First Words: Key Milestones in Development
What are the First Words Milestones?
| Age | Milestone | What Parents Can Do |
|---|---|---|
| 6 to 9 months | Recognizes own name, responds to simple words like "no." | Talk to your baby often, use their name, and respond to their sounds |
| 9 to 12 months | Begins to say first intentional words such as "mama," "dada," and "bye-bye." | Encourage imitation by repeating simple words and praising attempts |
| 12 to 15 months | Uses 1 to 3 words meaningfully, understands simple commands | Read picture books together and name objects to build vocabulary |
| 15 to 18 months | Expands vocabulary to 5-20 words, starts to use gestures with words | Engage in interactive play and encourage pointing and naming |
| 18 to 24 months | Uses 50 or more words, begins combining two words (e.g., "more juice") | Ask simple questions and model short sentences during conversations |
| 24 months and beyond. From simple sentences, vocabulary grows rapidly. | You can encourage storytelling and expand on your child's sentences. |
When do you think you should be concerned?
- No babbling by 12 months
- No first words by 16 months
- Fewer than 50 words by age 2
- Not combining two words by 24 to 30 months
- Loss of language skills they had before
- Hard for the family to understand their speech
- Not pointing or using gestures to communicate
What Is DIR Floortime Therapy?
Why More Families Are Choosing DIR Floortime Speech Therapy
How Skill Point Therapy Supports Children in Brandon
What Happens During a Speech Therapy Evaluation?
- A warm talk with parents about your child's history and any concerns
- Watching your child play to see how they communicate and interact
- Tests that fit your child's age and stage of speech development
- Clear, simple explanation of what the results mean for your child
- A custom plan with goals made just for your child's needs
What to Expect at Your Child’s First Session
Ready to Take the Next Step for Your Child?
Frequently Asked Questions About First Words Milestones
Frequently Asked Questions
What are some common signs of speech delay in toddlers?
How can I encourage my child to speak more?
What role do parents play in speech therapy?
Are there specific activities that can help with speech development?
What should I expect after my child starts speech therapy?
How can I find a qualified speech therapist for my child?
Conclusion

Nicole Bilodeau, MS, OTR/L, is an occupational therapist and founder of Skill Point Therapy in Tampa and Brandon. She leads a skilled team that provides speech and pediatric occupational therapy, supporting children with autism, ADHD, sensory processing disorders, social skills challenges, and motor development issues. Nicole is dedicated to helping every child reach milestones and thrive at home, school, and in the community



