What should I do if my child is not speaking at 2 years of age?
Quick Answer
By 2 years of age, a child should typically speak at least 50 individual words and combine two words together (e.g., 'want milk'). If your child is not speaking, exhibits limited eye contact, or doesn't respond to their name, schedule a developmental neurology and hearing evaluation immediately.
Medical Details & Guidelines
Speech delay at 2 years is a common concern. While children develop at their own pace, missing key communication milestones requires objective screening. The evaluation starts with a detailed hearing test (BERA) to rule out hearing deficits, followed by developmental screenings to assess for Autism Spectrum Disorder (ASD) or Global Developmental Delay. Early intervention with speech therapy and behavioral guidance before age 3 yields the best outcomes.Key takeaways for parents
- A 2-year-old should use 2-word phrases and understand simple commands.
- Rule out hearing loss first with a professional BERA hearing screen.
- Early developmental therapy before age 3 significantly improves language recovery.
Have more questions?
Schedule a direct consultation with Dr. Swetha Rampally in Kurnool.