Speech and Language
What you need to know:
Toddlers (1-3 years)
- Understanding:
- Initially, your child will have a better understanding of what is being said to them compared to what they can actually say.Commonly, they will respond to their own name and understand 'no' from 12 months of age.They will then start to understand simple instructions like 'get your shoes' by 18 months.Your child will learn a lot of new words by listening to adults.
- Language Development:
- Gradually, their babbling or jargon will start to include real words.At 15 months old, they might be able to say a few words.
- From 18 months onwards, your child's ability to learn new words explodes to include familiar objects and people, body parts and animal noises.
- You might have difficulty understanding them initially, especially when they mix babbling with real words, but their speech should start to get clearer from 2 years onwards.
- By 2 years of age, your toddler might be able to say 'I', 'you' and 'me' and use sentences with 2-3 words e.g. 'Mummy drink'.
- At 3 years , your child will be able to use sentences of 3-5 words and start asking 'why' to pretty much everything. They will know their name, age and colours. Strangers will probably be able to understand your child most of the time.
- How else are they communicating?
- As their language is just developing, they might use a variety of gestures and noises to help their communication, such as:
- to ask for something (ey contact pointing)
- to let you know what they think (shake head and push spoon away when they have had enough food)
- to demonstrate understanding (nod, eye contact etc.)
- As your child learns to talk, they will start copying how adults talk in conversation. So their voice may go up at the end of a question, or they might start frowning and wagging a finger if they are telling you off.
- At 3 years old, they will start learning how to take turns when speaking and you might be able to have a chat with them.
- As their language is just developing, they might use a variety of gestures and noises to help their communication, such as:
Preschool (3-5 years)
- Understanding:
- At 3 years of age, they will understand most things you say and will follow instructions with 2-3 steps about familiar things e.g. 'go to your bedroom and get your jumper'.
- By 5 years of age, they will enjoy jokes and riddles.
- Language Development:
- At 3 years old, your child might be able to tell a simple story such as what has really happened during the day. Initially they will need help to put thing in the correct order e.g. Child: 'I go to shop' Parent: 'and what did we buy at the shop?' Child: 'bread'
- Later, as their imagination develops, they will start telling 'made up' stories.
- By 4 years of age, your child will speak in longer sentences of around 5-6 words. Other people will understand what she/he is saying most of the time.
- By 5 years of age, they should be talking fluently. They will understand jokes.
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When should you worry?
12-18 months
12-18 MONTHS
Contact your health visitor or GP if your baby is 12-18 months and they…
- Have lost skills which they could do before
- Feel very stiff, for example:
- Hold their arms and legs in the same position, such as always pulling their arm to their chest, or always crossing their legs
- Find it difficult to change their position on their own
- You find it difficult to move your baby’s arms or legs, making it tricky to change their nappy or clothes
- Feel very floppy when they are awake
- Move their arms or legs in repetitive, jerky, or strange ways
- Use one side of their body more than the other, for example:
- Lean to the side when they sit
- Drag their leg or foot when crawling or walking
- Use one arm to pull to stand more than the other
- Rarely use one of their arms to pick up toys, or eat and drink
- Finds it hard to stand or walk, for example:
- Can’t pull to stand
- Fall over a lot when standing still
- Doesn’t cruise (walk while holding on to furniture)
- Walk on their tiptoes a lot
18-24 months
18-24 MONTHS
Contact your health visitor or GP if your baby is 18-24 months and they…
- Have lost skills which they could do before
- Feel very stiff, for example:
- Hold their arms and legs in the same position, such as always pulling their arm to their chest, or always crossing their legs
- Find it difficult to change their position on their own
- You find it difficult to move your baby’s arms or legs, making it tricky to change their nappy or clothes
- Feel very floppy when they are awake
- Move their arms or legs in repetitive, jerky, or strange ways
- Use one side of their body more than the other, for example:
- Lean to the side when they sit
- Drag their leg or foot when crawling or walking
- Use one arm to pull to stand more than the other
- Rarely use one of their arms to pick up toys, or eat and drink
- Find it hard to balance when standing still, or fall over a lot
- Can’t walk by themselves
- Walk on their tiptoes a lot
- Are suddenly unsteady when walking
2 years
2 YEARS
Contact your health visitor or GP if your baby is 2 years and they…
- Have lost skills which they could do before
- Feel very stiff, for example:
- Hold their arms and legs in the same position, such as always pulling their arm to their chest, or always crossing their legs
- Find it difficult to change their position on their own
- You find it difficult to move your child’s arms or legs, making it tricky to change their nappy or clothes
- Feel very floppy when awake
- Move their arms or legs in repetitive, jerky, or strange ways
- Use one side of their body more than the other, for example:
- Lean to the side when they sit
- Drag one leg or foot behind them when crawling or walking
- Rarely use one of their arms to play, eat and drink
- Find it hard to balance when standing still or fall over a lot
- Can’t walk by themselves
- Mostly walk on their tiptoes
- Are suddenly unsteady when walking
- Haven’t started to run
- Move from laying down or sitting to standing by using their hands to push off the ground, and “walk” their hands up their legs until they are standing
3 years
3 YEARS
Contact your health visitor or GP if your baby is 3 years and they…
- Have lost skills which they could do before
- Feel very stiff, for example:
- Hold their arms and legs in the same position, such as always pulling their arm to their chest, or always crossing their legs
- Find it difficult to change their position on their own
- You find it difficult to move your child’s arms or legs, making it tricky to change their clothes
- Feel very floppy when awake
- Move their arms or legs in repetitive, jerky, or strange ways
- Use one side of their body more than the other, for example:
- Lean to the side when they sit
- Drag one leg or foot behind them when walking
- Rarely uses one of their arms to play, eat and drink
- Find it hard to balance when standing still or fall over a lot
- Can’t walk by themselves
- Mostly walk on their tiptoes
- Are suddenly unsteady when walking
- Have not started to jump or run
- Move from laying down or sitting to standing by using their hands to push off the ground, and “walk” their hands up their legs until they are standing
4 years
4 YEARS
Contact your health visitor or GP if your baby is 4 years and they…
- Have lost skills which they could do before
- Feel very stiff, for example:
- Hold their arms and legs in the same position, such as always pulling their arm to their chest, or always crossing their legs
- Find it difficult to change their position on their own
- Find it tricky to change their clothes
- Feel very floppy when awake
- Move their arms or legs in repetitive, jerky, or strange ways
- Use one side of their body more than the other, for example:
- Lean to the side when they sit
- Drag one leg or foot behind them when walking
- Rarely use one of their arms to play, eat and drink
- Find it hard to balance when standing still
- Suddenly become unsteady when walking
- Find it hard going upstairs or uphill
- Trip or fall a lot
- Walk on tiptoes most of the time
- Feel pain in their arms or legs
- Move from laying down or sitting on the floor to standing by using their hands to push off the ground, and “walk” their hands up their legs until they are standing.
5 years
5 YEARS
Contact your health visitor or GP if your baby is 5 years and they…
- Have lost skills which they could do before
- Feel very stiff, for example:
- Hold their arms and legs in the same position, such as always pulling their arm to their chest, or always crossing their legs
- Find it difficult to change their position on their own
- Find it tricky to change their clothes
- Feel very floppy when awake
- Move their arms or legs in repetitive, jerky, or strange ways
- Use one side of their body more than the other, for example:
- Lean to the side when they sit
- Drag one leg or foot behind them when walking
- Rarely uses one of their arms to play, eat and drink
- Find it hard to balance, or trip or fall a lot
- Persistently walk on tiptoes
- Suddenly become unsteady when walking
- Feel pain in their arms or legs
- Move from laying or sitting on the floor to standing by using their hands to push off the ground, and “walk” their hands up their legs until they are standing.
15 months
Your Child By Fifteen Months
Social/Emotional Milestones
- Copies other children while playing, like taking toys out of a container when another child does
- Shows you an object she likes
- Claps when excited
- Hugs stuffed doll or other toy
- Shows you affection (hugs, cuddles, or kisses you)
Language/Communication Milestones
- Tries to say one or two words besides “mama” or “dada,” like “ba” for ball or “da” for dog
- Looks at a familiar object when you name it
- Follows directions given with both a gesture and words. For example, he gives you a toy when you hold out your hand and say, “Give me the toy.”
- Points to ask for something or to get help
Cognitive Milestones (learning, thinking, problem-solving)
- Tries to use things the right way, like a phone, cup, or book
- Stacks at least two small objects, like blocks
Movement/Physical Development Milestones
- Takes a few steps on his own
- Uses fingers to feed herself some food
18 months
Your Child By Eighteen Months
Social/Emotional Milestones
- Moves away from you, but looks to make sure you are close by
- Points to show you something interesting
- Puts hands out for you to wash them
- Looks at a few pages in a book with you
- Helps you dress him by pushing arm through sleeve or lifting up foot
Language/Communication Milestones
- Tries to say three or more words besides “mama” or “dada”
- Follows one-step directions without any gestures, like giving you the toy when you say, “Give it to me.”
Cognitive Milestones (learning, thinking, problem-solving)
- Copies you doing chores, like sweeping with a broom
- Plays with toys in a simple way, like pushing a toy car
Movement/Physical Development Milestones
- Walks without holding on to anyone or anything
- Scribbles
- Drinks from a cup without a lid and may spill sometimes
- Feeds himself with his fingers
- Tries to use a spoon
- Climbs on and off a couch or chair without help
2 years
Your Child By Two Years
Social/Emotional Milestones
- Notices when others are hurt or upset, like pausing or looking sad when someone is crying
- Looks at your face to see how to react in a new situation
Language/Communication Milestones
- Points to things in a book when you ask, like “Where is the bear?”
- Says at least two words together, like “More milk.”
- Points to at least two body parts when you ask him to show you
- Uses more gestures than just waving and pointing, like blowing a kiss or nodding yes
Cognitive Milestones (learning, thinking, problem-solving)
- Holds something in one hand while using the other hand; for example, holding a container and taking the lid off
- Tries to use switches, knobs, or buttons on a toy
- Plays with more than one toy at the same time, like putting toy food on a toy plate
Movement/Physical Development Milestones
- Kicks a ball
- Runs
- Walks (not climbs) up a few stairs with or without help
- Eats with a spoon
2.5 years
Your Child By Thirty Months
Social/Emotional Milestones
- Plays next to other children and sometimes plays with them
- Shows you what she can do by saying, “Look at me!”
- Follows simple routines when told, like helping to pick up toys when you say, “It’s clean-up time.”
Language/Communication Milestones
- Says about 50 words
- Says two or more words together, with one action word, like “Doggie run”
- Names things in a book when you point and ask, “What is this?”
- Says words like “I,” “me,” or “we”
Cognitive Milestones (learning, thinking, problem-solving)
- Uses things to pretend, like feeding a block to a doll as if it were food
- Shows simple problem-solving skills, like standing on a small stool to reach something
- Follows two-step instructions like “Put the toy down and close the door.”
- Shows he knows at least one color, like pointing to a red crayon when you ask, “Which one is red?”
Movement/Physical Development Milestones
- Uses hands to twist things, like turning doorknobs or unscrewing lids
- Takes some clothes off by himself, like loose pants or an open jacket
- Jumps off the ground with both feet
- Turns book pages, one at a time, when you read to her
3 years
Your Child By Three Years
Social/Emotional Milestones
- Calms down within 10 minutes after you leave her, like at a childcare drop off
- Notices other children and joins them to play
Language/Communication Milestones
- Talks with you in conversation using at least two back-and-forth exchanges
- Asks “who,” “what,” “where,” or “why” questions, like “Where is mommy/daddy?”
- Says what action is happening in a picture or book when asked, like “running,” “eating,” or “playing”
- Says first name, when asked
- Talks well enough for others to understand, most of the time
Cognitive Milestones (learning, thinking, problem-solving)
- Draws a circle, when you show him how
- Avoids touching hot objects, like a stove, when you warn her
Movement/Physical Development Milestones
- Strings items together, like large beads or macaroni
- Puts on some clothes by himself, like loose pants or a jacket
- Uses a fork
4 years
Your Child By Four Years
Social/Emotional Milestones
- Pretends to be something else during play (teacher, superhero, dog)
- Asks to go play with children if none are around, like “Can I play with Alex?”
- Comforts others who are hurt or sad, like hugging a crying friend
- Avoids danger, like not jumping from tall heights at the playground
- Likes to be a “helper”
- Changes behavior based on where she is (place of worship, library, playground)
Language/Communication Milestones
- Says sentences with four or more words
- Says some words from a song, story, or nursery rhyme
- Talks about at least one thing that happened during her day, like “I played soccer.”
- Answers simple questions like “What is a coat for?” or “What is a crayon for?”
Cognitive Milestones (learning, thinking, problem-solving)
- Names a few colors of items
- Tells what comes next in a well-known story
- Draws a person with three or more body parts
Movement/Physical Development Milestones
- Catches a large ball most of the time
- Serves herself food or pours water, with adult supervision
- Unbuttons some buttons
- Holds crayon or pencil between fingers and thumb (not a fist)
5 years
Your Child By Five Years
Social/Emotional Milestones
- Follows rules or takes turns when playing games with other children
- Sings, dances, or acts for you
- Does simple chores at home, like matching socks or clearing the table after eating
Language/Communication Milestones
- Tells a story she heard or made up with at least two events. For example, a cat was stuck in a tree and a firefighter saved it
- Answers simple questions about a book or story after you read or tell it to him
- Keeps a conversation going with more than three back-and-forth exchanges
- Uses or recognizes simple rhymes (bat-cat, ball-tall)
Cognitive Milestones (learning, thinking, problem-solving)
- Counts to 10
- Names some numbers between 1 and 5 when you point to them
- Uses words about time, like “yesterday,” “tomorrow,” “morning,” or “night”
- Pays attention for 5 to 10 minutes during activities. For example, during story time or making arts and crafts (screen time does not count)
- Writes some letters in her name
- Names some letters when you point to them
Movement/Physical Development Milestones
- Buttons some buttons
- Hops on one foot
RED
AMBER
AMBER
Green
Advice and Guidance
How can I help?
- Talk with your child, naming and talking about everything and anything. From counting out loud, the steps as you walk down the stairs, to telling them what piece of clothing you are folding when you are doing the laundry. Even if you think your child doesn't understand, talking about what is happening in your daily lives will increase the number of words your child hears. Repetition does help.
- Build your child's communication skills by:
- noting and commenting on their interest e.g. 'wow, what is that?'
- giving them time to respond back to you e.g. pause whilst looking them in the eye.
- actively listening to what they have to say.
- model the correct answer. whilst ignoring what was wrong e.g. if they say whilst looking at a bus 'look, bus', you would respond "yes it is a bus"
- build on what they have said e.g. look it's red bus, what else is red?
- Sing to them
- Start reading to them at an early age. Link the words to the pictures in the book and alson in your own lives. As they get older, pointing to the words as you say them helps them understand the link between written and spoken words to develop their skills in literacy.
Click here to watch a short video with more information.
When should I be concerned?
All children are different when it comes to developing language skills. If you feel there is a difference between your child and other child of a similar age, be reassured that most will catch up. However, it is best to seek professional advice if you see any of the following signs:
When your newborn doesn't:
- respond to sudden loud noises e.g. ambulance siren, dog barking.
- turn their heads towards the sound itself.
- isn't making sounds or responding to loud noises.
By 12 months of age if your baby isn't:
- turning their heads to soft sounds
- trying to communicate with you in a variety of ways using sounds, gestures, eye contacts, and/or words, particularly when needing help or wanting something.
By 3 years old, if your toddler:
- can't understand simple instructions/questions e.g. where's daddy?
- isn't saying about 50 words
- doesn't use their words and gestures to try and interact with you e.g. to tell you what they want or need, waving to indicated that they are saying goodbye.
- uses words that they have unusually and which may be out of context e.g. not be able to link what they are saying with what is actually happening at the time and is copying words/phrases and saying them repeatedly
- isn't combining two or more words together e.g. more drink
- isn't pointing to objects to share their interest with others by 2 years of age
By 5 years old, if your child:
- isn't combining words to make longer sentences to tell you what they need e.g. I want snack or unable to share their interests with you e.g. look, a bus
- isn't understanding longer instruction e.g. pick up your cup and put it in the the sink
- uses words unusually e.g. they may have more words than you can count, but they don't use them to talk to people, or if they have parrot like repetitive speech or if they continue to speak in a made up language that you can't understand
- Takes and sues your hand as a means of getting what they want
When starting school:
- you can't have a chat with them about things which interest them and you e.g. 'what would you like to have for dinner today?' 'What do you think mummy would like to do for her birthday?'
You should be concerned at any age if your child stops doing what they were previously able to do so.
Where can I get help?
If you think your child is having trouble with communicating and talking to you, discuss your concerns with a professional such as a health visitor, GP, nursery/school teacher who can provide advice and consider whether they may require a referral to a speech and language therapist or GP.
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