My 18-Month-Old Isn't Pointing or Waving: What It Means and What to Do

9 min read · Updated June 2026 · ABA Therapy Now editorial team

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In short: Pointing and waving are social communication milestones that typically emerge by 18 months. While every child develops differently, the absence of these gestures can be an early sign of autism or other delays. ABA therapy, often covered by insurance and Medicaid, is an evidence-based way to teach these skills through playful, structured learning.

Key takeaways

  • Pointing and waving are key social communication milestones that most children reach by 18 months.
  • Lack of these gestures does not automatically mean autism, but it does warrant a developmental screening.
  • Early intervention, including ABA therapy, can greatly improve a child's communication and social skills.
  • ABA therapy is frequently covered by insurance, including Medicaid, and is tailored to each child's needs.

Why Pointing and Waving Matter

Pointing and waving are more than cute gestures; they are early forms of social communication that build the foundation for language and connection. When a child points to a toy or waves goodbye, they are sharing attention, expressing interest, and interacting with others. By 18 months, most toddlers use at least one of these gestures regularly. If your child is not yet pointing or waving, it is natural to feel concerned. This guide will help you understand what these milestones mean, possible reasons for the delay, and how you can take supportive steps forward.

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Typical Development of Pointing and Waving

Babies begin to wave around 9 to 12 months, first as an imitation and later intentionally. Pointing emerges a bit later, usually between 12 and 18 months, and is a powerful tool for shared attention. Joint attention-the ability to share focus on an object or event with another person-is a key skill that pointing supports. By 18 months, many children point to request something, to show interest, or to comment. Waving also becomes meaningful as a way to greet or say goodbye.

What to Expect at 18 Months

  • Uses pointing to indicate wants or interesting objects.
  • Waves hello or goodbye, often prompted but sometimes spontaneously.
  • Looks back and forth between an object and a caregiver to share the moment.
  • Combines gestures with sounds or early words.

Keep in mind that every child develops at their own pace. A few weeks of delay is rarely a concern, but a persistent absence of these gestures by 18 months is worth discussing with your pediatrician.

Possible Reasons Your 18-Month-Old Isn't Pointing or Waving

There are several reasons a child may not yet use these gestures. Some children are simply later bloomers in social communication. Others may have a hearing or vision issue that affects how they observe and imitate gestures. More significant delays can be an early sign of autism spectrum disorder (ASD) or another developmental condition. It is important to avoid jumping to conclusions-a lack of pointing or waving does not automatically mean autism-but it does mean a closer look is warranted.

Autism and Social Communication

One of the earliest signs of autism is difficulty with joint attention and social gestures like pointing and waving. Children on the spectrum may not point to share interest (called declarative pointing) or may only point to request (imperative pointing). They may also avoid eye contact or appear uninterested in social games. However, some children without autism also take longer to develop these skills, which is why professional evaluation is important.

Other Developmental Delays

Speech-language delays, motor difficulties, or sensory processing differences can also affect gesture use. A child with weak fine motor skills may struggle to form a pointing finger. A child with auditory processing differences may not notice waving. Early intervention programs are designed to identify the root cause and provide targeted support.

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When to Seek an Evaluation

The American Academy of Pediatrics recommends developmental screening at 18 and 24 months, often using tools like the M-CHAT (Modified Checklist for Autism in Toddlers). If your child is not pointing or waving, bring this up at your next well-child visit. You can also contact your local Early Intervention program (Part C of IDEA) for a free evaluation. Early Intervention services are available in every state and can include speech therapy, occupational therapy, and developmental support. Trust your parent intuition-if you feel something is off, it is always okay to seek a second opinion or request an evaluation sooner.

How ABA Therapy Can Help Build Pointing and Waving Skills

Applied Behavior Analysis (ABA) therapy is a proven, evidence-based approach for teaching communication and social skills to young children, especially those with autism or developmental delays. A Board Certified Behavior Analyst (BCBA) designs a program that breaks down skills like pointing and waving into small, teachable steps. Sessions often use play-based activities to motivate the child and build natural interaction.

What ABA Therapy Looks Like for These Gestures

  • Modeling: Therapists demonstrate pointing and waving repeatedly in fun contexts.
  • Prompting: Gentle hand-over-hand guidance helps the child practice the motion.
  • Reinforcement: Praise, preferred toys, or a favorite song encourage the child to use the gesture independently.
  • Generalization: Skills are practiced with different people and in various settings (home, park, clinic).

ABA therapy also works on foundational skills like eye contact and joint attention, which make gestures more meaningful. Many children begin to point and wave within weeks of starting consistent ABA therapy. Because ABA is highly individualized, the therapist will respect your child's sensory preferences and pace.

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Getting Started: Insurance, Medicaid, and Free Provider Matching

ABA therapy can be costly, but it is widely covered by insurance. Most commercial health plans offer ABA benefits, especially for children with an autism diagnosis. Medicaid also covers ABA in all 50 states, though specific programs vary. If your child receives an autism diagnosis or developmental delay, you can use this coverage to pay for therapy. The process of finding a provider, verifying insurance, and dealing with waitlists can be overwhelming. That is where ABA Therapy Now comes in. As a free matching service, we connect families with vetted, BCBA-led ABA providers in your area. We help you understand your insurance benefits, including Medicaid options, and find a provider that fits your schedule and values. There is no cost to you-our mission is to help every child get the early intervention they deserve.

Steps to Take Today

  • Talk with your pediatrician about your concerns and request a screening.
  • Contact your state's Early Intervention program for a free evaluation.
  • Reach out to ABA Therapy Now to start the provider matching process.
  • Gather your insurance information so we can help you verify coverage.

Practical Tips for Parents at Home

While you wait for an evaluation or therapy to begin, there are gentle ways to encourage pointing and waving at home. Model the gestures often-point to interesting things during walks, wave at neighbors, and narrate what you are doing. Create opportunities by placing a desired toy just out of reach and waiting for your child to look or reach; then model pointing. Do not force your child's hand or overcorrect; this can cause frustration. Instead, celebrate any attempt at communication, whether it is a sound, a look, or an arm movement. Reading books with bright pictures and pausing to point at objects is another low-pressure activity. Above all, keep interactions joyful and responsive.

Final Thoughts: You Are Not Alone

Wondering about your child's development can be stressful, but you are already taking a positive step by seeking information. Early intervention makes a real difference. Whether your child needs a little extra time or a structured therapy program, there are resources available to help them thrive. ABA Therapy Now is here to support you at no cost. Our free matching service connects you with compassionate, BCBA-led providers who understand social communication delays and can craft a plan that celebrates your child's unique strengths. You do not have to navigate this alone-reach out today and take the next step toward building your child's communication skills.

About this guide. Written and reviewed by the ABA Therapy Now editorial team. This article is general educational information, not medical advice - please consult a qualified professional such as a BCBA or your pediatrician about your child's needs. Last updated June 2026.

Frequently asked questions

What does it mean if my 18-month-old isn't pointing?

Pointing is a key social communication milestone. Not pointing by 18 months could be a sign of a delay, possibly related to autism or other developmental issues, but it is not a diagnosis on its own. A pediatrician or early intervention specialist can help determine if an evaluation is needed.

Is it always autism if my child doesn't wave?

No. Many children who don't wave early on go on to develop typically. However, a lack of waving combined with other delays-like limited eye contact or no babbling-may increase the likelihood of autism. A professional screening is the best way to understand your child's unique development.

How can ABA therapy help with pointing and waving?

ABA therapy breaks down gestures into small steps using modeling, prompting, and positive reinforcement. A BCBA creates a playful plan to teach joint attention and imitation, which naturally leads to pointing and waving. Skills are practiced in everyday settings to encourage real-world use.

What should I do first if I'm concerned about my child's gestures?

Start by scheduling a well-child visit and sharing your concerns with your pediatrician. You can also self-refer to your state's Early Intervention program for a free developmental evaluation. While waiting, try modeling gestures at home without pressure.

Will insurance cover ABA therapy for a child who isn't pointing or waving?

If your child receives a diagnosis of autism spectrum disorder, most insurance plans-including Medicaid-cover ABA therapy. Coverage can also depend on your state's mandates. ABA Therapy Now can help you verify your benefits and find in-network providers at no cost.

How does ABA Therapy Now work?

ABA Therapy Now is a free matching service. You share a few details about your child and location, and we connect you with vetted, BCBA-led providers who fit your needs. We also assist with insurance verification and answer any questions to make the process smoother.

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