades. These updates reflect what 75% of children are expected to do at certain ages, not what’s considered “average.” The goal: to help families recognize potential delays sooner and get the right support earlier.

For example, new guidance now expects that:

By 15 months, most children should be pointing to show interest and using at least 3 spoken words

By 24 months, children should say at least 50 words and combine 2 words meaningfully (“more juice”)

By 30 months, children should begin to play with other children and follow simple instructions

If your child is not meeting these milestones, or if you notice regression or unusual behaviors, it's worth exploring further.

What to Watch For: Early Signs of Autism Spectrum Disorder

According to the CDC and the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), early signs of autism may include:

Limited or absent eye contact

Lack of gestures like pointing, waving, or nodding

Delayed or absent spoken language

Not responding to their name by 12 months

Intense interest in specific objects or topics

Repetitive behaviors (lining up toys, hand-flapping, etc.)

Difficulty with pretend play or engaging with peers

These signs can appear in the first 18–24 months and may be more noticeable in social or group settings like daycare.

Why Early Evaluation Matters

Research consistently shows that early identification and intervention lead to better long-term outcomes in language, social skills, emotional regulation, and academic success (Zwaigenbaum et al., 2015; Dawson et al., 2010).

An evaluation doesn’t mean a diagnosis is guaranteed; it’s simply the best way to get answers.

At The Autism Resource Center, we use tools like the ADOS-2, behavior rating scales (e.g., BASC-3), and structured interviews to assess for:

Autism spectrum disorder

ADHD

Other developmental or emotional concerns

The process is collaborative, evidence-based, and focused on helping you understand your child’s needs and strengths.

You Don’t Need to Wait, Or Navigate This Alone

If you’re concerned, trust your instincts. You don’t need a referral to schedule with us, and evaluations are available for children as young as 18 months.

Whether you’re in Austin, San Antonio, or the surrounding Hill Country, we’re here to help you take the next step with clarity and compassion.

Ready to learn more or schedule a free consultation?

Contact us today, we’re here to support you.

References

Centers for Disease Control and Prevention (CDC). (2022). Learn the Signs. Act Early. https://www.cdc.gov/ncbddd/actearly/milestones/index.html

Dawson, G., Rogers, S., Munson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125(1), e17–e23.

Zwaigenbaum, L., Bauman, M. L., Stone, W. L., et al. (2015). Early identification of autism spectrum disorder: Recommendations for practice and research. Pediatrics, 136(Supplement 1), S10–S40.

Read More