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Does Your Child Need Speech Therapy?

  Below are some general guidelines for developmental expectations in communication. If your child is delayed, a speech and language evaluation may be indicated.

At 18 months, does your child:
Have at least ten words.
Uses simple gestures (waves, claps, points).
Make sustained eye contact and engage your attention.
Persist in communication attempts to get you to do something.
Understand a variety of simple words/commands without a gesture.

At 24 months, does your child:
Use at least fifty words.
Use a number of two or more words in combination (daddy car; more cookie).
Use mostly words to communicate.
Follow a variety of directions.

At 36 months, does your child:
Engage in conversation.
Use language in imaginative ways.
Ask questions.
Usually speak clearly. (Speech is understandable.)
Follow two-step commands.

At 48 months, does your child:
Carry on conversations with adult-like grammar.
Uses pronouns: I, me, s/he, you appropriately.
Asks questions and answers who?, how?, how many?
Complex pretend verbal play.

At 60 months, does your child:
Participate in long, detailed conversations.
Talk about past, future, and imaginative events.
Retell stories or events.