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Asha Phc
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Signs & concerns
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Signs & concerns
Early Signs of Speech and Language Delay in a 4-Year-Old
By 4, watch for speech strangers can't understand, very short sentences, a small vocabulary, and trouble following simple two-step instructions or answering basic questions. These are signs worth a prompt check — not a diagnosis. A hearing test is a sensible first step, and only a qualified clinician can confirm a speech and language delay.
Read the answer AnswerEarly Signs of Speech and Language Delay in a 5-Year-Old
By five, most children speak in clear, full sentences strangers can understand. Early signs of speech and language delay include unclear speech, very short or jumbled sentences, trouble following multi-step instructions, and difficulty answering simple questions — always with a hearing check. These signs warrant a check, not a home diagnosis.
Read the answer AnswerEarly Signs of Speech and Language Delay in a 6-to-9-Month-Old
At 6-to-9 months speech hasn't started yet, so watch the building blocks: babbling, responding to sound and voice, eye contact and back-and-forth sound play. Gentle signs to note are no babbling, not reacting to sounds, little eye contact, or loss of earlier sounds — a hearing check comes first, and only a clinician can assess.
Read the answer AnswerEarly Signs of Speech and Language Delay in a 6-Year-Old
By six, look for speech strangers struggle to understand, jumbled or short sentences, word-finding difficulty, trouble following multi-step instructions, and difficulty retelling a story. If several signs persist across home and school, arrange a speech-language check plus a hearing test — early support works well, and only a clinician can confirm.
Read the answer AnswerEarly Signs of Speech and Language Delay in a 9-to-12-Month-Old
At 9–12 months, language shows as babbling, gestures and shared attention, not words. Watch for little or no babbling, no response to name, no pointing or waving, and limited eye contact — gentle reasons for an early developmental and hearing check, not for panic.
Read the answer AnswerEarly Signs of Speech and Language Delay in a Newborn
A newborn cannot show a speech and language delay — words are not expected yet. At 0–3 months, watch instead for hearing and early communication readiness: startling to sound, calming to a familiar voice, cooing, and beginning eye contact. The most useful early check is newborn hearing screening, since hearing is the foundation of speech.
Read the answer AnswerWhat are the red flags in Adaptive development?
Red flags in adaptive (self-care) development are patterns rather than single missed days: a child who stays well behind peers across several daily-living skills like feeding, dressing, toileting and washing, who isn't gaining new independence over months, or who loses skills already mastered. Many children catch up, so these are signs to observe and discuss with a paediatrician or occupational therapist — not to diagnose at home. Early, playful support helps and never needs a label first.
Read the answer AnswerWhat are the red flags in Cognitive development?
Red flags in cognitive development include little curiosity in exploring objects, not searching for hidden toys past 9–12 months, difficulty following simple instructions, limited pretend play, and slow grasp of concepts like sorting or counting. Many children vary in pace, so these are signs to observe and monitor, not diagnose at home. A gap that persists across months or affects more than one area is best brought to a developmental check early, where hearing and vision screening usually come first.
Read the answer AnswerWhat are the red flags in Communication development?
Red flags in communication development include limited eye contact or shared smiling in infancy, no babbling by 12 months, no single words by 16 months, no two-word phrases by 24 months, any loss of words or skills once gained, and few gestures like pointing or waving. Communication has a wide normal range, so these are signs to observe and act on early, not to diagnose at home. A persistent or widening delay, more than one area affected, or any loss of skills is always worth a prompt check — starting with hearing.
Read the answer AnswerWhat are the red flags in Emotional development?
Red flags in emotional development are patterns — not single feelings — that are unusually intense, persistent across months, or out of step with a child's age: little comfort-seeking, almost no shared joy, distress that cannot be soothed, or flatness where warmth should grow. Every child has meltdowns and fears, so these are signs to observe and discuss, not to diagnose at home. Seek a check if a pattern lasts weeks, is far stronger than peers, or disrupts sleep, play, eating or relationships.
Read the answer AnswerWhat are the red flags in motor development?
Motor red flags are patterns that persist or widen: unusual stiffness or floppiness, missing several movement milestones, a strong hand preference before 12 months, or losing a skill once gained. Many children simply move on their own timeline, so these are signs to observe and check — not diagnose at home. Loss of skills or sudden changes need prompt medical review; several delays together deserve a developmental screen.
Read the answer AnswerWhat are the red flags in Sensory development?
Red flags in sensory development include strong over-reactions to sounds, lights, textures or touch; under-reaction such as not noticing sounds or pain; distress with grooming, dressing or food textures; constant movement-seeking, spinning or crashing; and clumsiness. These are signs to observe and discuss, not diagnose at home. They matter most when several cluster together, persist, or disrupt eating, sleep, play or family life. Hearing and vision should be checked first, then a screen with an occupational therapist.
Read the answer AnswerWhat are the red flags in Social development?
Red flags in social development include limited eye contact, little social smiling by ~3 months, not responding to name by 12 months, not pointing or sharing interest, and little interest in other children or pretend play. These are signs to observe and monitor — not to diagnose at home. A persistent or widening pattern across several months, or any loss of skills, warrants a friendly developmental check, starting with a hearing screen.
Read the answer AnswerCognitive milestones for frontline routine visits
During routine visits, frontline workers should check age-based cognitive markers — object permanence, cause-and-effect play, pointing to share, following instructions, pretend play and memory — alongside parent concern. These are watch-and-monitor checks; any persistent gap or lost skill is a reason to route the child for a developmental check, never a diagnosis.
Read the answer AnswerCognitive milestones for your 12-to-18-month-old
Between 12 and 18 months most toddlers begin finding hidden toys, imitating everyday actions, using objects correctly, following simple instructions and starting basic pretend play. These are emerging skills that grow week by week — a band of typical progress, not a strict checklist. If several lag by 18 months, a gentle developmental check is wise.
Read the answer AnswerWhat Cognitive milestones should my 18-to-24-month-old have reached?
Between 18 and 24 months most toddlers begin pretend play, follow one-step instructions, point to name pictures or body parts, and solve simple problems by trial and error. These are guides, not deadlines — a single missing skill is rarely a worry, but persistent gaps deserve a friendly developmental check.
Read the answer AnswerCognitive milestones for your 2-year-old
By age two, most toddlers find hidden toys, sort shapes, stack blocks, follow simple two-step instructions, name familiar pictures and begin pretend play — early signs of growing memory, attention and problem-solving. These are gentle guideposts, not a pass-or-fail test.
Read the answer AnswerCognitive milestones for your 3-to-6-month-old
Between 3 and 6 months, cognitive milestones appear as curiosity: recognising familiar faces, following moving objects, exploring toys by reaching and mouthing, and expecting a response to coos and smiles. Babies develop at different paces, so a few weeks' variation is usually normal — a developmental check brings reassurance if you have concerns.
Read the answer AnswerWhat cognitive milestones should my 3-year-old have reached?
By age 3, most children complete simple puzzles, sort by colour or shape, follow two-step instructions, name a few colours and enjoy pretend play. These cognitive milestones emerge across a healthy range — a gentle developmental check is wise only if pretend play, instruction-following or problem-solving interest seem absent by 3–3½.
Read the answer AnswerWhat cognitive milestones should my 4-year-old have reached?
By four, most children count to ten, name colours, follow two- to three-step instructions, enjoy rich pretend play, and answer simple 'why' questions. These are guides, not a checklist — if several feel well behind, a gentle developmental check is the kind next step.
Read the answer AnswerWhat Cognitive milestones should my 5-year-old have reached?
By age five most children count to ten and beyond, name colours and shapes, follow three-step instructions, enjoy rich pretend play, and answer "why" questions. These are typical signposts within a normal range, not a fixed checklist — steady progress matters most, and a gentle developmental check helps if several are not yet emerging.
Read the answer AnswerWhat Cognitive milestones should my 6-to-9-month-old have reached?
Between 6 and 9 months most babies explore objects with purpose, repeat actions that cause an effect, begin searching for hidden toys (early object permanence), recognise familiar faces and pass objects hand to hand. There is a wide normal range; a developmental check helps if your baby isn't exploring, recognising faces or responding to sounds by 9 months.
Read the answer AnswerWhat Cognitive Milestones Should My 6-Year-Old Have Reached?
By six, most children count and recognise numbers, follow multi-step instructions, focus for about 15 minutes, sort and compare objects, and begin reading simple words. These ICF b1 cognitive milestones span a normal range, and timing varies widely from child to child.
Read the answer AnswerCognitive milestones for your 9-to-12-month-old
By 9–12 months most babies show object permanence (looking for hidden toys), cause-and-effect play, simple imitation like waving, and respond to their name. Pace varies widely — these are a gentle guide, not a test. A friendly developmental check is the right next step if anything feels off.
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