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Signs of Possible Developmental Delays: Communication
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The following may be signs of developmental delay. There is a wide range of typical development. However, follow up with a pediatrician if your child shows signs of delays.

Causes of communication delays can include:
  • Hearing loss, which sometimes occurs in children with recurring middle ear infections
  • Autism Spectrum Disorders
  • A learning disability
  • Problems with muscles that control speech
  • An environment where a child is exposed to more than one language; speech may not be delayed, but may include different communication strategies
Remember, though, that most delays are not serious. Most children eventually catch up. Even children with serious delays can make big improvements when treatment begins as early as possible. In addition to hearing tests, early intervention may include evaluation and treatment by a speech and language pathologist or other specialist. Intervention at home may include many strategies, like singing, reading, and repetition to facilitate communication.

Birth to Three Months

By 3 months:
  • Babbles in a limited way or not at all
  • Does not respond to loud noises
Three to Six Months
By 6 months:
  • Does not attempt to imitate sounds
  • Does not smile or laugh
  • Does not turn head or respond to sounds
Six to Twelve Months
  • Does not babble
  • Does not respond to sounds
  • Does not use gestures, such as shaking the head or waving
  • Does not have any single words
Twelve to Eighteen Months
  • Does not try to imitate sounds or words
  • Does not combine two words
  • Has limited vocabulary (less than 10 words)
  • Lacks imitation of actions, gestures, or words
  • Has decreased understanding of the function of common objects
  • Does not follow or understand one-step instructions
  • Vocabulary seems to decrease
Eighteen to Twenty-four Months
  • Does not try to imitate sounds or words
  • Does not combine two words
  • Has limited vocabulary (15 words or fewer)
  • Lacks imitation of actions, gestures, or words
Two to Three Years
  • Has a limited vocabulary of less than 50 words
  • Has poor attention when spoken to
  • Does not use sentences with multiple words
Three to Five Years
  • Does not use an extended vocabulary
  • Does not use multiple-word sentences
  • Does not talk about daily experiences
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