I’m seeing more worried parents at 18-month visits when the ASQ flags “monitor” for language, even with about 10 words and good joint attention; how do you frame next steps without adding anxiety? I typically suggest daily narration/gestures, a hearing check, and a follow-up in 6–8 weeks, but I’d love to hear what’s been helpful for your families or clinics.
I frame it as “expressive lag with solid social skills” and do a 3‑week portal check-in instead of waiting the full 6–8; parents send a 2–3 min play video with a clear‑box communication temptation and I coach one tweak (wait 5–7 sec before labeling). We still order hearing, but I also track verbs and consonant variety from the clip — the word‑tally chase drives me nuts — and give this for something concrete at home: “Learn the Signs. Act Early.” | CDC. @OP would you jump to EI only if there are still no new verbs/consonants at that 3‑week touchpoint?
It might help to emphasize that 10 words with good joint attention shows promise! Have parents tried using daily routines for more language exposure? @jhamilton34.
It’s great to see that some kids are showing promise with solid social skills! In my experience, incorporating storytelling during playtime can make a real difference in language exposure. Have you tried that in your sessions?
I’ve found that using everyday moments, like mealtime or bath time, can turn into great opportunities for language practice. Instead of just narration, try to model simple questions to encourage responses. It’s low-pressure and helps kids engage without feeling overwhelmed.
I totally get that it can feel daunting, but remember — communication isn’t just about words! Using silly voices or songs during playtime can really encourage kids to engage. Maybe some families could experiment with picking a favorite character and narrating their adventures together? @jhamilton34, any tips on integrating that into daily routines?