{"meta":{"status":200,"messages":[],"pagination":{"max":1,"offset":0,"count":1,"total":1,"pageNum":1,"totalPages":1,"sort":null,"currentUrl":"https://api.digitalmedia.hhs.gov/api/v2/resources/media.json?offset=0&max=1&ignoreHiddenMedia=1&format=json&id=16703&newUrlBase=https://www.nidcd.nih.gov/health/","nextUrl":null,"previousUrl":null}},"results":[{"content":"<body>\n <div class=\"syndicate\"> \n  <div> \n   <div> \n    <p><strong>On this page:</strong></p> \n    <ul> \n     <li><a href=\"#1\">How do speech and language develop?</a></li> \n     <li><a href=\"#2\">What are the milestones for speech and language development?</a></li> \n     <li><a href=\"#3\">What is the difference between a speech disorder and a language disorder?</a></li> \n     <li><a href=\"#4\">What should I do if my child\u2019s speech or language appears to be delayed?</a></li> \n     <li><a href=\"#5\">What research is being conducted on developmental speech and language problems?</a></li> \n     <li><a href=\"#6\">Your baby's hearing and communicative development checklist</a></li> \n     <li><a href=\"#7\">Where can I find additional information about speech and language developmental milestones?</a></li> \n    </ul> \n    <!--BEGIN Syndicate Content--> \n    <div class=\"syndicate\"> \n     <h2 autofocus=\"true\">How do speech and language develop?</h2> \n     <p>The first 3 years of life, when the brain is developing and maturing, is the most intensive period for acquiring speech and language skills. These skills develop best in a world that is rich with sounds, sights, and consistent exposure to the speech and language of others.</p> \n     <p>There appear to be critical periods for speech and language development in infants and young children when the brain is best able to absorb language. If these critical periods are allowed to pass without exposure to language, it will be more difficult to learn.</p> \n     <h2>What are the milestones for speech and language development?</h2> \n     <p>The first signs of communication occur when an infant learns that a cry will bring food, comfort, and companionship. Newborns also begin to recognize important sounds in their environment, such as the voice of their mother or primary caretaker. As they grow, babies begin to sort out the speech sounds that compose the words of their language. By 6 months of age, most babies recognize the basic sounds of their native language.</p> \n     <p>Children vary in their development of speech and language skills. However, they follow a natural progression or timetable for mastering the skills of language. A checklist of milestones for the normal development of speech and language skills in children from birth to 5 years of age is included below. These milestones help doctors and other health professionals determine if a child is on track or if he or she may need extra help. Sometimes a delay may be caused by hearing loss, while other times it may be due to a speech or language disorder.</p> \n     <h2>What is the difference between a speech disorder and a language disorder?</h2> \n     <p>Children who have trouble understanding what others say (receptive language) or difficulty sharing their thoughts (expressive language) may have a language disorder. <a href=\"https://www.nidcd.nih.gov/health/developmental-language-disorder\">Developmental language disorder</a>&nbsp;(DLD) is a language disorder that delays the mastery of language skills. Some children with DLD may not begin to talk until their third or fourth year.</p> \n     <p>Children who have trouble producing speech sounds correctly or who hesitate or stutter when talking may have a speech disorder. <a href=\"https://www.nidcd.nih.gov/health/apraxia-speech\">Apraxia of speech</a> is a speech disorder that makes it difficult to put sounds and syllables together in the correct order to form words.</p> \n     <h2>What should I do if my child\u2019s speech or language appears to be delayed?</h2> \n     <p>Talk to your child\u2019s doctor if you have any concerns. Your doctor may refer you to a speech-language pathologist, who is a health professional trained to evaluate and treat people with speech or language disorders. The speech-language pathologist will talk to you about your child\u2019s communication and general development. He or she will also use special spoken tests to evaluate your child. A hearing test is often included in the evaluation because a hearing problem can affect speech and language development. Depending on the result of the evaluation, the speech-language pathologist may suggest activities you can do at home to stimulate your child\u2019s development. They might also recommend group or individual therapy or suggest further evaluation by an audiologist (a health care professional trained to identify and measure hearing loss), or a developmental psychologist (a health care professional with special expertise in the psychological development of infants and children).</p> \n     <h2>What research is being conducted on developmental speech and language problems?</h2> \n     <p>The National Institute on Deafness and Other Communication Disorders (NIDCD) sponsors a broad range of research to better understand the development of speech and language disorders, improve diagnostic capabilities, and fine-tune more effective treatments. An ongoing area of study is the search for better ways to diagnose and differentiate among the various types of speech delay. A large study following approximately 4,000 children is gathering data as the children grow to establish reliable signs and symptoms for specific speech disorders, which can then be used to develop accurate diagnostic tests. Additional genetic studies are looking for matches between different genetic variations and specific speech deficits.</p> \n     <p>Researchers sponsored by the NIDCD have discovered one genetic variant, in particular, that is linked to developmental language disorder (DLD), a disorder that delays children\u2019s use of words and slows their mastery of language skills throughout their school years. The finding is the first to tie the presence of a distinct genetic mutation to any kind of inherited language impairment. Further research is exploring the role this genetic variant may also play in dyslexia, autism, and speech-sound disorders.</p> \n     <p>A long-term study looking at how deafness impacts the brain is exploring how the brain \u201crewires\u201d itself to accommodate deafness. So far, the research has shown that adults who are deaf react faster and more accurately than hearing adults when they observe objects in motion. This ongoing research continues to explore the concept of \u201cbrain plasticity\u201d\u2014the ways in which the brain is influenced by health conditions or life experiences\u2014and how it can be used to develop learning strategies that encourage healthy language and speech development in early childhood.</p> \n     <p><a href=\"https://www.nidcd.nih.gov/workshops/10autism/nih-workshop-nonverbal-school-aged-children-autism-0\">A recent workshop convened by the NIDCD</a> drew together a group of experts to explore issues related to a subgroup of children with autism spectrum disorders who do not have functional verbal language by the age of 5. Because these children are so different from one another, with no set of defining characteristics or patterns of cognitive strengths or weaknesses, development of standard assessment tests or effective treatments has been difficult. The workshop featured a series of presentations to familiarize participants with the challenges facing these children and helped them to identify a number of research gaps and opportunities that could be addressed in future research studies.</p> \n     <div> \n      <h2>What are voice, speech, and language?</h2> \n      <p>Voice, speech, and language are the tools we use to communicate with each other.</p> \n      <p><strong>Voice</strong> is the sound we make as air from our lungs is pushed between vocal folds in our larynx, causing them to vibrate.</p> \n      <p><strong>Speech</strong> is talking, which is one way to express language. It involves the precisely coordinated muscle actions of the tongue, lips, jaw, and vocal tract to produce the recognizable sounds that make up language.</p> \n      <p><strong>Language</strong> is a set of shared rules that allow people to express their ideas in a meaningful way. Language may be expressed verbally or by writing, signing, or making other gestures, such as eye blinking or mouth movements.</p> \n     </div> \n     <h2>Your baby\u2019s hearing and communicative development checklist</h2> \n     <h3>Birth to 3 Months</h3> \n     <div> \n      <div>\n        Reacts to loud sounds \n       <div> \n        <label for=\"yes1\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no1\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Calms down or smiles when spoken to \n       <div> \n        <label for=\"yes2\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no2\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Recognizes your voice and calms down if crying \n       <div> \n        <label for=\"yes3\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no3\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        When feeding, starts or stops sucking in response to sound \n       <div> \n        <label for=\"yes4\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no4\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Coos and makes pleasure sounds \n       <div> \n        <label for=\"yes5\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no5\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Has a special way of crying for different needs \n       <div> \n        <label for=\"yes6\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no6\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Smiles when he or she sees you \n       <div> \n        <label for=\"yes61\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no6\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <h3>4 to 6 Months</h3> \n      <div>\n        Follows sounds with his or her eyes \n       <div> \n        <label for=\"yes7\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no7\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Responds to changes in the tone of your voice \n       <div> \n        <label for=\"yes8\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no8\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Notices toys that make sounds \n       <div> \n        <label for=\"yes9\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no9\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Pays attention to music \n       <div> \n        <label for=\"yes10\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no10\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Babbles in a speech-like way and uses many different sounds, including sounds that begin with p, b, and m \n       <div> \n        <label for=\"yes11\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no11\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Laughs \n       <div> \n        <label for=\"yes12\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no12\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Babbles when excited or unhappy \n       <div> \n        <label for=\"yes121\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no12\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Makes gurgling sounds when alone or playing \n       <br> with you \n       <div> \n        <label for=\"yes122\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no12\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <h3>7 Months to 1 Year</h3> \n      <div>\n        Enjoys playing peek-a-boo and pat-a-cake \n       <div> \n        <label for=\"yes13\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no13\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Turns and looks in the direction of sounds \n       <div> \n        <label for=\"yes14\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no14\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Listens when spoken to \n       <div> \n        <label for=\"yes15\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no15\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Understands words for common items such as \u201ccup,\u201d \u201cshoe,\u201d or \u201cjuice\u201d \n       <div> \n        <label for=\"yes16\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no16\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Responds to requests (\u201cCome here\u201d) \n       <div> \n        <label for=\"yes17\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no17\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Babbles using long and short groups of sounds (\u201ctata, upup, bibibi\u201d) \n       <div> \n        <label for=\"yes171\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no17\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Babbles to get and keep attention \n       <div> \n        <label for=\"yes172\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no17\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Communicates using gestures such as waving or holding up arms \n       <div> \n        <label for=\"yes173\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no17\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Imitates different speech sounds \n       <div> \n        <label for=\"yes174\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no17\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Has one or two words (\u201cHi,\u201d \u201cdog,\u201d \u201cDada,\u201d or \u201cMama\u201d) by first birthday \n       <div> \n        <label for=\"yes175\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no17\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <h3>1 to 2 Years</h3> \n      <div>\n        Knows a few parts of the body and can point to them when asked \n       <div> \n        <label for=\"yes18\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no18\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Follows simple commands (\u201cRoll the ball\u201d) and understands simple questions (\u201cWhere\u2019s your shoe?\u201d) \n       <div> \n        <label for=\"yes19\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no19\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Enjoys simple stories, songs, and rhymes \n       <div> \n        <label for=\"yes20\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no20\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Points to pictures, when named, in books \n       <div> \n        <label for=\"yes211\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no21\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Acquires new words on a regular basis \n       <div> \n        <label for=\"yes212\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no21\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Uses some one- or two-word questions (\u201cWhere kitty?\u201d or \u201cGo bye-bye?\u201d) \n       <div> \n        <label for=\"yes213\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no21\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Puts two words together (\u201cMore cookie\u201d) \n       <div> \n        <label for=\"yes214\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no21\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Uses many different consonant sounds at the beginning of words \n       <div> \n        <label for=\"yes215\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no21\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <h3>2 to 3 Years</h3> \n      <div>\n        Has a word for almost everything \n       <div> \n        <label for=\"yes22\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no22\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Uses two- or three-word phrases to talk about and ask for things \n       <div> \n        <label for=\"yes23\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no23\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Uses k, g, f, t, d, and n sounds \n       <div> \n        <label for=\"yes24\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no24\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Speaks in a way that is understood by family members and friends \n       <div> \n        <label for=\"yes25\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no25\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Names objects to ask for them or to direct attention to them \n       <div> \n        <label for=\"yes251\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no25\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <h3>3 to 4 Years</h3> \n      <div>\n        Hears you when you call from another room \n       <div> \n        <label for=\"yes26\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no26\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Hears the television or radio at the same sound level as other \n       <br> family members \n       <div> \n        <label for=\"yes27\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no27\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Answers simple \u201cWho?\u201d \u201cWhat?\u201d \u201cWhere?\u201d and \u201cWhy?\u201d questions \n       <div> \n        <label for=\"yes28\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no28\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Talks about activities at daycare, preschool, or friends\u2019 homes \n       <div> \n        <label for=\"yes29\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no29\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Uses sentences with four or more words \n       <div> \n        <label for=\"yes291\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no29\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Speaks easily without having to repeat syllables or words \n       <div> \n        <label for=\"yes292\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no29\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <h3>4 to 5 Years</h3> \n      <div>\n        Pays attention to a short story and answers simple questions about it \n       <div> \n        <label for=\"yes261\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no26\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Hears and understands most of what is said at home and in school \n       <div> \n        <label for=\"yes271\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no27\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Uses sentences that give many details \n       <div> \n        <label for=\"yes281\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no28\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Tells stories that stay on topic \n       <div> \n        <label for=\"yes293\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no29\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Communicates easily with other children and adults \n       <div> \n        <label for=\"yes294\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no29\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Says most sounds correctly except for a few (l, s, r, v, z, ch, sh, and th) \n       <div> \n        <label for=\"yes295\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no29\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Uses rhyming words \n       <div> \n        <label for=\"yes296\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no29\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Names some letters and numbers \n       <div> \n        <label for=\"yes297\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no29\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n      <div>\n        Uses adult grammar \n       <div> \n        <label for=\"yes298\">YES</label> \n        <input type=\"checkbox\" value=\"on\"> \n        <label for=\"no29\">NO</label> \n        <input type=\"checkbox\" value=\"on\"> \n       </div> \n      </div> \n     </div> \n     <p>This checklist is based upon <em>How Does Your Child Hear and Talk</em>?, courtesy of the American Speech\u2013Language\u2013Hearing Association.</p> \n     <h2>Where can I find additional information about speech and language developmental milestones?</h2> \n     <p>The NIDCD maintains a <a href=\"https://www.nidcd.nih.gov/directory\">directory of organizations</a> that provide information on the normal and disordered processes of hearing, balance, taste, smell, voice, speech, and language.</p> \n     <p>Use the following keywords to help you find organizations that can answer questions and provide information on speech and language development:</p> \n     <ul> \n      <li><a href=\"https://www.nidcd.nih.gov/directory?combine=hearing+loss\">Early identification of hearing loss in children</a></li> \n      <li><a href=\"https://www.nidcd.nih.gov/directory?combine=Language\">Language</a></li> \n      <li><a href=\"https://www.nidcd.nih.gov/directory?combine=Speech-language+pathologists\">Speech-language pathologists</a></li> \n     </ul> \n    </div> \n    <!--END Syndicate Content--> \n    <p>For more information, contact us at:</p> \n    <p><strong>NIDCD Information Clearinghouse</strong><br> 1 Communication Avenue<br> Bethesda, MD 20892-3456<br> Toll-free voice: (800) 241-1044<br> Toll-free TTY: (800) 241-1055<br> Email: <a href=\"mailto:nidcdinfo@nidcd.nih.gov\">nidcdinfo@nidcd.nih.gov</a></p> \n    <p>NIH Publication No. 00-4781<br> September 2010</p> \n    <p>*Note: PDF files require a viewer such as the free <a href=\"http://get.adobe.com/reader/\">Adobe Reader</a>.</p> \n   </div> \n  </div> \n </div> \n <div class=\"syndicate\"> \n  <h2 autofocus=\"true\">How do speech and language develop?</h2> \n  <p>The first 3 years of life, when the brain is developing and maturing, is the most intensive period for acquiring speech and language skills. These skills develop best in a world that is rich with sounds, sights, and consistent exposure to the speech and language of others.</p> \n  <p>There appear to be critical periods for speech and language development in infants and young children when the brain is best able to absorb language. If these critical periods are allowed to pass without exposure to language, it will be more difficult to learn.</p> \n  <h2>What are the milestones for speech and language development?</h2> \n  <p>The first signs of communication occur when an infant learns that a cry will bring food, comfort, and companionship. Newborns also begin to recognize important sounds in their environment, such as the voice of their mother or primary caretaker. As they grow, babies begin to sort out the speech sounds that compose the words of their language. By 6 months of age, most babies recognize the basic sounds of their native language.</p> \n  <p>Children vary in their development of speech and language skills. However, they follow a natural progression or timetable for mastering the skills of language. A checklist of milestones for the normal development of speech and language skills in children from birth to 5 years of age is included below. These milestones help doctors and other health professionals determine if a child is on track or if he or she may need extra help. Sometimes a delay may be caused by hearing loss, while other times it may be due to a speech or language disorder.</p> \n  <h2>What is the difference between a speech disorder and a language disorder?</h2> \n  <p>Children who have trouble understanding what others say (receptive language) or difficulty sharing their thoughts (expressive language) may have a language disorder. <a href=\"https://www.nidcd.nih.gov/health/developmental-language-disorder\">Developmental language disorder</a>&nbsp;(DLD) is a language disorder that delays the mastery of language skills. Some children with DLD may not begin to talk until their third or fourth year.</p> \n  <p>Children who have trouble producing speech sounds correctly or who hesitate or stutter when talking may have a speech disorder. <a href=\"https://www.nidcd.nih.gov/health/apraxia-speech\">Apraxia of speech</a> is a speech disorder that makes it difficult to put sounds and syllables together in the correct order to form words.</p> \n  <h2>What should I do if my child\u2019s speech or language appears to be delayed?</h2> \n  <p>Talk to your child\u2019s doctor if you have any concerns. Your doctor may refer you to a speech-language pathologist, who is a health professional trained to evaluate and treat people with speech or language disorders. The speech-language pathologist will talk to you about your child\u2019s communication and general development. He or she will also use special spoken tests to evaluate your child. A hearing test is often included in the evaluation because a hearing problem can affect speech and language development. Depending on the result of the evaluation, the speech-language pathologist may suggest activities you can do at home to stimulate your child\u2019s development. They might also recommend group or individual therapy or suggest further evaluation by an audiologist (a health care professional trained to identify and measure hearing loss), or a developmental psychologist (a health care professional with special expertise in the psychological development of infants and children).</p> \n  <h2>What research is being conducted on developmental speech and language problems?</h2> \n  <p>The National Institute on Deafness and Other Communication Disorders (NIDCD) sponsors a broad range of research to better understand the development of speech and language disorders, improve diagnostic capabilities, and fine-tune more effective treatments. An ongoing area of study is the search for better ways to diagnose and differentiate among the various types of speech delay. A large study following approximately 4,000 children is gathering data as the children grow to establish reliable signs and symptoms for specific speech disorders, which can then be used to develop accurate diagnostic tests. Additional genetic studies are looking for matches between different genetic variations and specific speech deficits.</p> \n  <p>Researchers sponsored by the NIDCD have discovered one genetic variant, in particular, that is linked to developmental language disorder (DLD), a disorder that delays children\u2019s use of words and slows their mastery of language skills throughout their school years. The finding is the first to tie the presence of a distinct genetic mutation to any kind of inherited language impairment. Further research is exploring the role this genetic variant may also play in dyslexia, autism, and speech-sound disorders.</p> \n  <p>A long-term study looking at how deafness impacts the brain is exploring how the brain \u201crewires\u201d itself to accommodate deafness. So far, the research has shown that adults who are deaf react faster and more accurately than hearing adults when they observe objects in motion. This ongoing research continues to explore the concept of \u201cbrain plasticity\u201d\u2014the ways in which the brain is influenced by health conditions or life experiences\u2014and how it can be used to develop learning strategies that encourage healthy language and speech development in early childhood.</p> \n  <p><a href=\"https://www.nidcd.nih.gov/workshops/10autism/nih-workshop-nonverbal-school-aged-children-autism-0\">A recent workshop convened by the NIDCD</a> drew together a group of experts to explore issues related to a subgroup of children with autism spectrum disorders who do not have functional verbal language by the age of 5. Because these children are so different from one another, with no set of defining characteristics or patterns of cognitive strengths or weaknesses, development of standard assessment tests or effective treatments has been difficult. The workshop featured a series of presentations to familiarize participants with the challenges facing these children and helped them to identify a number of research gaps and opportunities that could be addressed in future research studies.</p> \n  <div> \n   <h2>What are voice, speech, and language?</h2> \n   <p>Voice, speech, and language are the tools we use to communicate with each other.</p> \n   <p><strong>Voice</strong> is the sound we make as air from our lungs is pushed between vocal folds in our larynx, causing them to vibrate.</p> \n   <p><strong>Speech</strong> is talking, which is one way to express language. It involves the precisely coordinated muscle actions of the tongue, lips, jaw, and vocal tract to produce the recognizable sounds that make up language.</p> \n   <p><strong>Language</strong> is a set of shared rules that allow people to express their ideas in a meaningful way. Language may be expressed verbally or by writing, signing, or making other gestures, such as eye blinking or mouth movements.</p> \n  </div> \n  <h2>Your baby\u2019s hearing and communicative development checklist</h2> \n  <h3>Birth to 3 Months</h3> \n  <div> \n   <div>\n     Reacts to loud sounds \n    <div> \n     <label for=\"yes1\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no1\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Calms down or smiles when spoken to \n    <div> \n     <label for=\"yes2\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no2\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Recognizes your voice and calms down if crying \n    <div> \n     <label for=\"yes3\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no3\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     When feeding, starts or stops sucking in response to sound \n    <div> \n     <label for=\"yes4\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no4\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Coos and makes pleasure sounds \n    <div> \n     <label for=\"yes5\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no5\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Has a special way of crying for different needs \n    <div> \n     <label for=\"yes6\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no6\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Smiles when he or she sees you \n    <div> \n     <label for=\"yes61\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no6\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>4 to 6 Months</h3> \n   <div>\n     Follows sounds with his or her eyes \n    <div> \n     <label for=\"yes7\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no7\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Responds to changes in the tone of your voice \n    <div> \n     <label for=\"yes8\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no8\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Notices toys that make sounds \n    <div> \n     <label for=\"yes9\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no9\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Pays attention to music \n    <div> \n     <label for=\"yes10\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no10\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Babbles in a speech-like way and uses many different sounds, including sounds that begin with p, b, and m \n    <div> \n     <label for=\"yes11\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no11\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Laughs \n    <div> \n     <label for=\"yes12\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no12\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Babbles when excited or unhappy \n    <div> \n     <label for=\"yes121\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no12\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Makes gurgling sounds when alone or playing \n    <br> with you \n    <div> \n     <label for=\"yes122\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no12\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>7 Months to 1 Year</h3> \n   <div>\n     Enjoys playing peek-a-boo and pat-a-cake \n    <div> \n     <label for=\"yes13\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no13\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Turns and looks in the direction of sounds \n    <div> \n     <label for=\"yes14\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no14\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Listens when spoken to \n    <div> \n     <label for=\"yes15\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no15\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Understands words for common items such as \u201ccup,\u201d \u201cshoe,\u201d or \u201cjuice\u201d \n    <div> \n     <label for=\"yes16\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no16\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Responds to requests (\u201cCome here\u201d) \n    <div> \n     <label for=\"yes17\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Babbles using long and short groups of sounds (\u201ctata, upup, bibibi\u201d) \n    <div> \n     <label for=\"yes171\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Babbles to get and keep attention \n    <div> \n     <label for=\"yes172\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Communicates using gestures such as waving or holding up arms \n    <div> \n     <label for=\"yes173\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Imitates different speech sounds \n    <div> \n     <label for=\"yes174\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Has one or two words (\u201cHi,\u201d \u201cdog,\u201d \u201cDada,\u201d or \u201cMama\u201d) by first birthday \n    <div> \n     <label for=\"yes175\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>1 to 2 Years</h3> \n   <div>\n     Knows a few parts of the body and can point to them when asked \n    <div> \n     <label for=\"yes18\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no18\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Follows simple commands (\u201cRoll the ball\u201d) and understands simple questions (\u201cWhere\u2019s your shoe?\u201d) \n    <div> \n     <label for=\"yes19\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no19\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Enjoys simple stories, songs, and rhymes \n    <div> \n     <label for=\"yes20\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no20\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Points to pictures, when named, in books \n    <div> \n     <label for=\"yes211\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no21\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Acquires new words on a regular basis \n    <div> \n     <label for=\"yes212\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no21\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses some one- or two-word questions (\u201cWhere kitty?\u201d or \u201cGo bye-bye?\u201d) \n    <div> \n     <label for=\"yes213\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no21\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Puts two words together (\u201cMore cookie\u201d) \n    <div> \n     <label for=\"yes214\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no21\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses many different consonant sounds at the beginning of words \n    <div> \n     <label for=\"yes215\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no21\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>2 to 3 Years</h3> \n   <div>\n     Has a word for almost everything \n    <div> \n     <label for=\"yes22\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no22\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses two- or three-word phrases to talk about and ask for things \n    <div> \n     <label for=\"yes23\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no23\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses k, g, f, t, d, and n sounds \n    <div> \n     <label for=\"yes24\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no24\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Speaks in a way that is understood by family members and friends \n    <div> \n     <label for=\"yes25\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no25\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Names objects to ask for them or to direct attention to them \n    <div> \n     <label for=\"yes251\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no25\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>3 to 4 Years</h3> \n   <div>\n     Hears you when you call from another room \n    <div> \n     <label for=\"yes26\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no26\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Hears the television or radio at the same sound level as other \n    <br> family members \n    <div> \n     <label for=\"yes27\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no27\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Answers simple \u201cWho?\u201d \u201cWhat?\u201d \u201cWhere?\u201d and \u201cWhy?\u201d questions \n    <div> \n     <label for=\"yes28\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no28\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Talks about activities at daycare, preschool, or friends\u2019 homes \n    <div> \n     <label for=\"yes29\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses sentences with four or more words \n    <div> \n     <label for=\"yes291\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Speaks easily without having to repeat syllables or words \n    <div> \n     <label for=\"yes292\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>4 to 5 Years</h3> \n   <div>\n     Pays attention to a short story and answers simple questions about it \n    <div> \n     <label for=\"yes261\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no26\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Hears and understands most of what is said at home and in school \n    <div> \n     <label for=\"yes271\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no27\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses sentences that give many details \n    <div> \n     <label for=\"yes281\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no28\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Tells stories that stay on topic \n    <div> \n     <label for=\"yes293\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Communicates easily with other children and adults \n    <div> \n     <label for=\"yes294\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Says most sounds correctly except for a few (l, s, r, v, z, ch, sh, and th) \n    <div> \n     <label for=\"yes295\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses rhyming words \n    <div> \n     <label for=\"yes296\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Names some letters and numbers \n    <div> \n     <label for=\"yes297\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses adult grammar \n    <div> \n     <label for=\"yes298\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n  </div> \n  <p>This checklist is based upon <em>How Does Your Child Hear and Talk</em>?, courtesy of the American Speech\u2013Language\u2013Hearing Association.</p> \n  <h2>Where can I find additional information about speech and language developmental milestones?</h2> \n  <p>The NIDCD maintains a <a href=\"https://www.nidcd.nih.gov/directory\">directory of organizations</a> that provide information on the normal and disordered processes of hearing, balance, taste, smell, voice, speech, and language.</p> \n  <p>Use the following keywords to help you find organizations that can answer questions and provide information on speech and language development:</p> \n  <ul> \n   <li><a href=\"https://www.nidcd.nih.gov/directory?combine=hearing+loss\">Early identification of hearing loss in children</a></li> \n   <li><a href=\"https://www.nidcd.nih.gov/directory?combine=Language\">Language</a></li> \n   <li><a href=\"https://www.nidcd.nih.gov/directory?combine=Speech-language+pathologists\">Speech-language pathologists</a></li> \n  </ul> \n </div> \n <div class=\"syndicate\"> \n  <h2>How do speech and language develop?</h2> \n  <p>The first 3 years of life, when the brain is developing and maturing, is the most intensive period for acquiring speech and language skills. These skills develop best in a world that is rich with sounds, sights, and consistent exposure to the speech and language of others.</p> \n  <p>There appear to be critical periods for speech and language development in infants and young children when the brain is best able to absorb language. If these critical periods are allowed to pass without exposure to language, it will be more difficult to learn.</p> \n  <h2>What are the milestones for speech and language development?</h2> \n  <p>The first signs of communication occur when an infant learns that a cry will bring food, comfort, and companionship. Newborns also begin to recognize important sounds in their environment, such as the voice of their mother or primary caretaker. As they grow, babies begin to sort out the speech sounds that compose the words of their language. By 6 months of age, most babies recognize the basic sounds of their native language.</p> \n  <p>Children vary in their development of speech and language skills. However, they follow a natural progression or timetable for mastering the skills of language. A checklist of milestones for the normal development of speech and language skills in children from birth to 5 years of age is included below. These milestones help doctors and other health professionals determine if a child is on track or if he or she may need extra help. Sometimes a delay may be caused by hearing loss, while other times it may be due to a speech or language disorder.</p> \n  <h2>What is the difference between a speech disorder and a language disorder?</h2> \n  <p>Children who have trouble understanding what others say (receptive language) or difficulty sharing their thoughts (expressive language) may have a language disorder. <a href=\"https://www.nidcd.nih.gov/health/developmental-language-disorder\">Developmental language disorder</a>&nbsp;(DLD) is a language disorder that delays the mastery of language skills. Some children with DLD may not begin to talk until their third or fourth year.</p> \n  <p>Children who have trouble producing speech sounds correctly or who hesitate or stutter when talking may have a speech disorder. <a href=\"https://www.nidcd.nih.gov/health/apraxia-speech\">Apraxia of speech</a> is a speech disorder that makes it difficult to put sounds and syllables together in the correct order to form words.</p> \n  <h2>What should I do if my child\u2019s speech or language appears to be delayed?</h2> \n  <p>Talk to your child\u2019s doctor if you have any concerns. Your doctor may refer you to a speech-language pathologist, who is a health professional trained to evaluate and treat people with speech or language disorders. The speech-language pathologist will talk to you about your child\u2019s communication and general development. He or she will also use special spoken tests to evaluate your child. A hearing test is often included in the evaluation because a hearing problem can affect speech and language development. Depending on the result of the evaluation, the speech-language pathologist may suggest activities you can do at home to stimulate your child\u2019s development. They might also recommend group or individual therapy or suggest further evaluation by an audiologist (a health care professional trained to identify and measure hearing loss), or a developmental psychologist (a health care professional with special expertise in the psychological development of infants and children).</p> \n  <h2>What research is being conducted on developmental speech and language problems?</h2> \n  <p>The National Institute on Deafness and Other Communication Disorders (NIDCD) sponsors a broad range of research to better understand the development of speech and language disorders, improve diagnostic capabilities, and fine-tune more effective treatments. An ongoing area of study is the search for better ways to diagnose and differentiate among the various types of speech delay. A large study following approximately 4,000 children is gathering data as the children grow to establish reliable signs and symptoms for specific speech disorders, which can then be used to develop accurate diagnostic tests. Additional genetic studies are looking for matches between different genetic variations and specific speech deficits.</p> \n  <p>Researchers sponsored by the NIDCD have discovered one genetic variant, in particular, that is linked to developmental language disorder (DLD), a disorder that delays children\u2019s use of words and slows their mastery of language skills throughout their school years. The finding is the first to tie the presence of a distinct genetic mutation to any kind of inherited language impairment. Further research is exploring the role this genetic variant may also play in dyslexia, autism, and speech-sound disorders.</p> \n  <p>A long-term study looking at how deafness impacts the brain is exploring how the brain \u201crewires\u201d itself to accommodate deafness. So far, the research has shown that adults who are deaf react faster and more accurately than hearing adults when they observe objects in motion. This ongoing research continues to explore the concept of \u201cbrain plasticity\u201d\u2014the ways in which the brain is influenced by health conditions or life experiences\u2014and how it can be used to develop learning strategies that encourage healthy language and speech development in early childhood.</p> \n  <p><a href=\"https://www.nidcd.nih.gov/workshops/10autism/nih-workshop-nonverbal-school-aged-children-autism-0\">A recent workshop convened by the NIDCD</a> drew together a group of experts to explore issues related to a subgroup of children with autism spectrum disorders who do not have functional verbal language by the age of 5. Because these children are so different from one another, with no set of defining characteristics or patterns of cognitive strengths or weaknesses, development of standard assessment tests or effective treatments has been difficult. The workshop featured a series of presentations to familiarize participants with the challenges facing these children and helped them to identify a number of research gaps and opportunities that could be addressed in future research studies.</p> \n  <div> \n   <h2>What are voice, speech, and language?</h2> \n   <p>Voice, speech, and language are the tools we use to communicate with each other.</p> \n   <p><strong>Voice</strong> is the sound we make as air from our lungs is pushed between vocal folds in our larynx, causing them to vibrate.</p> \n   <p><strong>Speech</strong> is talking, which is one way to express language. It involves the precisely coordinated muscle actions of the tongue, lips, jaw, and vocal tract to produce the recognizable sounds that make up language.</p> \n   <p><strong>Language</strong> is a set of shared rules that allow people to express their ideas in a meaningful way. Language may be expressed verbally or by writing, signing, or making other gestures, such as eye blinking or mouth movements.</p> \n  </div> \n  <h2>Your baby\u2019s hearing and communicative development checklist</h2> \n  <h3>Birth to 3 Months</h3> \n  <div> \n   <div>\n     Reacts to loud sounds \n    <div> \n     <label for=\"yes1\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no1\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Calms down or smiles when spoken to \n    <div> \n     <label for=\"yes2\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no2\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Recognizes your voice and calms down if crying \n    <div> \n     <label for=\"yes3\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no3\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     When feeding, starts or stops sucking in response to sound \n    <div> \n     <label for=\"yes4\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no4\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Coos and makes pleasure sounds \n    <div> \n     <label for=\"yes5\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no5\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Has a special way of crying for different needs \n    <div> \n     <label for=\"yes6\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no6\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Smiles when he or she sees you \n    <div> \n     <label for=\"yes61\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no6\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>4 to 6 Months</h3> \n   <div>\n     Follows sounds with his or her eyes \n    <div> \n     <label for=\"yes7\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no7\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Responds to changes in the tone of your voice \n    <div> \n     <label for=\"yes8\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no8\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Notices toys that make sounds \n    <div> \n     <label for=\"yes9\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no9\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Pays attention to music \n    <div> \n     <label for=\"yes10\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no10\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Babbles in a speech-like way and uses many different sounds, including sounds that begin with p, b, and m \n    <div> \n     <label for=\"yes11\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no11\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Laughs \n    <div> \n     <label for=\"yes12\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no12\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Babbles when excited or unhappy \n    <div> \n     <label for=\"yes121\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no12\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Makes gurgling sounds when alone or playing \n    <br> with you \n    <div> \n     <label for=\"yes122\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no12\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>7 Months to 1 Year</h3> \n   <div>\n     Enjoys playing peek-a-boo and pat-a-cake \n    <div> \n     <label for=\"yes13\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no13\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Turns and looks in the direction of sounds \n    <div> \n     <label for=\"yes14\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no14\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Listens when spoken to \n    <div> \n     <label for=\"yes15\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no15\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Understands words for common items such as \u201ccup,\u201d \u201cshoe,\u201d or \u201cjuice\u201d \n    <div> \n     <label for=\"yes16\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no16\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Responds to requests (\u201cCome here\u201d) \n    <div> \n     <label for=\"yes17\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Babbles using long and short groups of sounds (\u201ctata, upup, bibibi\u201d) \n    <div> \n     <label for=\"yes171\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Babbles to get and keep attention \n    <div> \n     <label for=\"yes172\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Communicates using gestures such as waving or holding up arms \n    <div> \n     <label for=\"yes173\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Imitates different speech sounds \n    <div> \n     <label for=\"yes174\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Has one or two words (\u201cHi,\u201d \u201cdog,\u201d \u201cDada,\u201d or \u201cMama\u201d) by first birthday \n    <div> \n     <label for=\"yes175\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no17\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>1 to 2 Years</h3> \n   <div>\n     Knows a few parts of the body and can point to them when asked \n    <div> \n     <label for=\"yes18\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no18\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Follows simple commands (\u201cRoll the ball\u201d) and understands simple questions (\u201cWhere\u2019s your shoe?\u201d) \n    <div> \n     <label for=\"yes19\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no19\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Enjoys simple stories, songs, and rhymes \n    <div> \n     <label for=\"yes20\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no20\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Points to pictures, when named, in books \n    <div> \n     <label for=\"yes211\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no21\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Acquires new words on a regular basis \n    <div> \n     <label for=\"yes212\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no21\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses some one- or two-word questions (\u201cWhere kitty?\u201d or \u201cGo bye-bye?\u201d) \n    <div> \n     <label for=\"yes213\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no21\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Puts two words together (\u201cMore cookie\u201d) \n    <div> \n     <label for=\"yes214\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no21\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses many different consonant sounds at the beginning of words \n    <div> \n     <label for=\"yes215\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no21\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>2 to 3 Years</h3> \n   <div>\n     Has a word for almost everything \n    <div> \n     <label for=\"yes22\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no22\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses two- or three-word phrases to talk about and ask for things \n    <div> \n     <label for=\"yes23\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no23\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses k, g, f, t, d, and n sounds \n    <div> \n     <label for=\"yes24\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no24\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Speaks in a way that is understood by family members and friends \n    <div> \n     <label for=\"yes25\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no25\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Names objects to ask for them or to direct attention to them \n    <div> \n     <label for=\"yes251\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no25\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>3 to 4 Years</h3> \n   <div>\n     Hears you when you call from another room \n    <div> \n     <label for=\"yes26\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no26\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Hears the television or radio at the same sound level as other \n    <br> family members \n    <div> \n     <label for=\"yes27\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no27\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Answers simple \u201cWho?\u201d \u201cWhat?\u201d \u201cWhere?\u201d and \u201cWhy?\u201d questions \n    <div> \n     <label for=\"yes28\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no28\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Talks about activities at daycare, preschool, or friends\u2019 homes \n    <div> \n     <label for=\"yes29\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses sentences with four or more words \n    <div> \n     <label for=\"yes291\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Speaks easily without having to repeat syllables or words \n    <div> \n     <label for=\"yes292\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <h3>4 to 5 Years</h3> \n   <div>\n     Pays attention to a short story and answers simple questions about it \n    <div> \n     <label for=\"yes261\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no26\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Hears and understands most of what is said at home and in school \n    <div> \n     <label for=\"yes271\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no27\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses sentences that give many details \n    <div> \n     <label for=\"yes281\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no28\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Tells stories that stay on topic \n    <div> \n     <label for=\"yes293\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Communicates easily with other children and adults \n    <div> \n     <label for=\"yes294\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Says most sounds correctly except for a few (l, s, r, v, z, ch, sh, and th) \n    <div> \n     <label for=\"yes295\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses rhyming words \n    <div> \n     <label for=\"yes296\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Names some letters and numbers \n    <div> \n     <label for=\"yes297\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n   <div>\n     Uses adult grammar \n    <div> \n     <label for=\"yes298\">YES</label> \n     <input type=\"checkbox\" value=\"on\"> \n     <label for=\"no29\">NO</label> \n     <input type=\"checkbox\" value=\"on\"> \n    </div> \n   </div> \n  </div> \n  <p>This checklist is based upon <em>How Does Your Child Hear and Talk</em>?, courtesy of the American Speech\u2013Language\u2013Hearing Association.</p> \n  <h2>Where can I find additional information about speech and language developmental milestones?</h2> \n  <p>The NIDCD maintains a <a href=\"https://www.nidcd.nih.gov/directory\">directory of organizations</a> that provide information on the normal and disordered processes of hearing, balance, taste, smell, voice, speech, and language.</p> \n  <p>Use the following keywords to help you find organizations that can answer questions and provide information on speech and language development:</p> \n  <ul> \n   <li><a href=\"https://www.nidcd.nih.gov/directory?combine=hearing+loss\">Early identification of hearing loss in children</a></li> \n   <li><a href=\"https://www.nidcd.nih.gov/directory?combine=Language\">Language</a></li> \n   <li><a href=\"https://www.nidcd.nih.gov/directory?combine=Speech-language+pathologists\">Speech-language pathologists</a></li> \n  </ul> \n </div>\n <script type=\"application/ld+json\">{\"@context\":\"http://schema.org\",\"@type\":\"Article\",\"headline\":\"Speech and Language Developmental Milestones\",\"datePublished\":\"2017-06-19T15:06:00Z\",\"description\":\"The first 3 years of life, when the brain is developing and maturing, is the most intensive period for acquiring speech and language skills. These skills develop best in a world that is rich with sounds, sights, and consistent exposure to the speech and language of others.\",\"about\":\"Speeches, language, language disorder, speech disorder\",\"audience\":\"\",\"dateCreated\":\"2017-06-19T15:06:00Z\",\"dateModified\":\"2023-59-28T00:59:37Z\",\"sourceOrganization\":\"National Institute on Deafness and Other Communication Disorders\"}</script>\n</body><div class='syndicate'><span><Strong>Syndicated Content Details:</strong></span><br/><span>Source URL: <a href='https://www.nidcd.nih.gov/health/speech-and-language'>https://www.nidcd.nih.gov/health/speech-and-language</a></span><br/><span>Source Agency: <a href='https://www.nidcd.nih.gov'>National Institute on Deafness and Other Communication Disorders (NIDCD)</a></span><br/><span>Captured Date: 2017-05-19 15:06:00.0</span><br/></div><iframe src=\"//www.googletagmanager.com/ns.html?id=GTM-KT9TM9&mediaId=16703&mediaType=html&sourceUrl=https%3A%2F%2Fwww.nidcd.nih.gov%2Fhealth%2Fspeech-and-language&userId=-1&sourceId=35&sourceAcronym=NIDCD&campaignId=-1&campaignName=null&languageId=1&isoCode=eng\" height=\"0\" width=\"0\" style=\"display:none;visibility:hidden\"></iframe><noscript><iframe src=\"//www.googletagmanager.com/ns.html?id=GTM-KT9TM9&mediaId=16703&mediaType=html&sourceUrl=https%3A%2F%2Fwww.nidcd.nih.gov%2Fhealth%2Fspeech-and-language&userId=-1&sourceId=35&sourceAcronym=NIDCD&campaignId=-1&campaignName=null&languageId=1&isoCode=eng\" height=\"0\" width=\"0\" style=\"display:none;visibility:hidden\"></iframe></noscript>","description":"The first 3 years of life, when the brain is developing and maturing, is the most intensive period for acquiring speech and language skills. These skills develop best in a world that is rich with sounds, sights, and consistent exposure to the speech and language of others.","id":16703,"mediaType":"Html","name":"Speech and Language Developmental Milestones","sourceUrl":"https://www.nidcd.nih.gov/health/speech-and-language"}]}