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Asha Phc
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Signs & concerns
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Signs & concerns
Early Signs of Sensory Processing Differences on a Home Visit
During a home visit, look for a child who is consistently over- or under-responsive to everyday sounds, textures, light or movement — or who constantly seeks intense sensory input — in ways that disrupt feeding, sleep, dressing or play. Note patterns across more than one setting, suggest a hearing and vision check, and route the family for a developmental check. These are observations, not a diagnosis.
Read the answer AnswerEarly signs of Separation Anxiety Disorder on a home visit
Separation Anxiety Disorder shows as fear of being apart from a caregiver that is far stronger and longer-lasting than usual for the child's age — intense clinging, sleep refusal, worry about harm to parents, and unexplained tummy aches before separations. Refer for a developmental check when distress is severe, lasts beyond about four weeks, and disrupts sleep, school or family life.
Read the answer AnswerEarly Signs of Social Communication Difficulties on a Home Visit
During a home visit, watch for a child who has words but struggles to use them socially — poor conversational turn-taking, literal understanding, trouble reading tone and body language, and language that doesn't adjust to the listener. These point to Social Communication Difficulties (ICD-11 6A01.22) when they persist across settings and aren't explained by hearing loss or general delay. Screen and refer; only a clinician confirms.
Read the answer AnswerEarly Signs of Specific Learning Disability on a Home Visit
On a home visit you cannot diagnose Specific Learning Disability — it is usually confirmed only after schooling begins (age 6–8). Note early markers in talking, pre-literacy and pre-number skills, plus persistent parent or teacher concern, rule out hearing and vision, and refer a cluster of signs for developmental assessment.
Read the answer AnswerEarly signs of speech and language delay to spot on a home visit
Frontline workers should watch for no babbling or gesture by 12 months, no single words by 16 months, no two-word phrases by 24 months, speech the family cannot understand, or any loss of words — and always pair concern with a hearing check and onward referral, never a label.
Read the answer AnswerEarly Signs of Stereotyped Movement Disorder for Frontline Workers
During a home visit, watch for repetitive, rhythmic, purposeless movements — flapping, rocking, head-banging, self-biting — that persist, interfere with daily life, or cause injury. Occasional rocking is common; refer when movements are frequent, cross settings, or self-harming. Observe and route, never diagnose.
Read the answer AnswerEarly signs of Tourette Syndrome on a home visit
Watch for tics — sudden, repeated movements (eye-blinking, head-jerking, shoulder-shrugging) and sounds (throat-clearing, sniffing, grunting) that persist for weeks, often starting ages 4–8. One-off twitches are normal; refer when tics are frequent, persistent and noticed across many days. Reassure families and refer urgently if you suspect seizures.
Read the answer AnswerEarly signs of visual impairment on a home visit
Refer a baby for an eye and developmental check when the eyes do not fix or follow by 3 months, do not make steady eye contact, look cloudy or show a white pupil, are constantly crossed or wandering after 3 months, or when the child does not reach for things they can see.
Read the answer AnswerWhat Emotional milestones should a frontline worker check during routine visits?
During routine visits, frontline workers should check whether a child shows age-appropriate feelings and connects them to people — calming when comforted, social smiling, stranger wariness, and later naming and managing emotions (ICF b152). Flag flat affect, no social smile by 3–4 months, or persistent unsettled distress for a developmental check.
Read the answer AnswerEmotional milestones for your 12-to-18-month-old
Between 12 and 18 months most toddlers show affection, share joy by bringing or pointing at things, look to you for reassurance, protest at separation and settle when comforted, and begin simple pretend. Temperament varies widely — what matters is growing back-and-forth connection. A gentle check helps if a child rarely seeks comfort or shows little shared emotion by 18 months.
Read the answer AnswerEmotional milestones for your 18-to-24-month-old
By 18–24 months most toddlers share a range of feelings, look to you for emotional cues, seek comfort when upset, show early empathy and pride, and begin asserting independence — with big tantrums and little self-control still completely normal. These are guides, not a checklist; a clinician confirms any concern.
Read the answer AnswerWhat Emotional milestones should my 2-year-old have reached?
By age 2, most toddlers express a clear range of feelings, show affection, look to you for reassurance, and begin to show simple empathy. Tantrums are normal — emotional regulation is just starting. These are gentle signposts, not a checklist, and a clinician forms any assessment at a centre.
Read the answer AnswerEmotional milestones for your 3-to-6-month-old
Between 3 and 6 months most babies begin sharing emotion — smiling back, laughing in turns, calming to a familiar voice and showing clear feelings. These are flexible signposts, not a fixed checklist; warm, responsive everyday play is the strongest support. A clinical assessment, if ever needed, happens only at a Pinnacle Blooms centre.
Read the answer AnswerWhat Emotional milestones should my 3-year-old have reached?
Around age 3, most children begin naming simple feelings, showing empathy, seeking comfort when upset, taking pride in achievements, and recovering from tantrums with adult help. Big emotions and quick mood shifts are still completely normal — the skill being built is recovery, not calm.
Read the answer AnswerWhat Emotional milestones should my 4-year-old have reached?
By age 4, most children can name basic feelings, show empathy, play co-operatively and recover from upsets with adult help. Big emotions and occasional meltdowns are normal. Children develop at their own pace, and a clinician confirms any concern.
Read the answer AnswerWhat Emotional Milestones Should My 5-Year-Old Have Reached?
By around five, most children can name basic feelings, recover from small upsets with support, show empathy, and play cooperatively with turn-taking. These are gentle signposts within a wide normal range — not pass-or-fail tests — and persistent concern is reason for a friendly developmental check, never alarm.
Read the answer AnswerEmotional milestones for your 6-to-9-month-old
By 6-9 months most babies share two-way smiles, laugh, light up for familiar people, read your tone, and begin showing healthy wariness of strangers. These are gentle signposts, not a strict checklist — babies vary. Persistent flatness or little eye contact over weeks is worth a friendly developmental check.
Read the answer AnswerWhat Emotional milestones should my 6-year-old have reached?
By age six, most children can name their feelings, begin to manage frustration with adult support, show real empathy and fairness, take pride in effort, and value friendships. Growth is uneven and meltdowns remain normal — a general developmental check helps if big feelings overwhelm most days across home and school.
Read the answer AnswerEmotional milestones for your 9-to-12-month-old
By 9-12 months most babies show warm attachment to familiar people, wariness of strangers, separation protest, social referencing and shared joy. These signal secure bonds. Pace varies; steady connection matters most, and a gentle check helps if joyful connection or stranger awareness is absent by 12 months.
Read the answer AnswerWhat Emotional milestones should my newborn have reached?
Newborn emotional development (0–3 months) is about co-regulation, not milestones — settling when held, calming to your voice, and a first social smile around 6–8 weeks. Responsive, loving care is the most powerful input. There is no checklist your newborn is behind on.
Read the answer AnswerWhat emotional warning signs should an ASHA worker act on?
ASHA workers should act on persistent emotional changes lasting two to four weeks or more — withdrawal, sadness, excessive fear, irritability, lost interest, or disturbed sleep and appetite that disrupt daily life across visits. Any sign of self-harm or suicidal talk is an immediate same-day referral. The role is to notice, reassure and route to the PHC — never to diagnose.
Read the answer AnswerWhat Motor milestones should a frontline worker check during routine visits?
Frontline workers should check age-anchored motor markers — head control by ~4 months, sitting unsupported by ~9 months, walking by ~18 months — plus hand use and movement quality. Refer on a two-month delay, asymmetry, early hand preference, or any loss of a skill.
Read the answer AnswerMotor milestones for your 12-to-18-month-old
By 12–18 months most toddlers walk independently, stand from the floor unaided, stoop and climb, and use both hands to stack blocks or scribble. Milestones come within a range, so a few weeks' variation is normal. Book a check if there's no walking by 18 months, loss of a skill, or strong one-sided preference.
Read the answer AnswerWhat Motor milestones should my 18-to-24-month-old have reached?
By 18–24 months most toddlers walk well, begin to run, climb low furniture, and walk up steps with help; hands grow nimbler with block-stacking, scribbling and spoon-feeding. Milestones come within a range, so steady progress matters more than exact timing.
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