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When “Wait and See” Isn’t the Best Option for Speech Delay

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When Wait and See Isn't the Best Option for Speech Delay - Image 101 (1)

Watching your child grow and reach new milestones is one of the most rewarding parts of parenthood. And while every child develops at their own pace, ongoing delays in speech and language can quickly become a source of worry. 

This article will help you understand when waiting might do more harm than good—and why early action can make a powerful difference in your child’s communication skills. 

Why Early Years Matter So Much 

Why Early Years Matter So Much

From birth to around age five, your child’s brain is undergoing extraordinary growth. During these early years, the brain is especially ready to learn sounds, words, grammar, and social communication. This period—often called a “critical window”—is when children develop the pathways needed for strong speech and language skills. 

When a child receives support during this window, progress is often faster and more meaningful because the brain is at its most adaptable. When concerns go unaddressed for too long, therapy can become more about working around challenges rather than building foundational skills. This can make learning new communication abilities slower and more difficult. 

Speech Delay Red Flags That Should Not Be Ignored 

If your child is showing any of the following signs, it’s best to book a speech and language assessment rather than wait for skills to “catch up.” 

By 18 Months 

  • Not using at least 10–20 meaningful words (e.g., “mama,” “up,” “milk”). 
  • Relying mostly on gestures, grunts, or pointing instead of trying words. 
  • Not consistently responding to their name. 
  • Showing little interest in copying sounds or participating in vocal play. 
     

By 24 Months (2 Years) 

  • Speaking fewer than 50 words. 
  • Not yet combining two words (“more milk,” “mommy up”). 
  • Difficulty following simple one-step instructions. 
  • Hard to understand more than half the time, even for familiar people. 
     

By 36 Months (3 Years) 

  • Not putting together three- or four-word sentences. 
  • Strangers understand less than 75% of what the child says. 
  • Frequently dropping beginning or ending sounds (e.g., saying “oo” for “shoe”). 
  • Showing frustration, tantrums, or withdrawal caused by trouble expressing needs. 

Why “Wait and See” Can Be Risky 

Delaying an assessment in hopes of natural improvement can affect several areas of your child’s life. 

1. Academic Impact 

Speech and language skills are the building blocks of reading, writing, and learning. Children who struggle with sound awareness or vocabulary often find early literacy more challenging. These difficulties can widen over time, especially once school expectations increase. 

2. Social and Emotional Impact 

Children connect with others through communication. When speech delays go untreated, kids may find it hard to join conversations, make friends, or keep up socially. This can lead to frustration, low confidence, and even behavior challenges. 

3. The Gap Often Widens With Time 

Some children do eventually catch up—but many do not. The longer a communication delay goes unaddressed, the bigger the gap becomes between a child and their peers. Early intervention helps close this gap before it grows. 

What Happens During a Speech and Language Assessment? 

What Happens During a Speech and Language Assessment

At Mosaic Speech Therapy, our assessments are gentle, play-based, and designed to help us understand your child’s unique communication strengths and needs. 

Here’s what you can expect: 

  • Parent Interview: We begin by learning about your concerns, your child’s history, and their personality. 
  • Play-Based Evaluation: We use playful and engaging activities to assess speech sounds, language skills, social communication, and oral-motor abilities. 
  • Child-Friendly Process: Assessments feel like games—not tests—so your child feels comfortable and supported. 
     

This process gives you clear answers and helps us build an effective plan, if therapy is recommended. 

Our Edmonton-Based Approach to Early Intervention 

If your child would benefit from therapy, we create a customized, child-centered treatment plan. Our sessions are: 

  • Play-based 
  • Motivating and enjoyable for the child 
  • Rooted in evidence-based strategies 
  • Collaborative—parents are active partners 

We also share simple, everyday communication strategies that you can use during routines like mealtime, bath time, or reading together. This helps your child make consistent progress both inside and outside the clinic. 

Trust Your Instincts—You Know Your Child Best 

If something doesn’t feel right with your child’s speech or language development, it’s worth seeking an assessment. Getting answers early brings clarity and peace of mind—and can make a lasting difference in your child’s future success. 

For personalized assistance, feel free to contact us at info@mosaic-slp.ca or 587-292-0072