# What signs suggest my child may need support with non verbal?

Canonical: https://pinnacleblooms.org/ask/what-signs-suggest-my-child-may-need-support-with-non-verbal
Publisher: Pinnacle Blooms Network / Bharath Healthcare Laboratories Private Limited

Between 12 and 36 months, signs a toddler may need communication support include few or no words by 16–18 months, limited pointing, gestures or eye contact to share interest, little babbling, not responding to their name, and rarely copying sounds or actions. Toddlers vary widely, so these are signs to observe and check early — not to diagnose at home. A hearing check comes first, and gentle play-based support never has to wait for a label.

*Some little ones understand far more than they can yet say — so how do you tell a patient pace from a pattern worth a closer, kinder look?*

## In short
Between 12 and 36 months, signs that your toddler may need support with communication can include few or no words by around 16–18 months, limited pointing, gesturing or eye contact to share interest, little back-and-forth babble, not responding to their name, and rarely copying sounds or simple actions. These are signs to *observe and act on early* — not to diagnose at home. Toddlers grow at very different rates, so a gentle check is the kind, sensible next step.

## Signs to watch (12–36 months)
Every child has their own rhythm. What matters is the overall pattern across a few months — not a single missed milestone.

**Connecting and gestures**
- Little use of pointing, waving, reaching or showing you things by 15–18 months
- Limited eye contact when sharing a moment, like spotting a dog or plane
- Not turning consistently when you call their name

**Words and sounds**
- No clear words by around 16 months, or no two-word phrases by 24 months
- Little babbling or copying of sounds, words or simple actions
- Loss of words or gestures they once used (always worth a prompt check)

**Understanding and play**
- Difficulty following simple, familiar requests ("give me the ball")
- Limited pretend play or interest in playing alongside others

A hearing check comes first, because hearing difficulties are common and very treatable — and they directly affect speech.

## When to seek a check
If several of these appear together, persist over weeks, or you notice any loss of skills, bring it to your paediatrician or a developmental screen early. Early support is play-based and gentle — it never has to wait for a label.

## The Pinnacle way
At [Pinnacle Blooms Network](/), we begin with what your child *can* do and build communication through warm, play-led [speech therapy](https://www.pinnacleblooms.org/top-speech-therapy-center-india-proven-improvement-rate), coaching you as their everyday partner. Learn more about supporting a [non-verbal](/non-verbal) toddler and how monitoring works. 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. Across 70+ centres in 4 states and 4.95 lakh+ families served, our aim is steady, strengths-first progress.

## Trusted sources
Aligned with CDC milestone guidance, American Academy of Pediatrics and HealthyChildren.org developmental monitoring, and ASHA guidance on early communication.

**Next step —** if your toddler shows signs you'd like understood, book a developmental screen with our clinical team on WhatsApp at +91 91001 81181, and let's understand your little one together.

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
- CDC — Developmental Milestones: https://www.cdc.gov/child-development
- HealthyChildren.org (AAP) — Toddler Development: https://www.healthychildren.org/English/ages-stages/toddler/Pages/default.aspx
- ASHA — Speech & Language Development: https://www.asha.org/public/speech/development/

## Connected topics and perspectives
- Skills: https://pinnacleblooms.org/ask/skills
- Parent / Family: https://pinnacleblooms.org/ask/lens/stakeholder/parent
- Toddler: https://pinnacleblooms.org/ask/lens/age/toddler
- 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
- Book Assessment: https://pinnacleblooms.org/ask/lens/route/book-assessment
- Early Clarity: https://pinnacleblooms.org/ask/lens/empowerment/early_clarity
- Non-Verbal: https://pinnacleblooms.org/ask/lens/ability/non-verbal
- Ages & Stages Questionnaires, 3rd ed.: https://pinnacleblooms.org/ask/lens/assessment/asq3
- English: https://pinnacleblooms.org/ask/lens/language/en
- SDG 3: Good Health and Well-being: https://pinnacleblooms.org/ask/lens/sdg/3
- non verbal: https://pinnacleblooms.org/ask/lens/skill/non-verbal
- ASHA / PHC / Frontline: https://pinnacleblooms.org/ask/lens/stakeholder/asha_phc
- Doctor / Pediatrician: https://pinnacleblooms.org/ask/lens/stakeholder/doctor
- Therapist / Clinician: https://pinnacleblooms.org/ask/lens/stakeholder/therapist

## Related question paths

### Recognise signs & concerns
- What signs suggest my child may need support with communication?: https://pinnacleblooms.org/ask/what-signs-suggest-my-child-may-need-support-with-communication
- What signs suggest my child may need support with nonverbal communication?: https://pinnacleblooms.org/ask/what-signs-suggest-my-child-may-need-support-with-nonverbal-communication
- What signs suggest my child may need support with verbal communication?: https://pinnacleblooms.org/ask/what-signs-suggest-my-child-may-need-support-with-verbal-communication
- What signs suggest my child may need support with language development?: https://pinnacleblooms.org/ask/what-signs-suggest-my-child-may-need-support-with-language-development
- What signs suggest my child may need support with social communication?: https://pinnacleblooms.org/ask/what-signs-suggest-my-child-may-need-support-with-social-communication
- What signs suggest my child may need support with early words?: https://pinnacleblooms.org/ask/what-signs-suggest-my-child-may-need-support-with-early-words
- At What Age Should a Child Be Non-Verbal?: https://pinnacleblooms.org/ask/at-what-age-should-a-child-non-verbal
- Could difficulty with non-verbal skills be a sign of developmental delay?: https://pinnacleblooms.org/ask/could-difficulty-with-non-verbal-be-a-sign-of-a-developmental-delay
- Is it normal that my toddler is not yet showing non-verbal communication?: https://pinnacleblooms.org/ask/is-it-normal-that-my-toddler-is-not-yet-showing-non-verbal
- What does it mean if my child is not yet showing nonverbal communication?: https://pinnacleblooms.org/ask/what-does-it-mean-if-my-child-is-not-yet-showing-non-verbal
- When Do Children Usually Start Talking?: https://pinnacleblooms.org/ask/when-do-children-usually-non-verbal
- 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

### Understand assessment
- What does the amber zone for non-verbal skills mean?: https://pinnacleblooms.org/ask/my-child-is-in-the-amber-zone-for-non-verbal-what-does-that-mean
- My child is in the green zone for Non-Verbal — what does that mean?: https://pinnacleblooms.org/ask/my-child-is-in-the-green-zone-for-non-verbal-what-does-that-mean
- Red zone for non-verbal — what it means: https://pinnacleblooms.org/ask/my-child-is-in-the-red-zone-for-non-verbal-what-does-that-mean
- How a clinician assesses and tracks non-verbal communication progress: https://pinnacleblooms.org/ask/how-can-a-clinician-assess-and-track-a-child-s-progress-in-learning-to-non-verbal

### Explore therapy & support
- How can a teacher support a child working on non verbal?: https://pinnacleblooms.org/ask/how-can-a-teacher-support-a-child-working-on-non-verbal
- What therapy helps a child learn to communicate when non-verbal?: https://pinnacleblooms.org/ask/what-therapy-helps-a-child-learn-to-non-verbal
- Amber Zone for Non-Verbal — What To Do Next: https://pinnacleblooms.org/ask/my-child-is-in-the-amber-zone-for-non-verbal-what-should-we-do-next
- Green Zone for Non-Verbal — What Should We Do Next?: https://pinnacleblooms.org/ask/my-child-is-in-the-green-zone-for-non-verbal-what-should-we-do-next
- Red Zone for Non-Verbal — What To Do Next: https://pinnacleblooms.org/ask/my-child-is-in-the-red-zone-for-non-verbal-what-should-we-do-next
- Techniques to help a non-verbal child communicate: https://pinnacleblooms.org/ask/as-a-therapist-what-techniques-help-a-child-develop-the-ability-to-non-verbal
- How can a teacher support a non-verbal student?: https://pinnacleblooms.org/ask/how-can-a-teacher-support-a-student-who-is-still-learning-to-non-verbal
- Prioritising amber-zone non-verbal communication: https://pinnacleblooms.org/ask/how-should-a-therapist-prioritise-a-child-who-is-in-the-amber-zone-for-non-verbal
- How should a therapist prioritise a child who is in the green zone for Non-Verbal?: https://pinnacleblooms.org/ask/how-should-a-therapist-prioritise-a-child-who-is-in-the-green-zone-for-non-verbal
- How should a therapist prioritise a child in the red zone for non-verbal?: https://pinnacleblooms.org/ask/how-should-a-therapist-prioritise-a-child-who-is-in-the-red-zone-for-non-verbal

### At home & in everyday life
- How can I help my non-verbal toddler communicate at home?: https://pinnacleblooms.org/ask/how-can-i-help-my-child-with-learn-to-non-verbal-at-home
- An Everyday Therapy activity for a non-verbal toddler: https://pinnacleblooms.org/ask/what-is-one-everyday-therapy-activity-to-help-my-child-with-non-verbal
- Helping a Non-Verbal Child Communicate Every Day: https://pinnacleblooms.org/ask/as-a-caregiver-how-can-i-gently-help-a-child-practise-learning-to-non-verbal-during-everyday-routines