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Writer's pictureCheri Gipson

Is Your Child a Late Talker Toddler or Is There a More Serious Problem?

Late talkers are children between the age of 18-30 months and are not speaking as much as they should. They are said to have a speech delay. But don't panic - we are here to help!


In this article we will discuss:


Cheri gives you some clear advice in our video, or keep reading below:



Signs of speech delay to watch out for

We don't want to worry when our child appears to be a late talker toddler, or is not keeping up with their developmental milestones. And we especially don't like to compare our child to other kids and how they are progressing.


But it's important to know what the indicators are for when a child's language difficulties are not only an expressive language delay. Thankfully, there are evidence based characteristics that you can start to pay attention to with your late talker toddler.


First, it's important to know that an expressive language delay is defined as when your toddler is speaking later than other toddlers their age. It has nothing to do with whether you can understand what they are saying - that's speech, not language.

But if your child is not using language like their peers, here are some of the other aspects to watch out for that might indicate that there may be something bigger going on with their language development.


1. Delays in Cognition - if cognitive skills are delayed, then receptive language skills are delayed, and so are expressive skills. Cognitive delays and disorders can be due to genetic diagnoses such as Fragile X or Down syndrome, complications during pregnancy or birth including prematurity, infections or trauma. We might suspect that there is a cognitive delay if the child is delayed in several different milestones. For example, the child was a late walker and is now a late talker and may be missing some social skills.


If you detect a speech delay then seek help as soon as possible

Speech therapy for child and adult

2. Joint Attention Difficulty - Also called shared attention,” and happens when two people focus on the same object/event. An example is if the child notices a dog running and then uses words/gestures/non-verbal methods to draw someone else's attention to it. They might say, "look!" or point or use eye gaze.


3. Limited/No Use of Gestures - Gestures (e.g., pointing, waving, blow a kiss) tell us that language skills are developing normal and tend to show up before words. Research has shown that the ability to use gestures at 18 months can predict language skills at 36 months. Here are 16 more gestures by 16 months.


4. Limited Pretend Play Skills - When engaged in pretend play, a toddler starts using their imagination. Play is a cognitive skill because by looking at what a child is doing, we can learn about what they are thinking. Examples of pretend play are using an object to represent another object (use a tissue for a for a doll's blanket), referring to an invisible object like holding an invisible steering wheel when pretending to drive a car.


These are only some of the things speech therapists look for when they hear that a toddler is a late talker. We are looking for these additional "red flags" to make sure that the expressive language delay is only that. At Better Speech you can get a free consultation with a speech therapist.


And why is identifying these deficits so important? Because if we don't recognize the whole problem we cannot treat it in the best way, and the child might not make progress, even if they are getting speech therapy.


When Do Kids Start Talking?

We know that every child develops at their own pace and when a child learns to speak also happens at their own pace. Yet it is important for speech-language pathologists to refer to general milestones which can be a guide to normal speech and language development. When referring to these milestones, speech-language pathologists can determine if there may be a delay and if further testing is required.


A child playing a developmental toy

Children's Language Development Milestones Chart

By the end of 3 months:

  • Smile at you

  • Make cooing sounds

  • When spoken to, they might get quiet or smile

  • Seem as though they recognize a parent's voice

  • Make different crying sounds for different needs

By the end of 6 months:

  • Make gurgling sounds

  • Babble or make other sounds

  • Use their voice to show pleasure/displeasure

  • Look in the direction of sounds

  • Respond to changes in tone of voice from an adult

  • Pay attention to sounds made by objects/toys/music

By the end of 12 months:

  • Attempt to imitate speech sounds

  • Say simple words like "dada," "mama"

  • Respond to simple directions, such as "Come here"

  • Recognize common items, like "doggie"

  • Look in the direction of sounds

By the end of 18 months:

  • Know the names of known people, objects and body parts

  • Follow simple directions

  • Say 10 words

By the end of 24 months:

  • Use simple 2 word phrases like "more juice"

  • As one or two word questions like "Go bye-bye?"

  • Follow simple questions and understand simple questions

  • Say about 50 or more words

  • Speech is understood by parents/primary caregivers at least half of the time

Are you wondering what speech sounds your child should be saying at their age? Download our free and simple chart here.


At Better Speech, we offer online speech therapy services convenient for you and tailored to your child's individual needs. Our services are affordable and effective - get Better Speech now.


Frequently Asked Questions

My child isn't saying any words yet, should I be worried?

The best way to know if a child is producing 'enough' words is to have an evaluation done by a speech-language pathologist. How many words a child should have is dependent on their age and even some studies state that gender plays a role as well. While there are 'late talkers', it is best to address these concerns early. If intervention is needed, then the child can have access to therapy earlier and as a result, have a better outcome from therapy.

How is a late talker different from a child with a speech delay?

When should you worry about late talkers?

 

About the Author

Cheri Gipson


I am a speech-language pathologist who specializes in language skills and pronunciation. I obtained my Master’s of Science degree in Speech-Language Pathology from Western Illinois University and I have worked in the field of speech pathology for over 20 years. One of the things I enjoy most is helping people learn.


In my spare time, I enjoy writing tips on how to improve online teaching for both the larger language schools and also as a private ESL teacher. Teaching is my passion, and I love seeing students make progress. Every day is a new adventure, and I am grateful for the opportunity to help people learn and grow!

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I'm not an English native speaker and I wanted to improve my speech. Better Speech onboarding process is AWESOME, I met with different people before being matched with an AMAZING Therapist, Christina. My assigned therapist created a safe place for me to be vulnerable and made all the sessions fun and helpful. Thanks to her, I received great feedback from my clients.

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Better Speech is a great program that is easy to use from home and anywhere online. Shannon was amazing at engaging our shy son - and building on their relationship each session! Her commitment to knowing him improved his confidence to speak and practice more. Truly appreciate her dedication. She cares for her clients.

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Better Speech is an excellent opportunity to improve your speech in the convenience of your home with flexible scheduling options. Our therapist Miss Lynda was nothing short of amazing! We have greatly appreciated and enjoyed the time spent together in speech therapy. Her kind, engaging and entertaining spirit has been well received. She will surely be missed.

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This service is so easy, i signed up, got a therapist and got to set up an appointment right away that worked with my schedule. so glad to see that services like speech therapy are finally catching up to the rest of the convenience age! therapy is great, i can't believe how many good tips, exercises and methods in just the first session. really recommend it!

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