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Communication related milestones

Our milestones are from Center for Disease Control (CDC) and American Academy of Pediatrics (AAP) materials.

Our resources are developed with and approved by expert pediatric physical and occupational therapists and speech-language pathologists.

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These materials are for informational purposes only: they are NOT a substitute for professional medical advice and do not constitute therapy, diagnosis or treatment. Using the materials or performing any activities is done at your own risk.

Copyright © 2025 Pathways

Terms of UsePrivacySitemap

Our milestones are from Center for Disease Control (CDC) and American Academy of Pediatrics (AAP) materials.

Our resources are developed with and approved by expert pediatric physical and occupational therapists and speech-language pathologists.

These materials are for informational purposes only: they are NOT a substitute for professional medical advice and do not constitute therapy, diagnosis or treatment. Using the materials or performing any activities is done at your own risk.

Copyright © 2025 Pathways

PrivacyTerms of UseSitemap

Makes eye contact

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Cries differently for different needs, e.g. hungry vs. tired

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Coos and smiles

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Quiets or smiles in response to sound or voice

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Shows interest in faces

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Follows some directions when paired with a gesture

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Uses 1 or 2 words other than "mama" or "dada"

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Shows interest in pictures

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Points at familiar objects and people in pictures when named

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Points to objects they want

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Copies others

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Imitates simple words and actions

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Follows simple directions, e.g. "Come here"

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Repeats words overheard in conversation

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Understands “in” and “out”

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Uses gestures and words during pretend play

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Says 3 or more words

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Can say their own name

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Can identify 1-2 body parts when named

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Consistently imitates new words

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Names objects and pictures

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Understands new words quickly

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Begins to use 2 word phrases

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Uses simple pronouns (me, you, my)

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Turns head towards sound or voice

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Notices toys that make sounds

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Makes different vowel sounds, e.g. eee, ooo, ahh, uh

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Uses smiles, sounds, or movement to get attention

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Uses at least 50 words

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Understands action words

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Follows 2-step related directions, e.g. “Pick up your coat and bring it to me.”

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At least 50% of speech is understood by caregiver

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Ask “what” and “where” questions

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Uses some plurals, e.g. “dogs”

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Understands most simple sentences

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Understands “why” questions

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Makes different kinds of sounds to express feelings

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Uses babbling to get attention

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Listens and responds when spoken to

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Reacts to sudden noises or sounds

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Begins to giggle or laugh

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Combines consonants and vowels in different ways e.g. ahhh-b, mmm-uuuh, eee-p

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Participates in two-way communication

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Recognizes sound of their name

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Looks at familiar objects and people when named

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Shows recognition of commonly used words

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Uses simple gestures, e.g. raises hands to be picked up

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Meaningfully uses “mama” or “dada”

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Imitates speech sounds

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Babbling has sounds and rhythms of speech

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Responds to “no”

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Pays attention to where you are looking and pointing

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Begins using hand movements to communicate wants and needs, e.g. reaches out hand to give/take objects

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