How Speech Delays Can Be Early Signs of Autism

Toddler quietly playing with toys at home while a parent gently observes — early signs of speech delay or autism

What Malaysian Parents Should Know About Language Development and When to Seek Help

One of the most common concerns we hear from parents at Thrive Tots is:
“My kid isn’t speaking yet—should I be worried?”

It’s a question full of love and care—and it’s completely valid. Speech and language development is a major part of early childhood. But what many parents don’t realise is that certain types of speech delays may point to something more than just “a late talker.”

In this article, we’ll walk you through what speech delays may look like in toddlers, and how they can relate to autism, and when it might be time to explore early screening and support—especially for families here in Malaysia.

What is a Speech Delay?

A speech delay means a child is not developing spoken language at the expected rate. Every child develops at their own pace, but there are general milestones that help guide expectations.

Typical Speech Milestones:

  • By 12 months: Babbles, use basic sounds, responds to name
  • By 18 months: Says 10-20 words, uses gestures to communicate
  • By 24 months: Uses simple two-word phrases like “mama eat” or “want ball”

If your toddler isn’t reaching these milestones—or if their speech development seems to “pause” or regress—it may be worth exploring further.

When Is a Speech Delay a Red Flag for Autism?

While not all speech delays mean autism, many children with autism do experience delays in spoken language—often accompanied by other signs.

Key Differences to Observe:

Speech Delay AloneSpeech Delay in Autism
Uses gestures (pointing, waving)Rarely uses gestures or points to share interest
Responds to name and makes eye contactMay not respond to name or avoid eye contact
Shows interest in back-and-forth playPrefers playing alone or with objects repetitively
Understands simple instructionsMay not seem to understand even basic commands

Why Language Delays Happen in Autism

In children with autism, speech delays are often linked to how communication works overall—not just verbal expression. Some toddlers may:

  • Repeat words or phrases (echolalia)
  • Use words out of context
  • Communicate through actions or sounds instead of speech
  • Seem uninterested in social interaction

For many, the core issue is social communication, not speech alone. That’s why early screening is so important—it helps distinguish between a temporary delay and a broader development difference.

Cultural Considerations for Malaysian Parents

In Malaysian households, it’s not uncommon to hear:

“Budak lelaki memang lambat sikit bercakap.”
“Anak jiran pun dulu tak cakap sampai umur 4 tahun, sekarang okay je.”

When to Seek Help

Consider professional screening if your child:

  • Isn’t babbling or using single words by 18 months
  • Rarely points, gestures, or attempts to communicate non-verbally
  • Shows little interest in pretend play or social games
  • Has lost words they previously used
  • Doesn’t respond to their name or simple commands

Reminder: You don’t need a diagnosis to begin therapy. At Thrive Tots, we offer gentle, home-based screening and support that feels more like play than evaluation.

What You Can Do at Home

While waiting for a screening or first session, here are some simple ways to encourage communication:

  • Use simple, clear phrases: “Take ball,” “Sit here”
  • Narrate daily routines: “Mama is cooking. Stir, stir.”
  • Pause and wait: Give your child space to respond
  • Offer visual choices: “Do you want banana or apple?”
  • Celebrate all communication: Words, gestures, pointing—all count!

What If It’s Not Autism—Just a Speech Delay?

That’s a completely fair and common question.

Some toddlers may have speech delays that are not related to autism. These children might be late talkers but still show typical social behaviours—like making eye contact, playing pretend, and showing interest in people and surroundings. In these cases, a delay may be due to factors like hearing issues, limited language exposure, or simply a slower developmental pace.

Still, it’s important to observe your child holistically and not rely on just one sign. A qualified speech-language therapist or developmental specialist can help determine whether your child would benefit from support.

We’ll explore it further in our upcoming post: Early Signs of Autism vs. Speech Delay: What’s the Difference? (coming soon)

This guide will help you compare, clarify, and take the next best step with confidence.

Final Thoughts from Thrive Tots Team

If your toddler isn’t speaking much, don’t panic—but don’t ignore it either. Whether it’s a delay or part of a broader pattern, early support changes everything.

At Thrive Tots, we’ve had the privilege of walking alongside many families through these early challenges. One of the children we supported began therapy with us as completely non-verbal—quiet, frustrated, and unsure how to express himself. With time, patience, and gentle care, he began to use sounds, then words, and eventually full sentence to share his world. Watching him find his voice was a reminder of what’s possible when we meet children where they are, without pressure—just consistent care.

You’re not alone. We’re here to walk beside you—gently, patiently, and always with care.