My Child Isn't Talking, Is That Normal?

Posted at 4:53 PM on Jun 3, 2024

Northwest Family Clinics – My child isn’t talking

As parents, one of the most exciting milestones we look forward to is hearing our child's first words. But what happens when your child isn't talking as expected? This concern is common, and understanding when to seek help versus when to relax can make a big difference in how you approach your child's development. Let's delve into this topic deeper to help understand what's "normal" and when it's time to seek help.

Understanding Speech Development

Children develop at their own pace, and this includes speech and language skills. According to the American Speech-Language-Hearing Association (ASHA), there are general milestones that most children hit around certain ages:

  • By 12 months: Many children say a few simple words like "mama" or "dada," and they understand basic words like "no" or "bye-bye."
  • By 18 months: Vocabulary expands to about 10-20 words, and they start to point to objects or pictures when named.
  • By 24 months: A child may use simple two-word phrases, like "want cookie," and their vocabulary can be about 50 words or more.

It's important to remember that these milestones are averages, and there is a range of normal development. However, if your child isn't meeting these milestones, consider a professional evaluation.

Possible Reasons for Delayed Speech

There are several reasons why a child might not be talking as expected:

  • Hearing Issues: If a child has trouble hearing, they may also have trouble learning to speak. Hearing tests can rule out this possibility.
  • Oral-Motor Problems: These involve difficulty using the lips, tongue, and jaw to produce speech sounds. A speech-language pathologist can identify and treat them.
  • Developmental Disorders: Conditions like Autism Spectrum Disorder (ASD) or developmental delays can impact speech. Early intervention is crucial for these children.

Northwest Family Clinics – Speech

When to Seek Help

If your child is not meeting the milestones mentioned above or if you have concerns, it's a good idea to consult your doctor. It is recommended to seek an evaluation if your child:

  • Doesn't babble or make gestures by 12 months
  • Has trouble imitating sounds by 18 months
  • Prefers gestures over vocalizations to communicate by 18 months
  • Has trouble understanding simple verbal requests
  • Early intervention can make a significant difference. The earlier a problem is identified, the sooner therapy can begin, leading to better outcomes.

Encouraging Speech at Home

There are many ways parents can encourage speech and language development at home, which include:

  • Talk to Your Child: Narrate your day, describe what you're doing, and label objects around the house. The more language they hear, the better.
  • Read Together: Reading books exposes children to new vocabulary and sentence structures.
  • Play: Engaging in play, especially pretend play, encourages language use in a fun and natural context.
  • Limit Screen Time: Excessive screen time can reduce the opportunities for interactive communication, which is crucial for language development.

When in Doubt, Talk to Your Doctor

While it's natural to worry if your child isn't talking as expected, it's important to remember that every child develops at their own pace. If you have concerns, don't hesitate to talk to your doctor; we are here to help. In many cases, a little support and intervention can help your child catch up and thrive in their communication skills.


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