Language Regression: What to Do When Your Child Loses Language Skills

It can feel confusing and even alarming when your child, who seemed to be finding their voice, starts using fewer words or communicative gestures than before. That knot of worry in your stomach is a common reaction many parents experience. As a Speech-Language Pathologist (SLP), my aim is to help you navigate these uncertainties. Let’s delve into language regression: what it means, when it warrants concern, and how to best support your child.

First Things First: Is Language Regression Normal?

This is often the first question on a parent’s mind. In short, a significant and consistent loss of previously acquired language or communication skills is not considered a typical part of child development.

It’s important to distinguish true regression from other developmental patterns. Sometimes, a child might:

• Plateau: Their language development might seem to pause for a bit while they focus energy on mastering other skills, like walking or fine motor coordination.
• Show Preference: They might temporarily stop using a specific word because they’ve learned a new one they prefer or find easier to say.
• Have “Quiet Days”: Just like adults, toddlers can have days where they are less talkative.

However, true language regression involves the consistent loss of skills the child once reliably demonstrated. This could mean they stop using words they used spontaneously and frequently, stop babbling, lose gestures like waving or pointing, or seem less responsive socially.

When Should I Be Concerned?

While any loss of skills warrants observation, here are specific signs that should prompt you to seek further advice:

• Loss of Words: Your child consistently stops using words they previously used often and meaningfully (not just words they imitated once or twice).
• Loss of Babbling/Vocalization: A decrease in the frequency or variety of sounds and babbles, especially if they were previously quite vocal.
• Loss of Social Skills: A noticeable decrease in eye contact, responding to their name, using gestures (like pointing, waving, reaching), sharing enjoyment, or imitating actions.  
• Loss of Understanding: Your child seems to understand less of what is said to them than they did before.
• Changes Occur Alongside Other Concerns: The language loss happens concurrently with changes in play skills, social interaction, motor skills, or behavior.

If you notice any of these signs consistently over a period of a few weeks, it’s time to take action. Trust your parental instincts – you know your child best.

What Should I Do If I’m Concerned?

1. Observe and Document: Start keeping a simple log. Note the specific words or skills you believe have been lost. When did you last hear that word used spontaneously? What communication attempts (sounds, gestures, words) are they using now? When did you first notice the change? Having specific examples is incredibly helpful when talking to professionals.
2. Talk to Other Caregivers: Check in with anyone else who regularly cares for your child (your partner, grandparents, daycare providers). Are they noticing the same changes?
3. Rule out Hearing Issues: Has your child had recent ear infections? Fluid in the ears can cause temporary hearing loss, significantly impacting speech and language. Mention this possibility to your pediatrician.

When and Where Do I Seek Professional Help?

When: As soon as you have a persistent concern. Don’t adopt a “wait and see” approach if you suspect regression. Early intervention is crucial and can make a significant difference.

Where:

1. Your Pediatrician: This is always a great starting point. They can conduct a general developmental screening, check for underlying medical issues (like hearing problems), and provide referrals. Be specific about your concerns regarding lost skills.
2. Early Intervention (EI) Programs (Birth to Age 3): In the United States, every state has a publicly funded Early Intervention program. You can typically self-refer (you don’t always need a doctor’s referral). Search online for “[Your State] Early Intervention Program” to find contact information. EI services often include developmental evaluations (including speech and language) and therapy services, often provided in your home or daycare, usually at low or no cost to the family.  
3. Local School District (Age 3 and Older): If your child is 3 years or older, your local public school district is responsible for evaluating children with suspected developmental delays, including speech and language. Contact the district’s Special Education Services department to request an evaluation.  
4. Private Speech-Language Pathologist: You can also seek an evaluation directly from an SLP in a private practice or clinic. You can find certified SLPs through the American Speech-Language-Hearing Association (ASHA) website’s ProFind tool. Insurance coverage varies, so check with your provider.  

What Can I Do at Home to Support Language Regression My Child?

While waiting for evaluations or alongside therapy, continue to create a rich, supportive communication environment. Focus on connection and interaction, not pressure:

• Play: Get down on the floor and engage in activities your child enjoys. Follow their lead. Play is a primary way young children learn and practice communication.  
• Talk and Narrate: Talk about what you are doing and what your child is doing throughout the day, especially when they seem interested or you have their attention (“We’re putting on your red shoes,” “You’re pushing the car fast!”). Use simple, clear language.
• Read Books Together: Daily book reading exposes your child to language, turn-taking, and joint attention. Point to pictures, make sounds, and let them turn pages.  
• Listen and Respond: Pay attention to all of your child’s communication attempts – sounds, gestures, eye contact, and words. Respond positively to show them their communication is valued.
• Reduce Pressure: Avoid constantly asking “What’s this?” or demanding “Say ____.” This can create anxiety. Instead, model the language yourself (“Look, a dog!”).
• Use Gestures and Signs: Simple gestures (like “more,” “all done”) can support communication and reduce frustration.
• Limit Screen Time: Prioritize face-to-face interaction over passive screen time.

A Final Thought

Discovering that language regression in your child is understandably upsetting. Remember to be kind to yourself during this process. Your observation and willingness to seek help are the most important first steps. While language regression can sometimes be associated with developmental conditions, early identification and appropriate intervention provide the best path forward for supporting your child’s communication and overall development. You are your child’s strongest advocate, and professionals like pediatricians and SLPs are here to partner with you.

For more information check out these resource:

MDS: Get Messy, Get Talking! Fun Sensory Play for Building Language

First Words Bright Futures Facebook Page

First Words Bright Futures Instagram Page

Disclaimer: This article provides general information and suggestions for educational purposes. It is not a substitute for professional diagnosis or treatment from a certified Speech-Language Pathologist. Please consult with a qualified professional if you have specific concerns about your child’s speech and language development.