Speech Therapy

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Milestones

Signs of a language disorder

A language disorder may be spoken and/or written (reading and writing). It may also be receptive (understanding) and/or expressive (talking, reading, writing, or signing).

  • Doesn't smile or interact with others (birth–3 months)

  • Doesn't babble (4–7 months)

  • Makes few sounds (7–12 months)

  • Does not use gestures (e.g., waving, pointing) (7–12 months)

  • Doesn't understand what others say (7 months–2 years)

  • Says only a few words (12–18 months)

  • Doesn't put words together to make sentences (1½–2 years)

  • Says fewer than 50 words (2 years)

  • Has trouble playing and talking with other children (2–3 years)

  • Has problems with early reading and writing skills—for example, may not show an interest in books or drawing (2½–3 years)

SIGNS OF A SPEECH SOUND DISORDER

Says p, b, m, h, and w incorrectly in words most of the time (1–2 years)

  • Says k, g, f, t, d, and n incorrectly in words most of the time (2–3 years)

  • Produces speech that is unclear, even to familiar people (2–3 years)

SIGNS OF STUTTERING (DISFLUENCY)

Struggles to say sounds or words (2½–3 years)

  • Repeats first sounds of words—"b-b-b-ball" for "ball" (2½–3 years)

  • Pauses a lot while talking (2½–3 years)

  • Stretches sounds out—"f-f-f-f-farm" for "farm" (2½–3 years)