Condition : Language delay
What is language delay?
Language is about understanding and being understood through speech, written word, and physical expression (facial expressions, postures, and hand gestures).
Language development varies in every child, so even if they have a very similar background and upbringing to their peers, they may reach some milestones a bit later than expected and that wouldn’t be a cause for concern.
However, if your child has a language delay, they might not reach certain milestones, such as:
- 12 months old: using gestures, such as pointing or waving
- 18 months old: preferring to speak rather than use gestures and not just copying
- two years old: following simple directions and joining at least two words together to form meaning (for example, “more water”)
- three years old: forming short sentences with the words in the correct order
- four years old: can be mostly understood, even by people they don’t know, or comprehend what they are able to read
Language delay vs. speech sound disorders
Speech is the physical act of talking. Speech sounds develop over time, with most children being able to produce them all by the age of eight.
If your child has a speech sound disorder, they will struggle to form words clearly because they have a problem making certain sounds. This could lead to them avoiding speech, and this may be mistaken for language delay.
What causes language delay?
It might not always be clear what has caused a language delay, but possible reasons include:
- developmental language disorder (long term difficulties using and understanding language)
- hearing problems
- auditory processing disorder
- dyslexia
Speaking more than one language will not cause a delay.
Next steps
Browse our advice and resources to learn more about your condition and ways to manage it.
If you need further support or have concerns, a Healthcare Professional is here to help. Reach out for professional medical advice tailored to you.
Discover services and support options available to help you with your health and wellbeing.
Managing your health
Adults
There are a number of national and local organisations who can support you and help you manage health conditions at home.
Children and young people
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Related services
Speech and Language Therapy Service
- Adults
Help for difficulties with speech, voice, language, communication, or swallowing.
Speech and Language Therapy Service: Go to serviceSpeech and Language Therapy Service for children and young people
- Children & young people
Help for children and young people up to the age of 19 whose communication and/or swallowing difficulties impact on everyday life.
Speech and Language Therapy Service for children and young people: Go to serviceExternal support
Further information on the NHS UK website
Visit GOV.UK – Newborn hearing screening: making and reacting to sounds checklists
Advice on what to look for as your baby grows to check if they can hear.
National Deaf Children's Society
Support for children and young people up to the age of 25 who are experiencing hearing loss
Speech and Language UK – Child’s progress checker
A tool to give you an idea of how your child’s speech is developing and whether you need support or advice.

