# When a child in your care isn't talking yet

Canonical: https://pinnacleblooms.org/ask/as-a-caregiver-what-should-i-do-if-a-child-in-my-care-is-not-yet-showing-verbal-communication
Publisher: Pinnacle Blooms Network / Bharath Healthcare Laboratories Private Limited

If a child in your care isn't yet using words, talk, narrate, sing and respond to every gesture and sound while arranging an early developmental check. Communication grows before speech — pointing, babbling, eye contact and gestures all count. Have hearing checked too. This is a reason to look early, not a diagnosis, because support at this stage works well.

*When the words haven't come yet, your warm everyday talking, singing and waiting is already the best foundation a child can have.*

## In short
If a child in your care isn't yet using words, the most powerful things you can do are **talk, narrate, sing and respond to every gesture and sound** they offer — while arranging a developmental check so a clinician can see the full picture early. Communication grows long before speech: pointing, eye contact, babbling and gestures all count. Noticing the gap is not a diagnosis — it simply means a calm, early look is wise, because support at this stage works beautifully.

## What to watch
Verbal communication (ICF d3) rests on social and pre-verbal foundations. Gentle flags that deserve a clinician's eye:

- **Few or no gestures** — not waving, pointing or reaching to show you things.
- **Little babbling** — by around the first year, you'd expect strings of sounds like "bababa" or "dada".
- **Not responding to their name** or to familiar voices.
- **Limited eye contact or shared smiling** during play.
- **No new words emerging** as months pass, or loss of words once used.

What you notice every day is genuinely valuable — keep a short note of the sounds, gestures and moments of connection you see.

## The science
Children learn to talk by being talked *with*. Rich back-and-forth — naming what they look at, pausing for a turn, responding to their pointing — builds the brain pathways for speech. Hearing should always be checked too, since even mild hearing differences can quietly delay words. Early, playful support consistently improves communication outcomes.

## The Pinnacle way
A clinical [AbilityScore®](/ask/what-is-the-abilityscore-and-how-is-it-calculated) and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care — never from an online list. Our team looks at how a child communicates in every way, not only with words, and shapes support around play. Learn more about [verbal communication](/verbal-communication) and how our [speech therapy](https://www.pinnacleblooms.org/top-speech-therapy-center-india-proven-improvement-rate) team helps unlock it.

## Trusted sources
WHO ICF framework (communicating, d3); American Speech-Language-Hearing Association (asha.org) guidance on early communication and late talkers; CDC "Learn the Signs, Act Early" milestone resources.

**Next step —** Trust what you've noticed. [Book a developmental assessment](https://www.pinnacleblooms.org/enroll-autism-speech-aba-therapies-india) with a Pinnacle clinician for a calm, clear review of the child's communication and hearing.

This is general information, not a diagnosis — individual assessment and diagnosis require an appropriately qualified healthcare professional.

## Sources
- ICF d3: https://icd.who.int/browse11
- ASHA: late talkers and early communication: https://www.asha.org/public/speech/development/late-talkers/
- CDC: Learn the Signs, Act Early milestones: https://www.cdc.gov/child-development
- WHO ICF: communicating (d3): https://icf.who.int

## Connected topics and perspectives
- Skills: https://pinnacleblooms.org/ask/skills
- Caregiver: https://pinnacleblooms.org/ask/lens/stakeholder/caregiver
- Communication: https://pinnacleblooms.org/ask/lens/domain/communication
- Concern: https://pinnacleblooms.org/ask/lens/intent/concern
- Screen: https://pinnacleblooms.org/ask/lens/lifecycle/screen
- Book Assessment: https://pinnacleblooms.org/ask/lens/route/book-assessment
- Early Clarity: https://pinnacleblooms.org/ask/lens/empowerment/early_clarity

## Related question paths

### Recognise signs & concerns
- What to Do When a Child Isn't Yet Communicating: https://pinnacleblooms.org/ask/as-a-caregiver-what-should-i-do-if-a-child-in-my-care-is-not-yet-showing-speech-language-and-communication
- What to do if a child in your care is not yet talking: https://pinnacleblooms.org/ask/as-a-caregiver-what-should-i-do-if-a-child-in-my-care-is-not-yet-showing-non-verbal
- When a child in your care isn't yet communicating: https://pinnacleblooms.org/ask/as-a-caregiver-what-should-i-do-if-a-child-in-my-care-is-not-yet-showing-communication
- When a child isn't yet showing communication and social language: https://pinnacleblooms.org/ask/as-a-caregiver-what-should-i-do-if-a-child-in-my-care-is-not-yet-showing-communication-social-language
- What to do if a child isn't yet showing verbal understanding: https://pinnacleblooms.org/ask/as-a-caregiver-what-should-i-do-if-a-child-in-my-care-is-not-yet-showing-verbal-understanding
- What to do if a child isn't yet showing expressive communication: https://pinnacleblooms.org/ask/as-a-caregiver-what-should-i-do-if-a-child-in-my-care-is-not-yet-showing-communication-expressive
- When Do Toddlers Start Talking?: https://pinnacleblooms.org/ask/at-what-age-should-a-child-verbal-communication
- When children learn to talk — a teacher's milestone guide: https://pinnacleblooms.org/ask/by-what-age-is-a-child-usually-expected-to-verbal-communication-and-what-should-a-teacher-expect-in-class
- Verbal Communication & Developmental Delay in Toddlers: https://pinnacleblooms.org/ask/could-difficulty-with-verbal-communication-be-a-sign-of-a-developmental-delay
- Observing Verbal Communication on a Home Visit: https://pinnacleblooms.org/ask/during-a-home-visit-what-should-a-frontline-worker-observe-about-a-child-learning-to-verbal-communication
- When should a frontline health worker escalate a speech delay?: https://pinnacleblooms.org/ask/if-a-child-cannot-verbal-communication-at-the-expected-age-when-should-a-frontline-health-worker-escalate
- Difficulty Learning Verbal Communication: Red Flag for Referral: https://pinnacleblooms.org/ask/is-difficulty-learning-to-verbal-communication-a-clinical-red-flag-that-warrants-a-developmental-referral

### Understand assessment
- Assessing and Tracking Verbal Communication Progress: https://pinnacleblooms.org/ask/how-can-a-clinician-assess-and-track-a-child-s-progress-in-learning-to-verbal-communication
- Amber Zone for Verbal Communication Explained: https://pinnacleblooms.org/ask/my-child-is-in-the-amber-zone-for-verbal-communication-what-does-that-mean
- What a green zone for verbal communication means: https://pinnacleblooms.org/ask/my-child-is-in-the-green-zone-for-verbal-communication-what-does-that-mean
- What a red zone for verbal communication means: https://pinnacleblooms.org/ask/my-child-is-in-the-red-zone-for-verbal-communication-what-does-that-mean

### Explore therapy & support
- As a therapist, what techniques help a child develop verbal communication?: https://pinnacleblooms.org/ask/as-a-therapist-what-techniques-help-a-child-develop-the-ability-to-verbal-communication
- How can a teacher support a child working on verbal communication?: https://pinnacleblooms.org/ask/how-can-a-teacher-support-a-child-working-on-verbal-communication
- Supporting a student still learning verbal communication: https://pinnacleblooms.org/ask/how-can-a-teacher-support-a-student-who-is-still-learning-to-verbal-communication
- How to prioritise a child in the amber zone for verbal communication: https://pinnacleblooms.org/ask/how-should-a-therapist-prioritise-a-child-who-is-in-the-amber-zone-for-verbal-communication
- How should a therapist prioritise a child in the green zone for verbal communication?: https://pinnacleblooms.org/ask/how-should-a-therapist-prioritise-a-child-who-is-in-the-green-zone-for-verbal-communication
- How to Prioritise a Red-Zone Verbal Communication Case: https://pinnacleblooms.org/ask/how-should-a-therapist-prioritise-a-child-who-is-in-the-red-zone-for-verbal-communication
- Amber zone for verbal communication — what to do next: https://pinnacleblooms.org/ask/my-child-is-in-the-amber-zone-for-verbal-communication-what-should-we-do-next
- Green zone for verbal communication — what next?: https://pinnacleblooms.org/ask/my-child-is-in-the-green-zone-for-verbal-communication-what-should-we-do-next
- Red Zone for Verbal Communication — Your Next Steps: https://pinnacleblooms.org/ask/my-child-is-in-the-red-zone-for-verbal-communication-what-should-we-do-next
- What therapy helps a child learn to talk?: https://pinnacleblooms.org/ask/what-therapy-helps-a-child-learn-to-verbal-communication

### At home & in everyday life
- Helping Your Child Practise Talking During Daily Routines: https://pinnacleblooms.org/ask/as-a-caregiver-how-can-i-gently-help-a-child-practise-learning-to-verbal-communication-during-everyday-routines
- How can I help my toddler learn verbal communication at home?: https://pinnacleblooms.org/ask/how-can-i-help-my-child-with-learn-to-verbal-communication-at-home
- Everyday Therapy: Building Verbal Communication at Home: https://pinnacleblooms.org/ask/what-is-one-everyday-therapy-activity-to-help-my-child-with-verbal-communication