| It concerns me that she 'takes you by the hand' rather than using vocalizations to get you to do something, and that you wrote that she 'appears not to understand' when you talk to her. When she 'sings' along to the radio, is it tune only? Or are there word sounds in there also? You're writing here because you're concerned -- Listen to that little voice and INSIST upon the following two evaluations: - First would be an "autism screening" instrument for toddlers designed to rule out possible autism-spectrum issues. There are several screening tests available online for parents to use, and while they're certainly not precise enough to diagnose, they're very good at letting you know if you DON'T need to be concerned. Consider also that the country's foremost pediatrics groups are now recommending that *every* child be screened for autism now *twice* before age two. A basic screen is something a good pediatrician should be able to do with 5-20 questions and quickie little tests in his office. However many *older* pediatricians may not be familiar with the screens or may dismiss your concerns. *Don't let your concerns be dismissed this easily.* - Second would be a hearing, speech and language evaluation by a Speech Therapist (SLP) who specializes in young children. Oftentimes mild hearing impairments (caused by earwax or repeated infections) can cause language delays and behaviors that appear autistic-like. But DON'T do just the SLP exam and WAIT on the autism screen. If autism IS a concern, it needs to be addressed as soon as possible. If your pediatrician dismisses EITHER of these requests as trivial or unnecessary, consider this a STRONG sign that this pediatrician is not the right one for your family. |
Here is a link that might be useful: Things to look for