Therapy room at Lighthouse Autism Center with toys on a table with blue chairs and book shelves above

First Word Milestones and What They Mean to Some Families

Understanding the stages of speech development, the impact of autism on speech development and providing appropriate support and interventions can empower autistic children to reach their full communication potential, enriching their lives and those of their families.

First Word Milestones and What They Mean to Some Families

First word milestones represent a breakthrough in overcoming communication and autism-related challenges, and signify that a child is finding their voice. They’re a testament to the hard work, dedication, and the incredible journey of growth that families and their autistic children have embarked upon.

This journey is unique and can present challenges along the way. Each milestone, especially the first words, holds deep meaning and significance for families. It represents progress and communication breakthroughs while strengthening the bond between parents and their child.

Understanding the stages of speech development, the impact of autism on speech development and providing appropriate support and interventions can empower autistic children to reach their full communication potential, enriching their lives and those of their families.

Let’s understand the different speech development stages in autistic children, why some children miss milestones, how autism affects speech and language, and what first word milestones mean to families with a autistic children.

Speech and Language Therapy for Autism

Speech and language development in autistic children can vary widely. While some may follow a similar progression to neurotypical children, others may experience delays or differences in reaching speech milestones. 

Understanding the different stages of speech development can provide insight into the developmental journey of autistic children and the relationship between autism and communication. Here are the typical developmental stages in speech and language development.

1. Preverbal communication

This stage involves the use of nonverbal communication, such as eye contact, gestures, and vocalizations, to express needs and engage with others.

2. Babbling

Children begin producing repetitive syllables and sounds, laying the foundation for later speech.

3. Single words

In this stage, children use individual words to communicate their needs, desires, and thoughts.

4. Phrase and sentence formation

As language skills evolve, children start combining words into phrases and sentences to convey more complex ideas.

Understanding why autistic children may miss first word milestones

Speech development in children can be understood in terms of the development of various capacities, including expressive language (the ability to express oneself through words or gestures) and receptive language (the ability to understand and comprehend spoken language).

It involves the acquisition of vocabulary, grammar, sentence structure, and the development of speech sounds and articulation.

Despite these generalities, speech and language development remains unique for every child. Additionally, the process through which autistic children in general reach first word milestones will often differ from their neurotypical peers. So just how does autism affect communication?

Here are some factors that can contribute to autistic children missing these early language milestones.

Communication challenges

Autistic children often face difficulties in expressing themselves verbally and understanding spoken language. They may struggle with the back-and-forth nature of conversation, have limited vocabulary, or find it challenging to use words to convey their needs and emotions. These communication challenges can impede their progress in reaching the first word milestone.

Sensory sensitivities

Many autistic children experience sensory sensitivities, where they may be hypersensitive or hyposensitive to certain sensory stimuli. In terms of speech and language development, these sensitivities can affect their ability to process and imitate sounds. Sensory sensitivities to noise, for example, may make it harder for an autistic child to focus on and understand spoken words, leading to delays in acquiring their first words.

Motor skills and oral-motor coordination

Developing speech involves intricate coordination of the oral muscles to produce specific sounds. Some autistic children may experience challenges with fine motor skills, including those required for precise tongue, lip, and jaw movements. Difficulties in oral-motor coordination can also impact their ability to articulate sounds, resulting in delays or difficulties in developing their first words.

Delayed social communication skills

Autistic children often experience delays in social communication skills, such as joint attention and understanding social cues. These delays can affect their language development, including the acquisition of first words. Communication is not just about words; it also involves engaging with others, taking turns, and understanding the social context of conversations. Without these foundational skills, autistic children may experience delays in reaching their first word milestones.

Individual differences and unique developmental trajectories

It’s essential to recognize that each autistic child is unique and has their own strengths, challenges, and developmental trajectory. While some may miss the typical timeline for first word milestones, they may excel in other areas of development. It’s crucial to focus on individual progress and provide support tailored to each child’s specific needs rather than comparing them to neurotypical or allistic benchmarks.

Autistic characteristics to look out for

There’s a direct relationship between autism and language, and understanding this as a marker to assess your child’s development can be very useful. If you suspect, or are uncertain, that your child may be autistic, these are some characteristics of autism to look out for. 

Delayed speech

Some autistic children may experience a delay in producing their first words or demonstrate trouble with their overall speech development.


Repetitive or echoed speech, where children repeat words or phrases without understanding their meaning, is common among some autistic individuals.

Difficulty with pragmatics 

Pragmatic language skills, such as taking turns in conversation, understanding social cues and using appropriate gestures, may be challenging for some autistic individuals.

Verbal apraxia

Some autistic children may struggle with planning and coordinating the precise movements required for speech, leading to difficulties in articulation.

What first word milestones mean to families

For families with an autistic child, the articulation of first words is a remarkable and heartwarming milestone. It signifies progress in communication skills, an important step towards self-expression and a deeper connection with their child. These first words can bring immense joy, hope and pride to families who have tirelessly supported their child’s speech and language development.

Early intervention with Lighthouse Autism Center

Early intervention plays a vital role in supporting autistic children in their speech and language development. Speech therapy, applied behavior analysis (ABA) and other evidence-based interventions can address communication challenges, promote language acquisition and enhance social communication skills. 

Lighthouse Autism Center (LAC) has a plethora of autism resources to complement their innovative Lighthouse Fusion ABA Therapy to help you with early detection and intervention.

Together, we can unlock your child’s potential

Related News


Exploring North Liberty, Iowa: Kid-Friendly Activities for Family Fun

Nestled in the heart of Iowa, North Liberty offers a wealth of opportunities for families seeking memorable outings with their children. Whether you’re a local resident or just passing through, here are some fantastic kid-friendly activities to explore in this charming city: Penn Meadows Park Penn Meadows Park is a hub of activity for families […]

Read more


Navigating Autism Support in The Quad Cities & Iowa

A Comprehensive Guide to Resources and Groups in the Quad Cities and Iowa Lighthouse Autism Center proudly serves the vibrant communities in and around the Quad Cities area. With centers located in East Moline, Illinois, and Davenport, Clinton, Marion, and North Liberty, Iowa, we’re dedicated to extending our reach far beyond geographical boundaries. At Lighthouse, […]

Read more


Navigating Autism with Support: The Vital Role of the National Autistic Society

In a world that’s constantly evolving, where diversity is celebrated and inclusivity is championed, organizations like the National Autistic Society (NAS) stand as pillars of support and advocacy for individuals on the autism spectrum and their families. Since its inception in 1962, the NAS has been at the forefront of providing vital resources, guidance, and […]

Read more
Translate »