When a child isn’t meeting expected milestones in speech, motor skills, social interaction, or learning, it’s natural for parents to feel concerned. But a developmental delay doesn’t mean a child won’t thrive. With early intervention and the right support, many children make significant progress.
Here’s what you need to know, and what you can do, if you suspect your child has a developmental delay.
Understanding Developmental Delay in Children
A developmental delay refers to a child not reaching age-appropriate milestones in one or more areas of development:
- Speech and language
- Motor skills (gross or fine)
- Cognitive development
- Social-emotional skills
- Adaptive/self-help behaviors
Early Signs of Developmental Delay to Watch For
Developmental milestones are general markers of typical progress. Missing one or two milestones doesn’t always indicate a problem, but patterns of delay can be a sign to take action.
By Age:
- 12 months: Not babbling, not standing with support, not waving or pointing
- 24 months: Not using two-word phrases, unable to follow simple instructions, little interest in interaction
- 36 months: Unclear speech, difficulty playing with others, poor motor coordination
- 4–5 years: Struggles with conversation, imaginative play, or fine motor tasks like drawing shapes
How to Help a Child With a Developmental Delay
1. Talk to Your Pediatrician
If you’re concerned, bring up your observations at your child’s next well-child visit. Pediatricians can perform or refer you for standardized screenings such as the:
- M-CHAT-R (Modified Checklist for Autism in Toddlers, Revised)
- CAST Screening (Childhood Autism Spectrum Test)
- ASQ-3 (Ages and Stages Questionnaire)
- Denver Developmental Screening Test
2. Request a Formal Evaluation
Children under 3 can usually receive a free evaluation through the Early Intervention (EI) program in your state. Children 3 and up can be evaluated through your local school district’s special education program, under IDEA Part B.
3. Begin Early Intervention Services
If the evaluation shows that your child has signs of a developmental delay, services might include:
- Speech and language therapy
- Occupational therapy
- Physical therapy
- ABA therapy (for autism-related delays)
- Developmental therapy
Types of Therapies That Help Children With Developmental Delays
Speech-Language Therapy
This is for children with delayed speech or difficulty expressing or understanding language. It also addresses pragmatic language skills, how children use language in social situations.
Occupational Therapy (OT)
OT helps children improve fine motor coordination (e.g., using utensils, drawing, buttoning) and sensory processing, as well as daily life skills like dressing and feeding.
Physical Therapy (PT)
For gross motor delays like crawling, walking, or balance issues, PT strengthens muscles, improves coordination, and encourages movement milestones.
Play-Based Developmental Models
Programs such as the Early Start Denver Model (ESDM) and DIR/Floortime blend relationship-building with developmental skill-building, especially in toddlers and preschoolers.
ABA (Applied Behavior Analysis) Therapy
Although ABA therapy can also be considered a play-based model, it focuses on building skills through reinforcement and structured teaching. It’s considered highly effective for children with autism spectrum disorder and other developmental challenges.
How to Help a Child With Developmental Delay at Home
Your involvement plays a key role in your child’s growth. These everyday strategies can support development:
- Talk and interact frequently – Describe what you’re doing, name objects, and ask questions.
- Establish routines – Predictable schedules offer a sense of safety and control.
- Play together – Choose games and toys that encourage imagination, communication, and problem-solving.
- Use positive reinforcement – Praise efforts, not just results, to build confidence.
- Read aloud daily – Reading boosts language development and attention span.
What If the Delay Is Significant or Doesn’t Improve?
If your child’s progress is slower than expected, or you suspect a more complex issue like autism, cerebral palsy, or a learning disability, your pediatrician may recommend:
- A developmental-behavioral pediatrician
- A neurologist or geneticist
- Psychological or educational testing
These professionals can rule out other causes and guide more advanced intervention planning.
Why Family Support Matters in Developmental Delays
Caring for a child with developmental delays can be emotionally taxing. Many families benefit from:
- Parent support groups
- Parent training workshops
- Care coordination
- Mental health services for caregivers and siblings
Early Action Leads to Better Outcomes
Finding out your child has a developmental delay is a doorway to support, understanding, and growth. When identified early, even small interventions can make big progress in your child’s communication, motor skills, and social development.
Every child is on their own path and pace. If something feels different, trust your instincts. You know your child best. Taking action doesn’t mean something is wrong; it means you’re ready to give your child the best tools to thrive.
At Cultivate Behavioral Health & Education, we’re here to walk that journey with you. From developmental screenings to individualized therapies and family-centered care, we have support that fits your child and your family.
Contact us and let’s take that first step together. The earlier we start, the more we can make sure your child has what they need to succeed.
