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What Is a Developmental Delay? The changes babies and toddlers go through are made up of different skills, such as walking and talking. These skills, or developmental milestones, usually happen by certain ages. A child with a developmental delay is behind others the same age in one or more of the following areas:

Cognitive development
Physical development
Language or speech
Social or emotional skills
Self-help skills

While your child might be achieving his developmental milestones, the quality of his skill may be of concern or he may exhibit "red flags" such as:

Cognitive Development, as demonstrated through play skills, such as knowing how to search for a lost toy or make a toy move.

  • Does not manipulate toys past 12 months, continues to bang toys
  • Child withdraws from play
  • Less varied play, lower developmental levels of play

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Motor Development, such as crawling or picking up a small object.

  • Tight muscle tone
  • "Clumsy"
  • Dragging body when crawling
  • "W" sitting

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Communication Development, such as talking or communicating with others.

  • Hearing impairment
  • Primary use of gestures rather than verbal communication
  • Frequent ear infections
  • Family history of communication delays
  • Nasal sounding speech

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Social/Emotional Development, such as interaction with others and coping behaviors.

  • Dislikes hugging, kissing, holding, or cuddling
  • Prefers solitary play
  • Avoids eye contact
  • Pinches, kicks, pushes, bumps, or otherwise hurts self or others
  • Bangs head on purpose
  • Irritable and/or inconsolable

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Self-help skills, such as eating, drinking or potty training.

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