Common signs

What parents may notice

  • Few or no words for age
  • Difficulty combining words
  • Speech that is hard for familiar people to understand
  • Limited gestures or pointing
  • Difficulty following instructions
  • Loss of words previously used
  • Frustration because communication is difficult
Possible reasons

What can cause it?

Possible contributors include hearing difficulty, developmental language disorder, broader developmental delay, autism-related differences, oral-motor concerns or limited opportunity for interaction. A clinical assessment helps identify the appropriate next step.

When to book

When should your child be assessed?

  • The child is not progressing over several months
  • There is loss of speech or communication
  • Understanding is also delayed
  • Social interaction or play is concerning
  • The family or school is worried
Urgent warning signs

When to seek immediate care

  • Sudden loss of speech with weakness or altered consciousness
  • Loss of multiple skills
  • A seizure
  • Acute difficulty swallowing or breathing
At the specialist visit

How the concern may be evaluated

  • Speech, language and communication history
  • Hearing review
  • Developmental observation
  • Oral-motor and health review where relevant
  • Referral and parent-support plan
Prepare

What to do before the visit

  • List words and gestures the child uses
  • Bring hearing reports
  • Bring nursery or school feedback
  • Record a short natural interaction if helpful
Questions parents ask

The real questions, answered.

Not what we wish you'd ask. What you're actually thinking when you find this page.

Book a consultation
When should a two-year-old's speech be assessed?

Assessment is appropriate whenever parents have persistent concern, especially if the child has very limited words, does not understand simple language or has lost skills.

Can too much screen time cause speech delay?

Heavy screen use can reduce opportunities for interaction, but it should not be assumed to be the only cause of a persistent delay.

Does bilingualism cause speech delay?

Learning two languages does not usually cause a language disorder. Assessment should consider communication across both languages.

Should hearing be tested?

Hearing assessment is an important part of evaluating speech and language concerns.

Will speech therapy be needed?

That depends on the child's age, communication profile and underlying factors.

Persistent symptoms deserve a clear next step.

Speak with Developmental and Behavioural Paediatrics or contact our team to organise the right starting point.