Skip to content

Franc Rozman 2B, Vlae, Skopje · Mon–Fri 08:00–20:00

Parent guide

Speech delay in children

Wondering whether your child's speech is developing as expected for their age?

Age: 1–4 years

Момче чита книга со прстот на страницата

Noticing something but not sure what it means?

Maybe your child uses few words, points more than talks, or is hard to understand. Talking to a specialist can help you understand what to watch for and whether an assessment is needed.

What you can do at home today

  • Describe what you are doing as you do it (“Now we’re washing the plate”).
  • Read picture books and name what you see.
  • Wait a few seconds for your child to respond – don’t finish for them.
  • Limit screen time and replace it with shared play.

This page is informational and does not provide a diagnosis. Every child develops individually.

What you may notice

Signs worth paying attention to

  • Uses few words for their age
  • Points more than talks
  • Is hard to understand when they want to tell you something
  • Doesn't combine two words after age two
  • Doesn't follow simple instructions
  • Gets frustrated when unable to express themselves

By age

Development goes step by step

13–18 months

First words

  • Uses a few words (mama, dada, give)
  • Points to ask for something
  • Understands simple questions ("Where's the ball?")

Example: "Num" for food or "vroom" for car.

Every child develops individually. These examples are not a test. If several age-typical skills are missing or you are worried, ask for a professional assessment.

A clear next step

What would the first step look like?

  1. Your observations

    A conversation about age, daily life and the questions that worry you. Bring concrete examples.

  2. Professional assessment

    Looking at your child's needs and recommending further assessment if needed.

  3. Support plan

    Explaining the recommendations and agreeing on next steps – at the center and at home.

Parents ask

What do parents ask most?

Does every speech delay mean the same problem?

No. Noticing that a child talks less is not enough for a conclusion. A professional assessment helps understand their communication and the need for support.

Should I wait or ask for an assessment?

If several age-typical skills are missing or you are worried, it's better to ask for advice. Early support is most effective, and an assessment doesn't commit you to treatment.

Do two languages at home cause delay?

No. Bilingual children may start with a smaller vocabulary in each language, but overall they develop like their peers.

What does the first visit look like – does the parent attend?

Yes, the parent is present. The speech therapist talks with you and observes your child's communication through play.

How many sessions will be needed?

It depends on the assessment. The therapist will propose a plan and track progress regularly.

Have questions?

Share what you notice and find out about booking a visit. A conversation doesn't commit you to treatment.