# Early Signs of Developmental Language Disorder at 18–24 Months

Canonical: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-developmental-language-disorder-in-a-18-to-24-month-old
Publisher: Pinnacle Blooms Network / Bharath Healthcare Laboratories Private Limited

Between 18 and 24 months, possible early signs of Developmental Language Disorder include a very small spoken vocabulary (often under 50 words by age two), not yet joining two words, difficulty following simple instructions, and limited pointing or imitation — while connection stays warm. These are signs to observe and discuss, not to diagnose at home, and a hearing and speech check is the sensible first step.

*Some toddlers take their own sweet time to talk — so how do you tell a late bloomer from a pattern worth a gentle second look?*

## In short
Between 18 and 24 months, possible early signs of Developmental Language Disorder (DLD) include a very small spoken vocabulary (often fewer than 50 words by age two), little or no joining of two words together, difficulty following simple everyday instructions, and limited pointing, gesturing or imitating sounds — while play and connection may be otherwise warm. At this age these are signs to *observe and discuss*, not to diagnose at home, because there is wide normal variation and many late talkers catch up. If language is clearly behind, a speech-language check is the kind, sensible next step.

## Early signs to watch (18–24 months)
**Understanding (receptive language)**
- Struggles to follow simple one-step requests like "give me the ball" without gestures or repetition
- Doesn't seem to recognise the names of familiar people, body parts or everyday objects
- Limited response to her own name or simple questions

**Talking (expressive language)**
- A noticeably small spoken vocabulary — often fewer than around 50 words by 24 months
- Not yet combining two words ("more milk", "daddy go") as the second birthday approaches
- Very few different consonant sounds; words are hard for familiar adults to understand
- Relies on pointing or pulling you along rather than trying words

**Communication and play**
- Little babbling, jargon or imitation of words and sounds
- Reduced use of gestures such as waving, pointing to show, or nodding
- Slow growth — vocabulary stays flat over several months rather than steadily building

What shifts this from ordinary late-blooming towards something to assess is a **gap that persists or widens**, **both understanding and talking** being affected, and **limited gestures** — since strong pointing and good comprehension are reassuring even when words are slow.

## When to seek a check
Many healthy toddlers are simply on the later side of normal, especially in bilingual homes or after illness or ear infections. Consider a developmental and hearing check if, near the second birthday, your child has very few words, isn't starting to combine words, doesn't seem to understand simple requests, or uses few gestures. A hearing screen always comes first, because glue ear and other hearing differences are common and very treatable. DLD is usually identified a little later, but early support never has to wait for a label.

## The Pinnacle way
At [Pinnacle Blooms Network](/), we start by understanding what your child *can* do and what helps communication flow — then build from there. Gentle, play-based [speech therapy](https://www.pinnacleblooms.org/top-speech-therapy-center-india-proven-improvement-rate) grows vocabulary, understanding and the joy of connecting, with parents coached as everyday communication partners. 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; nothing here is a diagnosis. You can learn more about [Developmental Language Disorder](/developmental-language-disorder) and how support works. Across 70+ centres in 4 states and 4.95 lakh+ families served, our aim is steady, strengths-first progress.

## Trusted sources
Aligned with WHO ICD-11 (6A01.2 Developmental language disorder), American Academy of Pediatrics and HealthyChildren.org guidance on early language milestones, and ASHA resources on toddler communication development.

**Next step —** if this sounds like your little one, book a developmental and speech screen with our clinical team on WhatsApp at +91 91001 81181, and let's understand your child together.

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

## Sources
- WHO ICD-11: Developmental language disorder: https://icd.who.int/
- HealthyChildren.org: early language milestones: https://www.healthychildren.org/
- ASHA: toddler communication development: https://www.asha.org/

## Connected topics and perspectives
- Conditions: https://pinnacleblooms.org/ask/conditions
- Parent: https://pinnacleblooms.org/ask/lens/stakeholder/parent
- Toddler-18-24: https://pinnacleblooms.org/ask/lens/age/toddler-18-24
- Communication: https://pinnacleblooms.org/ask/lens/domain/communication
- Early Signs: https://pinnacleblooms.org/ask/lens/intent/early_signs
- Screen: https://pinnacleblooms.org/ask/lens/lifecycle/screen
- Special Education: https://pinnacleblooms.org/ask/lens/route/special-education
- Early Clarity: https://pinnacleblooms.org/ask/lens/empowerment/early_clarity

## Related question paths

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- DLD AbilityScore® 100–200 — Next Steps: https://pinnacleblooms.org/ask/my-child-with-developmental-language-disorder-has-an-abilityscore-of-100-200-what-should-we-do-next
- What to do after a 200–300 AbilityScore in DLD: https://pinnacleblooms.org/ask/my-child-with-developmental-language-disorder-has-an-abilityscore-of-200-300-what-should-we-do-next
- AbilityScore 300–400 with DLD — what to do next: https://pinnacleblooms.org/ask/my-child-with-developmental-language-disorder-has-an-abilityscore-of-300-400-what-should-we-do-next
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### At home & in everyday life
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