Speech & Communication

Child Not Following Simple Directions

The short answer

It can be hard to tell whether a toddler isn't following directions because they don't understand, or because they simply choose not to. Most toddlers can follow simple one-step directions like "give me the ball" by 12 to 15 months, and two-step directions by age 2. If your child consistently seems confused by simple instructions (rather than defiant), it may point to a receptive language concern worth exploring.

By Age

What to expect by age

Around 9 to 12 months, babies start understanding simple words and short commands, especially when paired with gestures. Your baby might hand you something when you hold out your hand and say "give me," or look at an object you name. If they don't respond to any verbal cues yet, but respond to gestures and tone of voice, they're likely still developing comprehension skills.

By 12 to 18 months, most toddlers can follow simple one-step directions like "go get your shoes" or "put it in the box," especially with context cues. They should also understand common words like "no," "more," and the names of familiar objects. If your child seems to have no idea what you're saying at this age, consider a hearing check and a speech evaluation.

Toddlers at this age should follow one-step directions without gestures and begin handling two-step directions like "pick up the cup and put it on the table." They should also point to body parts and familiar objects when asked. If your toddler consistently can't follow simple requests - not won't, but genuinely can't - that's worth mentioning to your pediatrician.

By age 2-3, children should understand and follow two-step directions, understand basic concepts like "in," "on," and "under," and respond to simple questions. If your child routinely seems lost when given instructions that peers can handle, a receptive language evaluation can help. Receptive language delays are just as important to address as expressive delays, and they respond well to therapy.

What Should You Do?

When to take action

Probably normal when...
  • Your toddler understands directions perfectly well but sometimes chooses not to follow them - especially when the answer is "no" or when they're absorbed in play.
  • Your toddler follows directions that come with gestures (like pointing) but not purely verbal commands yet - gesture-supported comprehension comes before verbal-only comprehension.
  • Your toddler follows familiar routines and instructions but gets confused by new or unfamiliar requests - routine-based understanding is typical at this age.
  • Your toddler is under 15 months and doesn't follow verbal directions consistently yet - this skill is still developing.
Mention at your next visit when...
  • Your child is 18 months or older and can't follow simple one-step directions even with gestures and context.
  • Your child doesn't seem to understand common words like "no," names of family members, or names of everyday objects.
  • Your child follows directions in one setting but never in another - inconsistency can sometimes point to hearing issues.
Act now when...
  • Your child seems to not understand any language at all - doesn't respond to their name, familiar words, or simple directions at any age past 12 months - hearing and developmental evaluation are needed.
  • Your child previously understood and followed directions but has stopped doing so - any loss of comprehension should be evaluated immediately.

Sources

My Baby Is Losing Words or Skills

If your child was consistently using words and has truly stopped, this is something to act on promptly. Regression - the genuine loss of skills a child previously had - is different from a normal plateau or a toddler being too busy to talk, and it always warrants a conversation with your pediatrician sooner rather than later.

Baby Not Babbling

Babbling with consonant sounds like "ba," "da," and "ma" typically begins between 6 and 9 months and is an important building block for speech. Babies develop at different rates, but if your baby is not making any consonant sounds by 9 months, a hearing check is a good first step.

Baby Not Laughing at Peek-a-Boo

Most babies start showing delight during peek-a-boo between 6 and 9 months, when they develop "object permanence" - the understanding that things still exist when hidden. If your baby isn't laughing at peek-a-boo yet, consider their age and overall social engagement. Some babies prefer other games, and some show enjoyment through smiles or excited movements rather than laughter. What matters most is whether your baby is socially engaged with you overall.

Baby Not Making Vowel Sounds

Most babies begin making vowel sounds - those lovely "oooh," "aaah," and "eee" sounds - around 2 to 3 months of age. This early cooing is one of the first steps in language development. Some babies are naturally quieter than others, but if your baby isn't making any vowel sounds by 4 months, it's worth checking in with your pediatrician to make sure hearing and development are on track.

Baby Not Responding to Own Name Consistently

Most babies start recognizing and responding to their own name between 5 and 7 months, though consistent response may take until 9 months. It's common for babies to sometimes ignore their name when they're focused on something interesting - this is normal. However, if your baby rarely or never turns when you say their name by 9 months, it's worth discussing with your pediatrician to check hearing and development.

Baby Not Turning to Sounds

Babies typically begin turning toward sounds around 4 to 6 months of age. If your baby isn't consistently looking toward voices or noises by 6 months, it's worth having their hearing checked. In many cases, something as simple as fluid in the ears can temporarily affect hearing, and early identification leads to the best outcomes.