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3
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Signs & concerns
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Signs & concerns
When should I worry that my 3-to-6-month-old might have Down Syndrome?
Down syndrome is identified at or soon after birth via physical features and a confirming chromosome test — not first discovered at 3–6 months. If your baby was examined at birth with no concern, it is unlikely to surprise you now. At this age simply observe head control, tone, feeding and social smiling, and share questions with your paediatrician.
Read the answer AnswerWhen should I worry about Global Developmental Delay at 3-6 months?
At 3 to 6 months it is too early to diagnose Global Developmental Delay. Watch broad signals — head control, social smiling, reaching, responding to sound — and check in if a pattern persists or skills are lost. Only a clinician can assess; worry is a reason to screen, not a diagnosis.
Read the answer AnswerWhen to worry about hearing impairment at 3–6 months
At 3–6 months, hearing is watched gently, not feared. Expect startle to loud sounds, calming to your voice, turning towards sound, and early cooing. A consistent absence — or NICU, prematurity, jaundice or family history — warrants a hearing check. Only a clinician can confirm.
Read the answer AnswerWhen to worry about Intellectual Disability at 3–6 months
At 3–6 months, Intellectual Disability cannot and should not be diagnosed — the abilities it describes haven't emerged yet. Instead, watch warm early milestones like social smiles, tracking faces and head control, and raise any concern at your routine paediatric visit. Only a Pinnacle clinician forms any assessment.
Read the answer AnswerWhen to worry about sensory differences in a 3-to-6-month-old
At 3–6 months, Sensory Processing Differences cannot be diagnosed — sensory systems are still maturing and big reactions are usually normal. Watch for persistent patterns in soothing, responding and connecting, and raise any concern at routine checks. Only a clinician gives clarity.
Read the answer AnswerWhen to worry about SLD in a 3-to-6-month-old
Specific Learning Disability cannot be identified in a 3-to-6-month-old — it concerns reading, writing and maths, which only emerge with schooling around age 6–8. At this age, simply track ordinary milestones like smiling, following faces and babbling, and raise any general concern at routine check-ups.
Read the answer AnswerWhen should I worry that my 3-to-6-month-old might have Speech and Language Delay?
At 3 to 6 months it is too early to diagnose speech and language delay — words are months away. Enjoy and encourage cooing, smiling and babbling. The one thing worth checking promptly is hearing if your baby doesn't react to sound or your voice. Formal language assessment becomes meaningful nearer 18–24 months.
Read the answer AnswerADHD concern in a 3-year-old
At three, being busy, impulsive and easily distracted is usually normal — ADHD is rarely diagnosed reliably this young. Worry is a reason to observe and seek a general developmental check, not to label. Only a clinician can tell the difference.
Read the answer AnswerWhen should I worry my 3-year-old might have autism?
At three, seek assessment when you see a persistent pattern across social communication, play and behaviour — not a single quirk. Worry is a reason to check, not a diagnosis. Three is a hopeful age to act, and only a clinician can confirm.
Read the answer AnswerWhen should I worry my 3-year-old might have Down syndrome?
Down syndrome is recognised at or soon after birth via a karyotype, not newly diagnosed at three. A worry at this age usually points to a general developmental concern — slower speech, late walking, learning lags — which deserves a gentle check. Only a clinician confirms anything.
Read the answer AnswerWhen should I worry that my 3-year-old might have Global Developmental Delay?
GDD means significant delay across two or more areas of development before age five. By age 3, worry is reasonable if several areas lag together and persist, or if your child loses skills. Worry is a reason to screen — only a clinician can confirm it.
Read the answer AnswerWhen should I worry that my 3-year-old might have Hearing Impairment?
By age three, a child should respond to their name, follow simple directions and speak in short sentences. A persistent pattern of not responding, mishearing or limited speech — especially after frequent ear infections — is worth a prompt hearing check. Worry is a reason to assess, not a diagnosis.
Read the answer AnswerWhen should I worry my 3-year-old has Intellectual Disability?
At three it is too early to label Intellectual Disability, but the right age to notice and check. A broad, persistent pattern of delay across language, thinking, play and self-help — not one slow skill — is the real reason to seek a developmental check. Only a clinician can confirm anything.
Read the answer AnswerWhen should I worry about Sensory Processing Differences in my 3-year-old?
At three, occasional sensory fussiness is normal. Worry is reasonable when a strong, persistent pattern of over-reacting, under-reacting or sensation-craving disrupts meals, sleep, dressing or play. That pattern is a reason to check with an occupational therapist — not a diagnosis in itself.
Read the answer AnswerWhen should I worry about SLD in my 3-year-old?
At three, it is too early to diagnose Specific Learning Disability — those reading, writing and maths skills haven't begun yet, and SLD is usually identified around ages 6–8. For now, watch the language and play foundations, and screen any concern early. Only a clinician can assess.
Read the answer AnswerWhen should I worry that my 3-year-old might have Speech and Language Delay?
At three, look closely if your child uses very few words, isn't joining words, is hard for family to understand, or struggles to follow simple directions. A persistent pattern — not one late phase — is the real flag. Worry is a reason to screen; only a clinician can confirm anything.
Read the answer AnswerWhen should I worry my 4-year-old has ADHD?
At four, high energy and distractibility are usually typical. ADHD becomes a meaningful question only when behaviours are far more intense than peers, span home and preschool, last 6+ months and disrupt daily life. Worry is a reason to check, not a diagnosis — only a clinician can confirm it.
Read the answer AnswerWhen should I worry my 4-year-old might be autistic?
At four, worry becomes worth acting on when you see a persistent pattern — limited back-and-forth talk, little pretend play, difficulty connecting with other children, fixed routines or repetitive behaviours — across home and preschool. Four is a meaningful age to assess. Only a clinician can confirm what it means.
Read the answer AnswerWhen should I worry my 4-year-old might have Cerebral Palsy?
Most children with Cerebral Palsy show signs well before age four, so a new worry at this age is often something else worth checking. Persistent stiffness, an unsteady gait, or trouble with balance and fine motor skills deserve a developmental review. Only a clinician can confirm it.
Read the answer AnswerWhen should I worry that my 4-year-old might have Down syndrome?
Down syndrome is recognised at or near birth and confirmed by a karyotype blood test — it does not appear newly at four. If your child wasn't identified as a baby, it's very unlikely now. A developmental concern at four deserves a separate check, and only a clinician can assess it.
Read the answer AnswerWhen should I worry about Global Developmental Delay in my 4-year-old?
GDD means significant delay in two or more developmental areas at once. One late skill is common; a persistent pattern across several areas by age four is the real flag — and worth a proper check. Only a clinician can confirm it; worry alone is not a diagnosis.
Read the answer AnswerWhen should I worry about hearing impairment in my 4-year-old?
By four, a child should hear soft speech, follow instructions across a room and speak clearly. Worry — and check — if they often say 'what?', need the TV very loud, don't respond when called, or mishear words. Hearing can change after birth and infections, so a test is the kind, hopeful step. Only a clinician can confirm it.
Read the answer AnswerWhen should I worry that my 4-year-old might have Intellectual Disability?
Worry is reasonable, but it is not a diagnosis. Intellectual Disability involves persistent delays in both thinking and everyday skills together — not one isolated area. A lasting, across-the-board pattern at four warrants a developmental check. Only a Pinnacle clinician can confirm it.
Read the answer AnswerWhen should I worry about Sensory Processing Differences at 4?
Occasional fussiness over sounds, textures or busy rooms is normal at four. Worry is reasonable when a persistent pattern of sensory avoidance or seeking disrupts eating, dressing, sleep or play across settings. That's a reason to check with an occupational therapist — not a diagnosis you can make alone.
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