Answer quick questions about your child's communication and find out if their speech is on track or needs professional assessment. Early intervention gives the best outcomes.
Every child develops language at their own pace, but there are well-established milestones that help tell the difference between normal variation and something worth having checked. Dr. Wasif Iqbal, FCPS Pediatrician, explains what to look for.
By 12 months: babbling with intent, may say 1-2 words like "mama"/"baba." By 18 months: around 10-20 words, points to things they want. By 2 years: 50+ words, starting to combine two words ("more milk"). By 3 years: short sentences, mostly understandable to strangers. By 4-5 years: clear speech, full conversations.
A child who understands instructions well but isn't saying many words yet is often just a "late talker" and frequently catches up. A child who struggles to understand simple instructions -- regardless of how many words they say -- is more concerning and worth assessing sooner.
Alongside words, watch for eye contact, pointing to show interest, and responding to their name. These social communication signs are just as important as vocabulary count, and reduced eye contact alongside speech delay is worth discussing with a pediatrician.
Is being bilingual causing the delay? Growing up with two languages does not cause speech delay -- bilingual children may mix languages temporarily, but their total vocabulary across both languages is usually on track.
Should I wait and see, or get an assessment now? If there's any regression (losing words/skills) or no words by 18 months, don't wait -- earlier assessment leads to better outcomes. For milder delays, Dr. Wasif can guide you on timing.
Can screen time affect speech development? Excessive screen time, especially passive viewing, is linked to reduced language exposure and interaction time, which can contribute to delays.
Concerned about your child's speech? Message Dr. Wasif on WhatsApp or book a consultation for a proper assessment.