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Signs & concerns
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Signs & concerns
When should I worry about feeding selectivity at 18–24 months?
Some fussiness is normal at 18–24 months as toddlers assert independence. Worry when selectivity is persistent and narrowing rather than a passing phase — a shrinking menu, texture-driven refusal, strong sensory reactions, dropped food groups, daily mealtime distress, or effects on growth. Seek a gentle check if patterns last beyond a few weeks or affect nutrition. Only a Pinnacle clinician can assess, never an online form.
Read the answer AnswerWhen to Worry About Separation Anxiety at 18–24 Months
At 18–24 months, distress at separation is a normal, healthy stage — not a disorder. Toddlers usually protest when you leave but settle within minutes with a familiar carer. Separation Anxiety Disorder is generally only considered in older children when fear is severe, lasting and disrupts daily life. Seek a developmental check if distress cannot be soothed at all, stops normal eating/sleeping/play, or a skill is lost — not as a diagnosis, but because early observation helps.
Read the answer AnswerWhen to Worry About Social Communication at 18–24 Months
At 18–24 months, the early signs of Social Communication Difficulties are about connection — sharing attention, pointing, gestures and back-and-forth — more than word count. Worry is reasonable if several of these are consistently absent across settings, or if skills are lost. Check hearing first, then seek a developmental review. Only a Pinnacle clinician can assess — never an online form.
Read the answer AnswerWhen to worry about SLD in an 18–24-month-old
At 18–24 months it isn't clinically meaningful to look for Specific Learning Disability — it concerns reading, writing and maths skills your toddler hasn't begun yet, and is usually recognised only around ages 6–8. For now, watch broader development — talking, understanding, play and movement — and route any concern to a general developmental check.
Read the answer AnswerWhen should I worry about speech and language delay at 18–24 months?
Between 18 and 24 months there's a wide normal range, but very few words, no pointing or gestures, not understanding simple instructions, or losing words are worth a gentle check. A single quiet phase often resolves; a persistent pattern is the real flag. A screen brings clarity — only a clinician can confirm anything.
Read the answer AnswerWhen should I worry about Stereotyped Movement Disorder at 18–24 months?
At 18–24 months, repetitive movements like rocking, flapping or head-rolling are usually typical self-soothing or excitement, and fade as play and language grow. Seek a developmental check if the movements cause self-injury, are very hard to interrupt, get in the way of play and learning, or come with delays in talking, social connection or motor skills. These are reasons to assess early — not a diagnosis — because early support works best.
Read the answer AnswerWhen to worry about Tourette Syndrome at 18–24 months
Tourette Syndrome is not diagnosed in 18-to-24-month-olds: it requires multiple motor tics plus a vocal tic over more than a year, and is usually recognised around ages 4–6. Toddler blinks, sniffs and repeated sounds are nearly always normal, passing habits. The right step now is gentle observation and a general developmental check — not a tic checklist. Seek prompt medical review only if a movement is rhythmic, sustained and uninterruptible, comes with staring or stiffening, or with loss of skills.
Read the answer AnswerWhen should I worry about visual impairment at 18–24 months?
By 18–24 months a toddler should follow moving objects, recognise faces across a room, point at things and explore with curious eyes. Seek a prompt check for eyes that turn or drift, squinting or head-tilting, holding things very close, bumping into objects in good light, a white or cloudy reflection in photos, or loss of visual interest. None of these is a diagnosis — each is a sound reason for early review, and a white pupil reflection needs same-week medical attention.
Read the answer AnswerWhen should I worry that my 2-year-old might have ADHD?
At two, ADHD cannot be reliably diagnosed — high energy and short attention are normal toddler behaviour. ADHD becomes identifiable around age 4–5, when a persistent pattern shows across settings. If your child's overall development worries you, a general developmental check, not an ADHD label, is the right next step.
Read the answer AnswerWhen should I worry that my 2-year-old might have Attachment Difficulties?
At two, clinginess, tantrums and separation protest are usually healthy signs of attachment, not difficulty. True Attachment Difficulties (ICD-11 6B44) are considered only when patterns are persistent, present across settings, and distressing — often after disrupted early care. A toddler who rarely seeks comfort, shows no preference for familiar carers, or stays flat and inconsolable deserves a gentle clinical check. Only a Pinnacle clinician can assess — never an online form.
Read the answer AnswerWhen should I worry about Auditory Processing in my 2-year-old?
Auditory Processing Difficulties cannot be formally diagnosed at two, because the listening pathways are still maturing and assessments need a school-aged child. What matters now is ruling out a hearing problem — especially common glue ear — and watching everyday responses to sound and speech. Any worry about hearing or lost words warrants a prompt check.
Read the answer AnswerWhen should I worry about autism in my 2-year-old?
At two, worry is reasonable when you see a pattern — few words, no pointing, not responding to name, little pretend-play, or lost skills — rather than one quirk. Two is an ideal age to screen, and only a clinician can confirm anything.
Read the answer AnswerWhen should I worry that my 2-year-old might have Cerebral Palsy?
By age two, persistent stiffness or floppiness, strong early hand preference, unsteady or absent walking, or one-sided weakness are worth a check — not a single off day. These signal a reason to assess, not a diagnosis. Only a Pinnacle clinician can confirm Cerebral Palsy.
Read the answer AnswerWhen to Worry About Anxiety in Your 2-Year-Old
At 2, fears like clinginess, stranger wariness and fear of the dark are normal and expected — a formal anxiety disorder is rarely diagnosed this young. Seek a developmental check not for ordinary fear, but when distress is so intense or constant that it disrupts sleep, eating, play or separation for weeks at a time. This is a reason to assess early, not a diagnosis.
Read the answer AnswerWhen should I worry that my 2-year-old might have Childhood Apraxia of Speech?
At two, Childhood Apraxia of Speech is hard to confirm because many toddlers are still building speech. The hallmarks worth noticing are inconsistent sounds, visible struggle to speak, very few consonants, and understanding well ahead of talking. Rather than worrying, arrange a speech-language check — early support helps either way. Only a Pinnacle clinician can assess, never an online form.
Read the answer AnswerWhen should I worry that my 2-year-old might have epilepsy?
Most unusual spells in two-year-olds — breath-holding, fainting, shudders, a single fever fit — are not epilepsy, which means repeated, unprovoked seizures diagnosed by a doctor. Worry and seek prompt medical care for stiffening or jerking with loss of awareness, repeated staring spells, seizures without fever, or any fit lasting over 5 minutes. This is a doctor-first path, confirmed only by a clinician, never an online checklist.
Read the answer AnswerWhen should I worry about my 2-year-old's sleep?
Frequent night-wakings and bedtime resistance are common and usually normal at two. Worry when sleep problems persist most nights over weeks, drain your child by day, or come with snoring, gasping or breathing pauses — that last needs prompt medical review. A clinician can see the whole picture.
Read the answer AnswerConduct-Dissocial Disorder at age 2: what to know
Conduct-Dissocial Disorder (ICD-11 6C91) is not a meaningful diagnosis at age two. Hitting, biting, defiance and big tantrums are normal toddler development as impulse control and language are still forming. The right focus is supporting communication and emotional skills and monitoring overall development — and only a Pinnacle clinician, never an online form, can assess a child.
Read the answer AnswerWhen to worry about DCD in a 2-year-old
At two, it is too early to diagnose Developmental Coordination Disorder — toddler motor skills vary widely and clumsiness is usually normal. DCD is typically confirmed only from around 5 years, once everyday skills can be fairly judged. The right stance now is gentle observation, with a routine developmental check if your instinct nags or if there are general red flags like not walking by 18 months or loss of skills.
Read the answer AnswerWhen should I worry about DLD in my 2-year-old?
At two there's a wide normal range of talking — roughly 50 words and first two-word combinations by 24 months is a helpful guide. Developmental Language Disorder isn't usually labelled this young because language is still emerging, so the right step is observe-and-check, not worry. Seek a developmental and hearing check if there are very few words, little understanding, no gestures, or lost words — and always rule out hearing first. Only a Pinnacle clinician can assess, never an online form.
Read the answer AnswerWhen should I worry about regression in my 2-year-old?
Developmental regression — losing skills a child clearly had, such as words, eye contact, play or steady walking — is a serious flag at any age and warrants prompt review, never a wait-and-see. This differs from being slow to gain new skills. A loss alongside seizures, unsteadiness or muscle changes needs prompt medical attention. Only a clinician can assess what's underneath.
Read the answer AnswerWhen should I worry that my 2-year-old might have Developmental Trauma?
At two, worry not about a single hard day but about persistent, weeks-long changes in how your child feels safe, relates and settles after overwhelming stress — clinginess or withdrawal, disturbed sleep, pulling away from trusted adults, or loss of skills. A wobble after a scare is normal and eases with closeness; it is persistence, intensity and a lost sense of security that warrants a gentle, prompt clinician check, never a home diagnosis.
Read the answer AnswerWhen should I worry about dyscalculia in my 2-year-old?
Dyscalculia cannot and need not be identified at age two; it is a specific maths learning difficulty meaningful only once formal number teaching begins, usually from age 6–8. At two, support broad development and playful number sense, and seek a general developmental check only if language, play, movement or social skills seem delayed.
Read the answer AnswerWhen should I worry about dysgraphia in my 2-year-old?
Dysgraphia cannot be identified in a 2-year-old — writing is a skill that develops only after years of language and fine-motor growth, so it's usually recognised from around ages 6–8 when formal writing begins. At two, there is nothing to diagnose; scribbling, fist grips and no shape-drawing are all expected. Support hand strength, language and play, and if you have any broader developmental worry, choose a general developmental check rather than a writing-specific one.
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