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Monday, 4/24/2017
Home : Departments : Special Services : Speech and Language Development Concerns 24 months-5 years


What is normal?

Warning Signs

The following behaviors may indicate a possible speech, language or listening problem. You should be concerned if your child:

24 to 36 months

Avoids eye contact

Has difficulty singing songs or imitating parts of simple nursery rhymes

Doesn't put short two or three word-phrases together

Has difficulty sitting and attending to a book or movie for more than a few minutes

Is very difficult to understand when talking (Mom may understand but others do not)

Preschool Age (3 to 5 years)

Speaks differently from other children of the same age; is difficult to understand (between the ages of 4 and 5 children should be using most sounds correctly. (It is still normal to have mispronunciations on r, th, l, v, sh, ch and j)

Has difficulty maintaining eye contact when listening or speaking

Is disinterested or detached from other children of the same age when playing

Makes noises or uses gestures to express needs instead of using words and sentences

Has difficulty comprehending or following conversations (or simple oral directions) watches what others are doing or needs to see gestures before attempting to follow a direction

Speaks in short phrases instead of complete sentences most of the time

Leaves out words such as "is" or "the" (e.g., "Bobby not going in car.")

Leaves off endings which show "how many" or "possession" e.g., "two car outside", "Sara bike nice."

Speech, Language and Listening Milestones

Below are some general speech and language developmental milestones. Every child is unique and may not do everything yet!

4 to 5 Years of Age

Comprehends 2,500 to 2,800 words

Speaks clearly most of the time

Makes up stories

Listens and attends to stories, conversation and movies

Plays dramatically and chats a lot

Follows 3-step directions

Uses 1,500 to 2,000 words

Describes pictures with complete sentences

Uses "he", "she", "I", "you" and "they" correctly

Explains events that took place in the past with accurate detail

For more information contact  the Special Services Department at 586.510.2050.