Abby Barnes, M.S., CCC-SLP
When it comes to speech and language development, there are key signs and milestones to watch for in order to tell if your child could have a language delay. Early intervention is the best way to help kids who may be behind catch up with their communication skills. So the sooner you can identify any delays, the better you will be able to help your child progress in their development.
This article provides an expert guide to language delays in toddlers. Learn what a language delay is, the signs of a language delay, and what to do if you suspect your toddler may need speech therapy.
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Screener for childrenWhat is a language delay?
Language development refers to two things: (1) a child’s ability to learn and understand what’s said to them, called receptive language, and (2) a child’s ability to communicate verbally or nonverbally, called expressive language.
When children don’t develop language at the expected rate, and don’t meet the milestones for their age, this is called a language delay.
The cause of a language delay isn’t always known. However, according to the American Academy of Family Physicians, the most common causes of language delay include:
Slow development
Intellectual disability
Other disorders that can cause a language delay include:
Selective mutism (an anxiety disorder that affects a child’s ability to speak in certain situations)
Cerebral palsy (a movement disorder caused by brain damage).
What are the signs of a language delay?
What are the red flags for language delay? A child with a language delay might have some of these symptoms:
Age 12 months: Isn’t using gestures, such as pointing or waving goodbye
Age 18 months: Has trouble imitating sounds; has a hard time understanding simple verbal requests
Age 2 years: Imitates words or phrases but doesn’t say them on their own; can’t follow simple directions
Watching for the following milestones in your child’s development can help you know if they’re on track or not.
Language milestones from birth to 12 months old
While babies younger than 1 year old probably aren’t talking yet, there are still many important communication skills they should be developing. These skills are the foundation for the first words to come. Take a look at these milestones to see how your child is progressing:
0-3 months
Responds to loud sounds
Calms down when you talk
Seems to recognize your voice
Makes cooing sounds
Cries change for different needs
Smiles
3-6 months
Recognizes familiar people and objects
Notices toys that make sounds
Pays attention to music
Makes babbling sounds like “baba”
Makes gurgling sounds when playing
Responds to being spoken to
Makes sounds when happy or upset, such as giggling
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Responds to words like “No” and “Come”
Begins to recognize and respond to their name
Follows some basic commands when paired with gestures
Babbles with longer strings of sounds (“bababa”)
Begins to imitate your sounds and gestures
Tries making lots of different sounds
Enjoys social interactions
9-12 months
Responds to commands like “Come here,” “Sit down,” or “Give it”
Looks at familiar people and objects when named
Looks at correct pictures in books when named
Plays games like peek-a-boo and patty cake
Can say their first meaningful words
Points or reaches to what they want
Waves “Hello” or “Goodbye”
Imitates speech sounds, like animal or vehicle sounds
Starts to imitate words
Language milestones in 12- to 24-month-olds
12-18 months
Follows simple, one-step directions without gestures (such as, “Go get your toys”)
Starts using toys for their intended purpose (such as feeding a doll)
Identifies one to three parts of the body
Enjoys music, social games, and play
Can say between 10 and 50 words
Learns three to four new words each month
Tries to string words together even though the sentences may not be understandable
18-24 months
Should understand many different words said to them
Has appropriate eye contact with others
Has a growing expressive vocabulary
May begin using some two-word phrases like “More please”
What to do if you think your child has a language delay
You can take our simple online screener to find out if your child would benefit from a speech and language evaluation. You can discuss your results with one of our specialists for free. If you feel that your child isn’t meeting their current age expectations, it’s important to talk to a professional. As mentioned above, sometimes delays may be a warning sign of hearing loss, a developmental delay, or autism.
Your child’s pediatrician is also a good place to start. You can call their office or make an appointment to go in and discuss your concerns. Prepare any questions you have ahead of time.
Your pediatrician will likely suggest seeing a speech therapist for an evaluation. Pediatricians often have a list of speech therapy companies they recommend. If you’re using health insurance to cover speech therapy, it’s likely that your insurance will need a written referral from your pediatrician. So talking with your child’s doctor first makes sense.
When speaking with any professional, always listen to your gut. You know your child better than anyone else. It’s always all right to ask for a second opinion! You can contact a speech therapy provider directly to ask about a speech evaluation.
Some pediatricians will suggest a “wait and see” approach. But knowing how important early intervention is, it’s usually best to have an evaluation as soon as possible. Think about it like this: If your child is evaluated and doesn’t need services, you’ll have peace of mind. And if they do need speech therapy, you’ll know they began treatment as soon as they could. There's everything to gain, and nothing to lose!
Knowledge is power
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Start the screenerHow does speech therapy help with a language delay?
If your child is evaluated and the speech therapist diagnoses a language delay, you may feel overwhelmed and worried. You probably have a lot of questions. Ask your speech therapist all of them! They are there to support both you and your child.
Your speech therapist will help your child grow their language skills through different activities targeted to specific goals. Don't worry, speech therapists know how to make therapy sessions fun! Speech therapy for toddlers is play-based to help keep kids engaged.
Your speech therapist will also show you how to practice at home with your child. The more your child practices during everyday routines, the faster they'll make progress.
How long speech therapy takes is unique to each child and family. Improvement happens a little at a time, not overnight. Language development is complex. There are many milestones that come before a child says their first word or their first sentence. Your speech therapist will point out the new skills your child is gaining that you may not even notice!
If you're considering speech therapy for your toddler, contact Expressable today. You can talk with a specialist during a free consultation call. We're here to answer your questions and help you decide on next steps.
