How To Know When Your Child Needs Help

Complete Puzzle

Cognition (Thinking)

Your child may need assessment if you observe the following:

  • By age one, does not respond to faces and objects, or does not recognize familiar people. Child does not look for hidden object (e.g. peek-a-boo) or does not anticipate return of people.

  • By age two, does not identify simple body parts by pointing, does not match similar objects, or recognize self in a mirror. Cannot say simple words and name familiar objects. 

  • By age three, cannot follow simple directions and commands. Does not imitate adults.

  • By age three, does not begin to participate in creative processes; drawing, blocks, or play dough. Cannot match colors and shapes and complete simple puzzles. Unable to pretend or make-believe play. 

  • By age four, does not give correct answers to questions, such as; what do you do when you’re sleepy/hungry? Does not have an active imagination, cannot sit through a short story.

  • By age four, cannot tell the difference between different shapes and colors, does not pretend to read books.

  • By age five to six, does not understand the concepts of today, tomorrow or yesterday. Cannot follow multiple directions. Cannot sort and match according to different qualities (e.g. shape, color, size). Cannot name shapes, colors and some letters.

  • By age five to six, cannot recite 1-10, the child does not understand that numbers represent quantity (e.g. can get three apples, can put one napkin for each child) The child cannot stay with or complete tasks (e.g. finish a puzzle, draw a picture related to a story).

General Guidelines