Red Flags

Does your child have difficulties with day-to-day activities at home, school or out in the community? Do they experience challenges that do not seem to affect other children their age? If so, a pediatric speech-language pathologist may be able to help. Below is a list of red flags that may warrant a speech-language evaluation.

By Age 18 months, if your child:

  • Has not begun verbalizing first words
  • Does not respond to his/her name
  • Does not follow simple directions

By Age 2 if your child:

  • Does not have about a 200-word vocabulary
  • Does not use two-word phrases (e.g., “more juice”)
  • Does not demonstrate simple pretend play skills

By Age 3 if your child:

  • Does not use at least three word sentences
  • Cannot answer simple “who” and “what” questions
  • Uses speech that is not understood about 75% of the time
  • Cannot talk easily without repeating parts of words

By Age 4 if your child:

  • Cannot ask when and how questions
  • Cannot talk about what happened during the day
  • Cannot us pronouns, like Iyoumewe, and they

By Age 5 if your child:

  • Cannot understand words for order like first, then, next, last
  • Uses speech that is not understood 100% of the time (with some mistakes on sounds such as /r/, /l/, or “th.”)
  • Cannot tell a short story
  • Cannot maintain a conversation