Developmental Milestones




Cognitive/Motor Skills

0-3 months 

  • Appears to recognize your voice and smiles or quiets 

  • Makes pleasure sounds (cooing) 

  • Smiles reflexively as newborn then develops social smile by 3 months

  • Turns head to each side
    Lift head 45 degrees
    Rolls side to back 

4-6 months

  • Moves eyes toward sound source 

  • Babbles using more consonant-like sounds sounds (p,b,m) 

  • Vocalizes excitement and displeasure 

  • Begins to play – “peek a boo” and other games 

  • Imitates some movements and sounds

  • Holds self with forearms (Lifts chest from surface)
    Holds head steady in supported sitting
    Actively moves head in supported sitting

  • Bears some weight on legs in supported standing
    Rolls prone to supine/supine to side

7-9 months

  • Exhibits resistive behaviors 

  • Shouts for attention 

  • Imitates play 

  • Plays vocally 

  • Recognizes some words 

  • Uses social gestures 

  • Uses jargon

  • Sits independently
    Belly crawls
    Bears almost all weight on legs
    Pulls to stand on furniture
    Rolls supine to prone

10-12 months

  • Shows moods 

  • Uses objects appropriately (ex., spoon to pick up food) 

  • Obeys simple commands and directions 

  • Speaks one or more words 

  • Recognizes own name

  • Walks, holding furniture
    Walks with two hands held
    Creeps on hands and knees

12-18 months

  • Responds to simple requests (“get your toy”)

  • Points to common objects

  • Uses simple gestures (e.g. waving)

  • Says “mama” and “dada” and exclamations like “uh-oh”

  • Imitates non-speech sounds

  • Says one or two words

  • Vocalizes with intent

  • Finds hidden things easily

  • Explores things in different ways (e.g. shaking)

  • Puts things in/out of a container

  • Pokes with index finger

  • Uses things correctly

  • Walks with one hand held

18-24 months

  • Demonstrates pretend play

  • Follows simple directions without gestures

  • Points to show others something interesting

  • Uses several single words (e.g. no)

  • Puts some two words together (“more cookie,” “no juice,” “mommy book”)

  • Points to body parts

  • Scribbles on his own

  • Walks alone

  • May walk up steps and run

  • Pulls toys while walking

  • Can help undress herself

  • Drinks from a cup

  • Eats with a spoon

2 years

  • Copies others

  • Enjoys playing with other children

  • Points to common objects/pictures

  • Follows 2 step directions

  • Knows the name of familiar people, common objects and body parts

  • Puts 2-4 words together to form sentences

  • Says things heard in conversation

  • Sorts shapes and colors

  • Completes rhymes

  • Builds towers by stacking blocks

  • Stands on tiptoe

  • Kicks a ball

  • Begins to run

  • Walks up and down stairs holding on

  • Climbs onto and down from furniture without help

  • Throws ball

  • Makes straight lines and circles

3 years

  • Takes turns in games

  • Shows concern for others

  • Understands possessives (e.g. mine, his/hers)

  • Understands prepositions (e.g. in and on)

  • Follows 2-3 step directions

  • Can name most familiar things

  • Uses pronouns (e.g. I, we) and plurals (e.g. cats)

  • Can have a conversations using 2-3 sentences

  • Dresses and undresses self

  • Completes puzzles

  • Copies a circle

  • Turns pages one at a time

  • Screws and unscrews jar lids

  • Climbs well

  • Runs easily

  • Pedals a tricycle

  • Walks up and down stairs, one foot on each step

4 years

  • Creative with make-believe play

  • Recalls parts of a story

  • Names colors and numbers

  • Understands “same” and “different”

  • Talks about what he likes

  • Tells stories

  • Sings songs

  • Uses pronouns (e.g. I, we), possessives (e.g. his/hers) and plurals (e.g. cats)

  • Starts counting

  • Understands time

  • Draws a person with 2-4 body parts

  • Uses scissors ***Starts to copy capital letters

  • Plays board and card games

  • Hops and stands on one foot up to 2 seconds

  • Pours, cuts with supervision and mashes own food

  • Catches a bounced ball most of the time

5 years

  • Likes to sing, dance and act

  • Can tell what’s real and make-believe

  • Shows more independence

  • Speaks very clearly

  • Tells stories using full sentences

  • Uses future tense

  • Says name and address

  • Counts 10 or more things

  • Can draw a person with at least 6 body parts

  • Copies a triangle and other shapes

  • Can print some letter or numbers

  • Stands on one foot for 10 seconds or longer

  • Hops

  • Can do a somersault

  • Can use toilet on his own

  • Swings and climbs

****Note to parents: Developmental milestones can vary slightly depending on each individual child. If you are concerned, speak to your pediatrician about a referral to receive a thorough occupational and/or speech therapy evaluation. 

(Source: ASHA and NBCOT)

For more information on how to get started at Exceptional Speech Therapy, please contact us at (786) 717-5649.