Speech & Language Milestones

Understanding typical speech and language development helps you know what to expect and when to seek help. Every child develops at their own pace—milestones represent ranges, not exact deadlines. Use these benchmarks as a guide, and remember that variation is normal. However, if you have concerns, trust your instincts and seek an evaluation.

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How to Use Developmental Milestones

Milestones are skills that most children achieve within a certain age range. They help us understand typical development and identify when a child might benefit from extra support. However, milestones are guidelines, not rigid deadlines—there's a range of 'normal' within each skill.

Important considerations: Children may develop some skills earlier and others later. Bilingual children may show different patterns. Premature babies should be assessed using their 'corrected age' (adjusted for prematurity) until about age 2. If you're concerned about your child's development, seek an evaluation—early intervention provides the best outcomes.


Birth to 3 Months

In the first three months, babies are learning to tune in to voices and sounds. They communicate primarily through crying, but also through body movements and facial expressions. These early interactions form the foundation for later communication.

  • Startles to loud sounds
  • Quiets or smiles when spoken to
  • Makes cooing sounds ('ooo', 'aah')
  • Cries differently for different needs (hunger, discomfort, tiredness)
  • Recognizes your voice and calms down when crying
  • Makes eye contact during feeding and interaction
  • Begins to make pleasure sounds (cooing, gooing)

4 to 6 Months

Babies become increasingly social during this period. They start babbling—a crucial precursor to speech—and show more responsiveness to the people and sounds around them. Interactive play becomes more meaningful.

  • Follows sounds with eyes
  • Responds to changes in tone of voice
  • Notices toys that make sounds
  • Babbles in a speech-like way with many sounds (p, b, m)
  • Laughs and makes sounds when excited or upset
  • Takes turns making sounds with you (vocal turn-taking)
  • Begins to understand 'no' through tone of voice

7 to 11 Months

This is an exciting period when babies begin to show clear understanding of language and use intentional communication. Pointing, showing, and giving objects are important communication milestones, as is responding to their name.

  • Enjoys games like peek-a-boo and pat-a-cake
  • Turns and looks in direction of sounds
  • Listens when spoken to
  • Recognizes words for common items (cup, shoe, juice)
  • Responds to name consistently
  • Begins to respond to requests ('Come here')
  • Babbling has both long and short groups of sounds ('bababa', 'mamama')
  • Uses sounds other than crying to get attention
  • Points to objects and shows them to others
  • Waves bye-bye (around 9-10 months)

12 to 17 Months

First words typically emerge during this period, though there's wide variation. Children understand far more than they can say. Gestures continue to be an important communication tool and often increase as children work toward verbal communication.

  • Attends to a book or toy for about 2 minutes
  • Follows simple directions accompanied by gestures
  • Answers simple questions nonverbally (points, nods, shakes head)
  • Points to objects, pictures, and family members
  • Says 2-3 words (may not be clear)—average is about 3-5 words by 12 months
  • Tries to imitate simple words
  • Uses more gestures (pointing, showing, reaching)
  • May use 'jargon' (babbling that sounds like sentences)

18 to 23 Months

Language often 'takes off' during this period, with a vocabulary explosion around 18-20 months for many children. Two-word combinations typically emerge, and children begin to ask simple questions. Understanding continues to exceed expression.

  • Understands simple questions ('Where's your shoe?')
  • Follows simple commands without gestures
  • Points to simple body parts (nose, eyes, mouth)
  • Understands simple verbs (eat, sleep, go)
  • Uses 10-50+ words (by age 2, most children have 50+ words)
  • Asks 1-2 word questions ('Where kitty?' 'What dat?')
  • Puts 2 words together ('more milk', 'daddy go')
  • Uses many different consonant sounds at the beginning of words
  • Vocabulary 'explosion' may occur around 18-20 months

2 to 3 Years

Language grows rapidly during the third year of life. Children move from two-word phrases to sentences, begin asking lots of questions (especially 'why?'), and become more understandable to unfamiliar listeners. Grammar emerges, though errors are normal and expected.

  • Understands differences in meaning (go-stop, big-little, up-down)
  • Follows two-step requests ('Get the book and put it on the table')
  • Understands most of what is said to them
  • Uses 200-1000+ words by age 3
  • Uses 2-4 word phrases to talk about and ask for things
  • Speech is understood by familiar listeners most of the time (50-75%)
  • Asks 'why?' 'what?' and 'where?' questions
  • Uses plurals (-s) and past tense (-ed), though with errors
  • Uses pronouns (I, me, you), though may confuse them
  • Can tell you their name and age

3 to 4 Years

Children become much better conversational partners during this year. They can tell simple stories, answer and ask questions, and carry on longer conversations. Unfamiliar listeners can understand most of what they say, though some speech sound errors are still normal.

  • Hears you when you call from another room
  • Understands words for colors, shapes, family members
  • Answers simple 'who', 'what', 'where', and 'why' questions
  • Uses sentences with 4+ words
  • Talks about things that happened during the day
  • Speaks clearly enough for most people to understand (75-90%)
  • Uses correct grammar most of the time (some errors normal)
  • May still have difficulty with some sounds (l, r, s, sh, ch, th)
  • Tells simple stories with a beginning, middle, and end
  • Uses 'and' to connect ideas

4 to 5 Years

By age 5, most children are effective communicators. They tell detailed stories, use complex sentences, and have mastered most speech sounds. They're ready for the language demands of kindergarten, including following multi-step directions, answering questions about stories, and participating in group discussions.

  • Pays attention to short stories and answers questions about them
  • Understands most of what is heard at home and school
  • Uses sentences with many details (5-8 words)
  • Tells stories that stick to a topic and have sequence
  • Communicates easily with other children and adults
  • Uses correct grammar most of the time
  • Says most sounds correctly except perhaps l, r, s, sh, ch, th, z
  • Uses rhyming words and recognizes rhymes
  • Names letters and numbers
  • Uses future tense correctly ('I will go...')
  • Speech is essentially 100% intelligible

5 to 7 Years

School-age children continue refining their language skills. Complex grammar emerges, narratives become more sophisticated, and all speech sounds should be mastered by age 7-8. Language skills become increasingly important for academic success.

  • Follows complex, multi-step directions
  • Understands and uses passive voice ('The ball was thrown by the boy')
  • Tells elaborate stories with multiple episodes
  • Uses language for different purposes (persuading, explaining, entertaining)
  • Understands jokes, riddles, and figurative language
  • All speech sounds mastered by age 7-8 (including r, th)
  • Reading and writing develop rapidly
  • Can define words and explain their meaning
  • Understands time concepts (yesterday, tomorrow, next week)

Understanding Normal Variation

Every child is unique, and there's a wide range of 'normal' development. Some factors that can affect timing of milestones (without indicating a problem):

  • Birth order: Later-born children may talk earlier (or later!)
  • Gender: Girls often (but not always) talk slightly earlier
  • Temperament: Quiet observers may talk later than outgoing babies
  • Bilingual exposure: May affect timing but not long-term outcomes
  • Prematurity: Use 'corrected age' until about age 2
  • Individual interests: Some children focus on motor skills first
  • Family patterns: Late talking can run in families

When to Seek Help

  • Not babbling by 12 months
  • No gestures (pointing, waving) by 12 months
  • No first words by 15-18 months
  • Not combining words by 2 years
  • Fewer than 50 words by age 2
  • Difficulty being understood by strangers by age 3
  • Not following simple directions
  • Loss of previously acquired speech or language skills at ANY age
  • Limited interest in communicating with others
  • Significant gap between understanding and speaking
  • You have concerns (trust your instincts!)

Expert Tips

Milestones Are Ranges

Developmental milestones represent the age by which MOST children achieve a skill, not the only 'normal' age. There's natural variation, and a child can be a bit ahead in some areas and a bit behind in others.

Understanding Comes First

Children typically understand language before they can produce it. If your child seems to understand well but isn't talking much, this is often a positive sign—but evaluation is still worthwhile.

Trust Your Instincts

If you're concerned about your child's communication, seek an evaluation. You know your child best, and early intervention—even if it turns out not to be needed—has no downside.

Track Development

The CDC's Milestone Tracker app lets you track your child's development with photos and receive personalized information. It's free and a great way to monitor progress.

Still Have Questions?

Our team is here to help. Book a free consultation to discuss your concerns and learn how we can support you or your child.