Acts extremely fearful, shy, sad or aggressive.
Cannot separate from parents without major protest.
Easily distracted or can’t concentrate on one activity for more than 5 minutes.
Shows little interest in playing with other children or rarely uses fantasy/imitation in play.
Doesn’t show a wide range of emotions or doesn’t respond to people.
Can’t tell what’s real and what’s make‑believe.
Doesn’t use plurals or past tense correctly; can’t tell about daily activities.
Cannot give first and last name or build a tower of six‑eight blocks.
Seems uncomfortable holding a crayon; can’t draw basic shapes.
Has trouble eating, sleeping or using the toilet.
Loses skills once had.

Important: These red flags are indicators that a child may need developmental assessment or early intervention. Children develop at their own pace, but if any of these signs are present, mothers/fathers/caregivers should contact a development expert or early intervention program for guidance.

Red flags are adapted from CDC and AAP developmental warning signs. If any of these are present, we recommend sharing this report with our development pediatrician to guide you on the next steps.

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