How do I know if my child needs speech therapy?

A basic guide to childrens speech and language milestones by age

AGE TWO

  • Can understand and follow two step instructions e.g. ‘Put the doll on the chair’.
  • Combines up to 2 word sentences.
  • Vocabulary: 150-300 words.
  • Uses ‘me’, ‘you’, ‘I’.
  • Uses descriptive words: colours, size, ‘more’ and ‘dirty’.
  • Sounds mastered: m, n, w, p, b, d, t.

AGE THREE

  • Understands and follows three step instructions e.g. ‘give the banana and apple to the teddy’.
  • Combines 3 word sentences.
  • Vocabulary: 900-1000 words.
  • Uses, plurals (he/she), prepositions (in, on, under) and past tense verbs (e.g. jumped, skipped etc).
  • Able to reason ‘what do you do if you are hungry/sleepy/thirsty’
  • Sounds mastered: m, n, w, p, b, d, t, g, k, c, h, y,

AGE FOUR

  • Understands and follows up to four step instructions ‘give the red car to the big teddy’.
  • Uses large complex sentences that are usually grammatically correct and fluent.
  • Extensive verbalisation as activities are carried out.
  • Speech should be easily understood by strangers.

AGE FIVE

  • Understands and follows complex instructions.
  • Uses large and complex sentences that are grammatically correct and similar to an adult.
  • Can accurately sequence stories.
  • Speech is highly fluent and easily understood by strangers.
  • All sounds mastered except for: th.

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