How to Identify the Early Signs of Speech and Language Delay in Your Toddler

Communication is one of the most significant developmental milestones for toddlers. From their first babble to forming coherent sentences, speech and language play a crucial role in their ability to express themselves, connect with others, and understand the world around them. However, some children may experience a language delay, causing them to fall behind their peers. Recognising these delays early and seeking appropriate intervention can make a profound difference in their development.
At The Speech Practice, we are passionate about helping children overcome communication barriers. Using evidence-based therapies and a family-centred approach, we support toddlers in building a strong foundation for speech and language development.
Understanding Speech and Language Development Milestones
Understanding the typical progression of speech and language development in children is essential for identifying potential delays. Below is a table outlining key milestones from birth to 5 years, serving as a general framework to monitor your child's communication growth.
Age Range |
Hearing and Understanding |
Talking |
Birth to 3 Months |
- Startles at loud sounds - Quiets or smiles when spoken to - Recognises caregiver's voice and calms when crying - Changes sucking patterns in response to sound |
- Makes pleasure sounds like cooing - Cries differently for various needs - Smiles upon seeing primary caregiver |
4 to 6 Months |
- Moves eyes toward sounds - Responds to changes in tone of voice - Notices sound-making toys - Pays attention to music |
- Babbling includes sounds like p, b, and m - Chuckles and laughs - Vocalises excitement and displeasure |
7 Months to 1 Year |
- Turns head toward sounds - Listens when spoken to - Recognises common words like "cup" and "juice" - Begins to respond to requests like "Come here" |
- Babbling has both long and short groups of sounds - Uses speech or non-crying sounds to get attention - Imitates different speech sounds - Has one or two words like "Hi," "dog," or "Mama" by first birthday |
1 to 2 Years |
- Points to body parts when asked - Follows simple commands and understands simple questions - Listens to simple stories, songs, and rhymes - Points to pictures in a book when named |
- Says more words each month - Uses one- to two-word questions - Puts two words together, like "more juice" - Uses many different consonant sounds at the beginning of words |
2 to 3 Years |
- Understands differences in meaning (e.g., "go–stop," "big–little") - Follows two-step requests like "Get the book and put it on the table" |
- Has a word for almost everything - Uses two- to three-word sentences to talk about and ask for things - Speech is understood by familiar listeners most of the time - Often asks for or directs attention to objects by naming them |
3 to 4 Years |
- Hears when called from another room - Understands simple "who," "what," "where," and "why" questions |
- Talks about activities at school or friends' homes - Uses sentences with four or more words - Speaks easily without repeating syllables or words |
4 to 5 Years |
- Pays attention to short stories and can answer simple questions about them - Hears and understands most of what is said at home and in school |
- Uses detailed sentences - Tells stories that stick to the topic - Communicates easily with other children and adults - Says most sounds correctly except a few like l, s, r, v, z, ch, sh, th - Uses rhyming words - Names some letters and numbers |
Note: This table is adapted from information provided by CHOC Children's Health of Orange County.
Individual development may vary. If your toddler consistently lags behind these milestones, it could be an early indicator of speech delay symptoms. If you have concerns about your child's speech or language development, consult a speech-language pathologist or healthcare professional.
Common Signs of Speech and Language Delays
Recognising the signs of speech delay can sometimes be challenging, as no two children develop at the same pace. However, certain patterns can signal a potential problem:
- By 12 Months:
Lack of babbling or gestures (e.g., waving or pointing).
- By 18 Months:
Fewer than 10 spoken words and difficulty following simple instructions.
- By 2 Years:
Inability to combine two words (e.g., “want cookie”) or difficulty understanding simple questions.
- At Any Age:
Difficulty imitating sounds or frustration when trying to communicate.
Parents often ask: How do you know if your child has a speech delay but not autism? The key difference lies in social interaction. While children with autism may avoid eye contact or show limited interest in others, a child with a speech delay may engage socially but struggle with verbal communication.
Causes and Risk Factors for Speech and Language Delays
Understanding the underlying causes of language delay can guide parents in seeking appropriate intervention. Common risk factors include:
Hearing Impairments:
If a child cannot hear sounds clearly, they may have difficulty learning to speak. Early hearing tests are crucial for identifying these issues.
Neurological or Developmental Disorders
Conditions like cerebral palsy or intellectual disabilities can impact speech and language development.
Premature Birth:
Prematurity is linked to an increased risk of developmental delays, including speech delay.
Bilingual Households
While bilingualism is not a cause of delay, it may temporarily influence when a child begins speaking clearly.
For parents wondering At what age is speech considered delayed? It's essential to monitor milestones and consult professionals if delays persist beyond 18–24 months.
Importance of Early Intervention for Speech Delay

Early intervention is one of the most effective ways to support children with communication challenges. Research shows that the brain is most adaptable during the first three years of life, making this a critical period for development. Here’s why early action matters:
- Improves Communication Skills:
Therapy equips children with tools to express themselves effectively.
- Prevents Academic Struggles:
Early support can prevent language delays from affecting literacy and school readiness.
- Boosts Confidence:
Learning to communicate reduces frustration and builds self-esteem.
Parents frequently ask, How do you evaluate a child with delayed speech or language? Speech-language pathologists use a combination of observation, parental input, and standardised tests to assess a child’s communication abilities. This ensures that interventions are tailored to meet the child’s unique needs.
What to Do if You Suspect a Speech or Language Delay
If you’re concerned about your child’s speech or language development, here’s a step-by-step guide:
Monitor Development:
Keep track of missed milestones and document any specific challenges.
Consult Your Paediatrician:
They can rule out medical issues, such as hearing loss, and provide referrals to specialists.
Seek Professional Assessment:
At The Speech Practice, our experienced therapists use evidence-based methods to diagnose and treat speech delay and language delay.
Begin Therapy:
Early intervention ensures that your child has the best chance to thrive.
Parents often ask, How to fix speech delay in toddlers? While there’s no one-size-fits-all answer, professional therapy combined with consistent practice at home can yield significant progress.
Promoting Communication Growth at Home
Parents can play a pivotal role in enhancing their child’s communication skills. Consider these activities:
- Daily Reading:
Choose interactive books with repetitive phrases to encourage speech.
- Play-Based Learning:
Use toys to model words and phrases, such as “car goes fast.”
- Responsive Communication:
Always acknowledge and respond to your child’s attempts to speak, even if they’re unclear.
Small efforts like these can complement professional therapy, creating a nurturing environment for language growth.
Why Choose The Speech Practice?
At The Speech Practice, we are dedicated to helping children overcome speech and language challenges through compassionate and effective care. Here’s what we offer:
- Comprehensive Services:
Therapy for childhood apraxia of speech, stuttering, feeding difficulties, and more.
- Small Social Communication Groups:
Encourages peer interaction in a supportive setting (2–4 children).
- Family-Centred Approach:
We collaborate with parents and other specialists to provide holistic, tailored interventions.
- Evidence-Based Therapies:
Our methods are rooted in the latest research to ensure optimal outcomes.
By combining expertise with empathy, we strive to empower every child to communicate with confidence.
Recognise the Signs Early – Schedule an Evaluation at The Speech Practice Now!
Every child deserves the opportunity to express themselves fully. If your toddler is showing signs of speech delay or language delay, don’t wait to seek help. Contact us at The Speech Practice today to schedule a consultation and take the first step toward unlocking your child’s potential!