At Thera-play Pediatrics, your child’s comprehensive wellness is important to us. Our team of therapists is dedicated to providing you with unique therapy treatment for your child. Our goal is to ensure that every patient receives the attention they deserve. We also strive to give you the resources you need to understand your child’s issues and how to help.

Speech Therapy: Warning Signs & Diagnosis

There are many red flags that may indicate a problem in speech and language processing. If your child displays difficulty following directions, has poor articulation, appears to ignore or not respond to his or her name, has problems understanding abstract language concepts, or has trouble appropriately interpreting messages nonverbally (through facial expressions, for example), speech and language therapy may be beneficial. At our therapy center, we’ll evaluate your child to determine the particular type of therapy necessary, and we’ll work with you and your family to develop a plan to improve your child’s speech and language function. Learn more about warning signs on our speech therapy page.

Whether your child has difficulty interacting with peers, speaking clearly, or controlling motor function, we’re here to help contact us
for information about our services and to learn more about our therapy programs.

Parents should consider seeking an evaluation with a Speech/Language Pathologist if their child demonstrates any of the following:

Birth to 2 months:
– Does not cry when hungry or uncomfortable
– Does not make comfort sounds or sucking sounds
– Cry does not vary in pitch, length and volume to indicate different needs
– Difficulty establishing/maintaining a rhythmical suck/swallow pattern
– Significant loss of breast milk/formula out of side of mouth during feeding

3 to 5 months:
– Vocalizes separately from body movements (sound is not a response to body movement)
– Inability to establish or maintain face to face communication during feeding
– Does not vocalize in response to sound stimulation
– Has not begun to laugh by 5 months in response to play
– Difficulty with feedings such as above

5 to 7 months:
– Does not babble during play or in response to stimulation (may suggest a hearing problem)
– Does not use voice to vocalize attitudes other than crying
– Does not respond to sound stimulation (indicative of hearing problems)
– Difficulty with swallowing early solids or other feeding issues

7 to 9 months:
– Does not look towards sounds or own name
– Is not babbling double consonants (bababa….)
– Difficulty with textures in foods (gagging, choking, etc.)
– Is unable to participate in conversations with adults using babbling noises
– Does not say “mama” or “dada” non-specifically
– Does not use different inflections to produce exclamations

9 to 12 months:
– Is unable to successfully eat early finger foods or munch/bite on foods
– Cannot babble single consonants such as “ba” or “da”
– Does not respond to words/language appropriately
– Does not experiment with language when playing independently
– Does not participate in conversations by responding with vocalizations

12 to 15 months:
– Does not use inflection during vocalization
– Is not experimenting with language during play
– Is not using 1 to 3 words spontaneously while repeating additional words
– Does not vocalize or gesture to communicate needs
– Is not using “no” emphatically and meaningfully
– Is not using exclamatory expression such as “oh-oh”, “No-no”, Ta-da”, etc.

15 to 18 months:
– Is not attempting to sing songs
– Cannot use 10-15 words spontaneously
– Is not using vocalization in conjunction with gestures
– Does not use language to communicate needs
– Is not repeating sounds or words or imitating environmental sounds
– Is not jabbering tunefully during play
– Continues to demonstrate eating problems (swallowing issues, choking, etc.)

18 to 24 months:
– Is not using jargon with good inflection
– Cannot label 2-4 pictures while looking at a book
– Is not putting 2-4 words together to form short sentences or communicate needs
– Does not understand nouns, verbs and modifiers an their uses
– Is not using itelligible words to communicate needs
– Cannot imitate 2-4 word phrases
– Does not relay experiences using jargon, words and/or gestures
– Does not have at least 50 – 100 words

24 to 33 months:
– Cannot sing phrases of songs
– Is not using three word sentences
– Is not using a wide range of consonant and vowel sounds
– Does not use past tense words “He runned”
– Is not expressing frustration at not being understood
– Does not use up to or more than 50 expressive words
– Is not imitating phrases or experimenting with new words
– Words are not clearly articulated

33 to 36 months:
– Is not responding to questions when asked things
– Is not producing correct beginning sounds of words
– Is having a hard time understanding prepositions
– Is not speaking in complete sentences
– Does not use plurals to refer to more than one (even if not correct)
– Is not participating in storytelling
– Does not have expressive vocabulary of 200 – 1000 words
– Is not using expressive vocabulary to communicate all needs
– Is not using sentences to communicate