5 Signs Your 2 Year Old Needs Speech Therapy

5 Signs Your 2-Year-Old Might Need Speech Therapy

As a parent, it can be hard to know what’s “normal” when it comes to your toddler’s speech and language development—especially if your child is learning more than one language.

Here are the top 5 signs your 2-year-old might benefit from speech therapy:

1. Not Saying at Least 50 Words

By age two, most children say at least 50 words and are starting to combine two words together (like “más leche” or “go outside”).
If your toddler has fewer than 50 words—or isn’t trying to imitate new words regularly—it may be a sign they need support building their vocabulary.

2. Not Following Simple Directions

Children this age should be able to understand and follow basic commands like:

• “Give me the ball”

• “Vamos a lavar las manos”

• “Get your shoes”

If they seem confused or unresponsive to everyday directions, it could signal a receptive language delay (difficulty understanding).

3. Limited Eye Contact or Social Interaction

While every child is unique, toddlers should be showing interest in people—pointing to things, bringing you toys, laughing with you, or trying to get your attention.
If your child avoids eye contact, doesn’t respond to their name, or use simple gestures (waving, clapping), a speech-language evaluation can help explore what's going on.

4. Only Repeating Words

If your child mainly repeats what you say rather than using their own words or phrases, they may need help with expressive language or social communication.

5. Not combining phrases

If your toddler is not combining two word phrases or struggling to imitate phrases or single words they may need help with expressive language.

🌟 Bonus Tip: Bilingualism Does Not Cause a Delay

Speaking more than one language doesn’t cause delays or confusion. It’s important to work with a bilingual speech therapist who understands both languages and cultures.

What To Do Next

If you’re concerned, trust your instincts. It’s always okay to ask questions early—you don’t need to wait for a doctor’s referral to get support.

At Bloom Bilingual Speech Therapy, we specialize in:

• Helping bilingual children thrive in both languages

• Supporting families with culturally responsive care

• Offering flexible services in clinic, home, or via teletherapy

Contact us today for a free phone consultation or to schedule a speech-language evaluation.

Serving Fort Worth, and Azle, TX.