One of the most frequently asked questions I receive as a speech-language pathologist (SLP) is “how do I know if my child is a late talker?”
There are several developmental norms that are looked at with regard to speech and language development. These milestones should be discussed by your child’s pediatrician at his/her regularly scheduled appointments.
Please do not panic when you start reading this blog. It’s important to remember that although there are certain items we look at before determining if a child has a language or speech delay, it is important to remember that each child does develop at their own rate.
Certain factors like gender also play a role (boys develop speech slower than girls). I will break down the speech milestones in chunks of 3 to 6 months in accordance with the typical frequency of visits to the pediatrician. Again, your child may show all of these things, or just a few of these steps at one time.
If you are already planning a visit to your family doctor, read about 25 speech and language terms you need to know to better understand what your doctor or a speech language therapist will want to discuss with you.
(Based upon How Does Your Child Hear and Talk?, courtesy of the American Speech–Language–Hearing Association.)
|By the end of 3 months||Smile when you appear|
Make cooing sounds
Quiet or smile when spoken to
Seem to recognize your voice
Cry differently for different needs
|By the end of 6 months||Make gurgling sounds when playing or left alone|
Babble and make a variety of sounds
Use his or her voice to show happiness or displeasure
Move his/her eyes in the direction of sounds
Respond to changes or tone of your voice
Notice toys that make a sound
Pays attention to music
|By the end of 12 months||Tries to imitate speech sounds|
Says a few words like “mama,” “dada,” or “uh-oh”
Understands simple instructions like, “come here”
Recognizes words for common objects such as, “shoe”
Turns and looks in the direction of sounds
|By the end of 18 months||Recognize the name of common objects, people, and body parts|
Follow simple directions with gestures
Says around 10 words
|By the end of 24 months||Uses simple phrases, such as “more milk”|
Asks 1 or 2 word questions, such as “go bye-bye?”
Follows simple commands and answer simple questions
Speaks about 50 words (or more)
Speaks well enough to be understood at least 50% of the time by you or your primary caregivers
|2-3 Years of Age||Has a word for almost everything|
Uses 2-3 word phrases to request things
Uses /k, g, t, d, f/ sounds
Speaks in a way that is understood by family and friends
Names objects to ask for them or draw attention to them
|3-4 Years of Age||Hears you when you call from another room|
Answers simple “who,” “what,” “where,” and “when” questions
Talks about activities at daycare, home, or preschool
Uses sentences with three or four words
Speaks easily without having to repeat syllables or words
|4-5 Years of Age||Uses sentences that give many details|
Tells stories that stay on topic
Uses rhyming words
Communicates easily with children and adults
Says most sounds correctly except for /s, l, r, v, sh, ch, and th/
Names some letters and numbers
If your child has not developed most of these skills by the ages listed above, it’s important that you talk to your pediatrician. They will most likely refer you to an SLP or an audiologist (hearing specialist) to rule out any issues that could be affecting the delayed language. When seen by a specialist, your child might be diagnosed as “speech delayed” or “language delayed.”
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. . . is that children diagnosed with a speech or language delay will catch up to their same-aged peers by 5 years of age, if they are diagnosed early and receive the appropriate interventions as soon as possible.
In fact, approximately 50% to 70% of late talkers are reported to catch up to peers and demonstrate normal language development by late preschool and school age (Dale, Price, Bishop, & Plomin, 2003; Paul, Hernandez, Taylor, & Johnson, 1996).
At its onset, it is difficult to distinguish late talkers from late bloomers, as this distinction can be made only after the fact. However, there is some research to suggest that late bloomers use more communicative gestures than age-matched late talkers who remained delayed (Thal & Tobias, 1992; Thal, Tobias, & Morrison, 1991), thereby compensating for limited expressive vocabularies.
Late talkers may be at risk for developing language and/or literacy (reading and/or writing) difficulties as they age. This is more likely if the child does not receive the appropriate interventions and services.
Research has shown that when speech and language delay has been diagnosed, it may also be an early or secondary sign of disorders such as: specific language impairment, social communication disorder, autism spectrum disorder, learning disability, attention deficit hyperactivity disorder, intellectual disability, or other developmental disorders.
In order to make an accurate diagnosis, it is critical to monitor the global development of a child in domains that include, but are not limited to, cognitive, communication, sensory, and motor skills (ASHA 2018).
In the meantime, there are several things you can do to help your child learn language in the home environment. These things may include:
My daughter is almost 2, she started playing with Speech Blubs a few months ago. I can say she now knows a fair few words, could say roughly 250-300. Her alphabet, counting, shapes, colors, basic words (mum, dad, nan, etc.), words that are in songs that she sings, words for objects that she sees around, animals, animal noises, she knows the words for food and drink items, characters she sees on TV or in books, and a lot more. Sometimes you don’t realize how many words they actually know until you really look into it.Shannon, IG
Stay tuned to Speech Blubs for another blog about how to create a language-rich environment in your own home and contact us if you have any further questions or concerns!
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