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Toddlers
(1-3 Years)

Communication develops rapidly in the toddler years. When speech or understanding is delayed, early support can help reduce frustration and build foundational skills.

Yearly Milestones

1-2 Years 

Speech & Sound Development

Social & Play
Skills

  • Uses early speech sounds: p, b, m, n, d, h, w

  • Begins combining consonant + vowel sounds (“ba,” “da,” “ma”)

  • Attempts simple words

  • Uses changes in pitch to express excitement or emotion

Language Development

  • Uses 2–6+ words around 12–15 months

  • Vocabulary grows to ~50 words by 18–24 months

  • Points to request or show objects

  • Uses gestures like waving, reaching, or shaking head “no”

  • Understands simple directions (“come here,” “get the ball”)

  • Engages in simple back-and-forth play

  • Responds to name

  • Shows interest in people and familiar routines

  • Brings objects to show caregivers

  • Imitates actions before imitating sounds or words

Motor & Everyday Skills

  • Feeds self with fingers and begins using utensils

  • Walks independently and explores the environment

  • Points with index finger

  • Stacks a few blocks or explores toys in different ways

  • Begins helping with simple routines (holding arms out for dressing)

Contact us today to schedule an appointment and learn how early support can help your child thrive.

occupational therapist working with a child to move from colored block to colored block

Understanding “Averages” vs. “Milestones”

Many parents compare their toddler’s speech to milestone charts, but milestones and averages are not the same.

 

Milestone = what 90% of children can do

Average = what about 50% of children can do

 

Example:

  • At 24 months, the milestone is 50 words

  • But the average is 200–300 words

 

A toddler with 40–50 words may appear “close to the milestone,” but may still be far below the average — meaning early support can be helpful.

Common Reasons Families
Seek Therapy

These concerns are very common—and early support can
make a meaningful difference.

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Late Talking

  • Small vocabulary for age

  • Slow progress learning new words

  • Not combining words

Speech Sound Concerns

  • Speech is hard to understand

  • Sounds are dropped (“ca” for “cat”)

  • Limited variety of consonant sounds

Feeding Concerns

  • Difficulty chewing

  • Gagging on textures

  • Limited food variety

  • Difficulty transitioning to table foods

  • Difficulty feeding self with fingers or utensils

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Social/Play Concerns

  • Limited imitation

  • Prefers to play alone

  • Limited pretend play

  • Limited response to name or interaction

  • Not pointing, showing, or sharing objects

Motor & Daily Skills Concerns

  • Using one hand much more than the other

  • Difficulty with self-feeding or early utensils

  • Difficulty calming or regulating emotions

  • Challenges with transitions between activities

Behavior Related to Communication

  • Meltdowns when not understood

  • Increased frustration during communication

  • Difficulty expressing wants or needs

FAQs

Early communication skills develop quickly during the toddler years, and many parents have questions as language, play, and understanding begin to emerge. Below are answers to common questions families ask during early development.

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Don't Navigate Alone

If you’re noticing challenges with your toddler’s communication, feeding, or daily routines, you don’t have to navigate it alone. Our team is here to listen, answer questions, and help guide next steps with care.

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