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Early Childhood Intervention
This website is a place for families who are facing
challenges pertaining to their child's development and
growth.
It is a place to find answers and practical
suggestions. That's what Early Intervention Support is all
about.
Whether a family has a child with a challenging behavior,
a disability or developmental issue, childhood is short - it
should be savored and enjoyed.
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We understand developmental milestones and the challenges
of Special Needs children. We spend a great deal of time
with families understanding the inner workings of childhood
routines and interactions. Ask us about your child today!
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Speech Delays and Language Concerns
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Questions & Answers - Speech & Language Concerns
My son just turned 21 months. He is very active and "speaks" a
lot with a wide variety of sounds but is not clearly pronouncing
words other than "no" and "uh-oh". He can communicate what he wants
through pointing and grunting but again his lack of vocabulary has
me worried. My niece is 3 months older than him and is speaking in
3-4 word sentences and I am concerned about his lack of ability to
verbally communicate more clearly. I have an appointment with his
pediatrician next Thursday at which time I will be discussing this
with her, but I am curious as to a professional's opinion as to
whether or not you would think further testing should be done.
It sounds like you are being pro-active by
discussing this with your son's pediatrician.
Generally at age 24 months we are looking for
children to have a single word vocabulary of at
least 15 concrete words that they use consistently
(not counting mama, dada or exclamations like uh-oh)
and typically most children will have as many as 50
single words by this time. At age two we also look
for children to begin to combine 2 words into simple
phrases such as "Mommy go", "Daddy work", "Me
bye-bye".
Before age 3 we do not look at articulation or
how clearly words are pronounced. So for example, if
your son is saying "gog" for dog or "paghetti" for
spaghetti and using the same word approximations for
the same objects this is still within the norm, as
many toddlers are still having trouble blending
sounds together and may leave consonants off the
beginning or ends of some words. If your son is
using only "no" and "uh-oh" consistently and not
imitating new words or combining 2 words together
within the next month or so you may want to schedule
a speech evaluation from early intervention just to
rule out any problems. Your doctor should be able to
give you information on how to access your local
early intervention provider. You can also check the
Speech 12-24 months link on our website for more
speech tips/red flags.
Back to: Therapist
Questions & Answers - Speech & Language Concerns
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