Q&A

Questions and Answers

What is a speech disorder?

​​A speech disorder is a problem related to the production of sounds.

What is a language disorder?

A language disorder is a difficulty understanding or putting words together to communicate ideas.

How can I help my child?

If you feel that your child may have a speech and language delay, it is important to have your child evaluated by a Speech-Language Pathologist. If it is determined that your child requires speech therapy, parental involvement is crucial to the success of a child's progress. We collaborate with parents by providing them with techniques and support to reinforce the child's therapy gains beyond the therapy environment.

What kinds of speech and language disorders affect children?

Speech and language disorders affect the way a child talks, understands, analyzes or processes information. Speech disorders can affect the clarity, voice quality, and fluency of a child's spoken words. Language disorders include a child's ability to hold a meaningful conversation, understand others, problem solve, read and comprehend and express thoughts through spoken or written words.  

Is my child developing speech and language at a normal rate?

Each child is different, therefore the way in which they aquire language varies. The following list provides some general information about typical speech and language development.



Birth-3 months

  • Quiets and smiles when spoken to

  • Makes pleasure sounds (i.e. cooing)

  • Cries differently for different needs

4-6 months

  • Babbling sounds are more speech-like with many different sounds including p,b and m

  • Vocalizes excitement and pleasure

  • Moves eyes in direction of sounds

7-11 months

  • Enjoys playing games like peek-a-boo and pat-a-cake

  • Listens when spoken to

  • Recognizes words for common items like "cup" and "shoe"

  • Begins to respond to requests, such as "come here"

  • Has 1 or 2 words

12-15 months

  • Responds to their name

  • Understands simple directions with gestures

  • Uses a variety of sounds

  • Uses some simple words to communicate

18 months

  • Attempts to imitate words you say

  • Uses at least 10-20 words

  • Uses pretend play

24 months

  • Uses at least 50 words

  • Recognizes pictures in books and listens to simple stories

  • Begins to combine two words

  • Uses many different sounds at the beginning of words

2 to 3 years

  • Speech is understood by familiar listeners most of the time

  • Understands differences in meaning (go-stop, up-down)

  • Follows two step directions

  • Combines three or more words into sentences

  • Understands simple questions

  • Understands descriptive concepts

3 to 4 years

  • Uses sentences with 4 or more words

  • Talks about activities at school or activities completed

  • People outside the family understand the child's speech

  • Answers questions logically

  • Tells how objects are used

4 to 5 years

  • Answers simple questions about a story

  • Tells stories that stay on topic

  • Communicates with other children and adults

  • Says most sounds correctly

  • Can define some words

  • Uses prepositions

  • Answers "why" questions

  • Understands more complex directions