This is a very complex question. Every child is different, and it is impossible to answer this question without discussing your concerns about your child’s speech and language development. I do offer a free phone consultation, and I am happy to answer any questions you may have. However, I have listed the following Speech & Language Warning Signs. If your child is doing 2 or more of the following for their age group, I strongly recommend contacting me to further discuss your child’s speech and language development.
Speech & Language Warning Signs
By age 2, your child:
- Does not understand complex sentences (ie, Pick up your toys and put them in the box.)
- Does not use two-word combinations (ie, My toy!)
- Cannot identify common objects and pictures when named. This includes common categories, such as: body parts, animals, toys, and food.
- Cannot identify up to 5 body parts.
- Does not refer to self by name.
- Does not talk about things they are interested in.
- Does not understand new words daily.
- Does not use up to 50 words.
- Does not use any pronouns.
- Cannot correctly produce vowels.
By age 3, your child:
- Is not understood by family or caregivers.
- Becomes frequently frustrated because he is not understood by others.
- Does not use 3-6 word combinations.
- Cannot repeat an utterance when they are not understood.
- Does not understand functions of common objects.
- Cannot correctly produce the following sounds in words: w, b, p, m, t, d
- Does not understand basic concepts, such as: big/little, hot/cold, on/off, etc.
- Does not have a vocabulary of approximately 1000 words.
- Does not attend to activities for up to 10 minutes.
- Cannot repeat up to 3 words or numbers.
By age 4, your child:
- Is not understood approximately 60% of the time by most strangers.
- Is not understood approximately 90% of the time by family and caregivers.
- Does not have a vocabulary of approximately 1500 words.
- Cannot express complex ideas in short sentences (ie, I’m sad because I lost my bear.)
- Cannot understand and/or use basic prepositions, such as: under, over, on, in, etc.
- Does not use past tense verbs correctly.
- Is unable to correctly repeat simple sentences.
- Does not understand wh questions, specifically “how” and “why.”
- Cannot identify basic colors.
- Cannot correctly produce the following sounds: k, g, f
By age 5, your child:
- Consistently and frequently produces sentences that are not grammatically correct.
- Is not understood in all situations by most listeners.
- Cannot correctly produce most speech sounds.
- Cannot correctly follow 2-3 step directions.
- Cannot correctly repeat simple sentences.
- Does not use sentences of 5-6 words.
- Does not use pronouns correctly.