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Epic Therapists
Epic Therapists
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    • Home
    • About Us
      • Our Clinic
      • Meet Our Team
    • Our Services
      • Speech Therapy
    • Speech Resources
    • Patient Education
      • Developmental Milestones
      • Articulation
      • Expressive Language
      • Receptive Language
      • Executive Disorder
    • Patient Portal
    • New Patients
    • Join Our Team
    • Contact Us
  • Home
  • About Us
    • Our Clinic
    • Meet Our Team
  • Our Services
    • Speech Therapy
  • Speech Resources
  • Patient Education
    • Developmental Milestones
    • Articulation
    • Expressive Language
    • Receptive Language
    • Executive Disorder
  • Patient Portal
  • New Patients
  • Join Our Team
  • Contact Us

Pediatric Speech and Language Milestones

0-6 Months: Early Communication

  • Listening and hearing:
    • Responds to sounds and voices.
    • Can  recognize the difference between sounds like "mama" and "dada".
  • Crying  and cooing:
    • Uses crying to communicate needs.
    • Starts to coo and make gurgling sounds.
  • Social interaction:
    • Makes eye contact and smiles in response to familiar faces.


6-12 Months: Babbling and Gesturing

  • Babbling:
    • Begins to babble (e.g., "ba-ba", "da-da") and combine consonant and vowel sounds.
  • Listening and responding:
    • Turns head towards sounds and voices.
    • Responds to name being called.
  • Gestures:
    • Uses gestures such as waving or reaching.
    • Understands simple commands like “come here” or “give me.”


12-18 Months: First Words and Simple Commands

  • First words:
    • May say their first recognizable word (e.g., "mama", "dog").
  • Vocabulary:
    • Understands 50-100 words.
  • Communication:
    • Uses non-verbal communication such as pointing and pulling to express wants and needs.
    • Responds to simple questions like "Where’s your nose?" or "What’s this?"


18-24 Months: Expanding Vocabulary

  • Vocabulary growth:
    • Vocabulary begins to expand rapidly, often reaching 50-100 words.
    • Starts to use 2-3 word combinations (e.g., "more juice," "big       truck").
  • Following directions:
    • Follows simple one-step directions like "Give me the ball" or "Come here."
  • Imitation:
    • Imitates simple words and phrases from adults or older children.


2-3 Years: Early Sentences and Asking Questions

  • Speaking in sentences: 
    • Uses  3-4 word sentences (e.g., “I want cookie,” “Where’s Daddy?”).
  • Vocabulary:      
    • Vocabulary grows to around 200-1,000 words.
    • Starts using pronouns like “I,” “you,” and “me.”
  • Asking questions: 
    • Begins to ask simple questions like “What’s that?” or “Where go?”
  • Following more complex directions: 
    • Follows 2-step directions (e.g., “Pick up the toy and put it in the box”).


3-4 Years: Complex Sentences and Storytelling

  • Complex sentences: 
    • Forms 4-5 word sentences.
    • Uses plurals, pronouns, and past tense.
  • Storytelling:      
    • Can tell simple stories or describe events.
  • Vocabulary:      
    • Vocabulary may reach 1,000+ words.
    • Understands and uses prepositions like “under,” “on,” and “in.”
  • Clearer speech: 
    • Speech becomes easier to understand for family and others.
  • Asking more complex questions: 
    • Asks “why,” “how,” and “where” questions to understand the world around them.


4-5 Years: Refining Communication Skills

  • Sentences:
    • Uses complete sentences with 5-6 words or more.
    • Can use conjunctions like “and,” “but,” and “because.”
  • Vocabulary:
    • Vocabulary grows to 1,500+ words.
    • Can talk about past events and future plans.
  • Clearer speech:
    • Speech is generally clear and understandable to people outside of the family.
  • Pronouns and grammar:
    • Uses more complex grammar, such as regular and irregular past tense verbs.
  • Engaging in conversations:
    • Can maintain a conversation, understand and respond to others' comments or questions.

When to Seek Help: Red Flags to Watch For

 While all children develop at their own pace, some signs may suggest a potential speech or language delay. If you notice any of these red flags, it’s a good idea to consult with a speech-language pathologist:


0-3 Months

  • Does not respond to loud sounds or voices.
  • Doesn’t make eye contact or smile.


6-12 Months

  • Doesn’t babble or make varied sounds.
  • Doesn’t respond to their name or sound of a familiar voice.


18-24 Months

  • Has fewer than 10 words by 18 months.
  • Does not point to objects or people.
  • Struggles to follow simple directions.


2-3 Years

  • Speech is difficult to understand.
  • Cannot use simple sentences of 2-3 words.
  • Doesn’t use words to express needs or wants.


3-4 Years

  • Cannot speak in sentences.
  • Has difficulty following multi-step directions.
  • Is not using or understanding basic concepts like “big,” “little,” “in,” “on.”


4-5 Years

  • Cannot use basic grammar (e.g., past tense, plurals).
  • Speech is still difficult to understand by people outside the family.
  • Cannot follow simple conversations or instructions


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