Speech Delay in Toddlers: How to Tell if Your 2-Year-Old Needs Speech Therapy

Caitlin Burke
6 days ago
2 min read

Updated: 5 days ago

As parents, it’s natural to wonder whether your toddler’s speech and language development is on track. At this age, toddlers are learning new skills at lightning speed—whether it’s climbing, running, or trying out brand-new words. You may find yourself asking: “Should my 2-year-old be talking more?” or “Does my child need speech therapy?” The truth is, every child develops differently, and speech and language skills can vary widely. Still, there are some common communication milestones between 19 and 24 months that can help you decide whether your child may have a speech delay.

Speech and Language Milestones for 19–24 Months

By around age 2, many toddlers are beginning to:

Use and understand at least 50 different words for everyday things like food, animals, toys, and body parts. Speech may not be perfectly clear (for example, “sue” for shoe is normal at this stage).
Combine two words into simple phrases like “more milk,” “all done,” or “go outside.”
Imitate things you say often.
Follow two-step directions such as “Get your book and give it to mommy.”
Use early pronouns and social words like “me,” “mine,” and “you.”
Ask for help with words rather than only pointing or crying.
Use possessives such as “Daddy’s sock” or “my toy.”
Use many consonants and vowels correctly
Be understood by parents most of the time, even if strangers may struggle to catch every word

Signs Your 2-Year-Old May Have a Speech Delay

Not every child will meet these milestones at the exact same time, but you may want to seek guidance if your toddler:

Isn’t using any words by 18–20 months.
Doesn’t combine two words into short phrases by age 2.
Has trouble following simple directions.
Rarely attempts to imitate sounds or words.
Seems frustrated when trying to communicate.

These can be early indicators of a speech or language delay—but keep in mind that some children are simply “late talkers” and catch up on their own.

When to Consider Speech Therapy for Toddlers

If you’re concerned about your child’s communication skills, trust your instincts. Early intervention makes a big difference, and speech therapy can give your child the support they need to grow their language skills with confidence.

Speech therapy may be helpful if your child:

Is not progressing in vocabulary growth.
Has difficulty putting words together.
Is not understood even by close family.

A speech-language pathologist can evaluate your child’s development and provide strategies to boost communication both during sessions and at home.

The Bottom Line

If you’re asking yourself “Does my 2-year-old need speech therapy?” the best next step is to talk with your pediatrician. They can refer you to a speech-language pathologist for an evaluation if needed. Remember—getting help early can make a big difference, and many children make incredible progress with just a little extra support. At Radiant Moments, we are happy to evaluate your child. Fill out our contact form to get in touch!

For more information on communication milestones and potential speech delays in toddlers, visit ASHA's website.