Coastal Pediatric Therapy Center

Resources for Families

Developmental milestones, sensory guides, and information for students and volunteers.

Speech & Language Milestones

A guide to typical communication development from birth through age 5.

0–6 Months

  • Reacts to sounds and voices
  • Coos and makes vowel sounds
  • Smiles in response to faces
  • Cries differently for different needs

6–12 Months

  • Babbles with consonant sounds (ba, da, ma)
  • Responds to their name
  • Waves bye-bye and plays pat-a-cake
  • Says first word(s) around 12 months

12–18 Months

  • Uses 5–20 words consistently
  • Points to request and show
  • Follows simple one-step directions
  • Imitates new words

18–24 Months

  • Has at least 50 words
  • Begins combining 2 words ("more juice", "go bye")
  • Asks simple questions ("What's that?")
  • Strangers understand about 50% of speech

2–3 Years

  • Uses 3–4 word sentences
  • Vocabulary of 200–1,000+ words
  • Follows 2-step directions
  • Strangers understand about 75% of speech

3–4 Years

  • Tells simple stories
  • Most speech understood by strangers
  • Uses past tense and plurals
  • Asks "why", "who", and "when" questions

4–5 Years

  • Speaks in 5–6 word sentences
  • Retells stories accurately
  • Pronounces most sounds correctly
  • Understands most of what is said to them

* Milestones are general guidelines. Development varies across children. If you have concerns about your child's development, contact our team for a screening.

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