Many children who talk late do not have autism, and some children with autism talk on time. Here is how speech delay and autism differ, and when to get an assessment.
“My child is not talking yet. Is it autism?” This is one of the most common questions parents ask us. The honest answer is: not always. A speech delay and autism can look similar in a toddler, but they are not the same thing, and the support that helps can be different.
What is a speech delay?
A child with a speech or language delay is developing communication more slowly than expected for their age. They may say fewer words or join words later than other children. But most children with a simple speech delay still want to connect: they look at you, point to show you things, enjoy back-and-forth games and use gestures to make up for missing words.
How autism is different
Autism affects social communication and behaviour, not only speech. Some children with autism talk late; others talk on time but use language in unusual ways. Signs that point more towards autism include:
- little eye contact, or rarely sharing a smile or interest with you
- not pointing to show you something or to ask for help
- not responding to their name, even though hearing is fine
- repeating words or phrases (echolalia) instead of using them to communicate
- repetitive movements, lining up toys, or strong upset at small changes
- strong reactions to sounds, textures or certain foods
Signs to check without delay
Whatever the cause, speak to a professional if your child has no babbling by 12 months, no single words by 16 months, no two-word phrases by 24 months, or if they lose words or skills they had before. Also get your child’s hearing checked: hearing problems are a common cause of late talking.
Why an assessment helps
Only a proper assessment can tell what is behind your child’s late talking. At an assessment, therapists look at communication, play, social interaction, behaviour and sensory needs together, so you get a clear picture rather than a guess. Read what happens at a child development assessment.
Support works in both cases
Whether your child has a speech delay, autism, or both, early help makes a real difference. Speech and language therapy builds understanding and expression, and children with autism often also benefit from ABA and occupational therapy.
Book an assessment in Uttara, Dhaka
If you are unsure, it is always better to check than to wait. Learn about our autism assessment in Uttara or book a time online, and our team will call you.
Have questions about your child?
Our team is happy to talk with you and help you plan the next steps.
