q             Exhibits extremely fearful or timid behavior.

q             Exhibits extremely aggressive behavior.

q             Is unable to separate from parents without major protest.

q             Is easily distracted and unable to concentrate on any single activity for more than five minutes.

q             Shows little interest in playing with other children.

q             Refuses to respond to people in general, or responds only superficially.

q             Rarely uses fantasy or imitation in play.

q             Seems unhappy or sad much of the time.

q             Doesn’t engage in a variety of activities.

q             Avoids or seems aloof with other children and adults.

q             Doesn’t express a wide range of emotions.

q             Has trouble eating, sleeping, or using the toilet.

q             Can’t differentiate between fantasy and reality.

q             Seems unusually passive.

q             Cannot understand two-part commands using prepositions (“Put the cup on the table”; “Get the ball under the couch”)

q             Can’t correctly give his/her first and last name.

q             Doesn’t use plurals or past tense properly when speaking.

q             Doesn’t talk about his/her daily activities and experiences.

q             Cannot build a tower of six to eight blocks.

q             Seems uncomfortable holding a crayon.

q             Has trouble taking off clothing.

q             Cannot brush his teeth efficiently.

q             Cannot wash and dry his/her hands.

As published by the American Academy of Pediatrics.  If you have concerns regarding your child’s development based on this list, please consult your pediatrician or call us for a detailed evaluation.  The earlier an intervention and treatment are achieved, the better the results for both the parents and the child.