When is play not enough on its own?
Play at home supports a child who is moving forward slowly. It does not replace an assessment. Book a check if your child is not using single words by around 18 months, is not putting two words together by around two and a half, has lost words or skills they used to have, or does not turn when you call their name.
Other things worth getting looked at rather than waiting on: no pointing or showing you things by about 18 months, speech that people outside the family cannot understand by three, distress at everyday sounds, textures or food that is shrinking the family’s daily life, or a child who is not playing alongside other children at all by school age.
None of those is a diagnosis, and none of them means something is seriously wrong. They are simply the points at which watching and waiting stops being the better option.
What would make us send you somewhere else first
A hearing test, almost every time. A child who is not hearing clearly — often because of repeated ear infections and glue ear — can look exactly like a child with a language delay, and no amount of play will fix that. We would far rather you had your child’s hearing checked first than start a block of therapy that was never going to be the answer.
We would also point you to a paediatrician or your family doctor rather than to us if your child has lost skills they clearly had before, has had seizures or unexplained episodes of blankness, is losing weight, or is very floppy or very stiff in how they move. Those need a medical look first, and therapy fits around it afterwards.
If a diagnosis has already landed and you are not sure what happens next, our first guide for newly diagnosed families takes it from the beginning. If you are still at the stage of wondering whether what you are seeing even counts as a worry, read through the situations parents describe most often — a good many parents find their own child in that list.