Should I Get My Child Assessed for Autism

Should I Get My Child Evaluated or Assessed for ASD or Autism?

As a parent, you know your child better than anyone. You know their quirks, their smiles, the way they light up when they hear their favourite song, and the things that make them anxious or overwhelmed.

But sometimes, you may also notice things that leave you wondering: Is this typical? Should I be concerned? Is it time to get a professional opinion?

If you’ve asked yourself these questions, you’re not alone. Many parents, especially of young children, worry about missing early signs of developmental differences, particularly when it comes to autism spectrum disorder (ASD). And because autism doesn’t look the same in every child, these early signs can be easy to overlook, explain away, or wait out.

But here’s the truth: you don’t need a diagnosis to start paying attention — and asking the question is already a strong, loving, and proactive step.

Why Early Evaluation Matters

Autism is a neurodevelopmental condition that affects communication, social interaction, play, and behaviour. Research indicates that early identification and intervention lead to improved outcomes, not only in speech and social skills but also in confidence, independence, and emotional regulation.

The earlier a child receives the support they need, the more time their growing brain has to build new connections. Evaluation isn’t a label. It’s a starting point. It’s a way to understand your child’s needs and learn how to support them effectively.

Should I Get My Child Evaluated?

Here’s a Parent-Friendly Checklist to Help You Decide

If your child is between 18 months and 5 years old, go through the following checklist. Find yourself saying “yes” to more than a few of these questions. It may be time to consult a developmental pediatrician.

Communication

  • Is your child not using any words by 24 months?
  • Does your child speak but repeat phrases instead of using their own words (echolalia)?
  • Does your child struggle to point, wave, or nod their head?
  • Does your child seem confused or delayed when following simple instructions?
  • Has your child lost words or language they previously used?

Behaviour and Play

  • Does your child flap their hands, rock, spin, or repeat movements often?
  • Does your child line up toys, spin wheels, or fixate on specific parts of objects?
  • Does your child become extremely upset when routines change?
  • Does your child have intense reactions to sounds, lights, textures, or smells?
  • Does your child engage in very limited or repetitive play (e.g., opening and closing a door over and over)?

Other Concerns

  • Does your child seem “in their world” for long periods?
  • Does your child struggle with transitions (e.g., leaving a room, changing activities)?
  • Are you often told that your child’s development seems “behind” or “different” from peers?

What Should I Do Next?

If this checklist raises concerns, don’t panic — and don’t wait. Here’s what to do:

  • Write down what you’ve observed. Include dates, patterns, and examples.
  • Speak to your child’s teacher or day-care provider. They may notice signs you haven’t seen.
  • Book an appointment with your paediatrician or general practitioner. Share your concerns and ask for a referral for developmental screening or autism assessment.
  • Reach out to an early intervention centre. At Amazing K, we’re happy to guide you through the evaluation process or help with referrals.
  • Trust your instincts. If you feel something isn’t right, it’s okay to keep asking questions — and to ask for help.

Getting your child evaluated means you want to understand your child better and give them every opportunity to thrive.  Whether or not your child receives a diagnosis, an evaluation provides you with insight and direction.

Ilse Kilian-Ross
ilse@amazingk.co.za

Ilse Kilian-Ross is the owner of Amazing K, a registered ECD and Partial Care Facility in Johannesburg. Amazing K is a private adhd school, autism school and therapy centre for children from age 2 - 6 years where learners receive the best of both the schooling and therapy world. The autism school offers Individualized Education Programs, Speech- and Augmentive Alternative Communication (AAC) therapy as well as a full and adapted Academic Curriculum.