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What are Language Delays?

Language delays occur when a child’s language abilities are developing at a slower rate than children their age. Children can be delayed in their understanding of language (receptive delay) and/or their use of language (expressive delay).

What are Language Disorders?

Language disorders are persistent difficulties in acquisition and use of language due to difficulties with comprehension and/or use of language. Language disorders may persist across the entire lifetime. The severity and symptoms can change as a result of learning and therapy.

By 3 Months

  • Cries differently for different needs, e.g. hungry vs. tired

  • Coos and smiles

  • Turns head toward sound or voice

By 6 months

  • Begins to use consonant sounds in babbling, e.g. “da, da, da”

  • Makes different kinds of sounds to express feelings

  • Uses babbling to get attention

  • Listens and responds when spoken to

  • Reacts to sudden noises or sounds

  • Notices toys that makes sounds

by 9 months

  • Imitates sounds

  • Uses increased variety of sounds and syllable combinations in babbling

  • Participates in two-way communication

  • Recognizes sound of their name

  • Looks at familiar objects and people when named

  • Follows some routine commands paired with gestures

by 12 months

  • Understands simple words like “no” and "bye- bye"

  • Recognizes own name

  • Babbling has sounds and rhythms of speech

  • Responds to simple directions, e.g. “come here”

  • Pays attention to where you are looking and pointing

  • Says "mama" and "dada" and uses them correctly.

  • Tries to imitate simple words.

by 15 months

  • Imitates simple words and actions

  • Combines sounds and gestures

  • Consistently follows simple directions

  • Shows interest in pictures

  • Can identify 1-2 body parts when named

by 18 months

  • Repeats words overheard in conversation

  • Uses at least 50 words

  • Points at familiar objects and people in pictures

  • Understands “in” and “on”

  • Responds to yes/no questions with head shake/nod

by 21 months

  • Consistently imitates new words

  • Starts to name pictures in books

  • Understands simple pronouns (me, you, my)

  • Understands new words quickly

  • Identifies 3-5 body parts when named

by 2 years

  • Uses gestures and words during pretend play

  • Begins to use 2-word phrases like "more milk"

  • Uses at least 200 words

  • Uses simple pronouns (me, you, my)

  • Understands action words

  • Follows 2-step related directions (e.g. “Pick up your coat and bring it to me”)

  • Enjoys listening to stories

by 2.5 years

  • Consistently uses 2-3 word phrases

  • Uses “in” and “on”

  • At least 50% of speech is understood by caregiver

  • Follows 2-step unrelated directions (e.g. “Give me the ball and go get your coat”)

  • Understands basic nouns and pronouns

  • Understands “mine” and “yours”

by 3 years

  • Understands basic prepositions like "in" and "on"

  • Uses three word sentences

  • Names objects and pictures

  • Understands and uses simple pronouns (me, you, my, I)​

by 4 years

  • Understands most questions and basic concepts like colors and shapes

  • Follows three step commands

  • Tells stories and relays events in order

  • Uses sentences with four or more words

  • Speech is mostly understood by people outside the family

by 5 years

  • Understands time concepts like "yesterday" and "tomorrow"

  • Follows complex commands

  • Uses detailed sentences and correct grammar

  • Can name letters and numbers 

  • Speech is mostly understood by people outside the family

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