How to Identify if My Child Needs Speech Therapy By Jo Ann Gramlich, MS, CCC-SLP

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How to Identify if My Child Needs Speech Therapy By Jo Ann Gramlich, MS, CCC-SLP

As a speech-language pathologist, one of the most common questions I receive from parents is, “How do I know if my child needs speech therapy?” It’s a great question—and an important one! Every child develops at their own pace, but there are a few signs that might indicate your little one could benefit from some extra support.

Let’s walk through a few key things to look for.

Limited Vocabulary or Late Talking
If your child isn’t using many words by the time they’re 18 to 24 months old, or if their vocabulary seems smaller than that of their peers, it might be time to check in.
Difficulty Being Understood
Do friends, family members or even you have a hard time understanding what your child is saying? Most children should be understood by others about 50% of the time by age 2, and 75% by age 3.
Frustration with Communication
If your child often gets frustrated when trying to express their needs or share ideas, it could signal a language or speech delay. Pay attention to how they react when communication breaks down.
Not Following Directions
Children with receptive language delays may struggle to follow simple instructions like “Get your shoes” or “Give me the ball.” This may be more than just inattention. It could reflect difficulty understanding spoken language.
Limited Use of Gestures or Eye Contact
Babies and toddlers should use gestures like pointing, waving, and shaking their heads. If these are missing or delayed, it could be a red flag for a broader communication delay.

When in Doubt, Reach Out

It’s always okay to ask questions and seek support. Trust your instincts. You know your child best. If something feels off or you just want peace of mind, a consultation with a licensed speech-language pathologist can help you move forward with clarity.

Every child’s journey is different, and getting early support can make a world of difference. You’re doing an amazing job simply by being here, learning, and advocating for your child.