Although each child is unique in the rate he/she develops, most children tend to follow a general pattern of speech and language acquisition. As a parent, it is essential to familiarize yourself with these milestones as well as risk factors for when your child is falling behind. Identifying delays early is key to ensuring your child is given the right support during the most crucial time of their development. Contact a Speech and Language Pathologist if you see 2 or more of the following Red Flags: \tNo big smiles or other warm, joyful expressions by six months or thereafter. \tNo back-and-forth sharing of sounds, smiles or other facial expressions by nine months. \tNo babbling by 9-12 months. \tNo back-and-forth gestures such as pointing, showing, reaching or waving by 12 months. \tNo first words by 15 months. \tNo consistent words by 18 months. \tNo meaningful, two-word phrases (not including imitating or repeating) by 24 months. \tSlowed or stagnant speech development. \tProblems understanding your child's speech at 24 months of age; strangers having problems understanding your child's speech by 36 months of age. \tNot showing an interest in communicating. \tNo babbling by 12 months. \tNo back-and-forth gestures such as pointing, showing, reaching or waving by 12 months. \tFailure to respond normally, such as not responding when spoken to. This may include signs that the child does not hear well, such as not reacting to loud noises. \tA sudden loss of speech and language skills. Loss of abilities at any age should be addressed immediately. \tNot speaking clearly or well by age 3. \tExcessive drooling. \tProblems sucking, chewing, or swallowing. \tProblems with control and coordination of lips, tongue, and jaw. \tStuttering that causes a child embarrassment/frustration/difficulty If you found this helpful and are concerned about your child, please contact us at District Speech. If you want more specifics regarding speech sound acquisition, please refer to our blog on Intelligibility and Phonology norms birth- 6 months.