#asktheexpert My baby still hasn't speak yet only 1-2 words she can say. Should I be worried?

A. It's common for children to develop speech at different rates, but by the age of 15-18 months, many toddlers typically say a few words and may begin to combine them into simple phrases. If your baby is saying only 1-2 words, it’s a good idea to consider a few factors and steps: ### What to Expect Around 15-18 Months: - **Word Count**: Most toddlers have a vocabulary of around 10-15 words. - **Simple Phrases**: Some children start to combine two words into simple phrases, like “want milk” or “big truck.” - **Understanding**: They should understand simple instructions and respond to their name. ### Possible Reasons for Limited Speech: 1. **Normal Variation**: Every child develops at their own pace. Some children may take a bit longer to start speaking. 2. **Hearing Issues**: Difficulty hearing can affect speech development. If your child seems to have trouble hearing or responds inconsistently to sounds, it’s worth having a hearing check. 3. **Developmental Differences**: Some children may focus on other developmental milestones, such as motor skills, before their speech takes off. 4. **Exposure to Language**: Children learn through exposure. Limited speech can sometimes be a result of not hearing enough spoken language around them. ### What You Can Do: 1. **Encourage Communication**: Engage in regular conversations with your child, even if they can’t respond with words. Use simple language, ask questions, and give them time to respond. 2. **Read Together**: Reading books with your child helps build their vocabulary. Choose books with pictures and simple text, and point out and name objects in the pictures. 3. **Sing Songs**: Singing songs with repetitive lyrics can help with language development. Rhymes and simple songs are particularly beneficial. 4. **Provide Opportunities for Interaction**: Encourage your child to interact with others, including peers, family members, and caregivers. Social interaction promotes language skills. 5. **Model Language**: Speak clearly and use a variety of words around your child. Repeating words and phrases helps reinforce language. ### When to Seek Professional Advice: Consider consulting a pediatrician or speech-language therapist if: - **Your child has fewer than 10 words** by 18 months. - **They do not respond to their name** or have trouble understanding simple instructions. - **There are concerns about hearing or overall development**. - **You notice other developmental delays** or unusual behavior. Early intervention can make a significant difference in helping your child develop communication skills. A speech-language therapist can provide specific strategies and support tailored to your child’s needs.