Speech / Language Delay

Children are born ready to learn a language, but they need to learn the language or languages that their family and environment use. Learning a language takes time, and children vary in how quickly they master milestones in language and speech development. Typically developing children may have trouble with some sounds, words, and sentences while they are learning. However, most children can use language easily around 5 years of age.

Signs & Symptoms

Your child may have a speech delay if they aren’t able to say simple words (such as “mama” or “dada”) either clearly or unclearly by 12 to 15 months of age, Understand simple words (such as “no” or “stop”) by 18 months of age, Talk in short sentences by 3 years of age, or Tell a simple story at 4 to 5 years of age.

Diagnosis

Your doctor can help you recognize a speech and language delay. They will ask you what you have heard and can listen to your child’s speech and check your child’s mental development. Your doctor may refer you to other specialists to determine why your child isn’t speaking. For example, if your doctor thinks your child may have trouble hearing, they may refer your child to an audiologist for a hearing test. This is a licensed health care professional who treats hearing problems.

Treatment

Your child may not need treatment. Some children just take more time to start talking. But if your child needs treatment, the type will depend on the cause of the speech delay. Your doctor will tell you the cause of your child’s issue and talk to you about treatment options. Your doctor may refer you to a speech and language pathologist. This person can show you how to help your child talk more and speak better, and also can teach your child how to listen or how to lip read.