Communication delays occur when a child doesn’t meet key milestones that would reflect typical speech development.
For example, by 8 months, a child should be responding to their name and recognizing themselves in a mirror. By 12 months, they should be saying a couple of words, recognizing familiar sounds and pointing to objects. By 18 months, they should have 10-to-20 words and start to combine two word phrases (i.e., “all gone,” “bye-bye, momma,” etc.). (All this is established by researchers at The University of Michigan, and these milestones are pretty standard and widely accepted.)
If your child isn’t meeting these milestones, our pediatric speech therapists would encourage you to raise the concern with your pediatrician or seek a free consultation from one of our therapists to determine if intervention may be necessary. The effect of a communication delay goes far beyond just not being able to say words. Too often, communication delays spur behavior problems.
Really if you think about it, behavior IS communication – perhaps the most basic form of it. Tempers, tears, tantrums – even if it seems nonsensical to adults – these are ways children communicate their needs to adults. As they grow older and their communication skills expand, they no longer need to resort to those behaviors to ensure their needs are met. They can point to objects. They can request things. They can say no. They can understand there are times they must wait (even if they don’t like it). Children with communication delays – those who are impaired in their ability to communicate with others and to understand when people are communicating with them – are going to lag in developing those same coping mechanisms, and that means the behavior problems will continue. Speech therapy and ABA (applied behavioral analysis) can help them catch up.