Red Flags for Cognitive
Development Delays
by 4 Years

- Unable to play games with other children and agree to
rules
- No spontaneous singing, dancing, or acting
- No understanding of time, or recognizing concepts like
"yesterday" and "next summer"
Therapy Options

Thankfully, there are many ways to deal with delays in child
development and behaviors.
These include in-home services, outpatient (you take your child
to a clinic), inpatient (following injury or surgery) and school
based services. Which type of therapy should you choose?
Visit our Therapy
Options area to learn more.
Ask a Therapist

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!
Ask a Therapist
Cognitive Development - 36-48 Months
In terms of cognitive development, most Four-Year Olds will:
- Will play games with other children and can agree to rules
- Like to sing, dance and act
- Might be bossy and defiant
- Have an understanding of time, know 'yesterday' and 'next summer'
- Shows more independence
- Interested in physical difference between girls and boys
Parenting Tips for Toddler Cognitive Development:
Suggested ideas to help a toddler between 3 and 4 years develop his or
her social and problem-solving skills
- Let's go shopping! Give your toddler some play money and set up a
store. Use empty milk cartons or canned goods and unwrapped food. Or,
set up a toy store with some of his toys. Help your child count the
right amount of money for his purchases.
- Help at the real store. Before your next trip to the supermarket,
cut out a few pictures of things you plan to purchase and put them in an
envelope. Ask your child to pick out a picture to remind you what you
need. If he pulls out a picture of apples, say, 'Yes we need to buy
apples,' and put a few apples in your cart.
- It's time for dress-up. Go through your closets and pull out old,
interesting looking clothes. Big hats, boots and scarves are fun. Let
your child's imagination run wild with the possible outfits she can
create.
- Count while you wait. To help your child learn to wait, count to 10.
Say, 'Joe can be on the swing while we count to ten, then it's your
turn.' Count out loud with your child. He'll learn his numbers while
learning that the wait will soon be over.
- Play a memory game. Start the game by saying, 'We're going to a
picnic and we're bringing an apple.' Next is her turn to add something
but she must say what you are bringing, 'We're going on a picnic and
we're bringing an apple and hot dogs.' Take turns adding things and see
who can remember it all: 'We're going on a picnic and we're bringing an
apple, hot dogs, a balloon and a dog and a cake and a...'
- Fill in the blanks. Next time you're reading one of your child's
favorite poems or nursery rhymes, pause and let him or her fill in a few
words.
You: Hickory, dickory...
Child: Dock
You: The mouse ran up the...
Child: Clock
- Everyone can bake. Have your child help you bake cupcakes. You can
measure the ingredients, she can stir. You handle anything that's hot;
she gets to spread the icing with a plastic spoon. At dinner, let her
share her cupcakes with the whole family.
- Have a scavenger hunt. This can be played with other siblings and
adults. First start with colors; 'Find something blue and put it on the
table. When you get tired of finding colors, make it harder by changing
it to a category, 'Find something that you put in your hair (comb, brush
ponytail holder) or, 'Find something we use when it's cold outside'
(coat, gloves, hats).
Make puppets. Gluing scrapes of fabric on old socks or cut out pictures
from magazines and tape them to Popsicle sticks or paint stirring
sticks. Have fun talking in pretend voices.
- Practice pouring. Give your child a small pitcher or a measuring cup
and let him pour his own milk into his cup. Be prepared for spills but
remember, he needs to practice to get better!
- Discuss the past. When the seasons change, ask her what he remembers
about summer, fall, winter or spring. Keep the conversations going with
her by asking lots of questions!
Cognitive Skills by Age Group
Cognitive Skills under 4 Months
Cognitive Skills 4 to 8 Months
Cognitive Skills 8 to 12 Months
Cognitive Skills 12 to 24 Months
Cognitive Skills 24 to 36 Months
Cognitive Skills 36 to 48 Months
Cognitive Skills 48 to 60 Months
Contact Information
To find Early Intervention Support contacts in your State,
visit our Contacts by
State page. If you have a question or comment for us,
please visit our Contact
page.
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