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Pinnacle Blooms Network
When should I worry about Tourette Syndrome in a 12–18-month-old? — Pinnacle Ask answer card with a short explanation and QR link
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YOUR QUESTION. A CLEARER NEXT STEP.

Worrying About Tourette Syndrome in a 12–18-Month-Old

THE SHORT ANSWER

Tourette Syndrome cannot be meaningfully identified at 12–18 months — it is recognised only when motor and vocal tics persist beyond a year, typically from age 4–8. Toddlers' repetitive blinks, sounds and movements are almost always normal exploration, not tics. The right step now is a warm general developmental check, and only a Pinnacle clinician can assess, never an online form.

Pinnacle Blooms NetworkPublished Content record updated
In this answer 5 sections
  1. In short
  2. What's actually normal at this age
  3. What is worth a gentle check (and it isn't Tourette's)
  4. The Pinnacle way
  5. Trusted sources

If your toddler blinks hard, scrunches their nose or makes a sudden little sound, it's natural to wonder about Tourette Syndrome — and the honest, reassuring answer is that this age is far too early for that worry.

In short

At 12 to 18 months, Tourette Syndrome is not something that can be meaningfully identified — and it would be unusual and not clinically appropriate to think about it now. Tourette Syndrome (ICD-11 8A05.00) involves both motor and vocal tics that persist for over a year, and by definition it is only recognised when tics begin in childhood, most commonly between about 4 and 8 years of age. Toddlers make many sudden, repetitive movements as part of normal development — these are almost never tics. So the kind answer is: there is nothing to worry about regarding Tourette's at this age.

What's actually normal at this age

Between 12 and 18 months, lots of busy, repetitive little behaviours are simply how toddlers explore their bodies and the world:

  • Blinking, nose-scrunching or face-pulling — often experimenting with how their face moves
  • Repeating sounds, squeals or babble — practising for speech
  • Hand-flapping, head-shaking or rocking when excited or tired — common self-regulation
  • Brief repeated movements that come and go and fade within weeks

These are typical and usually pass. Tics, by contrast, are a later-childhood pattern, and a single diagnosis is never made from one behaviour or at this young age.

What is worth a gentle check (and it isn't Tourette's)

Rather than watching for tics, this is the age to keep an eye on the everyday milestones — and to mention anything to your paediatrician if you notice it:

  • Not responding to their name or to familiar voices
  • No babbling, pointing or gesturing by around 12 months
  • Loss of skills they once had
  • Little eye contact or shared smiling
  • Staring spells with unresponsiveness, or unusual stiffening or jerking that seems out of their control — these warrant prompt medical review to rule out other causes, not therapy first

The Pinnacle way

A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care — never from an online form or a checklist. For a toddler this age, the right step is a warm, general developmental check that looks at communication, movement and play as a whole — not a search for a label that doesn't belong to these years. If anything ever feels genuinely out of the ordinary, our clinicians will listen and guide you calmly.

Trusted sources

WHO ICD-11 (8A05.00, Tourette Syndrome); American Academy of Pediatrics developmental milestones guidance (healthychildren.org); CDC milestone tracking for the second year (cdc.gov).

Next step — If you'd simply like reassurance about how your little one is growing, book a developmental check with a Pinnacle clinician.

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

CONNECT THE ANSWER TO YOUR CHILD’S DAY

Something to notice. Something to discuss.

What to notice

Tourette's isn't the concern at this age — tics are a later-childhood pattern. Instead watch the everyday milestones: responding to their name, babbling, pointing, eye contact and shared smiles by around 12–15 months. Seek prompt medical review for staring spells with unresponsiveness or stiffening/jerking that seems out of their control.

In everyday life

Rather than scrutinising movements, enjoy plenty of back-and-forth play — copy your toddler's sounds, name what they point to, and watch them light up. This naturally nurtures the communication skills that matter most at this age.

Bring your observations and questions to your child’s professional. Choose activities that suit your child’s comfort, abilities and agreed plan.

Bring your questions to a first visit

Questions families ask

Can a 1-year-old be diagnosed with Tourette Syndrome?

No. Tourette Syndrome is recognised only when both motor and vocal tics persist for over a year, and tics typically begin around 4 to 8 years of age. At 12–18 months it cannot be meaningfully identified, and the repetitive movements toddlers make are almost always normal development.

My toddler blinks a lot and makes repeated sounds — are these tics?

Almost certainly not. Blinking, nose-scrunching, repeating sounds and hand-flapping are common ways toddlers explore their bodies and practise for speech. They usually come and go and fade within weeks. If anything persists or worries you, mention it at a routine developmental check.

What should I actually be watching at this age?

Focus on everyday milestones: responding to their name, babbling, pointing or gesturing by around 12 months, eye contact and shared smiling. Seek prompt medical review for staring spells with unresponsiveness or unusual stiffening or jerking that seems beyond their control.

FOLLOW THE SOURCE

References behind this answer.

References are supplied with this answer. An organisation homepage offers further reading; it does not establish an independent review of this page.

Content attribution: SETU Consortium · Pinnacle Blooms Network.

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Cite this answer

Pinnacle Blooms Network. “When should I worry about Tourette Syndrome in a 12–18-month-old?”. Ask Pinnacle. Record updated 10 June 2026. https://pinnacleblooms.org/ask/when-should-i-worry-that-my-12-to-18-month-old-might-have-tourette-syndrome

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