Greetings not pointing or waving by 16 months can sometimes be an early indicator of a language or communication delay. However, her strong social foundation—such as her intentional eye contact and joyful responsiveness to her name—is an excellent sign of healthy emotional bonding and engagement. Her developmental challenges could stem from three distinct possibilities, including a classic expressive speech delay, a temporary lack of exposure or practice with social gestures, or an early manifestation of a broader neurodevelopmental or sensory processing.

I need to ask few more questions before answering your query. Early consultations can prevent complications. Kindly contact me on whatsapp chat (84960595 six five) Dr Faisal Zoheb MBBS , MD PAEDIATRICS , PGPN (BOSTON), FELLOWSHIP IN NEONATOLOGY ( Newborn and vaccination specialist )

Some signs like good eye contact, responding to name, social smile and understanding “come” are reassuring. However, by 16 months most children usually start pointing, waving and following simple commands. Since these are delayed, a developmental assessment is advisable. This does not necessarily mean autism, but early evaluation and stimulation are important. Also avoid excess screen time and encourage interactive play and communication.

Consult with Pediatrician physically for further evaluation and treatment

Proper development evaluation