What’s the Difference Between a Speech Delay and a Language Delay?
Before we dive into concerns, it helps to know the difference:
Speech is how we say sounds and words—like articulation, voice, and fluency (how smoothly speech comes out).
Language is how we understand and use words to communicate. It includes both:
Receptive language (understanding what others say)
Expressive language (using words, signs, gestures, or AAC to communicate)
A child might struggle in one area or both.
Milestones to Keep in Mind
Here are a few general guidelines—not to alarm you, but to empower you with information. If your child is:
By 12 months and not:
Babbling (e.g., “ba-ba,” “da-da”)
Using gestures like waving or pointing
Responding to their name
—It’s worth checking in.
By 18 months and not:
Saying at least a few single words
Using gestures consistently
Showing understanding of familiar words
—It may be time to consult a specialist.
By 2 years and not:
Using two-word phrases (e.g., “more juice”)
Following simple directions
Showing interest in interacting with others
—A speech and language evaluation is a good next step.
By 3 years and not:
Using simple sentences
Being understood by family most of the time
Asking or answering basic questions
—They may benefit from targeted support.
Other Signs to Watch For
What About “Late Talkers”?
How We Help at Tumble N’ Dots
We don’t just look at words. We look at your whole child—how they play, connect, respond, and express themselves. We take into account sensory needs, attention, emotional regulation, and communication style.
If your child needs support, our team will work with you to create a plan that feels good for your family—whether that means individual therapy, a social group, or simply guidance on how to support your child at home.