Is My 1-Year-Old Daughter's Speech Delay a Cause for Concern? - Pediatrics

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Doctor, I would like to ask you about my daughter who is now almost 1 year and 8 months old.
She seems to be slower in her speech development; she can only say "daddy," "mommy," and a few basic words.
All of my friends' children, who are older than my daughter, can respond to adult conversations.
Should I take my daughter to see a doctor? Her reactions are quite quick, but she doesn't seem to like talking and only makes sounds that we can't understand.
My husband and I are quite worried.

Yiting, 20~29 year old female. Ask Date: 2004/01/20

Dr. Liang Hongjian reply Pediatrics


Hello: Based on what you said, since she understands what her parents are saying, we can first rule out hearing impairment.
Next, we should check for any other developmental delays, such as gross motor skills, fine motor skills, and social adaptability.
If there are no issues in these areas, we should consider whether there is insufficient environmental stimulation.
It would be advisable to consult a family physician to assess her physiological status.
Increasing interactions with peers can often improve this situation.
Dr.
Liang Hong-jian, Pediatrician, Miaoli Hospital.

Reply Date: 2004/01/20

More Info


When it comes to the speech development of a child, particularly a 1-year-and-8-month-old, it's important to recognize that there is a wide range of normal development. Children develop at their own pace, and while some may be more verbal than others, this does not necessarily indicate a problem. In your case, your daughter is able to say a few words like "mama" and "dada," which is a positive sign. However, your concern about her speech delay is valid, especially since you mentioned that other children her age are more verbal and can engage in conversations.

At around 18 months, children typically have a vocabulary of about 10 to 25 words and can start to combine two words to form simple phrases. By the age of 2, many children can use around 50 words and begin to form short sentences. If your daughter is only using a few basic words and not attempting to communicate more complex ideas, it may be worth seeking a professional evaluation.
One of the first steps would be to rule out any hearing issues, as hearing is crucial for speech development. If she can respond to her name and follow simple commands, it is likely that her hearing is intact. However, if there are any doubts, a hearing test can provide peace of mind.

Another factor to consider is the environment in which your daughter is growing up. Children learn language through interaction and exposure. If she is not frequently engaged in conversations or if she spends a lot of time in solitary play, this could contribute to her speech delay. Increasing her exposure to language through reading, singing, and talking to her more can be beneficial. Engaging her with peers or in group settings can also stimulate her desire to communicate.

In terms of her behavior, you mentioned that she has quick reactions but is reluctant to speak. This could indicate that she is processing information differently or that she may be shy or reserved. Encouraging her to express herself, even if it’s through gestures or sounds, can help build her confidence in communication.

If you continue to have concerns about her speech development, consulting with a pediatrician or a speech-language pathologist would be advisable. They can provide a thorough assessment and determine if there are any underlying issues that need to be addressed. Early intervention can be crucial in helping children catch up in their speech and language skills.

In summary, while your daughter’s speech development may be slower than some of her peers, it is essential to consider her overall development, including her understanding of language and her social interactions. Increasing her exposure to language-rich environments and seeking professional advice if necessary can help support her speech development. Remember, every child is unique, and with the right support, many children can thrive and catch up in their language skills.

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