Speech & Language Developmental Milestones

Signs of a Language Disorder

  • Does not smile or interact with others (birth +)
  • Does not babble (4-7 mo.)
  • Makes only a few sounds or gestures (7-12 mo.)
  • Does not understand what others say (7 - 24 mo.)
  • Says only a few words (12-18 mo.)
  • Does not put words together (18 mo. - 3 years)

Signs of a Speech Disorder

  • Says p,b,m,h and w incorrectly in words (1-2 years)
  • Says k,g,f,t,d, and n incorrectly in words (2-3 years)
  • Unclear speech, even to familiar people (2-3 years)

Signs of stuttering

  • Struggles to say sounds or words (2.5 - 3 years)
  • Repeats first sounds of words - "b b b b ball" (2.5-3 years)
  • Pauses a lot while talking (2.5 - 3 years)
  • Stretches out sounds- "ffffffffarm" (2.5 - 3 years)
  • Learn more about stuttering here

The Ages and Stages Questionnaire Third Edition is a questionnaire designed to help parents check their child’s development. Parents can use the results of the ASQ to help talk with pediatricians, teachers or other professionals if they have concerns about their child’s development.

Red flags - infancy

  • 2-6 mos: lack of response to sound, lack of interest in social interactions, no urge to communicate 
  • 6-12 mos: Loss of cooing or babbling
  • 12 mos: Failure to understand routines, produce mama/dada specifically 

Red flags - toddlers

  • 15-18 mos: Failure to use or understand pointing, poor understanding of words, no expressive vocabulary
  • 18-24 mos: Limited symbolic play, loss of communication skills
  • 24 mos:Lack of ability to follow commands, vocabulary <35-50 words, no 2-word utterances, rote memorization without novel phrases

red flags - preschool

  • 36 mos: Inability to follow 2-step commands, limited vocabulary, no simple sentences, < 1/2 to 1/3 of speech intelligible, excessive repetition
  • 48 mos: Inability to follow 3-step directions,poor sentence structure, no complex sentences, unintelligible 1/4 of the time in sentences, stuttering

red flags - school aged

  • 60 mos: Inability to express ideas, difficulty maintaining conversation, persistent stuttering
  • 72 mos: Errors in sound production, inability to manipulate sounds of words for rhyming, poor reading skills