# What to expect as your child with Rett syndrome grows up

Canonical: https://pinnacleblooms.org/ask/what-can-i-expect-as-my-child-with-rett-syndrome-grows-up
Publisher: Pinnacle Blooms Network / Bharath Healthcare Laboratories Private Limited

Rett syndrome usually follows recognised stages — early regression, then a longer, often more settled phase where connection and eye contact frequently improve, with evolving communication, movement and health needs into adulthood. With team-based support around communication, movement, daily living and ongoing medical oversight, children continue to grow, connect and participate at every age. AbilityScore® is part of Pinnacle’s developmental assessment. Diagnosis, where needed, requires an appropriately qualified healthcare professional.

*Rett syndrome unfolds in stages, and at every one of them your daughter remains your daughter — known, loved, and able to grow with the right support around her.*

## In short
Rett syndrome typically follows a recognised pattern over the years — a period of regression, then a long, often more settled phase, with communication, movement and daily living needs evolving as your child grows. Many girls with Rett go on to live into adulthood, and with consistent, team-based support they continue to build connection, comfort and skills throughout life. What lies ahead is best planned gently, one stage at a time, alongside a clinical and therapy team who know your child.

## What growing up often looks like
Rett syndrome usually moves through broadly understood stages, though every child's journey is her own:

- **After early regression** — many children pass through an early period where some skills (hand use, babble) fade. This is often the hardest phase for families, and it does not mean progress stops forever.
- **A more stable plateau** — for many girls, after the early years comes a longer, calmer phase where eye contact, alertness and connection often *improve*, even as motor challenges remain. Purposeful eye gaze frequently becomes a powerful route to communication.
- **Communication never stops mattering** — even when speech is limited, eye-gaze devices, switches and partner-supported strategies let your child make choices, share preferences and stay in relationship with you.
- **Movement and the body** — hand stereotypies, walking ability, scoliosis, muscle tone, breathing patterns and bone health are watched over time, supported by physiotherapy, occupational therapy and regular paediatric and orthopaedic review.
- **Health to monitor lifelong** — seizures, feeding and swallowing, gut comfort, sleep and heart rhythm (QT) need ongoing medical oversight; therapy works alongside, never instead of, this care.
- **Into adulthood** — with good support many women with Rett live well into adulthood. Planning ahead for adult care, equipment, mobility and meaningful daily activity helps each stage feel prepared for, not feared.

The steady aim across the years is comfort, communication and participation — helping your child stay connected and as independent as possible at every age.

## When to seek a check
Seek prompt medical review for new or worsening seizures, breath-holding or breathing changes, signs of swallowing difficulty (coughing or wet voice during feeds), a curving spine, or any episode of collapse or unusual heart symptoms. Regular paediatric and specialist follow-up is essential throughout childhood and into adult care.

## The Pinnacle way
AbilityScore® is part of Pinnacle’s developmental assessment. Diagnosis, where needed, requires an appropriately qualified healthcare professional — never from an app or online form. From there your child receives a whole-picture profile and a plan that grows with her, through coordinated communication, movement and daily-living support — explore [our network and approach](/) and how the [AbilityScore® assessment](/ask/what-is-the-abilityscore-and-how-is-it-calculated) maps your child's strengths. For communication through eye-gaze and partner strategies, our [speech and language therapy](https://www.pinnacleblooms.org/top-speech-therapy-center-india-proven-improvement-rate) is built around children who communicate without words.

## Trusted sources
WHO ICD-11 reference for Rett syndrome; American Academy of Pediatrics (HealthyChildren.org) guidance on children with complex developmental and medical needs; American Speech-Language-Hearing Association guidance on augmentative and alternative communication.

**Next step —** Want a plan that supports your daughter at every stage ahead? [Book an assessment with a Pinnacle clinician](/ask/what-is-the-abilityscore-and-how-is-it-calculated).

This is general information, not a diagnosis — individual assessment and diagnosis require an appropriately qualified healthcare professional.

## Sources
- WHO ICD-11 reference for Rett syndrome: https://icd.who.int
- AAP HealthyChildren.org — supporting children with complex needs: https://www.healthychildren.org
- ASHA — augmentative and alternative communication (AAC): https://www.asha.org

## Connected topics and perspectives
- Conditions: https://pinnacleblooms.org/ask/conditions
- Parent: https://pinnacleblooms.org/ask/lens/stakeholder/parent
- Adaptive: https://pinnacleblooms.org/ask/lens/domain/adaptive
- Support: https://pinnacleblooms.org/ask/lens/intent/support
- Plan: https://pinnacleblooms.org/ask/lens/lifecycle/plan
- Special Education: https://pinnacleblooms.org/ask/lens/route/special-education
- Mainstream Inclusion: https://pinnacleblooms.org/ask/lens/empowerment/mainstream_inclusion

## Related question paths

### Understand the subject
- How Rett Syndrome Affects a Child's Daily Life: https://pinnacleblooms.org/ask/how-does-rett-syndrome-affect-a-child-s-daily-life
- Is Rett Syndrome considered a disability?: https://pinnacleblooms.org/ask/is-rett-syndrome-considered-a-disability
- Is Rett Syndrome Genetic or Hereditary?: https://pinnacleblooms.org/ask/is-rett-syndrome-genetic-or-hereditary
- What are common myths about Rett Syndrome?: https://pinnacleblooms.org/ask/what-are-common-myths-about-rett-syndrome
- Types and Stages of Rett Syndrome: https://pinnacleblooms.org/ask/what-are-the-types-or-levels-of-rett-syndrome
- What causes Rett syndrome in children?: https://pinnacleblooms.org/ask/what-causes-rett-syndrome-in-children
- What is Rett Syndrome?: https://pinnacleblooms.org/ask/what-is-rett-syndrome
- What is Rett Syndrome, and what does it look like in early childhood?: https://pinnacleblooms.org/ask/what-is-rett-syndrome-and-what-does-it-look-like-in-early-childhood
- Conditions That Occur Alongside Rett Syndrome: https://pinnacleblooms.org/ask/what-other-conditions-often-occur-alongside-rett-syndrome
- Early Intervention Outcomes in Rett Syndrome (Under 7): https://pinnacleblooms.org/ask/what-does-current-research-show-about-early-intervention-outcomes-for-rett-syndrome-in-children-under-7
- What is Rett Syndrome, and its ICD-11 features in early childhood?: https://pinnacleblooms.org/ask/what-is-rett-syndrome-and-what-are-its-icd-11-features-in-early-childhood
- ICD-11 Classification of Rett Syndrome (LD90.0): https://pinnacleblooms.org/ask/what-is-the-icd-11-classification-for-rett-syndrome

### Recognise signs & concerns
- Can Rett Syndrome Be Cured?: https://pinnacleblooms.org/ask/can-rett-syndrome-be-cured
- Can Rett Syndrome Be Prevented?: https://pinnacleblooms.org/ask/can-rett-syndrome-be-prevented
- Rett Syndrome in Boys: https://pinnacleblooms.org/ask/do-boys-show-rett-syndrome-differently
- Do girls show Rett Syndrome differently?: https://pinnacleblooms.org/ask/do-girls-show-rett-syndrome-differently
- Should I be worried my child might have Rett Syndrome?: https://pinnacleblooms.org/ask/should-i-be-worried-my-child-might-have-rett-syndrome
- Early Signs of Rett Syndrome: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-rett-syndrome
- Early signs of Rett syndrome in a 1-year-old boy: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-rett-syndrome-in-a-1-year-old-boy
- Early Signs of Rett Syndrome in a 1-Year-Old Girl: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-rett-syndrome-in-a-1-year-old-girl
- Early Signs of Rett Syndrome at 12–18 Months: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-rett-syndrome-in-a-12-to-18-month-old
- Early Signs of Rett Syndrome in an 18-to-24-Month-Old: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-rett-syndrome-in-a-18-to-24-month-old
- Early Signs of Rett Syndrome in a 2-Year-Old: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-rett-syndrome-in-a-2-year-old
- Early signs of Rett Syndrome in a 2-year-old boy: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-rett-syndrome-in-a-2-year-old-boy

### Explore causes & influences
- Are boys more likely to have Rett Syndrome?: https://pinnacleblooms.org/ask/are-boys-more-likely-to-have-rett-syndrome
- Are girls more likely to have Rett Syndrome?: https://pinnacleblooms.org/ask/are-girls-more-likely-to-have-rett-syndrome
- What Causes Rett Syndrome in Young Children?: https://pinnacleblooms.org/ask/what-causes-rett-syndrome-in-young-children
- Early Intervention for Rett Syndrome, UNCRPD & the SDGs: https://pinnacleblooms.org/ask/how-does-early-intervention-for-rett-syndrome-advance-un-child-rights-uncrpd-and-the-sdgs
- Known contributing factors for Rett Syndrome: https://pinnacleblooms.org/ask/what-are-the-known-contributing-factors-for-rett-syndrome-in-early-childhood
- Cost-effectiveness of early therapy for Rett Syndrome in young children: https://pinnacleblooms.org/ask/what-is-the-cost-effectiveness-of-early-therapy-for-rett-syndrome-in-young-children
- Prevalence and Public-Health Burden of Rett Syndrome in India: https://pinnacleblooms.org/ask/what-is-the-prevalence-and-public-health-burden-of-rett-syndrome-among-young-children-in-india

### Understand assessment
- How AbilityScore Tracks Progress in a Child with Rett Syndrome: https://pinnacleblooms.org/ask/how-does-abilityscore-track-progress-in-a-child-with-rett-syndrome
- How Rett Syndrome Is Assessed in a Young Child: https://pinnacleblooms.org/ask/how-is-rett-syndrome-assessed-in-a-young-child
- How Rett Syndrome Is Assessed in Children Under 7: https://pinnacleblooms.org/ask/how-is-rett-syndrome-assessed-in-children-under-7
- What an AbilityScore® of 0–100 means for a child with Rett Syndrome: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-0-100-mean-for-a-child-with-rett-syndrome
- What does an AbilityScore of 100–200 mean for a child with Rett Syndrome?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-100-200-mean-for-a-child-with-rett-syndrome
- What does an AbilityScore of 200–300 mean for a child with Rett Syndrome?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-200-300-mean-for-a-child-with-rett-syndrome
- AbilityScore 300–400 in Rett Syndrome: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-300-400-mean-for-a-child-with-rett-syndrome
- What an AbilityScore of 400–500 Means in Rett Syndrome: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-400-500-mean-for-a-child-with-rett-syndrome
- What does an AbilityScore of 500–600 mean for a child with Rett Syndrome?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-500-600-mean-for-a-child-with-rett-syndrome
- What does an AbilityScore of 600–700 mean for a child with Rett Syndrome?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-600-700-mean-for-a-child-with-rett-syndrome
- What an AbilityScore of 700–800 Means for a Child with Rett Syndrome: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-700-800-mean-for-a-child-with-rett-syndrome
- What an AbilityScore of 800–900 Means for a Child with Rett Syndrome: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-800-900-mean-for-a-child-with-rett-syndrome

### Explore therapy & support
- How Does Rett Syndrome Change as a Child Grows Older?: https://pinnacleblooms.org/ask/how-does-rett-syndrome-change-as-a-child-grows-older
- Does Rett Syndrome Get Better or Worse?: https://pinnacleblooms.org/ask/does-rett-syndrome-get-better-or-worse-as-a-child-grows
- What lifelong care might a child with Rett syndrome need?: https://pinnacleblooms.org/ask/what-lifelong-care-might-a-child-with-rett-syndrome-need
- What is the long-term outlook for a child with Rett Syndrome?: https://pinnacleblooms.org/ask/what-is-the-long-term-outlook-for-a-child-with-rett-syndrome
- What is the outlook for a child with Rett Syndrome?: https://pinnacleblooms.org/ask/what-is-the-outlook-for-a-child-with-rett-syndrome
- What is the best way to parent and guide a child with Rett Syndrome?: https://pinnacleblooms.org/ask/what-is-the-best-way-to-parent-and-guide-a-child-with-rett-syndrome
- Are there successful adults who grew up with Rett Syndrome?: https://pinnacleblooms.org/ask/are-there-successful-adults-who-grew-up-with-rett-syndrome
- Can a Child with Rett Syndrome Take Part in Sports and Physical Play?: https://pinnacleblooms.org/ask/can-a-child-with-rett-syndrome-take-part-in-sports-and-physical-play
- Can Rett Syndrome be detected before birth?: https://pinnacleblooms.org/ask/can-rett-syndrome-be-detected-before-birth
- Does Rett Syndrome Run in Families?: https://pinnacleblooms.org/ask/does-rett-syndrome-run-in-families
- How can we support adaptive development in a child with Rett Syndrome?: https://pinnacleblooms.org/ask/how-can-we-support-adaptive-development-in-a-child-with-rett-syndrome
- How Common Is Rett Syndrome in Children?: https://pinnacleblooms.org/ask/how-common-is-rett-syndrome-in-children

### At home & in everyday life
- How can I support my child with Rett Syndrome at home?: https://pinnacleblooms.org/ask/how-can-i-support-my-child-with-rett-syndrome-at-home