Parents often wonder if their child is on track with communication or if extra support might be needed. It’s common to search questions like, “Does my toddler need speech therapy?” The truth is, every child develops at their own pace—but there are developmental milestones and red flags you can look out for.

Below is a guide to help you understand when speech and language skills should typically appear, and when it may be a good idea to seek an evaluation.

Why Speech Milestones Matter

Speech and language skills are closely tied to learning, social development, and confidence. Meeting milestones on time can help children thrive, while early intervention can make a big difference if delays are present.

By Age 2

Most children by age 2 should:

Use at least 50 words

Start combining two words (e.g., “more juice,” “go outside”)

Follow simple directions (“get the ball”)

Point to common objects when named

Red flags at this age include:

No babbling or very limited vocabulary

Not responding to name or simple requests

Difficulty imitating sounds

No interest in communicating

By Age 3

By 3 years old, many children can:

Use 200+ words

Form simple 3-word sentences (“I want toy”)

Be understood by parents most of the time

Ask questions like “what’s that?” or “where go?”

Red flags at this age include:

Limited vocabulary growth

Speech that is hard for parents or caregivers to understand

Not using sentences

No interest in interacting with peers

By Age 4

Typical milestones by age 4 include:

Speaking in full sentences

Telling simple stories or relaying events

Being understood most of the time, even by strangers

Understanding basic concepts like colors, shapes, and opposites

Red flags at this age include:

Very unclear speech

Difficulty forming sentences

Trouble understanding basic instructions

Frustration with communication

When to Seek an Evaluation

If your child shows multiple red flags, or if you simply feel something isn’t right, trust your instincts. A speech-language pathologist (SLP) can evaluate your child’s skills and determine if therapy would help. Early intervention is highly effective and can prevent difficulties later in school.

Key Takeaways for Parents

Some variation in development is normal.

Consistently missing milestones can be a sign of delay.

Early support from a speech therapist can boost communication, learning, and social skills.