Speech & Language Milestones:

What parents need to know!

As parents, it’s natural to wonder whether your child’s speech and language skills are on track. Understanding typical communication milestones can help you know when to encourage, when to wait, and when to seek guidance from a qualified Speech-Language Pathologist.

This guide outlines key speech and language milestones from birth to 5 years, along with signs that your child may benefit from speech therapy.

Why Speech and Language Milestones Matter

Speech and language are connected to every part of a child’s development—play, social skills, emotional regulation, literacy, even confidence. Early support can make a significant difference, and research consistently shows that early intervention leads to the best long-term outcomes.

Whether your child is learning one language or growing up bilingual, the milestones below still apply.

Milestones by Age

0–12 Months

What’s typical:

  • Reacts to sounds and voices

  • Makes cooing and babbling sounds

  • Smiles socially

  • Recognises familiar people

  • Uses eye contact and facial expressions

  • Begins to use gestures (reaching, pointing, waving)

When to seek support:

  • Limited eye contact

  • No babbling by 9 months

  • No gestures by 12 months

  • Little response to sounds

12–18 Months

Typical skills:

  • Says 5–20 single words

  • Understands simple directions (“come here”, “give me”)

  • Points to objects or pictures

  • Imitates sounds and gestures

  • Uses play actions (feeding a doll, pushing a car)

Seek support if:

  • Less than 5–10 words by 18 months

  • Limited pretend play

  • Not pointing or showing things

  • Only communicates through crying or pulling adults

18–24 Months

Typical skills:

  • Has 50+ words

  • Begins to combine words (“more juice”, “mummy go”)

  • Follows simple two-step instructions

  • Enjoys simple pretend play

  • Uses different consonant sounds (b, p, m, d, t)

Seek support if:

  • Fewer than 20 words at 24 months

  • No two-word combinations

  • Frustration or tantrums due to difficulty communicating

2–3 Years

Typical skills:

  • Vocabulary explodes to 200–500 words

  • Uses short sentences

  • Asks questions (“what’s that?”)

  • Speech is understood about 70% of the time

  • Plays alongside and begins playing with others

Seek support if:

  • Hard to understand most of the time

  • Limited sentences or vocabulary

  • Few social interactions with peers

  • Very unclear speech (dropping sounds, slurring, mumbling)

3–5 Years

Typical skills:

  • Uses longer sentences and clear grammar

  • Speech is 90–100% understandable by 4 years

  • Tells simple stories

  • Understands turn-taking in conversation

  • Identifies colours, basic concepts, and follows multi-step instructions

Seek support if:

  • Speech is still difficult to understand

  • Struggles to form sentences

  • Difficulty following instructions

  • Challenges with play, interaction, or early literacy skills

🧩 When Should Parents Reach Out for Help?

Trust your gut. If something feels “off,” early assessment can provide clarity and reassurance. Speech therapy is recommended when a child:

  • Is late to talk

  • Has unclear speech

  • Struggles with social communication

  • Has difficulty following instructions

  • Has behavioural frustration linked to communication

  • Shows signs of stuttering

  • Is bilingual and not progressing in either language

Early support is never wasted — and it can change the trajectory of a child’s development.

🌟 How Bali Speech & Language Centre Can Help

As experienced Speech-Language Pathologists, we provide:

✔ Comprehensive assessments

✔ Individual therapy programs

✔ Parent coaching

✔ Toddler and preschool communication programs

✔ Early intervention

✔ Bilingual language support

✔ Online sessions for Australian, Asian, and international families

Your child’s communication journey matters — and we’re here to support you every step of the way.

Book an Assessment or Ask a Question

Whether you’re in Bali or anywhere in the world, you can reach out for guidance. Book an appointment or send us a message on WhatsApp for faster replies!



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