Is this your child?

You've noticed something. That's usually the most important part.

Parents are almost always the first to sense when something is going on with their child — long before any test says so. Below are the concerns we hear most, set out by age with the communication ones beside the sensory and fine motor ones, so you can compare what each looks like at your child's stage. You don't need to know which one fits, or which kind of therapist to ask for. That's our job.

Side by side, by age.

Not every worry is a talking worry. Just as many families come to us about handwriting, shoelaces, sensory overwhelm, or a child who never stops crashing into things. Here they are together, so you can see what each looks like at your child's age — and again, you don't need to work out which column your child sits in. That's our job.

Under 3

The first words, and the first wobbles

Concerns in communication

Often 12 months – 3 years

Not talking yet, or barely

Few or no words when you'd expect more, lots of pointing and sounds, or a vocabulary that just isn't growing. One of the most common reasons families call us — and where an early start helps most.

  • No words by 12 to 14 months
  • Fewer than ~50 words, or no two-word combos, by age 2
  • Points and makes sounds instead of trying words

Sensory and fine motor needs

Often 2 – 10 years

Clumsy, crashing & coordination

Trips over nothing, drops things, hangs back at the playground while everyone else climbs. "Clumsy" is a label, not an explanation — the motor planning underneath it can be assessed and built.

  • Trips, drops or bumps into things more than you'd expect
  • Hangs back from playgrounds, bikes, ball games or stairs
  • Tires quickly, or slumps and props themselves up at the table

3 – 5 years

The kindy years, and getting ready for school

Concerns in communication

Often 2 – 8 years

Hard to understand

You translate for your child, and strangers say "sorry, what?" Sounds get dropped, swapped or muddled. Clarity is very treatable, and we make the practice feel like a game.

  • Strangers understand less than you'd expect for their age
  • Drops or swaps sounds beyond the usual age
  • Gives up mid-sentence, or gets cross being asked to repeat
Often 2 – 6 years

Getting stuck & stuttering

Repeating sounds ("b-b-ball"), stretching them out, or pushing hard to get words out. Some bumpy speech is a normal phase and some benefits from early support — we help you tell the difference.

  • Repeats or gets "stuck" for more than ~6 months
  • Visible effort, tension or frustration when talking
  • Starts avoiding talking, or says "I can't say it"

Sensory and fine motor needs

Often 3 – 12 years

Dressing, shoelaces & independence

Buttons, zips, laces and cutlery still need you, long after you expected them not to. These skills are learnable, step by step, in the places your child actually needs them.

  • Still needs help with dressing, buttons, zips or laces
  • Cutlery is a struggle, or a lunchbox can't be managed alone
  • Keeps up with the thinking, but not with the doing

5 years and up

The school years, when the demands stack up

Concerns in communication

Often 5 – 12 years

School, reading & making friends

They can talk, but conversations are one-sided, jokes fall flat, or friendships are hard. Or they read the words and miss the story. These language skills quietly underpin school and social life — and they're teachable.

  • Struggles with conversation, turn-taking or reading the room
  • Reads words but doesn't understand the story
  • Can't retell what happened, or gets the order muddled
Often 5 – 18 years

Focus, organising & remembering

They understand the work but can't get started — or they start and lose the thread. Instructions evaporate between the kitchen and the bedroom. Executive functioning skills are built, not innate.

  • Loses focus quickly, or can't sustain attention on a task
  • Forgets multi-step instructions, or only holds on to the last part
  • Struggles to organise, plan ahead, or work out where to begin
  • Needs longer than you'd expect to process what's been said

Both our Speech Pathologists and our Occupational Therapists work on these — often together, on the same goals.

Sensory and fine motor needs

Often 4 – 12 years

Handwriting, scissors & fine motor

Writing is slow, messy, or genuinely painful to produce — and met with real resistance. Or scissors, drawing and a comfortable pencil grip just haven't clicked. Handwriting is a motor skill long before it's an academic one.

  • Writing is messy or slow, and their hand tires quickly
  • Avoids drawing, colouring, scissors — anything at the table
  • An awkward pencil grip that hasn't shifted in a year

At any age

Two things we see right across the age range

Concerns in communication

Any age

Not following or understanding

Instructions need repeating, your child seems to "tune out" language, struggles to answer questions, or gets lost in a conversation. Understanding language matters just as much as speaking it.

  • Trouble following directions without gestures or repeats
  • Doesn't answer simple questions, or answers off-topic
  • A teacher has mentioned "receptive language" or "processing"

Sensory and fine motor needs

Any age

Sensory overwhelm & big feelings

Clothing tags, seams, haircuts, the supermarket — every one a battle. Or the reverse: constant movement, crashing, chewing, never still. What gets read as difficult behaviour is often a nervous system doing its best.

  • Strong reactions to clothing, noise, textures or grooming
  • Falls apart on outings, transitions, or just leaving the house
  • Constantly moving, crashing or chewing — or avoids all of it

It's rarely just "wait and see" when you're noticing:

  • Going backwards: losing words, sounds, social skills or physical skills they used to have — at any age. Mention this to your GP too.
  • Not responding to sound: possible hearing concerns deserve a hearing check straight away.
  • Deep frustration: when not being understood is causing real distress for your child (or your family) day after day.

Recognised your child anywhere above?

Then a free Discovery Call is the right next step. Tell a clinician what you're seeing — sorting out what it means, and which kind of help it needs, is our job, not yours.

Book your free Discovery Call Or start gently with the free milestone guide.