Speech TherapyMarch 3, 2026· By Dr. Md Abid Ali

Speech and language milestones look different for every child, but there are a handful of consistent signals that tend to matter most. Recognising them early — and knowing when to seek an assessment — can make a meaningful difference to how quickly a child catches up.

1. Limited Babbling by 12 Months

Babbling is the foundation of spoken language. If a baby is not experimenting with a range of sounds by their first birthday, it is worth mentioning at their next check-up rather than waiting to see if it resolves on its own.

2. Few or No Words by 18 Months

Most toddlers have a small but growing vocabulary by 18 months. A child who is not attempting any recognisable words by this stage may benefit from a speech and language screening.

3. Difficulty Combining Words by Age 2

Two-word combinations, like "more milk" or "go park", usually appear around this age. Persistent single-word speech beyond this point is one of the more common reasons families are referred for a full evaluation.

4. Trouble Being Understood by Familiar Adults

Some unclear speech is expected in early childhood, but if even parents and caregivers struggle to understand a child most of the time past age 3, an assessment can clarify whether extra support is needed.

5. Frustration Around Communication

Frequent frustration, tantrums linked to not being understood, or a child who avoids trying to speak are all worth discussing with a speech-language professional — frustration is often the clearest sign a child feels the gap themselves.

None of these signs alone confirm a delay, and every child develops differently. What matters is noticing a pattern and getting a professional opinion early — early intervention consistently leads to stronger outcomes than a wait-and-see approach.

Dr. Md Abid Ali

Developmental Paediatrician & Founder, leading a multidisciplinary team in speech, occupational, physical and ABA therapy, special education and early intervention.