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Worried about my child’s speech, behaviour and development

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It can be worrying if you feel your child is developing differently from other children. You may have questions about their speech, language, movement, behaviour, learning or understanding. You may have noticed something yourself, or concerns may have been raised during a developmental review. It is normal to have questions and want reassurance.

More about worried about my child’s speech, behaviour and development

Children develop at different rates. Some children reach milestones earlier and some reach them later. This does not always mean there is a problem.

Every child develops in their own way. They learn new skills over time, including talking, moving, playing, understanding others and managing their emotions.

Sometimes parents and carers notice that their child is not doing things they would expect for their age. They may seem different from other children, have difficulty communicating, find it hard to learn new skills or behave in ways that cause concern.

Things you notice about your child's speech, communication, movement, behaviour, learning or understanding may be linked to Special Educational Needs and Disabilities (SEND). SEND is a term used when a child has a learning difficulty or disability that means they need extra support.

You may notice that your child finds it difficult to communicate, understand instructions, learn new skills, concentrate, play with other children or move in the way you would expect for their age. Some children simply need more time, while others may benefit from extra support.

Questions and answers

Should I be worried about my child's development?
Children develop at different rates, but you know your child best. A delay or difference does not always mean there is a problem. If something does not feel right, trust your instincts and speak to your health visiting team. They can talk through what you have noticed and help you understand whether your child may need extra support.
What signs should I look out for?
Children may need extra support if they are finding it difficult to communicate, understand instructions, learn new skills, play with other children, concentrate, move around or manage their behaviour. Every child is different, so having one of these difficulties does not always mean there is a problem.
My child seems different from other children. What should I do?
Try not to compare your child too closely with others. Children develop in different ways and at different speeds. If you have noticed differences that worry you, speak to your health visiting team. They can help you understand what is typical for your child's age and discuss any concerns.
Does my child have SEND?
It is not always possible to tell straight away. Some children develop more slowly than others and then catch up. Other children may need extra support over a longer period. If you are worried about your child's development, speak to your health visiting team. They can help you understand what support may be helpful. Not every difference in development means a child has SEND.
Could my child be autistic or have ADHD?
Children can show behaviours for many different reasons. Difficulties with communication, social interaction, attention or behaviour do not always mean a child is autistic or has ADHD. If you have concerns, speak to your health visiting team. They can discuss your child's development and answer your questions.
My child is not talking as much as other children. Should I be concerned?
Children develop speech and language skills at different rates. If your child is not talking, is using fewer words than expected, or seems to have difficulty understanding language, it is worth speaking to your health visiting team. Early advice and support can make a difference for your child.
Could my child need extra support?
Some children benefit from extra support with communication, learning, behaviour, movement or social skills. Children can get support before they start school, and getting help early can support their development, build confidence and help them take part in nursery and other everyday activities. Talking to your health visiting team is a good first step.
How can the health visiting team help?
The health visiting team can help if you have questions or worries about your child's development. They can listen to your concerns, talk with you about your child's development and answer your questions. They can also give advice, share information and help you find the right support for your child and family. What happens next will depend on what your child needs. Your health visiting team will talk through the options with you and help you decide what support is best.
What can I do to help my child at home?
Talking, reading, singing, playing and spending time together all support child development. Follow your child's interests, encourage communication and celebrate their achievements, no matter how small they seem.
What if I am not sure whether my concern is serious?
You do not need to wait until you are certain something is wrong before asking for advice. If you are worried about your child's speech, understanding, movement, behaviour or learning, speak to your health visiting team.

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