Health information to help you understand symptoms. It isn't a diagnosis.About OwieClear
Check symptoms

Developmental or speech delay (needs checking)

Also called: Developmental delay, speech delay, late talking, not meeting milestones

When a child is slower than expected to talk, walk, play, or learn new skills. Many catch up, and early help, which is often free, makes a big difference.

Free help under 3Early intervention in your state
Free help 3 and upYour local public school
CheckMilestones at every well visit

Overview

Common causes include hearing loss, premature birth, and conditions like autism, but often no cause is found.

You can ask for a free evaluation without a doctor's referral.

Symptoms

Common signs:

  • Child not talking or meeting milestones

Less common

  • Not responding to name
  • Not walking by 18 months

When to get medical care

Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayA child losing words or skills they had.
See a doctor soonAny concern, such as no words by 16 months or no 2-word phrases by 2 years.

Causes

Hearing loss, premature birth, genes, and unknown causes.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.
  • It can run in families. Tell your doctor if a parent, brother, or sister has it.

Who is more likely to get it

  • Premature birth
  • Family history

Possible complications

Diagnosis

Your child's doctor screens development.

Questions you may be asked

  • Milestones, hearing, play

The exam

A full exam.

Tests

Tests, if needed:

  • Hearing test: For any speech delay.
  • Developmental evaluation:

Treatment

Act early instead of waiting.

Self-care

  • Talk, read, and sing with your child every day
  • Name things and describe what you're doing
  • Limit screen time
  • Call early intervention or your school district

Speech, physical, and occupational therapy help.

Which doctor treats this

  • Start with your child's pediatrician.
  • They may send you to a pediatric specialist: a speech-language pathologist (speech therapist).

For caregivers

  • Learn the warning signs and when to call the doctor or 911.
  • Keep a list of your child's medicines, doses, and doctors on your phone.
  • Tell teachers, coaches, and sitters what to watch for and what to do.
  • Take breaks and ask for help. Caregivers need care too.

Outlook

Early help leads to better progress.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Can we get a hearing test?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Developmental or speech delay (needs checking)

Sources

Last updated 2026-11-12.