Communication development is one of the most important aspects of a child's growth, and for children with autism, this journey may follow a different timeline. Understanding speech and language milestones can help parents and caregivers better support their child's communication development.
Understanding Communication Differences
Children with autism may experience challenges in various aspects of communication, including:
- Verbal communication (speaking and understanding language)
- Non-verbal communication (gestures, facial expressions, eye contact)
- Social communication (taking turns in conversation, understanding context)
- Pragmatic language (using language appropriately in different situations)
Typical Speech Milestones
While every child develops at their own pace, here are general communication milestones:
Birth to 12 months:
- Responds to sounds and voices
- Makes eye contact
- Babbles and makes various sounds
- Points or gestures to communicate wants
12 to 24 months:
- Says first words
- Follows simple instructions
- Uses gestures with words
- Vocabulary of 50+ words by age 2
2 to 3 years:
- Combines words into phrases
- Asks questions
- Names familiar objects
- Follows two-step instructions
When to Seek Support
Consider speech therapy if your child:
- Has limited or no verbal communication by age 2
- Loses previously acquired language skills
- Shows difficulty understanding others
- Demonstrates challenges with social communication
How Speech Therapy Helps
Speech therapy for children with autism focuses on:
- Developing functional communication skills
- Improving articulation and pronunciation
- Building vocabulary and language comprehension
- Teaching alternative communication methods when needed
- Enhancing social communication skills
Supporting Communication at Home
Parents can support their child's communication development by:
- Reading together daily
- Using visual supports and picture schedules
- Practicing turn-taking in simple games
- Modeling appropriate language use
- Creating opportunities for communication throughout the day
Remember, progress in communication may be gradual, but with consistent support and intervention, children with autism can develop meaningful communication skills that enhance their quality of life and social connections.

