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Signs & concerns
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Signs & concerns
What to do if a child isn't yet showing pretend play
Pretend play usually emerges around 18 months and grows through the third year, so a single missing skill is rarely alarming. As a caregiver, make space for it through everyday play and watch warmly. If pretend play hasn't appeared by around 24 months — especially with few words, little eye contact or limited social interest together — a calm developmental check is wise. This is a reason to assess early, never a diagnosis.
Read the answer AnswerWhat to Do If a Child Isn't Yet Showing Problem Solving
Problem solving — working out how to reach a toy, fit a shape, or seek help — grows step by step through everyday play and at different paces for each child. If a child in your care isn't yet solving little challenges as expected, offer playful support at home and arrange a gentle developmental check. This isn't a diagnosis; it's an early, loving look, because support works best when started early.
Read the answer AnswerWhat to do if a child's pronunciation skills are not yet showing
Pronunciation develops gradually, and young children are often hard to understand at first — this is usually normal. Caregivers help most by talking, singing, naming and responding warmly all day, while watching how clear speech becomes over time. Seek a calm developmental check, including a hearing review, if speech is much harder to follow than peers, seems to stand still, or comes with other communication differences. This is about early opportunity, not a diagnosis.
Read the answer AnswerWhat to do if a child isn't showing proprioceptive processing
Proprioceptive processing is the body's sense of where its muscles and joints are — it grows through everyday play rather than switching on at a set age. Seek a gentle developmental check if a child is unusually clumsy, crashes or squeezes constantly, presses far too hard or soft, slumps or fidgets, or shows these alongside other delays. This is a reason to assess early, not a diagnosis — early occupational-therapy support through playful 'heavy work' helps the brain build its body map.
Read the answer AnswerWhat to do if a child isn't showing quantitative reasoning
Quantitative reasoning — counting, comparing, sequencing — develops gradually through everyday play, and children reach each step at their own pace. If a child isn't yet showing it, weave number talk into daily routines, watch how they engage over a few weeks, and arrange a developmental check if the gap is persistent or travels with delays in language, attention or play. This is a reason to support early, never a diagnosis.
Read the answer AnswerIf a child isn't yet comparing quantities
Quantity comparison — knowing which group has 'more' or 'less' — develops gradually through preschool play. If a child isn't showing it yet, weave more comparing into snacks and toys and watch over a few weeks. Seek a developmental check if the skill lags well behind peers, isn't building with practice, or travels with delays in language or understanding. This is a cue to support and observe, not a diagnosis.
Read the answer AnswerWhat to do if a child isn't asking questions yet
If a child is not yet asking questions, keep modelling curiosity, talk often and offer plenty of back-and-forth chances to communicate. Question-asking grows from a base of words and shared attention, so wonder aloud and pause for responses. Seek a gentle developmental check if the child also has very few words, little pointing or showing, or limited shared enjoyment — this is a reason to assess early, not a diagnosis.
Read the answer AnswerWhen a child isn't yet understanding questions
If a child isn't yet understanding questions, support them daily with short language, plenty of waiting time, gestures and choices, ideally in the language they hear most at home. This is not a diagnosis — many children catch up at their own pace. Seek a gentle developmental check if comprehension is clearly behind same-age peers, the child doesn't respond to their name, or has lost words once used, because early support works best.
Read the answer AnswerWhat to do if a child isn't showing receptive language
Receptive language — understanding words and instructions — grows before speech. If a child isn't responding to their name, following simple requests, or looking when you point at the expected age, arrange a calm developmental check and a hearing test rather than waiting. This is not a diagnosis; it means early, playful support can begin sooner, which works best. Rich face-to-face talk and ruling out hearing concerns are the two most powerful first steps.
Read the answer AnswerIf a child isn't yet relating to people
Relating to people — shared smiles, eye contact, responding to names, simple back-and-forth play — grows gradually. If a child isn't yet showing this, keep offering warm, playful invitations and arrange a calm developmental check rather than waiting. This is not a diagnosis; it means an early clinician's look is wise, because connection-building works best when started early.
Read the answer AnswerIf a child isn't yet showing relationship skills
Relationship skills — sharing, turn-taking, showing affection, playing with others — grow gradually and at different rates for every child. If a child in your care isn't yet connecting as expected, the best step is calm observation plus a gentle developmental check, not worry. Support daily by modelling greetings, narrating feelings and arranging small playdates. Seek a check sooner if social connection is consistently behind peers, travels with talking or play delays, or the child seems uninterested in people — this is a reason to assess early, never a diagnosis.
Read the answer AnswerIf a child isn't showing repetitive behaviour, what should a caregiver do?
Not showing repetitive behaviour is no cause for concern — these movements are just one of many ways children self-soothe, and many thriving children show few. As a caregiver, focus on the bigger picture: communication, social connection, motor skills and play. Keep gently observing and arrange a routine developmental check only if a broader area of growth seems delayed for the child's age.
Read the answer AnswerIf a child isn't showing repetitive behaviours yet
If a child you care for is not yet showing repetitive behaviours, this is usually reassuring rather than a concern — their absence on its own tells us little. Focus instead on the whole picture: communication, social connection, play and motor skills. Seek a gentle developmental check only if several of these areas seem delayed, not because repetitive behaviours are missing.
Read the answer AnswerIf a child isn't responding to their name yet
Most children respond to their name by 9–12 months. If a child in your care isn't yet turning or looking up when called, first rule out hearing, then watch how they respond to other sounds, faces, smiles and gestures. Arrange a gentle developmental check if non-response continues past 12 months or comes with other communication differences. This is a reason to look closely — not a diagnosis — and early support works beautifully.
Read the answer AnswerWhen a child isn't yet making responsible decisions
Responsible decision making develops slowly across childhood into the teenage years, so a child not yet showing it is often typical for their stage. As a caregiver, you can model calm choices, offer safe everyday decisions, and talk through consequences together. Seek a developmental check if poor decisions are frequent, risky, don't improve with guidance, or come alongside other developmental differences — this is support and clarity, never a diagnosis.
Read the answer AnswerWhat to do if a child isn't showing restlessness
A child not yet showing restlessness is usually reassuring — many settled children simply have a calmer activity style, and quiet contentment is healthy. Seek a gentle developmental check only if calmness comes with unusually low energy, floppiness, little interest in play, or a sudden change, especially alongside delays in moving, talking or connecting. This is not a diagnosis — it simply helps a clinician build an early, clear picture.
Read the answer AnswerIf a child isn't showing restricted interests, what should I do?
Not yet showing restricted interests is reassuring, not concerning — restricted, repetitive interests are something clinicians sometimes look for in autism, so their absence suggests broad, flexible curiosity. There is nothing to encourage or fix. Keep offering varied play and watch the wider picture of communication, connection and flexible play. Seek a developmental check only if other flags appear, such as little eye contact, few words, or not responding to name.
Read the answer AnswerIf a Child in Your Care Isn't Showing Rigid Behaviours
A child who is not showing rigid behaviours is usually showing healthy flexibility — coping with change, switching activities, and not fixating on sameness. There is nothing to fix. Keep offering gentle variety, name feelings during transitions, and stay observant for any future narrowing of flexibility. This is reassurance, not a diagnosis.
Read the answer AnswerChild Not Showing Rigid Routines: A Caregiver's Guide
A child not showing rigid routines is usually a reassuring sign of healthy flexibility and adaptability — not a problem to fix. Rigid routines are something clinicians sometimes watch for, not a milestone every child must reach. Keep offering warm, predictable-but-flexible days with small manageable changes. Seek a developmental check only if you notice strong distress around change paired with delays in talking, play or social connection.
Read the answer AnswerHelping a child build risk awareness
Risk awareness develops gradually with memory, attention and impulse control, so a young child with little caution is often developmentally typical. Keep the environment safe, name dangers simply, and teach the skill through repeated practice and play. Seek a developmental check if a child is unusually fearless of clear dangers, doesn't learn from small mishaps, or shows this alongside delays in language, attention or social understanding.
Read the answer AnswerCaregiver guide: when a child isn't yet showing rotational control
Rotational control — rolling and turning through the body — usually emerges between 4 and 7 months with wide natural variation. If a child isn't yet showing it, offer plenty of floor and tummy time and playful both-sided practice. Seek a developmental check if rolling is markedly delayed, very one-sided, or paired with stiffness, floppiness or loss of a skill. This is reassurance and planning, not a diagnosis — early support works best.
Read the answer AnswerHelping a child who struggles with routine change
Routine adaptability — coping with change and transitions — grows slowly with age, language and a sense of safety. If a child struggles, ease transitions with warnings, picture schedules and small planned changes, and watch whether it improves. Seek a developmental check if distress is intense and lasting, rigidity crowds out play, support brings little change over weeks, or it travels with other delays. This is a reason to assess early, not a diagnosis.
Read the answer AnswerIf a child isn't yet following routines: a caregiver's guide
Following daily routines grows gradually as memory, language, attention and social motivation develop, and every child arrives at their own pace. Keep daily life predictable, use picture cards and consistent cues, warn before transitions, and praise small steps. Seek a developmental check if a child isn't anticipating familiar routines well past toddlerhood, struggles with simple instructions, or shows other differences like few words or little shared attention. This is reason to assess early, not a diagnosis.
Read the answer AnswerIf a child isn't yet managing daily routines
A child not yet managing daily routines independently is common and workable — it is a skill to build, not a diagnosis. Make routines visible and predictable, break them into small named steps, and fade your help as the child takes over. Seek a calm developmental check if the child relies heavily on prompts beyond their age, shows intense transition distress, loses a skill once managed, or has other delays. Early, playful practice works best.
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