Behavior & Social

Toddler Not Engaging in Pretend Play

Medically reviewed by Dr. Emily Torres, PhD, CCC-SLP · Pediatric Speech-Language Pathologist

Content reviewed against published AAP, CDC, Zero to Three guidelines

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Behavioral development varies greatly from child to child. If you have noticed toddler not engaging in pretend play, here is what you need to know.

The short answer

Pretend play typically emerges between 12 and 18 months with simple actions like feeding a doll or pretending to drink from a cup. By age 2, children engage in more complex pretend scenarios. If your child shows no pretend play by 24 months, this is worth discussing with your pediatrician, as pretend play is closely linked to language and social development.

Key takeaways

  • Pretend play typically emerges between 12 and 18 months with simple actions like feeding a doll or pretending to drink from a cup. By age 2, children engage in more complex pretend scenarios. If your child shows no pretend play by 24 months, this is worth discussing with your pediatrician, as pretend play is closely linked to language and social development.
  • Usually normal when: Your child is under 18 months and pretend play has not yet emerged
  • Call your doctor if: Your child had pretend play and has stopped completely
  • Varies by age — see the age-by-age breakdown below

This is one of the most common questions parents ask. Searching for answers means you care.

What Parents Should Know

According to AAP, CDC, Zero to Three guidelines, pretend play typically emerges between 12 and 18 months with simple actions like feeding a doll or pretending to drink from a cup. By age 2, children engage in more complex pretend scenarios. If your child shows no pretend play by 24 months, this is worth discussing with your pediatrician, as pretend play is closely linked to language and social development. At 12-18 months, simple pretend play emerges, like putting a phone to their ear or feeding a stuffed animal. These brief, imitative actions show your child is beginning to think symbolically. It is generally considered normal when your child is under 18 months and pretend play has not yet emerged. However, you should contact your pediatrician promptly if your child had pretend play and has stopped completely.

Sources: [1], [2], [3]

Normal vs. Concerning

Usually Normal
Worth Discussing
Your child is under 18 months and pretend play has not yet emerged
Your child had pretend play and has stopped completely
Your child pretends with simple actions but not elaborate scenarios
Your child is over 2 with no pretend play, limited language, and reduced social engagement
Your child pretends with some toys but not others
Your child is over 24 months and shows no pretend play of any kind
Your child pretends more during play with parents than independently
Your child only plays with toys functionally

By Age

What to expect by age

12-18 months

Simple pretend play emerges, like putting a phone to their ear or feeding a stuffed animal. These brief, imitative actions show your child is beginning to think symbolically.

18-24 months

Pretend play becomes more common. Children may pretend to cook, clean, or care for dolls. They use objects symbolically, such as a block as a phone. Some pretend play should be visible by 24 months.

24-36 months

Pretend play becomes more elaborate with longer scenarios. Children may set up tea parties or play doctor. Absence of pretend play at this age warrants a developmental evaluation.

3-4 years

Dramatic play with roles and themes develops. Children play house, school, and superhero. Persistent absence of pretend play may be associated with autism spectrum features.

4-5 years

Pretend play is complex and collaborative. If your child has never engaged in pretend play, a comprehensive developmental evaluation is important.

What to Tell Your Pediatrician

  • Describe when you first noticed toddler not engaging in pretend play and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if your child is over 24 months and shows no pretend play of any kind.
  • Mention if your child only plays with toys functionally.
  • Let your doctor know if you have noticed any related concerns, such as changes in feeding, sleep, or movement patterns.
  • Bring a list of any questions or observations you want to discuss at the appointment.

What Should You Do?

When to take action

Probably normal when...
  • Your child is under 18 months and pretend play has not yet emerged
  • Your child pretends with simple actions but not elaborate scenarios
  • Your child pretends with some toys but not others
  • Your child pretends more during play with parents than independently
Mention at your next visit when...
  • Your child is over 24 months and shows no pretend play of any kind
  • Your child only plays with toys functionally
  • Absent pretend play is combined with other social communication concerns
Act now when...
  • Your child had pretend play and has stopped completely
  • Your child is over 2 with no pretend play, limited language, and reduced social engagement

What You Can Do at Home

  • Keep track of when you notice toddler not engaging in pretend play — noting the time of day, duration, and any triggers can help your pediatrician.
  • Remember that your child is under 18 months and pretend play has not yet emerged — this is generally within the range of normal.
  • At 12-18 months, focus on observation rather than intervention unless your pediatrician advises otherwise.
  • Respond consistently and calmly to your baby's behavior. Maintain predictable daily routines.
  • While monitoring at home, seek immediate care if your child had pretend play and has stopped completely.

Frequently asked questions

Is toddler not engaging in pretend play normal?
Pretend play typically emerges between 12 and 18 months with simple actions like feeding a doll or pretending to drink from a cup. By age 2, children engage in more complex pretend scenarios. If your child shows no pretend play by 24 months, this is worth discussing with your pediatrician, as pretend play is closely linked to language and social development.
When should I call the doctor about toddler not engaging in pretend play?
Your child had pretend play and has stopped completely Your child is over 2 with no pretend play, limited language, and reduced social engagement
When is toddler not engaging in pretend play normal?
Your child is under 18 months and pretend play has not yet emerged Your child pretends with simple actions but not elaborate scenarios Your child pretends with some toys but not others
What causes toddler not engaging in pretend play?
Pretend play typically emerges between 12 and 18 months with simple actions like feeding a doll or pretending to drink from a cup. By age 2, children engage in more complex pretend scenarios. If your child shows no pretend play by 24 months, this is worth discussing with your pediatrician, as pretend play is closely linked to language and social development. Common explanations include: Your child is under 18 months and pretend play has not yet emerged. Your child pretends with simple actions but not elaborate scenarios.
What should I mention to my pediatrician about toddler not engaging in pretend play?
You should mention toddler not engaging in pretend play at your next visit if: Your child is over 24 months and shows no pretend play of any kind. Your child only plays with toys functionally. Absent pretend play is combined with other social communication concerns.
Is toddler not engaging in pretend play normal at 12-18 months?
Simple pretend play emerges, like putting a phone to their ear or feeding a stuffed animal. These brief, imitative actions show your child is beginning to think symbolically.
Is toddler not engaging in pretend play normal at 18-24 months?
Pretend play becomes more common. Children may pretend to cook, clean, or care for dolls. They use objects symbolically, such as a block as a phone. Some pretend play should be visible by 24 months.
Should I go to the ER for toddler not engaging in pretend play?
Seek emergency care if your child had pretend play and has stopped completely, or if your child is over 2 with no pretend play, limited language, and reduced social engagement. When in doubt, call your pediatrician's after-hours line for guidance.
Does toddler not engaging in pretend play go away on its own?
In many cases, toddler not engaging in pretend play resolves on its own, especially when your child is under 18 months and pretend play has not yet emerged. By 4-5 years, pretend play is complex and collaborative. If your child has never engaged in pretend play, a comprehensive developmental evaluation is important.

References

  1. [1]American Academy of Pediatrics. The Power of Play. HealthyChildren.org. AAP
  2. [2]Centers for Disease Control and Prevention. Important Milestones: Your Child By 2 Years. CDC
  3. [3]Zero to Three. The Development of Pretend Play. Zero to Three

Doctor Visit Checklist

Bring this checklist to your next pediatrician visit to discuss Toddler Not Engaging in Pretend Play.

Things to mention

  • Describe when you first noticed toddler not engaging in pretend play and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if your child is over 24 months and shows no pretend play of any kind.
  • Mention if your child only plays with toys functionally.
  • Let your doctor know if you have noticed any related concerns, such as changes in feeding, sleep, or movement patterns.
  • Bring a list of any questions or observations you want to discuss at the appointment.

Observations to share

  • Your child is over 24 months and shows no pretend play of any kind
  • Your child only plays with toys functionally
  • Absent pretend play is combined with other social communication concerns

Urgent signs to report immediately

  • Your child had pretend play and has stopped completely
  • Your child is over 2 with no pretend play, limited language, and reduced social engagement

My notes

From ismybabyalright.com — free, evidence-based baby health guides

All content follows our editorial policy and is reviewed against published clinical guidelines.

2,705 evidence-based guides6 authoritative medical sources5 medical advisory board members

Bottom line

Most cases of toddler not engaging in pretend play are normal. Talk to your pediatrician if your child had pretend play and has stopped completely.

Trust your instincts. If something feels wrong, reach out to your pediatrician. Worrying about your baby means you care — that is a good thing.

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My Toddler Doesn't Pretend Play

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