Wondering about your Child’s Development?

Wondering about your Child's Development? Insights from Dr. Paula Conforti

It’s natural to wonder if your child is developing “normally.” You may see behaviour, communication, learning and attention differences that lead to more questions. 

Many parents quietly wonder if what they are seeing is typical, if their child just needs more time to hit milestones, or if extra support might help. Others notice that their child seems advanced in certain areas and want to be sure they are being appropriately supported. 

These moments of uncertainty can feel overwhelming, especially when you’re not sure where to turn or what your next step should be. 

In this Q&A, we spoke with Dr. Paula Conforti, Director of Clinical Services at Springboard Clinic (DCS, C.Psych Assoc., RP, PhD). Dr. Conforti works closely with children and their families and shares common concerns parents raise, everyday signs that often prompt questions, and how early developmental assessments can offer clarity and reassurance – helping families better understand their child’s strengths and needs and feel more confident moving forward. 

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Key Takeaways from this Article

  • It’s normal to have questions about your child’s development – whether they seem to be struggling, developing differently or excelling in certain areas. 
  • Early developmental assessments aren’t about labeling. They help build a clearer picture of your child’s strengths and needs. 
  • Everyday observations at home or daycare often provide important clues – trust what you’re noticing. 
  • Assessments look at the whole child, including communication, learning, social-emotional development, early academic readiness. 
  • Early insight can open the door to timely supports and give families clearer direction. 
  • You don’t have to navigate this alone– having the right guidance can make the next steps feel more manageable. 

When Parents First Start Noticing Developmental Differences

Q: When parents start to worry about their young child’s development, what concerns come up most often, and how common are these worries? 

Dr. Conforti:

Parents most often have questions about their child’s social development, communication, or behaviour. Sometimes these concerns can be prompted by a medical condition that comes to light, such as seizures or metabolic conditions, and families wonder how these may impact learning,memory or cognition.  

Other times, parents notice differences at daycare – perhaps their child isn’t interacting with peers or is interacting in an aggressive and less than optimal way. Parents start to wonder if their behaviour can be explained by some barrier to learning such as attention.  

On the other hand, sometimes parents simply want to know how their child is doing in their early development and want reassurance that everything is on track or if their childis excelling. Having to reflect on school and the various options out there, they may simply want more information to make an informed decision about their child’s learning environment: Does my child need more stimulation? Should I be concerned if I desire a more play based learning approach in their younger years? 

developmental assessment helps answer many of these questions by looking at your child’s communication, learning, behaviour, and social development. It also provides a strong baseline, allowing families to track progress over time and identify areas where additional support or specialized services may be beneficial. 

Understanding What is Typical – and When to Learn More

Q: With so much variation in how children under six develop, how can parents understand what’s typical and when it might help to learn more?

Dr. Conforti:

I believe that is the beauty of an assessment. Standardized measures help us understand how your child’s development compares with others their age. While each child is unique, gaining this clearer picture can help identify strengths and areas where support may be helpful. For example, this understanding can guide early intervention, such as speech and language support, or when available, access to more specialized programming or intensive support in public school in Kindergarten 

Everyday Signs that Often Raise Questions

Q: What kinds of everyday signs at home, daycare, or preschool often prompt parents to ask questions, even if nothing feels “serious”?

Dr. Conforti:

I often tell parents to pay attention to the quiet questions they ask themselves about their child to guide them. Do you find yourself wondering:  

  • Why are they throwing so many tantrums?  
  • Why do other children seem engaged, while my child appears uninterested in many areas?  
  • They used to talk and now they appear to have regressed or not ‘caught up’ to the degree to which I might expect?  
  • They seem to lack curiosity.   
  • They cannot retain their ABCs.  
  • Or, on the other hand, will my child be ‘bored’ in kindergarten because they have already mastered many early academic readiness skills, and I want them to be stimulated?  

 

These are just examples of questions I get from parents. But, if you find yourself with similar questions, connecting with your family doctor is always a good first step. It’s important to rule out any hearing or vision concerns before moving forward with a developmental assessment.  

From there, a referral to Springboard may be appropriate. A developmental assessment provides a strong foundation of information across key areas of development, helping to bring clarity and begin answering many of these questions.  

Why Families May Seek Additional Support Beyond Their Family Doctor

Q: Why might a family doctor not assess these concerns right away, and how does an assessment with a psychologist or private clinic provide added support and clarity?

Dr. Conforti:

Family doctors play an important role in children’s care, but they aren’t always trained to complete detailed developmental assessments across multiple areas. At Springboard, we use a multidisciplinary approach – bringing together physicians, psychologists, and early childhood specialists – so families can access different perspectives and areas of expertise in one place. 

This team-based approach allows us to look more closely at a child’s development and explore concerns in greater depth. Our clinicians have experience working in hospitals, community agencies, and school settings with children who have a wide range of needs. That experience helps us provide clearer guidance and more targeted recommendations, so families feel supported and better informed about their next steps.  

What an Early Developmental Assessment Looks Like

Q: What does an early developmental assessment look like for a young child, and how is the process designed to feel gentle, supportive, and child-friendly? 

Dr. Conforti:

All kids love to shine and typically thrive from attention (and from having someone take an interest in what they can do).  Assessments are in person, either in Oakville or Toronto, and are designed to feel playful, using activities like puzzles, blocks, and pictures to help children feel comfortable and curious. This creates natural interaction and connection, while also allowing us to observe skills across different areas of development.  

Through a combination of observations and standardized measures, we gain a clearer picture of your child’s strengths and where they need support. It is my belief that children know where they are struggling even though they cannot necessarily articulate this. Because of this, we’re thoughtful about how the assessment is structured – starting with areas where your child can feel confident and successful, and building from there. That positive experience makes a big difference.    

Looking at the Whole Child: What's Included in an Assessment?

Q: What areas of development are considered in an early assessment, and how does looking at the whole child help create a clearer picture?

Dr. Conforti:

We look at several areas of your child’s development, including medical history, daily living skills, communication, thinking and problem-solving, early learning, and social-emotional development. This helps us build a clear picture of your child’s strengths and where extra support might help, creating a helpful baseline for understanding your child’s development and practical recommendations to support them moving forward. 

How Assessments Can Offer Reassurance and Clarity

Q: How can an early assessment be reassuring for parents, even when concerns are mild or a child is very young? 

Dr. Conforti:

Sometimes all a parent needs is reassurance – confirmation that their concerns are valid, or clarity around what their observations do (or don’t) mean, regardless of how mild or significant it might be impacting the child or themselves. At times, families may also need another advocate, especially when parents see things differently or challenges are creating stress at home.  

As parents, we naturally want to support our children and give them everything they need. This assessment creates space to reflect more clearly on how to help, where to focus support, and who might be best to involve. You don’t have to navigate this alone. 

Parenting can feel isolating and exhausting at times– especially when worries, doubts or unanswered questions start to build. We walk alongside you, helping break things down into practical strategies and, when helpful, supporting timely connections to external services. Our goal is to support you and your child in the way that feels most meaningful for your family. 

Early Intervention: When Support May Be Recommended

Q: Is early support or intervention ever recommended for children under six, and how do families decide whether to take action now or allow more time? 

Dr. Conforti:

It really boils down to your child’s development. If their language isn’t progressing like their peers’, they’re struggling to interact with others, medical challenges may be affecting learning, or they are having difficulty with early literacy or numeracy skills, waiting until they’re older may not be the best optionA “wait and see” approach can sometimes mean missing important windows for early support, including early years programs or school-based services. You know your child best. Trust your voice.  

Trusting your Instincts: Knowing When to Take the Next Step

Q: For parents feeling anxious or unsure, what questions can help them decide whether an assessment is the right next step for their family? 

Dr. Conforti:

I am not sure if it’s so much about questions as it is about common themes that keep bubbling up – both positive and not so positive. When I meet with families, I often ask: What was the first moment you paused and thought, “I wonder what that’s about?” How old was your child?  

We all have “ah ha” moments or moments of wonder, but if they keep repeating, or you find yourself feeling unsure or perplexed, it may be worth investigating further. It could be “I cannot believe they are learning the piano by ear” or “I just don’t understand why they are climbing on me every time I speak to them.”  

Listen to your heart and trust your instincts. You are not alone. If it feels helpful, let us know if we can get on board in your journey and support you.  

When it Might Help to Reach Out

You don’t need to wait for a major concern to ask questions. Often, it’s small, repeated observations that prompt families to seek guidance. You might consider reaching out if you notice: 

  • Social differences: Your child seems to have difficulty joining in with peers or navigating social situations. 
  • Language or communication changes: Their speech isn’t progressing as expected, or you’ve noticed changes over time. 
  • Learning or attention questions: Early challenges with focus, letters, numbers, or following instructions. 
  • Advanced development: Your child is excelling in certain areas and may benefit from more challenges or enrichment. 
  • Medical factors: Conditions such as seizures or dietary restrictions that may impact learning or development. 
  • Ongoing questions or worries: If similar concerns keep coming up and you’re unsure whether to wait or take the next step. 

 

Every child develops at their own pace, and many of these experiences are part of typical development. Even so, connecting with a clinician can provide clarity and reassurance — and help you better understand how to support your child, whether that means monitoring progress or exploring additional supports. 

Final Thoughts

Noticing differences in your child’s development–whether they seem to be struggling in certain areas or excelling in others – can bring up a lot of questions. An early developmental assessment isn’t about placing labels or jumping to conclusions. It’s about gaining a clearer understanding of your child as a whole, recognizing their strengths, and identifying where support may be helpful. 

For many families, the biggest benefit is clarity– having informed guidance, practical next steps and reassurance that they’re supporting their child in the best way possible. Whether your concerns feel small or have been building over time, trusting your instinct matters. 

If you’re feeling unsure about what to do next, connecting with experienced professionals can help you move forward with greater confidence. Our team is here to walk alongside you and your child, offering thoughtful, compassionate care every step of the way. 

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