Speech & Communication

Delayed Language in Bilingual Child

Editorially reviewed | Sources: AAP, NIH, CDC|Updated June 2026

The short answer

Being raised with two or more languages does not cause speech or language delays. Bilingual children may have slightly fewer words in each individual language, but their total vocabulary across both languages is typically on par with monolingual peers. Language mixing (code-switching) is also completely normal and is actually a sign of sophisticated language processing. If you have concerns, ask for an evaluation - but make sure the evaluator considers both languages.

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By Age

What to expect by age

0-12 months

Babies exposed to two languages from birth can distinguish between them remarkably early. They babble on the same timeline as monolingual babies. You may notice them responding differently to each language - this is a sign that their brain is processing both. Keep speaking both languages naturally. There is no need to restrict your baby to one language.

12-18 months

Bilingual toddlers typically say their first words on the same timeline as monolingual toddlers, though those first words may come from either language. It's common for a bilingual 18-month-old to have 10 words in one language and 5 in the other. What matters is the total word count across both languages combined, not each language separately.

18-24 months

Your bilingual toddler may mix words from both languages in the same sentence - this is called code-switching and it's normal and healthy. It does not mean they're confused. By age 2, their combined vocabulary across both languages should be around 50 or more words. If they have fewer than 50 total words across both languages, or aren't combining words, consider an evaluation.

2-3 years

Bilingual children at this age typically develop a dominant language (usually the one they hear most) and may be less fluent in the other. This is completely normal. By age 3, they should be using sentences in at least one language and be understood by family members in both. If your child is significantly behind in both languages, that suggests a true language delay that should be addressed.

3+ years

By preschool age, most bilingual children are clearly communicating in both languages, though one may be stronger than the other. If your child is struggling in both languages - not just the less-exposed one - a speech evaluation is warranted. Make sure the speech therapist has experience with bilingual children and evaluates both languages, as testing in only one language can underestimate a bilingual child's abilities.

What Should You Do?

When to take action

Probably normal when...
  • Your bilingual toddler has fewer words in each language individually, but their combined total across both languages matches age expectations.
  • Your child mixes words from both languages in the same sentence - code-switching is a normal part of bilingual development, not confusion.
  • Your child prefers one language over the other, especially the language of their primary caregiver or the language spoken at daycare.
  • Your child understands both languages well but speaks mostly in one - receptive bilingualism often precedes productive bilingualism.
  • Your child went through a quiet period when starting daycare or school in a second language - a "silent period" of adjustment is common and temporary.
Mention at your next visit when...
  • Your child has fewer than 50 total words across both languages combined by age 2.
  • Your child is not combining words in either language by age 2.
  • Your child doesn't seem to understand basic instructions in either language.
Act now when...
  • Your child has very few words in both languages, limited understanding in both, and is not using gestures to communicate - a delay in all languages is a true language delay, not a bilingual effect.
  • Your child has lost words or phrases in either language that they previously used - regression always warrants urgent evaluation.

Sources

Trust your instincts. If something feels wrong, reach out to your pediatrician.

Worrying about your baby means you care. That is a good thing.

Accent vs Speech Disorder in Bilingual Toddlers

When toddlers grow up hearing more than one language, they naturally blend sounds, patterns, and accents from both languages. This is normal and healthy, not a speech disorder. A bilingual child may pronounce some sounds differently than monolingual peers because they are learning the sound systems of two languages simultaneously. True speech disorders affect both languages equally, while accent influence appears only in specific sounds borrowed from one language to another.

Ear Fluid Affecting Baby's Speech Development

Chronic or recurrent middle ear fluid (otitis media with effusion) can temporarily reduce hearing by 15 to 40 decibels, which is like hearing through water. During critical periods of language learning, this muffled hearing can impact speech and language development. If your baby has frequent ear infections or persistent fluid, discuss the potential speech impact with your pediatrician.

Will Ear Tubes Help My Child's Speech?

Ear tubes (tympanostomy tubes) can restore normal hearing by draining persistent fluid from the middle ear. Many children show speech and language improvement within weeks to months after tube placement, particularly if hearing loss from fluid was contributing to their speech delay. However, ear tubes alone may not resolve all speech delays, and some children benefit from speech therapy alongside tube placement.

Baby Failed Newborn Hearing Screen - What Now?

Failing a newborn hearing screen does not necessarily mean your baby has hearing loss. Many babies who fail the initial screen pass on follow-up testing. However, it is critical to complete follow-up testing by 3 months of age. If hearing loss is confirmed, early intervention by 6 months of age leads to significantly better language outcomes.

Baby Using Jargon but No Real Words

Jargon babbling, which sounds like your baby is having a conversation in a made-up language, typically appears between 10 and 14 months and is a positive sign that your baby is learning the rhythm and melody of speech. Real words usually emerge from jargon over the following months. If no real words appear by 16 to 18 months, a speech evaluation may be helpful.

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.