Skip to navigation menu Skip to content
  • MyChart
  • Telemedicine
  • Healthcare Professionals
  • Careers
  • Alerts
  • Donate Now
  • I want to …
      • Go to MyChart
      • Find a Doctor
      • Make an Appointment
      • Find a Location
      • Visit ED or Urgent Care
      • Get Driving Directions
      • Refill a Prescription
      • Contact Children's
      • Pay My Bill
      • Estimate My Cost
      • Apply for Financial Assistance
      • Request My Medical Records
      • Find Patient Education
      • Volunteer
      • Donate
      • Refer and Manage a Patient
Search
Search
  • Your Visit
  • Conditions
  • Clinics
  • Research
  • Health & Safety
  • Giving
  • Press Room
  • I want to …
      • Go to MyChart
      • Find a Doctor
      • Make an Appointment
      • Find a Location
      • Visit ED or Urgent Care
      • Get Driving Directions
      • Refill a Prescription
      • Contact Children's
      • Pay My Bill
      • Estimate My Cost
      • Apply for Financial Assistance
      • Request My Medical Records
      • Find Patient Education
      • Volunteer
      • Donate
      • Refer and Manage a Patient
Donate Now
  • Main Menu
  • On This Page

    Jump to a section on this page:

Strategies to Promote Language Development

  • Español PDF

This handout explains what you can do to help your child develop language. The tips below are based on if your child is not yet using words, is imitating or using single words, using phrases, or using full sentences.

What can I do if my child is not yet using words?

Use sounds

  • Spend time making noises and silly sounds with your child.
  • Encourage your child to repeat the noise and sound patterns back and forth.

Use imitation

  • Imitate their laughter and facial expressions.
  • Teach your child to imitate your actions, including clapping your hands, throwing kisses, and playing finger games such as pat-a-cake (patty-cake), peek-a-boo and itsy-bitsy-spider.

Join in the play

When your child plays with:

  • A toy, find a similar toy and join in with what they are doing. Use the toys to interact. For example, with a car, crash into their car, you can say “Crash!” or “Oh no!”
  • Toy food, pretend to eat the food.
  • A stuffed animal, grab another animal and pretend to growl and say something like, “Got you!” Use fun sounds and words.

Interpret what your child would say if they had the words

  • Treat whatever your child does (their sounds or gestures) as if they are sending you a message. Respond to their sounds or gestures.
  • When your child pulls or leads you to an object, say the words they would use if they could. Label the object with its name such as “book” or “goldfish” instead of “that” or “thing.”
  • Use fun words. Fun words like “uh oh” when your child spills their water or “yucky” when there’s a mess may be easier to say. Try to say them the same exaggerated way each time.
  • If your child is interested in songs or music, try singing words to interpret. For example, when you walk in the door, sing “HEL-lo!”
  • If your child uses pictures to communicate, say the word for the picture.
  • Stress and emphasize important or new words. For example, you might say “open the door” and stress the action word open.

What can I do if my child is imitating/using single words?

Wait

  • Give your child time to respond before you speak.

Avoid asking questions all the time

  • Limit asking questions like, “What is this?”
  • Instead, make more statements or talk more about the activity or object.
  • For every 1 question you ask, try to make 4 comments (use the ratio of 1 to 4).

Talk out loud

  • Narrate what your child is doing or what you are doing.
    • “You’re petting the dog.”
    • “I’m cooking dinner.”

Think out loud

  • Talk about your own actions and thoughts. Thinking aloud models vocabulary and syntax much better than questions and directions.
    • “I’m going to drive the car. I need to find my keys.”
  • Some ideas include:
    • Talk about what you see, feel or hear.
    • Talk about actions.
    • Talk about emotions.
    • Talk about the future.
    • Talk about the past.
  • Teach your child to use sounds, words and gestures to communicate. Model using signs/gestures and words together. For example, say “more” and move your hands apart, “bye bye” and wave, “no” and shake your head.
  • Avoid asking yes/no questions. Ask questions that require a choice of options you give. Your child will develop vocabulary by asking for specific requests rather than answering yes/no.
    • For example, ask your child, “Do you want milk or water?” rather than asking, “Do you want more milk?”

What can I do if my child is using phrases?

Echo and expand

  • Echo when your child gives you 1 word and expand it by adding 1 extra word. For example, if your child says, “shoe”, echo and expand by saying “shoe on.”

Use words with the same meaning (synonyms)

  • If your child says, "big car,” you might say, "Yes, that's a large car" or "Yes, that’s a huge car."

Be more specific

  • If your child says, "I have a cookie," you might say, "You have a yummy chocolate chip cookie.”

Change the ending

  • If your child says, "big ball," you might say, "I'm making it bigger” or “Now it is the biggest."

Emphasize the part you change

  • Say it louder.
  • Say it with a higher voice.
  • Say it with a lower voice.
  • Say it slowly.

What can I do if my child is using sentences?

In therapy, focus on:

  • Increasing vocabulary
  • Practice creating complex sentences

Model complex sentences like

  • “I wonder…”
  • “I think…”
  • “…because…”
  • “…so that…”

Model questions like:

  • “What…”
  • “How…”
  • “Who….”
  • “When…”
  • “Where…”
  • “Why…”

To Learn More

  • Speech and Language Services
    206-987-2104
  • Ask your child’s healthcare provider
  • seattlechildrens.org/patient-education

Free Interpreter Services

  • In the hospital, ask your nurse.
  • From outside the hospital, call the toll-free Family Interpreting Line, 1-866-583-1527. Tell the interpreter the name or extension you need.
Seattle Children's Hospital

Seattle Children’s offers free interpreter services for patients, family members and legal representatives who are deaf or hard of hearing or speak a language other than English. Seattle Children’s will make this information available in alternate formats upon request. Call the Family Resource Center at 206-987-2201. This handout has been reviewed by clinical staff at Seattle Children’s. However, your needs are unique. Before you act or rely upon this information, please talk with your healthcare provider.

© 2026 Seattle Children’s, Seattle, Washington. All rights reserved.

06/01/2026
PE1691
Patient and Family Education | Speech and Language Services

Download Instructions

To download as a PDF, choose "Save as a PDF" in the print dialog, then click "Save".

screenshot of print dialog

About Us
  • About Seattle Children’s
  • Contact Us
  • Locations
  • Visiting Seattle Children’s
  • Press Releases
  • Growing for Future Grown-Ups
  • Price Transparency
Community
  • Healthcare Professionals
  • Events
  • Classes
  • Volunteering
Experience and Outcomes
  • Advancing Healthcare Experience and Outcomes
  • Values
  • Nondiscrimination and Interpreters Notice
  • Accessibility and Special Needs
About This Site
  • About This Website
  • Feedback
  • Terms of Use
  • Privacy
  • My Health My Data
  • Notice of Privacy Practices
  • Employees
  • Working From Home and Remote Access Help
  • Vendors

©2026 Seattle Children’s Hospital

4800 Sand Point Way NE, Seattle, WA 98105

206-987-2000 866-987-2000 (toll-free) 206-987-0391 (TTY)

U.S. News & World Report Best Children's Hospitals Honor Roll Badge Forbes America's Best Large Employers Magnet Recognized Nursing Program Children's Miracle Network Hospitals

Seattle Children’s complies with applicable federal and other civil rights laws and does not discriminate, exclude people or treat them differently based on race, color, religion (creed), sex, gender identity or expression, sexual orientation, national origin (ancestry), age, disability, or any other status protected by applicable federal, state or local law. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho.