• Difficulties sharing emotions, understanding how others think and feel, and holding a conversation
• Eye contact may not be as frequent or last as long as in other children
• May not appear to notice others and seems to tune people out
• Often do not build relationships with others their age at a developmental level expected
• Rarely share attention with others, such as by showing something, pointing, or pointing out interests or accomplishments
• Does not demonstrate emotional reciprocity (taking turns)
• Infrequently take turns in play or conversation
• Rarely imitate the actions of others in play or otherwise
• May not respond to own name
• May seem lonely
• Difficulty in making and maintaining friendships
• Does not consistently smile when smiled at
• May seem to prefer to play alone
• May have difficulty with imaginative/pretend play
• May be overly active, uncooperative, or resistant
• Does not know how to play with toys the way they were intended
• Seems to be in his / her “own world”
• Is not interested in other children
