Signs Of Autism In A 3-Year-Old: Things You Should Know In 2024

Updated on - Written by
Medically reviewed by Taylor Spruce, M.Ed

Signs Of Autism In A 3-Year-Old
Social interaction and repetitive behaviors are some of autistic. Photo: Quynh Nguyen

Looking for signs of autism in a 3-year-old may seem too early. After all, a child is still developing at that age. However, research suggests that symptoms of Autism Spectrum Disorders may appear as early as 12 months old[1]. Additionally, the earlier problems can be identified, the sooner a child can be helped. 

Most healthcare professionals won’t diagnose a child with Autism Spectrum Disorder until the child is at least 3 years old, however. Even at that young age, the challenges and disabilities that autistic children face can affect the rest of their lives. Helping them face and manage those challenges can also have a real impact on how they continue to develop.

Knowing some of the early signs of autistic children in 3-year-olds is an important thing for parents and childcare professionals to understand. With that understanding, it’s possible to get the child the extra assistance they need to ensure optimal development.

Signs Of Autism In 3-Year-Olds

It can be difficult to sort out what is a symptom and what is just a kid being a 3-year-old. However, there are a few key indicators[2] that you can look for. Signs of autism in 3-year-olds include

  • Deficits in eye contact
  • Delayed development in language skills
  • Difficulty processing non-verbal communication
  • A flat or emotionless expression
  • Not waving, pointing, or using other gestures
  • Flapping hands, spinning circles, and repetitive motions
  • Limited, but focused interests
  • A preference for solitude

Signs Of Autism In 3-Year-Olds

Any child might display some of these behaviors, depending on the situation. For instance, three-year-olds are often shy around new people. They may spin around or find other physical ways of burning off energy. They also may lack the vocabulary to articulately express their own wants and needs.

However, there are ways to differentiate between typical three-year-old behavior and autistic symptoms.  You’re looking for those symptoms to persist over a longer period of time. You’re also looking for behaviors that appear frequently, not just occasionally. If a child’s behavior regularly interferes with his/her daily functioning, it can be a symptom of Autism Spectrum Disorder. Daily functioning includes the ability to participate in school or any other extracurricular programs the child is involved in without an excessive struggle. It is also often a marker of ASD if a child does not have the capacity to engage in activities of daily living such as eating, sleeping, and getting dressed. It’s the combination of the symptoms on the list[3] and these other factors that point to a possible autism diagnosis.

It’s also possible that some autistic children may regress. That means that they developed some social and language skills, but as they grow older they lose those life skills or are less proficient in them.

Symptoms of Autism Spectrum Disorder generally fall into two categories: challenges in communication skills and repetitive behaviors. These are, to some extent, what defines Autism Spectrum Disorder. As a result, it can be helpful to understand both those two issues in more depth.

Difficulties In Communication And Social Interaction

Signs Of Autism In A 3-Year-Old
Children with autism often find social interactions difficult to follow and understand. Photo: Quynh Nguyen

Children with Autism Spectrum Disorder often find social interactions difficult to follow and understand. They experience challenges on both sides of communication, expressing themselves and understanding others.

First, they will experience difficulties in expressing their own ideas and emotions. It means they may speak slowly or even struggle to produce words. 

Children with signs of autism may have difficulties monitoring their own emotional and physical states, as well. Things like the level of hunger and body temperature may cause them distress without them understanding why.

Autism Spectrum Disorder also involves challenges in understanding others. They will usually have a hard time with jokes, even the sort of humor that usually sets 3-year-old giggling. Children that are young may generally have a hard time with sarcasm and abstractions, but children with signs of autism may have an even harder time. As a result, they may not engage in pretend play. 

They may also just show a general disinterest in other people, preferring to spend time on their own. Autistic children may become intensely focused on a particular toy or game, or develop an extreme interest in one or two specific topics.

Repetitive Behaviors and Restricted Interests

Signs Of Autism In A 3-Year-Old
Children with autism often also perform repetitive behaviors. Photo: Quynh Nguyen

The other aspect of Autism Spectrum Disorder is a tendency toward repetitive behaviors. We don’t fully understand Autism Spectrum Disorder or the brain chemistry behind it[4]. However, it seems likely that familiar and repetitive movements are soothing in circumstances when children with autism symptoms become distressed.

There are also some indications that repetitive behavior is the result of certain parts of the brain being overactive. In particular, the system that gives us a positive boost when we do something ‘good’ may kick into overtime when an autistic child is pursuing their interests. The focus on a few topics or objects, to the point of entirely excluding other pursuits, is referred to as restricted interests. 

People with signs of autism often also perform repetitive behaviors. That actually covers a wide range of things. It can be the more obvious meaning, in which they make a gesture repeatedly. For example, it’s very common for autistic children to flap their hands or spin circles. Repeating words is also common.

The tendency towards repetition may also include broader behaviors. They may need to follow the same routine for dinner every day or become upset. Other routines may be important for their mental health. If these routines are disturbed, the child may become very distressed.

New surroundings, new people, or other changes may also cause distress.

Signs Of Autism Spectrum Disorders In Older Children

The child’s behaviors that are developed as children will often define how we behave for the rest of our lives. For that reason, older children or adults with Autism Spectrum Disorder will show many of the indicators[3] that we’ve already discussed. However, additional signs of autism in older children may include:

  • Further focus on restricted interests
  • More organized than is typical for children
  • Anger and frustration with their disability
  • Self-harm
  • Aggression
  • Inappropriate or disproportionate emotional reactions
  • Depression
  • Anxiety
  • Short attention span

As they grow older, the symptoms may grow worse, particularly if left untreated. Difficulties with social interaction will become more pronounced. Repetitive motions will continue, even when you might expect older kids to settle down or develop other interests.

They may be very organized in a way children usually aren’t. Children with Autism Spectrum Disorder that display restricted interests may become very knowledgeable about the one or two topics they have focused on.

Other symptoms may also become apparent. Some will fit in the categories we’ve already discussed. Any child may have a hard time with sarcasm, but even older children with Autism Spectrum Disorder will continue to find it hard to understand. 

Other early signs of autism won’t fit as neatly into the two categories we’ve discussed. Anger, frustration, and anxiety are all common. Depression is also likely, as children begin to experience more and greater challenges as they get older. The frustration they experience can also result in aggression or even self-harm.

Autism Spectrum Disorder may not have a cure, but very effective treatments of different kinds have been developed. We mentioned that the behaviors we develop as children will tend to stay with us as we age. That is just as true of children with Autism Spectrum Disorder. That can also be a good thing, however. When young children receive the right therapy at a young age, they can learn to cope in healthy ways and still live full lives.


+ 4 sources

Health Canal avoids using tertiary references. We have strict sourcing guidelines and rely on peer-reviewed studies, academic researches from medical associations and institutions. To ensure the accuracy of articles in Health Canal, you can read more about the editorial process here

  1. https://www.nichd.nih.gov/. (2017). When do children usually show symptoms of autism? [online] Available at: https://www.nichd.nih.gov/health/topics/autism/conditioninfo/symptoms-appear
  2. ‌CDC (2022). What is Autism Spectrum Disorder? [online] Centers for Disease Control and Prevention. Available at: https://www.cdc.gov/ncbddd/autism/facts.html
  3. Autism Speaks. (2023). Learn the Signs of Autism | Autism Speaks. [online] Available at: https://www.autismspeaks.org/signs-autism
  4. Angie Voyles Askham (2020). Brain structure changes in autism, explained. [online] Spectrum | Autism Research News. Available at: https://www.spectrumnews.org/news/brain-structure-changes-in-autism-explained/

Medically reviewed by:

Taylor Spruce

Sean Newton has nearly ten years of experience as a health and fitness writer, focusing on diet and its effects on your health. He also is an avid athlete and martial artist, specializing in bodyweight exercises and movement training. Together with an evidence-based approach to good health, his goal is to lay out the facts for readers, so they can make informed choices.

Medically reviewed by:

Taylor Spruce

Journal of Physical Education and Sport

Trusted Source

Go to source

SciELO - Scientific Electronic Library Online

Trusted Source

Go to source

African Journals Online

Non-profit Platform for African Journals

Trusted Source
Go to source

Journal of The American Board of Family Medicine

American Board of Family Medicine

Trusted Source
Go to source

Informit

RMIT University Library

Trusted Source
Go to source

European Food Safety Authority

Science, Safe food, Sustainability

Trusted Source
Go to source

OrthoInfo

American Academy of Orthopaedic Surgeons

Trusted Source
Go to source

American Academy of Family Physicians

Strengthen family physicians and the communities they care for

Trusted Source
Go to source

Agricultural Research Service

U.S. Department of Agriculture

Trusted Source
Go to source

The American Journal of Medicine

Official Journal of The Alliance for Academic Internal Medicine

Trusted Source
Go to source

National Institute on Alcohol Abuse and Alcoholism

Database From National Institute Of Health

Trusted Source
Go to source

Lippincott Journals

Subsidiaries of Wolters Kluwer Health, Inc.

Trusted Source
Go to source

National Institute on Aging

Database From National Institute Of Health

Trusted Source
Go to source

Translational Research

The Journal of Laboratory and Clinical Medicine

Trusted Source
Go to source

Cell

An All-science Publisher

Trusted Source
Go to source

Journal of Translational Medicine

BioMed Central

Part of Springer Nature
Go to source

Federal Trade Commission

Protecting America's Consumers

Trusted Source
Go to source

National Human Genome Research Institute

Database From National Institute Of Health

Trusted Source
Go to source

Food Production, Processing and Nutrition

BioMed Central

Part of Springer Nature
Go to source

BMC Gastroenterology

BioMed Central

Part of Springer Nature
Go to source

ACS Publications

A Division of The American Chemical Society

Trusted Source
Go to source

Annual Reviews

Independent, Non-profit Academic Publishing Company

Trusted Source
Go to source

PubChem

National Center for Biotechnology Information

National Library of Medicine
Go to source

PLOS Journals

Nonprofit Publisher of Open-access Journals

Trusted Source
Go to source

Thieme E-books & E-Journals

Peer-reviewed & Open Access Journal

Trusted Source
Go to source

European Journal of Agriculture and Food Sciences

Peer-reviewed International Journal Publishes

Trusted Source
Go to source

Royal Society of Chemistry Publishing Home

Chemical Science Journals, Books and Database

Trusted Source
Go to source

Frontiers

Publisher of Peer-reviewed Articles in Open Acess Journals

Trusted Source
Go to source

De Gruyter

German Scholarly Publishing House

Trusted Source
Go to source

Hindawi

Open Access Research Journals & Papers

Trusted Source
Go to source

Oilseeds and Fats, Crops and Lipids

EDP Sciences

Trusted Source
Go to source

Cambridge Core

Cambridge University Press

Trusted Source
Go to source

FoodData Central

U.S. Department Of Agriculture

Trusted Source
Go to source

Journal of the American Heart Association

Peer-reviewed Open Access Scientific Journal

Trusted Source
Go to source

National Center for Complementary and Integrative Health

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

The Americans with Disabilities Act

U.S. Department of Justice Civil Rights Division

Trusted Source
Go to source

Journal of the Academy of Nutrition and Dietetics

Organization of Food and Nutrition Professionals

tr
Go to source

Sage Journals

Database From Sage Publications

Trusted Source
Go to source

National Institute of Drug Abuse

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

The ClinMed International Library

A Repository and an Open Access Publisher for Medical Research

Trusted Source
Go to source

The Royal Society Publishing

United Kingdom's National Academy of Sciences

Trusted Source
Go to source

APA PsycNet

Database From American Psychological Association

Trusted Source
Go to source

The Pharma Innovation Journal

Peer-reviewed And Refereed Journal

Trusted Source
Go to source

Asian Journal of Pharmaceutical Research and Development

Peer-reviewed Bimonthly Journal

Trusted Source
Go to source

British Pharmacological Society

Journals - Wiley Online Library

Trusted Source
Go to source

American Psychological Association

Scientific and Professional Organization of Psychologists

Trusted Source
Go to source

AAP Publications

Database From American Academy of Pediatrics

Trusted Source
Go to source

Karger Publishers

Academic Publisher of Scientific and Medical Journals and Books

Trusted Source
Go to source

Cambridge University Press & Assessment

Database From Cambridge University

Trusted Source
Go to source

National Institute of Mental Health

Database From National Institute Of Health

U.S. Department of Health and Human Services
Go to source

MDPI

Publisher of Open Access Journals

Trusted Source
Go to source

Bulletin of the National Research Centre

Part of Springer Nature

Trusted Source
Go to source

The New England Journal of Medicine

Massachusetts Medical Society

Trusted Source
Go to source

Economic Research Service

U.S. DEPARTMENT OF AGRICULTURE

Trusted Source
Go to source

MedlinePlus

Database From National Library of Medicine

U.S Department of Health and Human Services
Go to source

National Institute of Health

An agency of the U.S. Department of Health and Human Services

Trusted Source
Go to source

Trusted Source

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

The BMJ

Weekly Peer-reviewed Medical Trade Journal

The British Medical Association
Go to source

The British Psychological Society

The British Psychological Society is a charity registered in England

Database From Wiley Online Library
Go to source

National Heart, Lung, and Blood Institute

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

PubMed

Database From National Institute Of Health

U.S National Library of Medicine
Go to source

DailyMed

Database From National Institute Of Health

U.S National Library of Medicine
Go to source

Google Scholar

Go to source

Science.gov: USA.gov for Science

Government Science Portal

Go to source

ResearchGate

Social Network Service For Scientists

Find and share research
Go to source

American Heart Association

To be a rentless force for a world of longer, healthier lives

Go to source

BioMed Central

Research in progress

Go to source

JAMA Network

Home of JAMA and the Specialty Journals of the American Medical Association

Go to source

Springer Link

Database From Springer Nature Switzerland AG

Springer - International Publisher Science, Technology, Medicine
Go to source

ODS

Database from Office of Dietary Supplements

National Institutes of Health
Go to source

Federal Trade Commission

Bureaus of Consumer Protection, Competition and Economics
Go to source

Trusted Source

Database From U.S. Department of Health & Human Services

Governmental Authority
Go to source

Oxford Academic Journals

Oxford University Press

Trusted Source
Go to source

Taylor & Francis Online

Peer-reviewed Journals

Academic Publishing Division of Informa PLC
Go to source

WHO

Database from World Health Organization

Go to source

Journal of Neurology

Peer-reviewed Medical Journal

American Academy of Neurology Journal
Go to source

ScienceDirect

Bibliographic Database of Scientific and Medical Publications

Dutch publisher Elsevier
Go to source

Wiley Online Library

American Multinational Publishing Company

Trusted Source
Go to source

Centers for Disease Control and Prevention

U.S. National Public Health Agency

U.S Department of Health and Human Services
Go to source

Trusted Source

Database from U.S. National Library of Medicine

U.S. Federal Government
Go to source

U.S. Food & Drug Administration

Federal Agency

U.S Department of Health and Human Services
Go to source

PubMed Central

Database From National Institute Of Health

U.S National Library of Medicine
Go to source
Feedback

Help us rate this article

Thank you for your feedback

Keep in touch to see our improvement