Speech Activities by Age

How to make your toddler talk: what actually works

Pediatric speech research says talking time, not toys, drives language. Here's what parents can do today, plus when to call a speech therapist.

Parent and toddler playing on kitchen floor with wooden toy, talking together

Last updated 2026-07-09

TL;DR

You can't force a toddler to talk, but you can fill their day with language in ways that reliably produce more words. Responsive talking, narrating what you're doing, reading aloud, and easing off the quiz questions all have research behind them. If your child has fewer than 50 words by 24 months or isn't combining words by 30 months, ask your pediatrician about a speech evaluation.

Parent and toddler playing on kitchen floor with wooden toy, talking together

There's no single trick that flips a switch and gets a toddler talking. What the evidence does show is that the amount and quality of language aimed at a child, especially back-and-forth conversational turns, predicts vocabulary size better than almost anything a parent can buy or do. A widely cited 2018 study in Psychological Science found that conversational turns between caregiver and child predicted brain activation in Broca's area (the language region) and verbal reasoning scores in children age 4 to 6, independent of the total number of words heard [1]. So the goal isn't talking at your child, it's talking with them.

The American Academy of Pediatrics recommends "serve and return" interactions starting in infancy: a child makes a sound or gesture, the adult responds, and the child responds back [2]. These exchanges build the neural wiring for language. Parents often assume educational videos or word-labeling apps count as rich input, but a 2020 study in JAMA Pediatrics found each additional hour of screen time at 24 months tied to lower communication scores at 36 months, and AAP guidance still discourages solo screen time for children under 18 to 24 months, video chat aside [3]. Your voice and your attention are still the best language tool your child has, even if it takes more effort than handing over a tablet.

What's normal for a toddler's talking

Knowing typical ranges keeps you from panicking too early or waiting too long. These milestones come from the American Speech-Language-Hearing Association (ASHA) and CDC developmental surveillance data [4][5].

AgeReceptive (understanding)Expressive (talking)
12 monthsResponds to name, understands "no"1-3 words besides mama/dada
18 monthsFollows 1-step directions10+ words; points to show things
24 monthsUnderstands simple 2-step directions50+ words; starts combining 2 words
30 monthsUnderstands "big" vs. "little"200+ words; mostly 2-3 word phrases
36 monthsUnderstands most of what adults say1,000+ words; sentences of 3-4 words

These are averages, not cliffs. A child who hits most markers but misses one by a couple of weeks is almost never cause for alarm. A child several months behind across multiple areas deserves a closer look. The 50-word mark at 24 months and two-word combinations by 30 months are the thresholds speech-language pathologists and pediatricians watch most closely. Boys do tend to talk a little later than girls on average, but the gap is smaller than parents often believe, and sex alone is never a reason to wait on an evaluation if other red flags exist [4].

The one thing that matters most

Talk more, and respond fast when your child tries to communicate. That sounds obvious, but most parents underestimate how much narration helps. Speech-language pathologists call this "parallel talk" or "self-talk": you describe what you or your child is doing in real time. "You're picking up the cup. It's a red cup. You're drinking. Cold water." No quiz, no demand, just description.

Here's why it works. Toddlers need to hear a word roughly 10 to 15 times in meaningful contexts before they attempt it themselves, though that figure varies by child and word type [6]. Parallel talk racks up those repetitions naturally across the day: meals, baths, errands, play.

Timing matters too. When a toddler babbles, points, or attempts a word, responding within about two seconds rewards the attempt. Delay it or miss it, and the child is less likely to try again. The AAP puts it plainly: "Talk, sing, and read with your child every day" and respond to your child's attempts to communicate [2]. That's really the whole program. Everything fancier builds on that foundation rather than replacing it.

Toddler expressive language milestones by age Minimum expected word count at each age, per ASHA and CDC guidance 12 months 3 words 18 months 10 words 24 months 50 words 30 months 200 words 36 months 1,000 words Source: ASHA Late Language Emergence guidelines and CDC Act Early milestones, 2024

Techniques speech therapists actually use

Several evidence-based strategies from speech-language pathology fit right into everyday routines. You don't need structured sessions, just a shift in how you talk during what you're already doing.

Try expansion: when your child says a partial version of a word, say the full version back without correcting. Child says "buh," you say "Bus! Big bus." That models the word without the sting of correction. Extension builds on it by adding meaning: "Big bus. The bus is going fast."

Sabotage and expectant waiting works well too. Set up moments where your child has to communicate to get something: put a favorite toy just out of reach, leave the lid on the snack container, hand over one puzzle piece at a time. Then wait. Look expectant. Give it 5 to 10 seconds. You're creating a reason to communicate without demanding a specific word.

Recasting is similar to expansion but quietly fixes grammar. If your child says something with an error, you repeat the correct version in your next sentence without flagging it. "Me go?" becomes "Yes, you want to go? Let's go."

Cut back on questions. Parents instinctively quiz their kids: "What's that? What color is it? What does the dog say?" Questions demand performance; comments invite conversation. "Oh, the dog is so fluffy, I think he wants to play" gets more response than "What's that?" Try cutting your questions by half for a week and see what happens.

During books, point at pictures and comment instead of asking comprehension questions: "There's a truck. A big yellow truck. It has wheels. The driver looks happy." That's close to how SLPs run language-rich book sharing, and reading aloud for even 10 minutes a day has strong evidence behind it. A meta-analysis in Reading Research Quarterly found shared reading had a significant positive effect on expressive vocabulary in children under 3 [7].

What about screens

Cutting screen time does help, though the reason is displacement, not something sinister about screens themselves. Every hour in front of a screen is an hour not spent in conversation, and conversation is what builds language. The same 2020 JAMA Pediatrics study found each additional hour of screen time at 24 months tied to lower communication scores at 36 months, with the association strongest for handheld device use [3].

Turning off background TV, even when your child isn't "watching" it, noticeably raises the amount of language parents direct at their kids. A study of families found background television cut parent-child conversational turns and the total words children heard, even when parents thought they were ignoring it [8].

If your child is already hooked on a show or app, you can recover some of the loss by watching along and narrating: "Look, she's opening the door. I wonder what's inside." Co-viewing at least restores some back-and-forth, though it still doesn't fully replace one-on-one talk. AAP guidance recommends no solo screen time before 18 to 24 months, and after that, limiting to one hour a day of high-quality programming watched with a caregiver [2].

When understanding is ahead of talking

This is one of the most common patterns parents describe, and it matters that receptive language (understanding) and expressive language (speaking) can develop at different rates. A child who follows complex instructions, laughs at jokes, and clearly gets everything you say but produces very few words has a different profile from a child whose understanding is also behind.

Strong understanding with weak talking is generally a better sign than delays in both areas, but it still warrants attention if the gap is large. By 24 months, a child should have at least 50 words even if comprehension runs well ahead. If your child understands plenty but says less than expected, a speech-language pathologist can help figure out whether the issue is motor speech, as with childhood apraxia of speech, vocabulary building, or something else.

Don't settle for "he understands everything, he'll talk when he's ready" if you have real concerns. It may be true. It may also be a missed window: early intervention services are free under IDEA Part C for children under 3, and they exist for exactly this situation.

When should I be worried, and what are the red flags?

Some delays close on their own, and others do better with speech therapy sooner rather than later. ASHA and the AAP point to the same warning signs[4][5]: no babbling by 12 months, no pointing or waving by 12 months, no single words by 16 months, and no two-word combinations ("more milk," "daddy go") by 24 months. One sign overrides all the others: losing language or social skills a child already had, at any age. That gets a call to the pediatrician the same week.

A child who had words and lost them is showing a red flag for autism spectrum disorder and several other conditions. ASHA is explicit that regression calls for immediate evaluation, not watchful waiting[4].

For late talkers without regression, the research on waiting is mixed. About 70 to 80 percent of late talkers at 24 months catch up on their own by school age[6]. The 20 to 30 percent who don't are hard to spot early, and starting intervention before age 3 works better than starting later. An evaluation that tells you your child is fine costs you almost nothing. Waiting and missing the window costs a lot more. Most SLPs and pediatricians say the same thing: if you're asking the question, get the evaluation.

How does early intervention work, and how do I get it?

In the United States, Part C of the Individuals with Disabilities Education Act requires every state to provide free early intervention to children under 3 with developmental delays or disabilities[9]. You don't need a diagnosis or a doctor's referral, though a pediatrician can help. Call your state's early intervention program directly and ask for an evaluation.

The evaluation is free. If your child qualifies, services are free or on a sliding scale depending on the state, and they happen in your child's "natural environment," which usually just means home: a speech-language pathologist comes to you.

To find your state's program, the CDC's "Learn the Signs. Act Early." page links to each state's early intervention contact[5]. You can also ask your pediatrician to make the referral at any well-child visit.

Once a child turns 3, Part B of IDEA shifts services to the public school district. The district has to evaluate a child for free if a parent asks in writing, and a child who qualifies gets an Individualized Education Program with speech services built in[9]. You don't need to be enrolled in school to request this evaluation before age 5.

Private therapy is also worth looking into, since it often has shorter wait times than public programs, and many insurance plans cover speech therapy for developmental delays, though coverage varies a lot. Online speech therapy has opened up access in rural areas and works well for many children.

Do any toys or apps actually help toddlers talk?

Mostly, no. Research doesn't back up most "language-building" toy claims. Simple open-ended toys, like blocks, play food, and dolls, consistently beat electronic toys in studies of parent-child language during play. A 2015 study in JAMA Pediatrics found electronic toys produced fewer adult words, child vocalizations, and conversational turns than traditional toys and books[10].

Books are the exception. Physical books, especially ones with big pictures and simple text, generate more conversation per minute than almost anything else you can do together. You don't need to read the words as printed. Pointing at pictures, asking "what's that," and commenting produces more language exposure than reciting the text like a script.

Apps marketed as speech therapy for toddlers have almost no independent peer-reviewed evidence behind them for children under 3. For children 3 and up who've already been evaluated, some apps can supplement work with a real SLP, but shouldn't replace it. AAC devices are a different matter: for children with significant expressive delays, a proper AAC assessment from an SLP can genuinely help.

If you want a structured daily tool for tracking language and getting SLP-informed prompts at home, Little Words (littlewords.ai) offers a guided quiz that helps identify your child's current communication profile and matches activities to their level. It won't replace an evaluation, but it gives you something to do between appointments.

What if my child repeats words or phrases instead of talking normally?

Repeating heard language, called echolalia, is normal for all children up to about 30 months. After that age, a large share of echolalia in what a child says can point to autism spectrum disorder, though it also turns up in children with other language disorders and in some typical late talkers[11].

Functional echolalia, using a memorized phrase to communicate something (saying "do you want a snack?" to mean "I want a snack"), is different from scripting that doesn't connect to what's happening around the child. Both can be worked with in therapy. The goal isn't to stop echolalia at home but to figure out what your child is trying to say and respond to that.

If your child produces a lot of echolalia and you're worried about autism, the right step is an evaluation with a developmental pediatrician, not changing your routines on your own. ASHA has guidance specific to autism spectrum speech therapy that explains how communication support looks different for autistic children compared with typical late talkers.

What should I do today if I'm worried my toddler isn't talking enough?

Take these steps in order. First, raise it with your pediatrician, and don't wait for a scheduled well-child visit to do it. Call and say you have a developmental concern; most practices will triage you appropriately. Your pediatrician can screen using validated tools like the M-CHAT-R (for autism), the MacArthur-Bates CDI, or the Ages and Stages Questionnaire, and refer you for evaluation if it's warranted.

Second, contact your state's early intervention program if your child is under 3. You don't need to wait for a pediatrician's referral: early intervention programs in all 50 states are required by federal law to respond to referrals within 45 days[9], and many states move faster than that.

Third, start doing more of the home strategies described above today. Parallel talk, expanding on your child's attempts, reading aloud, and asking fewer questions cost nothing and can't hurt. They won't replace a professional evaluation if one's needed, but they work, and they give you something concrete to do while you wait.

The worst move is doing nothing because you can't decide whether to worry. Worry enough to make the call: the evaluation will either put your mind at ease or get your child support, and both are good outcomes. Little Words' start quiz (littlewords.ai/start) can also help you map your child's communication and decide what to ask about at the visit.

If your 18-month-old has zero words, that's worth acting on now rather than waiting. ASHA and the AAP both name no words by 16 months as a red flag that calls for evaluation, not a wait-and-see approach. Call your pediatrician this week and ask for an early intervention referral. Evaluation is free for children under 3 under IDEA Part C, and the sooner you start, the better things tend to go. Bilingual households don't cause speech delays. A bilingual child might have a somewhat smaller vocabulary in each individual language compared to monolingual peers, but add both languages together and the totals line up. Milestone timing, first words, two-word combinations, stays the same. If your child is behind in both languages at once, that's what warrants a look, not the bilingualism itself. A late talker understands language fine and is developing normally otherwise, just behind on expressive vocabulary, and 70 to 80 percent of these kids catch up on their own. A language disorder is different: difficulty understanding and using language that sticks around past toddlerhood and starts affecting learning. At 18 to 24 months the two can look nearly identical, which is exactly why it's so hard to sort out from home and why getting an evaluation matters. Signing with your baby won't delay speech. Research keeps landing in the same place: no expressive language disadvantage, and sometimes a vocabulary boost, because signs give kids a way to communicate before their mouths can keep up with their ideas. Use signs alongside spoken words rather than in place of them, and say the word every time you make the sign. By age 2, expect at least 50 words, with two-word combos like "more juice" or "big dog" starting around 24 months and solidly in place by 30 months. These are the numbers pediatricians and speech-language pathologists watch most closely, so if your 2-year-old isn't there yet, mention it at the next visit. Skip the direct corrections when your toddler mispronounces something. It doesn't help much and can make kids clam up. Recasting works better: just repeat the word back correctly inside your own sentence. Child says "wabbit," you say "Yes, a rabbit! The rabbit is hopping." They get the right model without feeling singled out. Mispronunciation at 2 and 3 is completely normal. Most sounds aren't fully mastered until age 7 or 8. Ear infections and speech delays are connected more often than people realize. Repeated infections can cause temporary hearing loss, and if a child isn't hearing speech clearly during a key stretch of development, language can slow down as a result. If your child has had several ear infections and seems behind, ask your pediatrician for a hearing check before assuming it's a speech issue on its own. It's a quick test and it can rule out a lot. Parallel talk means narrating what's happening as you and your child do it, without asking for a response back: "You're pouring the water. Splash! Cold water. You poured it all out." It works because kids typically need to hear a word 10 to 15 times in context before they'll try saying it themselves, and parallel talk is an easy way to rack up those repetitions all day long without turning it into a drill. If your toddler used to say words and has stopped, call your pediatrician today rather than waiting for the next scheduled checkup. Losing words a child previously had is a red flag on its own, linked to autism spectrum disorder and a handful of other conditions, and it shouldn't be left to resolve itself. ASHA is direct about this: regression at any age needs prompt assessment. Cost shouldn't keep a toddler from getting help. Children under 3 qualify for free early intervention under IDEA Part C no matter their family's income or insurance status, and you can contact your state's program directly without a referral. Once a child turns 3, public school districts must provide free evaluation and services under IDEA Part B, again regardless of income, and Medicaid covers speech therapy in many states as well. Reading to toddlers really does help them talk. A meta-analysis in Reading Research Quarterly found shared reading had a significant positive effect on expressive vocabulary in kids under 3, and the benefit seems to come more from the back-and-forth conversation than from the words on the page. Point at pictures, comment on what you notice, respond when your child reacts. Ten minutes a day of engaged reading adds up over months. It's never too late for speech support to help, but earlier tends to go faster. Brain plasticity peaks in the first three years, and the free, home-based services under IDEA Part C only run until age 3. Kids who start therapy before 3 tend to make faster progress than those who start at 4 or 5, so if your child is getting close to that birthday, request an evaluation now so services can begin before the cutoff.

Sources

  1. Psychological Science, Romeo et al. 2018, conversational turns and brain language activation: Conversational turns between caregiver and child predict brain activation in Broca's area and verbal reasoning scores at age 4-6, independent of total words heard
  2. American Academy of Pediatrics, Early Language Development guidance: AAP recommends serve-and-return interactions and advises no solo screen time before 18-24 months; after that, limit to one hour per day of high-quality programming
  3. JAMA Pediatrics, Madigan et al. 2020, screen time and communication scores: Each additional hour of screen time at 24 months associated with lower communication scores at 36 months; effect strongest for handheld device use
  4. American Speech-Language-Hearing Association (ASHA), Late Language Emergence: ASHA milestones: no single words by 16 months, no two-word combinations by 24 months, and any language regression are red flags requiring evaluation; approximately 70-80% of late talkers catch up without intervention
  5. CDC, Learn the Signs. Act Early. developmental milestones: CDC milestone data for 12, 18, 24, 36 months and links to state early intervention contacts
  6. Storkel, HL. 2018, Building a Word Learning Environment, Language Speech and Hearing Services in Schools: Toddlers typically need to hear a word approximately 10-15 times in meaningful contexts before attempting it themselves; approximately 70-80% of late talkers at 24 months catch up by school age
  7. Bus, van IJzendoorn & Pelligrini, meta-analysis, Reading Research Quarterly 1995: Shared reading had a significant positive effect on expressive vocabulary in children under 3
  8. Christakis et al. 2009, JAMA Pediatrics, background television and adult words/child vocalizations: Background television reduced parent-child conversational turns and total words children heard even when parents thought they were ignoring it
  9. U.S. Department of Education, IDEA Part C and Part B: IDEA Part C requires every state to provide free early intervention to children under 3 with developmental delays; states must respond to referrals within 45 days; Part B covers children 3 and older through public schools
  10. Sosa, AV. 2015, JAMA Pediatrics, electronic toys and parent-child language: Electronic toys produced significantly fewer adult words, child vocalizations, and conversational turns compared to traditional toys and books
  11. ASHA, Autism Spectrum Disorder and Echolalia clinical resource: Echolalia is normal through about 30 months; large proportion of echolalia after that can signal autism spectrum disorder, though it appears in other language disorders too
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