Delayed Speech or Language Development (for Parents) (2024)

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  • As with other skills and milestones, the age at which kids learn language and start talking can vary. Knowing a bit about speech and language development can help parents figure out if there's cause for concern.

    How Do Speech and Language Differ?

    • Speech is the verbal expression of language and includes articulation (the way we form sounds and words).
    • Language is giving and getting information. It's understanding and being understood through communication — verbal, nonverbal, and written.

    What Are Speech or Language Delays?

    Speech and language problems differ, but often overlap. For example:

    • A child with a language delay might say words well but only be able to put two words together.
    • A child with a speech delay might use words and phrases to express ideas but be hard to understand.

    What Are the Signs of a Speech or Language Delay?

    A baby who doesn't respond to sound or vocalize should be checked by a doctor right away. But often, it's hard for parents to know if their child is taking a bit longer to reach a speech or language milestone, or if there's a problem.

    Here are some things to watch for. Call your doctor if your child:

    • by 12 months: isn't using gestures, such as pointing or waving bye-bye
    • by 18 months: prefers gestures over vocalizations to communicate
    • by 18 months: has trouble imitating sounds
    • has trouble understanding simple verbal requests
    • by 2 years: can only imitate speech or actions and doesn't produce words or phrases spontaneously
    • by 2 years: says only some sounds or words repeatedly and can't use oral language to communicate more than their immediate needs
    • by 2 years: can't follow simple directions
    • by 2 years: has an unusual tone of voice (such as raspy or nasal sounding)

    Also call the doctor if your child’s speech is harder to understand than expected for their age:

    • Parents and regular caregivers should understand about 50% of a child's speech at 2 years and 75% of it at 3 years.
    • By 4 years old, a child should be mostly understood, even by people who don't know the child.

    What Causes Speech or Language Delays?

    A speech delay might be due to:

    • an oral impairment, like problems with the tongue or palate (the roof of the mouth)
    • a short frenulum (the fold beneath the tongue), which can limit tongue movement

    Many kids with speech delays have oral–motor problems. These happen when there's a problem in the areas of the brain responsible for speech. This makes it hard to coordinate the lips, tongue, and jaw to make speech sounds. These kids also might have other oral-motor problems, such as feeding problems.

    Hearing problems also can affect speech. So an audiologist should test a child's hearing whenever there's a speech concern. Kids who have trouble hearing may have trouble saying, understanding, imitating, and using language.

    Ear infections, especially chronic infections, can affect hearing. But as long as there is normal hearing in one ear, speech and language will develop normally.

    How Are Speech or Language Delays Diagnosed?

    If your child might have a problem, it's important to see a speech-language pathologist (SLP) right away. You can find a speech-language pathologist on your own, or ask your health care provider to refer you to one.

    The SLP (or speech therapist) will check your child's speech and language skills. The pathologist will do standardized tests and look for milestones in speech and language development.

    The SLP also will check:

    • what your child understands (called receptive language)
    • what your child can say (called expressive language)
    • sound development and clarity of speech
    • your child's oral–motor status (how the mouth, tongue, palate, etc., work together for speech as well as eating and swallowing)

    Based on the test results, the speech-language pathologist might recommend speech therapy for your child.

    How Does Speech Therapy Help?

    The speech therapist will work with your child to improve speech and language skills, and show you what to do at home to help your child.

    How Can Parents Help?

    Parents are an important part of helping kids who have a speech or language problem.

    Here are a few ways to encourage speech development at home:

    • Focus on communication. Talk with your baby, sing, and encourage imitation of sounds and gestures.
    • Read to your child. Start reading when your child is a baby. Look for age-appropriate soft or board books or picture books that encourage kids to look while you name the pictures.
    • Use everyday situations. To build on your child's speech and language, talk your way through the day. Name foods at the grocery store, explain what you're doing as you cook a meal or clean a room, and point out objects around the house. Keep things simple, but avoid "baby talk."

    Recognizing and treating speech and language delays early on is the best approach. Call your doctor if you have any concerns about your child’s speech or language development.

    Delayed Speech or Language Development (for Parents) (2024)

    FAQs

    Delayed Speech or Language Development (for Parents)? ›

    Also call the doctor if your child's speech is harder to understand than expected for their age: Parents and regular caregivers should understand about 50% of a child's speech at 2 years and 75% of it at 3 years. By 4 years old, a child should be mostly understood, even by people who don't know the child.

    What is the best treatment for speech delay? ›

    Sometimes, helping children at home with speech therapy can aid their speech development. Exercises for speech delay in toddlers can motivate them to learn and use more words in their daily interactions.

    At what age do late talkers talk? ›

    According to the American Speech-Language-Hearing Association (ASHA), late talkers are toddlers (18 to 30 months old) who have a limited vocabulary for their age, but do not have any other developmental delays. Some late talkers may talk by three to five years of age. These toddlers are called late bloomers.

    Is it the parents fault if a child has speech delay? ›

    For the average parent doing their best, you can rest assured that your child's speech or language delay is definitely not your fault.

    What is speech therapy for parents? ›

    The programs are designed to help parents learn how to promote their young child's communication at home. Under the guidance of a Hanen Certified speech-language pathologist, parents learn to use specific language-building strategies with their child during everyday activities.

    What is the root cause of speech delay? ›

    Many kids with speech delays have oral–motor problems. These happen when there's a problem in the areas of the brain responsible for speech. This makes it hard to coordinate the lips, tongue, and jaw to make speech sounds. These kids also might have other oral-motor problems, such as feeding problems.

    What vitamin deficiency causes speech delay? ›

    It is well documented that B 12 deficiency can cause developmental delay, hypotonia, tremor, seizures, failure to thrive, reduced IQ, and mental retardation. Children with B 12 deficiency exhibit speech, language, and social delays, behavioral issues, and problems with fine and gross motor movement.

    Can too much TV cause speech delay? ›

    The research showed that greater amounts of screen time were associated with a higher likelihood of developmental delays in communication. Take a look at the numbers: With up to 2 hours of daily screen time at age 1, children were 61% more likely to have communication delays at age 2.

    Can a late talker be smart? ›

    It's believed that a segment of children diagnosed as late-talkers outgrow this developmental delay and prove themselves to be gifted and exceptionally bright. These children would qualify as candidates for being said to have Einstein syndrome.

    Can a child have speech delay and not be autistic? ›

    Speech delays are very common among children with autism, but they are also common in children without autism. While significant speech delays are always a cause for concern, they are not inherently an autism trait and may be due to other issues, such as hearing loss.

    Can a child with speech delays catch up? ›

    Some children with expressive language delay "catch up" during the preschool years ("late bloomers"), whereas others have persistent delay (see 'Natural history' below). Early evaluation can help to correctly identify late-talking children who will benefit from intervention and/or additional evaluation.

    Should parents be concerned if their child is a late talker? ›

    What Should You Do if Your Child Is a Late Talker? If a toddler has a limited vocabulary for their age, The Hanen Centre recommends that you consult a speech-language pathologist.

    Can my child recover from speech delay? ›

    Simple speech delays are sometimes temporary. They may resolve on their own or with a little extra help from family. It's important to encourage your child to "talk" to you with gestures or sounds and for you to spend lots of time playing with, reading to, and talking with your infant or toddler.

    What age is best for speech therapy? ›

    What age is best for speech therapy? Speech therapy for children should begin as soon as the signs of speech and/or language delay are identified. The ideal age for speech therapy for children, especially toddlers is between the ages of 2 and 5 years.

    When should parents consider speech therapy? ›

    Often, children will start speech therapy between the ages of one and three years old. The majority of speech issues develop when your child is between eighteen months and two years old, but it's always a good idea to contact a speech therapist sooner than that if you have any concerns.

    Can you do speech therapy at home? ›

    While speech therapy at home is an excellent option for some families, it's important to remember that speech therapy should always be overseen by a speech-language pathologist (SLP). If you have concerns about your child's progress, speak to an SLP who can provide professional advice and guidance.

    What is the number one cause of speech delay? ›

    The most common causes of speech delay include: Hearing loss. Slow development. Intellectual disability.

    What is the latest age a child should be talking? ›

    Speech/Language Milestones

    Boys tend to develop language skills a little later than girls, but in general, kids may be labeled "late-talking children" if they speak less than 10 words by the age of 18 to 20 months, or fewer than 50 words by 21 to 30 months of age.

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