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Concern
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Signs & concerns
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Signs & concerns
When should I worry about Down syndrome in my 5-year-old?
Down syndrome is identified at or near birth, not newly discovered at five. If your child was checked as a newborn without diagnosis, it is very unlikely now. Any worry about learning or development deserves a general developmental check — only a clinician can guide you.
Read the answer AnswerWhen should I worry that my 5-year-old might have dyscalculia?
At five, it is too early to diagnose dyscalculia — early number sense is still forming and mix-ups are typical. A meaningful maths-learning diagnosis usually only applies around age 7–8, once structured teaching is well under way. For now, watch and gently support; check in with a clinician only if difficulties are marked, persistent and clearly out of step with your child's other strengths.
Read the answer AnswerWhen should I worry that my 5-year-old might have dysgraphia?
At five, formal handwriting is only just beginning, so it is too early to diagnose dysgraphia — which is reliably identified around ages 7–8 after structured writing instruction. Watch the building blocks instead: pencil grip, hand strength, fine-motor play and letter interest. Seek a developmental check if your child avoids all drawing, cannot copy simple shapes, has very weak hand control versus peers, or loses a skill — for early support, not a label.
Read the answer AnswerWhen should I worry about dyslexia in my 5-year-old?
At five, a formal dyslexia diagnosis is usually too early — children are only beginning to learn letters and sounds. This is the age to watch the building blocks of reading: rhyme, sound play, letter recognition and family history. If several lag, or there is dyslexia in the family, a structured screen is wise — not a label, but a path to early, playful support that works best when started young.
Read the answer AnswerWhen should I worry about my 5-year-old's emotional & behavioural difficulties?
At five, big feelings and tantrums are normal. The signal to seek help is a pattern that is persistent (weeks to months), intense, present across more than one setting, and disruptive to friendships, learning or family life. A single hard week rarely means trouble; a steady pattern does. Only a clinician can tell what's underneath.
Read the answer AnswerWhen Should I Worry About Feeding & Eating Difficulties at 5?
Most five-year-olds are fussy at times, which is typical. Seek a check when eating difficulties are persistent, narrowing or affecting growth and daily life — a shrinking list of foods, distress or gagging at meals, refusal of whole food groups, faltering weight, or eating that disrupts school and family. These are reasons to assess early, not a diagnosis, because early support works best.
Read the answer AnswerWhen should I worry about FASD in my 5-year-old?
FASD only becomes a meaningful question when there was alcohol exposure during pregnancy. At 5, reasons to seek a developmental check include slower growth, ongoing difficulty with attention, memory or learning, trouble managing feelings or impulses, and speech or coordination lagging behind peers. These are reasons to assess early — not a diagnosis — because early support works best.
Read the answer AnswerWhen should I worry that my 5-year-old might have Fine Motor Delay?
By age five, most children manage a comfortable pencil grip, copy simple shapes, use scissors and begin dressing themselves. Worry — gently — when hand skills lag clearly behind peers, don't improve with practice over a few months, or frustrate your child across home and kindergarten. A clear, persistent pattern deserves a friendly check; only a Pinnacle clinician can assess, never an online form.
Read the answer AnswerWhen should I worry my 5-year-old has a genetic syndrome?
Most genetic and chromosomal conditions are recognised well before age five, often near birth. By five, what prompts clinical interest is a persistent pattern — delays across several areas, a widening gap from peers, distinctive features with developmental concerns, recurrent medical issues, or family history. Two or more clustered concerns are reason for a prompt developmental check, never for fear. Only a clinician can assess what's underneath.
Read the answer AnswerWhen should I worry about Global Developmental Delay at 5?
Worry is reasonable, but worry is not a diagnosis. At five, the real flag for Global Developmental Delay is a persistent pattern of being meaningfully behind across two or more areas — language, learning, self-care, movement or social skills. A clinician can confirm it; early checking helps most.
Read the answer AnswerWhen should I worry that my 5-year-old might have Gross Motor Delay?
By five, most children run, hop, climb stairs and catch a ball with growing ease. Worry — gently — if your child consistently struggles with several of these versus peers, tires quickly, falls often or avoids active play, and especially if a skill has been lost. These are patterns to assess, not a diagnosis; only a Pinnacle clinician can confirm anything, never an online form.
Read the answer AnswerWhen should I worry that my 5-year-old might have hearing impairment?
By five, a child should hear soft speech across a room and speak clearly. A persistent pattern of mishearing, asking for repetition, loud TV or unclear speech — across home and school — warrants a simple hearing check. Worry is a reason to test, not a diagnosis.
Read the answer AnswerWhen should I worry that my 5-year-old might have hypotonia?
By five, most children have steady core strength for play, sitting upright and using a pencil. Consider a check for hypotonia if your child consistently looks floppy, slumps, tires far faster than peers, avoids physical play, or struggles with stamina and fine-motor tasks. Low tone is not laziness and responds well to early support — a persistent pattern across settings, or any loss of skills, deserves prompt clinician review.
Read the answer AnswerWhen should I worry my 5-year-old has Intellectual Disability?
Worry at five is reasonable, but worry is not a diagnosis. A broad, persistent lag across thinking, language, learning and everyday self-care — not one slow area — is the real reason to check. Only a Pinnacle clinician can confirm it, and early support helps most.
Read the answer AnswerWhen should I worry about motor planning difficulties in my 5-year-old?
At five, occasional clumsiness is normal. Worry is warranted when a child consistently struggles to learn new physical skills, lags in self-care like dressing and cutlery, gets multi-step movements out of order, or avoids coordination tasks — and this pattern holds across home and kindergarten over several weeks. That's a cue for a structured developmental check, not panic. Only a Pinnacle clinician can assess what's underneath.
Read the answer AnswerWhen to worry about a non-verbal 5-year-old
By five, most children speak in full sentences understood by strangers. A child using very few words or none — or relying mainly on gesture and sounds — should be assessed now, not waited on. Minimally verbal describes spoken output, not intelligence, and early communication support gives the biggest advantage. Only a Pinnacle clinician can assess what's underneath.
Read the answer AnswerWhen to worry your 5-year-old might have Oppositional Defiant Disorder
At five, frequent defiance, tempers and boundary-testing are largely normal as children learn independence. Worry — meaning, seek a review — only when angry, argumentative or defiant behaviour is frequent (most days for around six months), clearly stronger than in same-age peers, and is genuinely harming home, friendships or school. Even then it signals a need for assessment and early support, not a diagnosis.
Read the answer AnswerWhen to Worry About Toe-Walking in a 5-Year-Old
Occasional tip-toeing is common, but by age five most children walk heel-to-toe. Worth a check if your child toe-walks most of the time, has tight calves or heel cords, can't stand flat-footed, toe-walks on one side only, or shows delays in speech, play or coordination. Persistent toe-walking is often harmless and idiopathic, but a clinician should rule out tight tendons or neuromuscular causes.
Read the answer AnswerWhen should I worry about prematurity-related developmental risk in my 5-year-old?
By age 5, most prematurity-related developmental risk has either settled or become visible as school demands grow. Worry — and seek a review — if your child is clearly behind peers in language, attention, learning, movement or emotional regulation, especially as a persistent pattern. Many preterm children catch up fully; a check brings clarity, never a label.
Read the answer AnswerWhen should I worry about Rett Syndrome at age 5?
Rett Syndrome usually shows itself between 6 and 18 months, not at 5 — most often as a child slows or loses hand and speech skills she once had, with repetitive hand-wringing movements. A 5-year-old with steady, ongoing development does not fit this pattern. The key sign at any age is loss of previously gained skills, which always deserves prompt medical and neurological review — not a diagnosis, a reason to assess early.
Read the answer AnswerWhen should I worry that my 5-year-old might have a school readiness gap?
A school readiness gap is not a diagnosis but a sign a child needs more support with the building blocks of learning before structured school. At five, seek a gentle check if your child consistently struggles to follow simple instructions, separate from you, attend to a short activity, or shows little interest in early learning — especially if the pattern persists across home and pre-school. Earlier support is always easier.
Read the answer AnswerWhen Should I Worry About Selective Mutism at 5?
At five, the time to seek a check for Selective Mutism is when your child speaks freely at home but consistently does not speak at school or in specific settings for at least a month, beyond the normal settling-in period, and this affects learning or friendships. The ability to speak is clearly there — this is anxiety-based, not shyness or a speech delay. It is a reason to assess early, not a diagnosis, because gentle early support works best.
Read the answer AnswerWhen should I worry about self-regulation difficulties at 5?
At five, occasional big feelings and meltdowns are normal as children learn to manage emotions. Worry — and seek a developmental check — when self-regulation difficulties are frequent, intense, slow to recover from, appear across home and school, and disrupt friendships, learning or daily routines over weeks to months. Only a clinician can assess what's underneath.
Read the answer AnswerWhen should I worry about feeding selectivity at five?
At five, choosy eating is often normal. It is worth a clinician's eye when selectivity is intense and persistent — a very small accepted-food list, strong texture or sensory distress, gagging at new foods, whole food groups refused, and impact on growth, nutrition or family life. These are reasons to assess early, not a diagnosis, because gentle support works best.
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