Communication & Speech1 min read

Speech and Language Milestones in Children with Autism

Understanding typical and atypical speech and language development helps parents and professionals identify when a child may need support, and what kind of support will be most effective.

A
AuthorAbdul Hay
DateApr 15, 2026
Time7:02 AM
Speech and Language Milestones in Children with Autism
Communication & Speech

"Understanding typical and atypical speech and language development helps parents and professionals identify when a child may need support, and what kind of support will be most effective."

Speech and language development follows a general timeline in typically developing children. Knowing these milestones — and understanding how autism often alters the path — is essential for parents and caregivers seeking to support their child's communication.

Typical Milestones

  • 12 months: 1–2 words, responds to name, waves bye-bye
  • 18 months: 10–20 words, points to show interest
  • 24 months: 50+ words, 2-word combinations ("more juice")
  • 36 months: 3-word sentences, strangers can understand 75% of speech

How Autism Affects Language

Children with ASD may show varied language profiles:

  • Some children develop language on time but struggle with pragmatics (using language socially)
  • Some children are late talkers or minimally verbal
  • Echolalia (repeating phrases heard previously) is common and can be a functional communication tool
  • Literal interpretation of language is common — idioms and sarcasm may be confusing

Speech Therapy Makes a Difference

Early and intensive speech-language therapy can significantly improve communication outcomes. DACAC's certified speech-language pathologists use naturalistic developmental behavioral interventions (NDBIs) — approaches that embed language learning into play and daily routines — alongside more structured techniques, ensuring children are motivated and engaged throughout therapy.

Written by

Abdul Hay

DACAC Content Team