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Speech and Language Milestones

Birth to 5 months

6 to 11 months

12 to 17 months

2 to 3 years
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3 to 4 years
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4 to 5 year
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• understands spatial concepts such as "behind," "next to"
• understands complex questions
• speech is understandable but makes mistakes pronouncing long, difficult, or complex words such as "hippopotamus"
• vocabulary of about 1500 words
• uses some irregular past tense verbs such as "ran," "fell"
• describes how to do things such as painting a picture
• defines words
• lists items that belong in a category such as animals, vehicles, etc.
• answers "why" questions

5 years
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Occupational Therapy Milestones
(gross motor, fine motor, and self help)

Birth-6 months

Gross motor skills
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 Fine motor skills

 Self-help skills

6-12 months

Gross motor skills
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 Fine motor skills

 Self-help skills

12-18 months
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Gross motor skills

 Fine motor skills

 Self-help skills

18-24 months
 Gross motor skills
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 Fine motor skills

 Self-help skills

24-36 months
Gross motor skills
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 Fine motor skills

3-5 years
Gross motor skills
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 Fine motor skills

 Self-help skills

Cognitive Skills Milestones


Birth – 6 months
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6-12 months

12-18 months

 18-14 months 

2-3 years

 3-5 years

Feeding Milestones

Birth-4 months
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5-6 months

6-9 months

9-12 months