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    Does my child need speech therapy?

    Does my child need speech therapy? Photo: mikkelwilliam/istock

    Your child and speech
    Parents often find it difficult to determine if their child is speech delayed. We all know the story of “Cousin Johnny” who didn’t say a word at age two but suddenly spoke in full sentences at age three. But is that the norm? “Speech therapy for toddlers and children is not uncommon,” explains Jeanette Podolsky, a Speech-Language Pathologist and the Clinical Director at The Speech Therapy Centres of Canada Ltd. “Knowing the milestones can help in early detection of a speech delay.”

    “Knowing what to look for can make a huge difference in a child’s language development,” explains Podolsky. “If you are concerned, ask your doctor, child’s teacher or caregiver. Or consult a speech-language therapist in your area."

    Here are key milestones your child should be reaching.

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    At 12 months
    Your child should be able to:
    • Anticipate events (for example, a cup or bottle means getting a drink)
    • Begin imitating sounds, words and actions
    • Recognize his or her name
    • Show interest in simple picture books
    • Follow simple directions
    • Point out objects of personal interest to an adult (for example, a favourite toy)

    At 18 months
    Your child should be able to:
    • Use at least 15 words
    • Enjoy solitary play
    • Have a limited sense of sharing
    • Ask simple questions such as "What's that?"
    • Pretend to feed a doll
    • Recognize pictures when named
    • Refer to him or herself by name

    At 2 years
    Your child should be able to:
    • Follow simple directions
    • Put toys away upon request
    • Understand new words rapidly
    • Use at least 50 different words consistently
    • Use two-word phrases such as "mommy up" or "baby sleep"
    • Be understood 50 percent of the time by familiar people

    At 3 years
    Your child should be able to:
    • Enjoy make-believe play
    • Follow two-step commands
    • Use three- to four-word sentences
    • Understand the difference between pictures and print
    • Play in groups with other children
    • Share toys for short periods of time
    • Understand simple questions such as "Who?" , "What?" , "Where" and "Why?"
    • Be understood 75 per cent of the time by familiar people

    At 4 years
    Your child should be able to:
    • Ask a lot of questions
    • Categorize objects (for example, understand that an apple is a fruit)
    • Use four- to five-word sentences
    • Use complex sentences
    • Match some letters with the sounds they represent
    • Play and take turns in playing with others
    • Enjoy role playing
    • Tell stories with a beginning and an end
    • Be understood 90 percent of the time by familiar people

    At 5 years
    Your child should be able to:
    • Follow game rules
    • Discuss feelings
    • Follow three-step commands
    • Use proper grammar 90 percent of the time
    • Use complex sentences and maintain variety in vocabulary
    • Show interest in group activities
    • Speak clearly 90 to 100 percent of the time

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