Is my child's speech on track? When to see a speech pathologist
Signs a child may need help with talking or understanding, and how speech pathology, hearing checks and paediatric care fit together.
Every child is different
Children learn to talk at different rates. Some are early talkers, others take longer. Still, getting help early makes a real difference, so it is worth checking if you have a concern. You do not need to wait and see.
Talk to your GP, child health nurse or a speech pathologist if your child:
- Is not babbling or responding to their name by around their first birthday
- Is not using single words by around 18 months
- Is not putting two words together by around 2 years
- Is hard for family to understand by around 3 years
- Has trouble following simple instructions
- Stutters, or seems frustrated when trying to talk
- Loses words or skills they used to have
Losing skills they had before always needs a prompt check with your GP.
Who can help
- Speech pathology: a speech pathologist assesses talking, understanding, sounds, stuttering, voice and social communication, and gives you activities to do at home.
- Hearing check: even mild hearing loss or glue ear can slow speech. Your GP may arrange a hearing test or refer to ENT surgery if needed.
- Paediatrics: a paediatrician looks at overall development and can check for conditions such as autism or other developmental delays.
Occupational therapy may also be suggested if there are concerns with play, fine motor skills or daily routines.
What happens at the first visit
The speech pathologist will ask about your child's history and watch them play and talk. They may use games and picture tasks. Afterwards they explain the results and suggest a plan. Parents are a big part of therapy, and you will learn ways to help at home. See Getting the most from your specialist appointment for tips.
Referrals and costs
You can book a speech pathologist directly. Private health extras may cover part of the fee. Some children are eligible for Medicare rebates through a GP plan, or support through the NDIS or early childhood programs. Your GP can tell you what your child may be eligible for. Seeing a paediatrician needs a GP referral for a Medicare rebate. Spec Book can show which paediatric speech pathologists have openings soon.
If your child has sudden trouble speaking, a drooping face or weakness, call 000.
Common questions
Will speaking two languages at home delay my child?
No. Children can learn more than one language well. If you are worried, a speech pathologist can assess in context.
Should I wait until kindy or school?
It is better not to wait. Early support is usually easier and more effective.
Do I need a referral to see a speech pathologist?
No. You can book directly, though a GP may be able to arrange rebates or other support.
General information only, not medical advice. Everyone's situation is different, so check with your GP or the provider. In an emergency call 000.