Language Development in Toddlers: When to Seek Help - Pediatrics

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Language Development


My friend's child is currently 1 year and 3 months old and is a girl.
She only makes nonsensical sounds like "mama" and "dada." Her parents have been trying their best to teach her.
Is this a sign of delayed language development? Her cousin was already saying many words at this age.

Niming, 40~49 year old female. Ask Date: 2017/02/23

Dr. Xiao Kaiwen reply Pediatrics


If a one-year and three-month-old child has normal gross and fine motor development, normal reactions, and can only pronounce "mama" and "dada," but does not show significant language delay, it is advisable to continue patient teaching at home and follow up with a pediatrician.
Children's growth and development should not be compared to others; each child has their own normal growth and development curve.

Reply Date: 2017/02/23

More Info


When it comes to understanding language development in toddlers, it is essential to recognize that each child develops at their own pace. However, there are general milestones that can help parents gauge whether their child's language development is on track or if they may need additional support.

At around 1 year of age, most children typically begin to say a few simple words, such as "mama" and "dada," and may also start to use gestures to communicate their needs. By 18 months, many toddlers can say around 10 to 25 words and may start to combine two words to form simple phrases, like "more juice" or "big truck." If your friend's child is currently only producing repetitive sounds like "mama" and "dada" without any meaningful words or gestures, it may be a sign of delayed language development.

It is important to note that while some children may begin speaking earlier than others, significant delays in language development can sometimes indicate underlying issues that may require intervention. In this case, if the child is not progressing towards these milestones, it may be beneficial for the parents to seek a professional evaluation. A speech-language pathologist (SLP) can assess the child's language skills and provide tailored strategies to support their development.

In addition to seeking professional help, parents can take several steps to encourage language development at home. Here are some strategies that can be beneficial:
1. Engage in Conversations: Parents should talk to their child frequently, even if the child is not yet speaking in full sentences. Describing daily activities, naming objects, and asking questions can help expose the child to language.

2. Read Together: Reading age-appropriate books can significantly enhance vocabulary and comprehension skills. Choose books with colorful pictures and simple text to capture the child's interest.

3. Use Repetition: Repeating words and phrases can help reinforce language learning. For example, if the child points to a dog, the parent can say, "Yes, that's a dog!" and encourage the child to repeat the word.

4. Encourage Play: Playtime is an excellent opportunity for language development. Engaging in pretend play, using toys that promote conversation, and encouraging social interactions with peers can enhance communication skills.

5. Limit Screen Time: While educational programs can be beneficial, excessive screen time can limit opportunities for real-life interactions that are crucial for language development.

6. Be Patient and Positive: Encouragement and positive reinforcement can motivate a child to communicate. Celebrate small achievements and avoid pressuring the child to speak.

If the child does not show progress in their language skills by the time they reach 18 months, or if there are concerns about other areas of development, it is advisable to consult with a pediatrician or a speech-language pathologist for further evaluation. Early intervention is key in addressing language delays, as it can lead to better outcomes in communication skills and overall development.

In summary, while it is common for toddlers to develop language skills at different rates, parents should be attentive to their child's progress. If there are concerns about delayed language development, seeking professional help and implementing supportive strategies at home can make a significant difference in the child's communication abilities.

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