Many toddlers will have trouble with pronunciation of some words and may have difficulties putting sentences together. This is normal. You can expect to play a guessing game trying to figure out what your toddler is saying, and at times you may have absolutely no clue what she's getting at.
For instance, many 2-year-olds will say "I'm taking a baf" for "I'm taking a bath" or "The wion wawed" for "The lion roared". Some children will mispronunce words up until age 6. Some kids have trouble saying certain sounds or words. This can be frustrating because others may have trouble understanding what they're trying to say. One of the things that you are looking for is whether your toddler’s/preschooler's speech is improving over time — by age 3 most of what your child says should be pretty understandable.
So when should you consider a referral for speech therapy?
- If your child is not attempting to communicate verbally by 18 mo or is talking very little by age 2, a hearing problem should be ruled out.
- Talking using mostly vowels, omitting whole consonants, saying "a" for "cat"
- Still saying single words only, and not phrases or sentences by age 3
- Not pointing to objects in books. If you say, "Show me the kitty cat," he flips the page or repeats the phrase but doesn't actually point to the animal
- Answering a question by repeating part of your question. If you say, "Do you want milk?" he responds by saying, "...you want milk?" instead of nodding his head or saying yes
- Not following simple directions and understanding prepositions such as under, on, or over. For instance, he doesn't turn around when you say, "Your ball is right behind you"
- Struggling using pronouns, saying, "Him not here" at age 3
- Not changing or developing his language much from month to month
Local school districts provide speech therapy for children age 3 and above who qualify. The school district will have to evaluate your child to see if he/she will qualify for services. If you have questions about speech development, talk with your healthcare provider.
If there is a topic that you want more info on, email
This e-mail address is being protected from spambots. You need JavaScript enabled to view it.