Early Signs of Autism in Toddlers and When Families in Fishers Should Seek Testing
Written by Adapt For Life – AFL Autism Services
The Signs Parents Notice First
Parents across Fishers, Geist and McCordsville rarely arrive worrying about a diagnostic checklist. They arrive because something in daily life does not feel right. He does not turn when I call his name. She lines everything up. He used to wave and now he does not.
Those observations are clinically meaningful. Parent instinct is one of the most reliable early indicators in the research literature, and it deserves to be taken seriously rather than met with wait and see. If you have been asking these questions and looking for a Fishers ABA therapy clinic, knowing what to look for next is a useful first step.
Social Communication Signs by Age
By around 9 months, most children share back-and-forth smiles and sounds. By 12 months, most respond to their name, point at things of interest and use simple gestures. By 18 months, most engage in simple pretend play and bring objects to show a caregiver.
Reduced eye contact, limited pointing to share interest rather than request, and difficulty following another person's gaze are among the signs most consistently associated with early autism identification.
Behavioural and Sensory Signs
Repetitive movements, intense focus on parts of objects, strong distress at small changes in routine, and unusual responses to sound, texture or light are all commonly reported. None of these in isolation indicates autism. A pattern across several areas is what prompts evaluation.
Loss of previously acquired skills — words a child used to say, gestures they used to make — warrants prompt evaluation in every case.
How Parents Can Document What They Are Seeing
Before the first appointment, it helps to write down specific examples rather than general impressions. Instead of "he doesn't respond to his name," note how many times you called, what he was doing, and whether he responded later in a different setting. Video is particularly useful. A short clip of a behaviour that concerns you gives a clinician information that a verbal description often cannot.
Keep notes over several days rather than relying on memory from a single moment. Children's behaviour varies, and a pattern across multiple settings and times carries more weight than an isolated incident. This kind of record does not need to be formal. A note on your phone with dates and short descriptions is enough.
What Happens After You Contact the Clinic
Many parents are unsure what the first step actually looks like. At the Fishers location, the process begins with an intake conversation to gather background information about your child's development and your primary concerns. From there, an evaluation is scheduled at a time that works for your family.
There is no requirement to have a referral from a paediatrician, though any existing records, reports or previous assessments are helpful to bring. If your child has had a hearing test, that result is particularly useful since hearing loss can produce some of the same observable signs as autism and is routinely checked as part of a thorough developmental picture.
Why Waiting Costs More Than Testing
The strongest argument for early evaluation is not the diagnosis itself. It is access. Insurance-funded therapy, early intervention services and school supports all typically require a formal diagnosis, and each of them works best when started early.
If the evaluation finds no autism, you have gained a detailed developmental profile and clear guidance. That is not a wasted appointment. Families looking into autism diagnostic services can take that step independent of a paediatrician referral.
What Testing Involves in Fishers
The Fishers clinic provides autism testing and diagnostics alongside clinic-based ABA therapy, which means that if a diagnosis is made, the transition to treatment does not require finding a new provider and starting the relationship again.
Evaluation combines a detailed parent interview with structured, play-based observation. Most children find it unremarkable and many enjoy it.
Serving Families Across Northeast Hamilton County
Fishers, Geist and McCordsville sit close enough together that families in any of these communities can access the Allisonville Road clinic without a long drive. The clinic serves northeast Hamilton County broadly, and the team is familiar with the specific school districts, early intervention programmes and paediatric practices in the area.
If your child is already receiving services through the school system or through a county early intervention programme, the clinic can work alongside those supports rather than replacing them. Coordination between providers is common and generally straightforward to arrange.
Frequently Asked Questions
My paediatrician said to wait and see. Should I?
You are entitled to seek an evaluation regardless. Early identification is consistently associated with better access to support, and a thorough evaluation provides useful information either way.
Can autism be identified before age two?
Yes. Reliable identification is often possible from around 18 months, and screening is routinely recommended earlier.
Does the Fishers clinic offer both testing and therapy?
Yes. Autism testing and diagnostics and clinic-based ABA therapy are both available at the Fishers location.
What should I bring to a first appointment?
Developmental history notes, any school or daycare observations, hearing test results, and video of behaviours that concern you if you have it.
Article author
About the Author
Adapt For Life – AFL Autism Services
Adapt For Life provides applied behavior analysis therapy, autism diagnostic services and speech therapy for children and families in Fishers, Geist, McCordsville and northeast Hamilton County. Programmes are designed and supervised by Board Certified Behavior Analysts and built around each child's individual assessment.
Address: 11845 Allisonville Road, Fishers, IN 46038
Phone: (317) 799-1584
Email: fishers@aflaba.com
Hours: Monday – Friday, 8:00 AM – 5:00 PM
Services: Clinic-Based ABA Therapy, Autism Testing and Diagnostics, Speech Therapy
Website: aflaba.com/fishers
To book an assessment, call (317) 799-1584, email fishers@aflaba.com or visit Adapt For Life Fishers.
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