Does my child need therapy?

Birth - 7 Months

• Does not cry when hungry or uncomfortable
• Does not make comfort sounds or sucking sounds
• Cry does not vary in pitch, length and volume to indicate different needs
• Difficulty establishing/maintaining a rhythmical suck/swallow pattern
• Significant loss of breast milk/formula out of side of mouth during feeding
• Inability to establish or maintain face to face communication during feeding
• Does not vocalize in response to sound stimulation
• Has not begun to laugh by 5 months in response to play
• Does not babble during play or in response to stimulation (may suggest hearing difficulties)
• Does not use voice to vocalize attitudes other than crying
• Does not respond to sound stimulation (indicative of hearing difficulties)
• Difficulty with swallowing early solids or other feeding issues

7 - 12 Months

• Does not look towards sounds or own name
• Does not babble double consonants (bababa...)
• Difficulty with textures in foods (gagging, choking, etc.)
• Does not participate in conversations with adults using babbling
• Does not say "mama" or "dada" non-specifically
• Does not use different inflections to produce exclamations
• Unable to successfully eat early finger foods or munch/bite on foods
• Does not babble single consonants such as "ba" or "da"
• Does not respond to words/language appropriately
• Does not experiment with language when playing independently
• Does not participate in conversations by responding with vocalizations

12 - 15 Months

• Does not use inflection during vocalization
• Does not experiment with language during play
• Does not use 1 to 3 words spontaneously while repeating additional words
• Does not vocalize or gesture to communicate needs
• Does not use "no" emphatically and meaningfully
• Does not use exclamatory expression such as "oh-oh", "No-no", Ta-da", etc.

15 - 18 Months

• Does not attempt to sing songs
• Does not use 10-15 words spontaneously
• Does not use vocalization in conjunction with gestures
• Does not use language to communicate needs
• Does not repeat sounds or words or imitating environmental sounds
• Does not jabber tunefully during play
• Continues to demonstrate eating problems (swallowing issues, choking, etc.)

18 - 24 Months

• Does not use jargon with good inflection
• Does not label 2-4 pictures while looking at a book
• Does not put 2-4 words together to form short sentences or communicate needs
• Does not understand nouns, verbs and modifiers an their uses
• Does not use intelligible words to communicate needs
• Does not imitate 2-4 word phrases
• Does not relay experiences using jargon, words and/or gestures
• Does not have at least 50 - 100 words

24 - 33 Months

• Does not sing phrases of songs
• Does not use three word sentences
• Does not use a wide range of consonant and vowel sounds
• Does not use past tense words "He runned"
• Does not express frustration at not being understood
• Does not use up to or more than 50 expressive words
• Does not imitate phrases or experiment with new words
• Words are not clearly articulated

33 - 36 Months

• Does not respond to questions when asked things
• Does not produce correct beginning sounds of words
• Has a hard time understanding prepositions
• Does not speak in complete sentences
• Does not use plurals to refer to more than one (even if not correct)
• Does not participate in storytelling
• Does not have expressive vocabulary of 200 - 1000 words
• Does not use expressive vocabulary to communicate all needs
• Does not use sentences to communicate

Birth - 6 Months

• Does not grasp objects placed near palm
• Does not follow an object with her eyes
• Hands remain closed almost all of the time
• Frequently resists being held
• Becomes upset when moved, as when being picked up, laid down, or handed from one familiar person to another
• Does not swipe at or reach for objects
• Does not bring hands or objects to mouth
• Frequently irritable for no apparent reason
• Does not place both hands on her bottle while being fed
• Does not hold their own bottle
• Doesn't smile at their image in a mirror
• Involuntarily drops objects after only a few minutes
• Does not actively grasp large finger foods such as teething cookies when they are placed on the highchair tray
• Becomes excessively and consistently upset by leaving the home

7 - 12 Months

• Does not transfer an object from one hand to the other
• Not beginning to pick up small objects
• Does not poke with index finger
• Does not accept a variety of food textures
• Becomes excessively upset by being dressed, diapered, bathed, or having hair groomed
• Isn't able to pick up a cheerio or other small object with tip of the thumb and the tip of the index finger
• Does not sleep through the night, most of the time
• Does not show interest in exploring toys made for one year olds
• Becomes excessively upset by sounds of sirens, barking dogs, vacuum cleaners, or other familiar loud noises

15 Months

• Cannot put a one inch object into a container with a slightly bigger opening
• Cannot stack two cubes
• Cannot put a round form into a round shape on a puzzle

18 Months

• Cannot point to a few of the following body parts: eyes, nose, mouth, hair, tummy, legs, feet, and hands
• Cannot stack four books
• Cannot turn pages of a cardboard book, or regular small book two or three pages at a time

24 Months

• Plays with toys only by tapping, shaking, or throwing
• Cannot unscrew the top of a one inch or two inch bottle
• Cannot remove socks, untied shoes, or pull on pants without help
• 30 Months
• Cannot imitate drawing a vertical line or a circular scribble on paper immediately after seeing an adult draw these lines
• Cannot stack eight to ten cubes
• Cannot imitate drawing a horizontal line immediately after seeing an adult draw a horizontal line

36 Months

• Cannot remove all pull on clothing after fasteners have been undone
• Does not imitate the actions of adults in the home

Birth - 3 Months

• Does not lift head in prone position (while lying on their stomach)
• Does not turn head to one side in prone position
• Does not turn head to both sides in supine position (lying on back)
• Does not hold head up 90 degrees in prone position (lying on stomach)
• Does not extend both legs or kick reciprocally
• Does not roll to back when placed on their side

4 - 6 Months

• Does not place weight on forearms in prone position (lying on stomach)
• Does not rotate or extend head
• Unable to grasp a rattle
• Cannot bring both hands together
• Does not roll over one way
• Does not hold head up when pulled to sitting
• Unable to hold head steady in supported sitting position
• Does not bear weight on legs
• Unable to keep head level with body when pulled to a sitting position
• Does not demonstrate balance reactions
• Cannot bear weight on hands in prone position (lying on stomach)
• Does not move head actively in supported sitting position

7 Months

• Does not roll over either way
• Does not bear weight on legs
• Cannot lift head or assist when pulled to sitting position
• Demonstrates little balance reactions or protective extension of arms

8 Months

• Does not roll over both ways
• Cannot sit with little or no support
• Does not hold weight on one hand while in the prone position (lying on stomach)
• Cannot bear weight on legs and bounce

10 Months

• Cannot get to sitting position without assistance
• Does not assume crawling position (hand-knee position)
• Does not show interest/motivation to crawl
• Cannot sit on own without hand support

12 Months

• Does not pull to stand using furniture
• Cannot switch positions from sitting to prone
• Does not creep on hand and knees
• Cannot pivot while in sit position to retrieve toy
• Cannot pass an object from one to the other
• Cannot stand holding on to someone or something
• Cannot pick up small objects

15 Months

• Does not walk with one hand held
• Cannot stand alone well
• Does not demonstrate balance reaction while in kneeling position
• Does not walk alone one to two steps
• Does not demonstrate motor planning by climbing on furniture
• Has a hard time picking up small objects

18 Months

• Does not attempt to creep upstairs
• Does not walk without support
• Cannot throw ball
• Does not bend down to retrieve objects
• Does not demonstrate balance reaction in standing

24 Months

• Does not run
• Cannot walk upstairs with one hand held
• Cannot carry a large toy while walking
• Does not squat in play
• Cannot retrieve a toy off of floor from standing position
• Does not climb onto furniture, turn and sit
• Cannot build a tower of six blocks
• Does not use utensils well

30 Months

• Does not jump in place with both feet
• Does not stand from sitting by rolling on side
• Cannot catch large ball
• Has difficulty with gait and balance
• Does not walk downstairs using rail for support
• Does not have wide range of movement
• Does not run and stop without holding
• Does not avoid objects when running

36 Months

• Cannot kick stationary ball
• Unable to stand on one foot for two seconds
• Cannot build tower of 9 blocks
• Cannot complete 5-6 piece puzzle
• Does not use utensils properly
• Does not attempt to ride tricycle
• Does not demonstrate grasp of a crayon