Baby Looks Everywhere But At Me :The Connection Between Eye Contact and Other Signs of Autism in Babies

Navigating the milestones of your baby’s development is often a source of joy and sometimes, worry.

When it comes to eye contact, many parents wonder if their little one’s gaze patterns are just quirks or signs of a developmental condition like autism.

This article delves into the science and psychology behind eye contact in babies, the signs of autism related to gaze and eye contact, and simple tests you can conduct to assess your child’s development.

Given the increasing prevalence of autism diagnoses, understanding this crucial aspect of early development is more important than ever.

What Does Typical Eye Contact Look Like in Babies?

Babies typically start to make eye contact within the first few weeks old, looking at people who are caring for them.

This gaze and eye contact serve as an early form of social engagement and are crucial for language development.

While it’s common for young infants to look away as a form of self-regulation, parents generally see a pattern where the baby’s gaze often returns to the caregiver’s face.

When Do Babies Begin to Make Eye Contact?

Babies begin to make eye contact between 2 and 6 months of age. In the first few months, you might notice that your infant prefers to look towards the sound of your voice, sometimes accompanied by facial expressions.

According to studies, typically developing babies at around 6 months of age start to maintain eye contact for more extended periods and can recognize familiar faces.

Is Lack of Eye Contact Always a Sign of Autism?

Lack of eye contact can sometimes be a sign of autism, but it’s crucial to remember that every child is different.

A single behavior such as avoiding eye contact should not be immediately attributed to autism.

Some toddlers may avoid eye contact simply because they are shy or have other individual preferences. Autism is a complex developmental issue, and it usually involves a range of symptoms.

How Are Children With Autism Different in Making Eye Contact?

Children with autism often avoid eye contact because it may be overwhelming for them.

Studies have found that children with autism spectrum disorders tend to focus on different parts of the face or look at other objects rather than making eye contact.

This pattern has been confirmed using eye-tracking technology.

How to Encourage Eye Contact in Your Infant?

If you notice that your baby looks everywhere and avoids making eye contact, you can encourage eye contact through engaging activities.

Simple tests include holding a rattle or a toy about a foot away from the baby’s eyes and observing if they follow the object.

You can also play peek-a-boo games to enhance the ability to communicate through gaze.

What Does Eye-Tracking Technology Reveal?

Eye-tracking studies conducted by organizations like the Marcus Autism Center have brought fascinating insights.

They have been able to identify differences in eye fixation patterns between children with autism and typical children.

Such technology provides a non-invasive way to monitor how babies’ eyes move and where they focus, potentially helping in early identification of risk for autism.

What Are the Symptoms of Autism Related to Eye Contact?

Children who are later diagnosed with autism often show differences in their eye contact patterns as infants.

According to research, babies as young as 2 months old who are at high-risk for autism (such as having relatives with autism) show less attention to eyes and more towards objects.

These findings were particularly significant between 2 and 6 months of age.

What Does the American Academy of Pediatrics Recommend?

The American Academy of Pediatrics recommends regular check-ups during your child’s first years to assess developmental milestones, including eye contact  , language and brain development.

Pediatricians usually have standard guidelines for when a lack of eye contact becomes a concern related to autism spectrum disorders.

What Do Researchers Say About Babies and Toddlers Who Later Get Diagnosed With Autism?

According to a new study published by researchers like Jones and Ami Klin, differences in eye-tracking and gaze patterns can be observed as early as 6 months old in children who are later diagnosed with autism.

However, experts caution that parents should not jump to conclusions based solely on such observations.

Other Early Signs of Autism in Babies

In addition to issues with eye contact, there are several other early signs of autism in young babies that parents and caregivers should be aware of.

It’s important to remember that babies develop at their own pace, and not hitting a milestone precisely on schedule isn’t automatically a cause for concern.

However, consistently missing multiple milestones might warrant a consultation with a pediatrician. Here are some other early signs of autism to look out for in the little one :

Social Disability and Challenges:

  • Lack of interest in other people, including parents
  • Failure to respond to social cues, such as smiles or frowns
  • Difficulty or lack of engagement in interactions such as sharing attention or playing peek-a-boo

Communication Difficulties:

  • Delays in, or lack of, language development
  • Doesn’t babble or coo by 12 months
  • Doesn’t gesture, such as pointing or waving, by 12 months
  • Does not respond to their name as often as other babies might
  • Loss of previously acquired speech or social skills at any age

Repetitive Behaviors:

  • Excessive fascination with lights, moving objects, or parts of toys
  • Repetitive movements such as rocking, flapping hands, or being overly fascinated with lights or moving objects
  • An intense need for routine, or distress at changes in the environment or daily schedule

Lack of Imitation:

  • Doesn’t imitate facial expressions or actions
  • Doesn’t engage in pretend play, like feeding a doll, by 18 months

Unusual Emotional Reactions:

  • Lack of fear or more fear than other babies when exposed to loud or sudden noises
  • Indifference to pain or temperature
  • Does not seek comfort from parents or caregivers in distress

Sensory Sensitivities:

  • Unusual reactions to the way things sound, smell, taste, look, or feel
  • Overly sensitive or under-responsive to pain or loud noises

Play Preferences:

  • Limited interest in toys or plays with them in an unusual way, such as lining them up or just spinning the wheels of a toy car

Note that having one or a few of these signs doesn’t mean a child has autism.

However, exhibiting multiple symptoms from various categories could indicate a higher risk of autism spectrum disorder and should be evaluated by healthcare professionals.

The earlier autism is diagnosed, the sooner intervention services can begin, which can greatly benefit the child’s developmental trajectory.

Caution: When Should You See a Pediatrician?

If you have consistent concerns about your baby’s gaze or other developmental milestones, it’s advisable to consult your pediatrician.

Medical professionals can perform more exhaustive tests and assessments to diagnose or rule out autism or other developmental issues.

Key Takeaways

  • Babies begin to make eye contact between 2 and 6 months old.
  • Lack of eye contact is not always a sign of autism; it can be related to other developmental or personality factors.
  • Simple tests like tracking a rattle can encourage eye contact in babies.
  • Eye-tracking technology has been pivotal in studying eye contact patterns in children with autism.
  • Always consult your pediatrician for an expert diagnosis if you have concerns about your child’s development.

Your child’s eye contact can be a window into their social and emotional world. By understanding what is typical and what might be a cause for concern, you can better support your little one’s growth and development.

Frequently Asked Questions (FAQs)


1. When do babies generally start to make eye contact?

Babies usually start to make eye contact between 2 and 6 months of age. In the first few months, infants often look towards the sound of a caregiver’s voice and begin recognizing familiar faces by around 6 months.

2. My baby avoids eye contact; should I be worried about autism?

A lack of eye contact could be one of the signs of autism, but it’s crucial to remember that each child is different.

Avoiding eye contact might also be related to other developmental or personality factors like shyness. It is not a definitive indicator of autism on its own.

3. Are there any simple tests to assess my baby’s eye contact?

Yes, you can try holding a toy or a rattle about a foot away from your baby’s face and see if they follow it with their eyes.

Games like peek-a-boo can also be helpful. However, these are not substitutes for professional assessments.

4. What is eye-tracking technology, and how is it used in autism research?

Eye-tracking technology monitors the movement and focus of the eyes. In autism research, such technology has been used to identify differences in eye fixation patterns between children with autism and those who are typically developing.

It can be a useful tool for early identification.

5. What does the American Academy of Pediatrics recommend for assessing eye contact?

The American Academy of Pediatrics recommends that pediatricians assess various developmental milestones, including eye contact, during your child’s regular check-ups.

They have guidelines for when a lack of eye contact may be a concern related to autism spectrum disorders.

6. My child has relatives with autism; does that increase their risk?

Yes, having relatives with autism does put your child at a higher risk for autism. However, it’s crucial to note that autism is a complex condition influenced by multiple factors, including genetics and environment.

7. How is making eye contact different for children with autism?

Children with autism often avoid eye contact because it may feel overwhelming for them. They may focus on different parts of a person’s face or prefer to look at objects.

8. At what age should I consult a pediatrician if my child isn’t making eye contact?

If you have persistent concerns about your child’s eye contact or other developmental milestones, consult your pediatrician.

It’s generally advised to seek expert advice by the time your child is 9 months old if they are not making eye contact.

9. Can lack of eye contact be an isolated symptom?

Lack of eye contact can occur for various reasons, including shyness, other developmental delays, or even vision issues. It is generally not the sole symptom for diagnosing autism.

10. What are the other signs of autism I should look for?

Other signs of autism may include a lack of interest in other people, including parents, failure to respond to their name as often as other babies might, and lack of interest in interactive games like peek-a-boo.



This post is written and edited by Sandy who is a clinical pharmacist with over 20 years of experience specializing in pre-natal and post-natal care.