Speech Delay in Children

Speech Delays in Children: Early Signs, Causes & Interventions

Every child develops at their own pace, but if you’re worried your child isn’t talking as much as peers, it might be a speech delay. Dr. Neelu Desai specializes in identifying and managing developmental delays, ensuring children get the early support they need for confident communication.

What is Speech Delay?

Speech delay refers to when a child doesn’t start speaking or combining words at the expected age. This can range from mild delays in pronunciation to difficulty forming sentences or using words meaningfully.

Causes of Speech Delay

  • Hearing impairment
  • Developmental disorders (like autism spectrum disorder)
  • Neurological issues
  • Oral-motor problems
  • Lack of stimulation or interaction
  • Bilingual environments (sometimes temporarily delays expressive language)

Symptoms to Watch For

  • Not babbling by 12 months
  • Not using words by 18 months
  • Can’t combine 2 words by 2 years
  • Difficulty understanding or following instructions
  • Poor articulation or unclear speech

Diagnosis

Evaluation includes:

  • Hearing tests
  • Speech-language assessment
  • Developmental screening
  • Neurological evaluation (if needed)

Treatment & Interventions

  • Speech therapy – tailored sessions for your child’s needs
  • Parental guidance – language-rich activities at home
  • Group therapy or play-based sessions
  • Treatment for underlying causes (hearing loss, ASD, etc.)

Supporting Communication at Home

  • Read together every day
  • Talk to your child frequently
  • Encourage naming objects, sounds, and actions
  • Use gestures and facial expressions

FAQs

Is speech delay the same as language delay?

No. Speech delay relates to the physical ability to produce sounds, while language delay affects understanding and usage.

Can bilingual homes cause speech delays?

It may cause a temporary delay in expressive speech, but children usually catch up.

When should I consult a specialist?

If your child is not meeting communication milestones or shows frustration in expressing themselves.

Worried your child isn’t talking yet?

Early therapy can make a world of difference.
Book an evaluation with Dr. Neelu Desai now.