Speech Milestones in Children: When to Consider Therapy

As a parent, watching your child learn to communicate is one of the most exciting parts of their development. From their first coos and babbles, to forming full sentences, each step in their speech journey is a cause for celebration. However, if they aren’t hitting specific milestones, it can be concerning. Understanding the typical speech milestones in children and knowing when to seek help is crucial in supporting your child’s communication skills.

Understanding Speech Milestones in Children

What Are Speech Milestones?

Speech milestones are age-specific skills that children typically achieve. They’re like a roadmap for your child’s speech and language development, helping you track their progress. For example, by age 2, they may start combining words into short phrases like “more juice.” Monitoring these milestones allows parents to assess if their child’s speech is on track, or if there may be delays.

Why Monitoring Speech Milestones Matters

Tracking speech milestones isn’t just about making sure your child is “on track.” It’s about ensuring they have the best chance to communicate. If there’s a delay, early intervention can be a key difference in their ability to communicate effectively and succeed socially and academically.

Key Speech Milestones from Birth to Age 5

In early childhood, your baby’s communication development is important. Understanding and recognizing these speech milestones will help you as a parent give your child the confidence and support they need. Every child is different, but trusting your instincts as a parent is important. 

• Birth to 12 Months: Cooing and babbling, responding to their name, and saying words like “mama” or “dada.”
• 12 to 24 Months: Using up to 50 words, combining words into short phrases, and understanding and following simple commands.
• 2 to 3 Years: Forming sentences with 3 to 4 words, asking questions, and mostly being understood by family members.
• 3 to 4 Years: Speaking in full sentences, using correct grammar, and sharing short stories and experiences.
• 4 to 5 Years: Having full conversations and following multi-step directions.

Signs That May Indicate a Need for Speech Therapy

Delayed Speech and Language Development

If your child isn’t meeting the expected speech milestones, it could be a sign of a speech delay. Not babbling by 12 months, saying fewer than 20 words by the age of 2, and having difficulty forming sentences by the age of 3, may be key indicators to consult with a speech-language pathologist. 

Problems with Understanding, Articulation, and Pronunciation

If it often appears they are ignoring what’s being said or get frustrated when given instructions, this may be a sign they need some extra help with understanding language. Additionally, mispronunciation is common, but by the age of 3 their speech should be understandable to most people. Persistent issues with making certain sounds or being frequently misunderstood might require more support.

Stuttering or Fluency Issues

If your child repeats sounds, prolongs them, or seems to struggle getting words out, this could be a sign of a fluency disorder, such as stuttering. If you notice this happening often, especially if it causes your child frustration or embarrassment, it may be time to seek professional advice.

Voice Quality Concerns

If your child’s voice sounds unusually hoarse, breathy, or nasal, and it doesn’t improve, this could indicate a voice disorder. Such issues might require attention from a speech-language pathologist to ensure there’s no underlying problem affecting their voice.

When to Consult a Speech-Language Pathologist

Trust your instincts. If something seems off with your child’s speech development, it’s always better to seek advice sooner rather than later. A speech-language pathologist (SLP) can evaluate your child’s skills, provide a diagnosis, and develop a plan to support their communication needs.

SLPs are trained professionals who specialize in helping children overcome speech and language challenges. They use fun, play-based methods tailored to each child’s age and needs. With the right support, many children make significant progress.

Steps to Take Before Seeking Therapy

Encouraging Speech and Language Development at Home

Ways to support your child’s speech development at home:

• Talk Daily: Describe your activities and encourage your child to do the same.
• Read Together: Engage in daily reading and conversations.
• Word Activities: Using singing and name games to enhance their speech milestones.
• Clear Language: Being clear with your child and giving them time to respond.

Keeping Track of Progress and Setting Goals

Keep a journal of the new words your child learns and the sentences they say. This can help you track their progress and set realistic goals. Celebrating their achievements will help boost their confidence!

Finding the Right Speech Therapy for Your Child

Choosing a Qualified Speech-Language Pathologist

If you decide your child might need speech therapy, finding the right therapist is key. Look for someone who has experience working with children and is certified by the American Speech-Language-Hearing Association (ASHA) or another organization. Ask about their approach to therapy, how they engage young children, and how they involve parents in the process.

Understanding Therapy Options and Techniques

Speech therapy can be offered in different settings—at home, in a clinic, or even at school. Techniques vary depending on your child’s needs, from play-based therapy for toddlers to more structured activities for older children. Find a service that fits your child’s personality and keeps them engaged.

Hit Speech Milestones With Speech Pathology Solutions

If you’re a concerned parent for your child’s speech development, don’t wait. At Speech Pathology Solutions, we specialize in helping children confidently reach their speech milestones. Connect with us today for a consultation, and let’s work together to support your child’s speech and language development!