Language Development Issues in Toddlers: What Parents Should Know - Pediatrics

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Language issues in children?


Hello Dr.
Hsiao: A classmate's child will turn 2 years old in three months, but currently, he does not speak simple sentences and only says a few simple words, mostly "mama," "no," and other meaningless babbling.
He is very active and not shy (he doesn't cry when held), but when asked to shake hands, wave goodbye, or high-five, he will cooperate and perform the actions.
The classmate says he can talk but just doesn't like to speak or doesn't want to.
Therefore, I would like to ask the doctor if this language development is considered normal.
Thank you!

vivi, 0~9 year old female. Ask Date: 2011/08/22

Dr. Xiao Kaiwen reply Pediatrics


At the age of two, language development typically includes the ability to say a few simple sentences and to use at least ten or more words.
Children may also combine several words meaningfully, such as saying "Mommy dog" when they see a dog.
If other gross motor skills, fine motor skills, and social behaviors are normal, it generally indicates no significant issues with brain development.
However, it is important for adults to patiently guide and teach the child, rather than dismissing their reluctance to speak, as this could further delay language development.
If necessary, consultation with a pediatrician or professional speech therapist may be beneficial.

Reply Date: 2011/08/22

More Info


Understanding language development in toddlers is a crucial aspect of early childhood education and parenting. It is essential to recognize that each child develops at their own pace, and variations in language acquisition can be influenced by numerous factors, including genetics, environment, and individual personality traits.

In the case of your friend's child, who is approaching two years old but has a limited vocabulary, it is important to consider several aspects. At around 24 months, children typically begin to combine words into simple sentences and should have a vocabulary of about 50 words or more. However, some children may take longer to reach these milestones, and this can be perfectly normal. The fact that the child can respond to commands and engage in non-verbal communication, such as shaking hands or waving goodbye, indicates that they are developing social skills and understanding language, even if they are not yet verbalizing as much as expected.

One important factor to consider is the child's environment. Children learn language through interaction and exposure to spoken words. If the child is in an environment where there is limited verbal communication or if caregivers are not consistently engaging in conversations, this could contribute to slower language development. Encouraging more verbal interaction, reading books together, and singing songs can provide the necessary stimulation for language growth. Engaging in play that involves turn-taking and verbal exchanges can also be beneficial.

Another consideration is the child's personality. Some children are naturally more reserved and may take longer to express themselves verbally. This does not necessarily indicate a problem; rather, it may reflect their temperament. Encouraging the child to express themselves without pressure can help build their confidence in using language.

It is also essential to rule out any potential hearing issues. Since language development is closely tied to hearing ability, ensuring that the child can hear well is critical. If there are concerns about hearing, a hearing evaluation by a specialist should be considered.

If the child continues to show limited verbal communication as they approach their second birthday, it may be worthwhile to consult with a pediatrician or a speech-language pathologist. These professionals can conduct assessments to determine if there are any underlying issues that need to be addressed. Early intervention can be crucial in supporting language development and ensuring that the child has the tools they need to communicate effectively.

In summary, while the child’s current language development may seem concerning, it is essential to consider the broader context, including environmental factors, personality traits, and potential hearing issues. Encouraging verbal interaction, providing a rich language environment, and seeking professional guidance if necessary can help support the child's language development journey. Remember, each child is unique, and with the right support, they can thrive in their communication skills.

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