Milestones World

• Lifts head briefly when prone
• Head lag still present

• Coos
• Makes vowel sounds

• Hands mostly closed
• Brief grasp reflex

• Social smile appears
• Regards face

• No social smile
• Poor suck or floppy tone
• No head control improvement

2 months = SMILE + HEAD tries to rise

• Sits with support
• Rolls both ways

• Babbles (ba-ba, da-da non-specific)
• Laughs

• Transfers objects hand-to-hand
• Rakes objects

• Recognizes familiar people
• Stranger anxiety starts

• No head control
• No rolling
• No social interaction

6 months = SIT + TRANSFER + BABBLE

• Sits without support
• Crawls / creeps

• Repetitive babbling (mama/dada non-specific)
• Understands “no”

• Pincer grasp starts (immature)
• Bangs objects

• Stranger anxiety strong
• Separation anxiety begins

• No sitting independently
• No babbling
• No object transfer

9 = SIT, CRAWL, COMMUNICATE BABBLE

• Walks holding furniture (cruising)
• May stand alone

• 1–2 words with meaning
• Understands simple commands

• Mature pincer grasp
• Feeds self with fingers

• Waves bye-bye
• Plays peek-a-boo

• No standing
• No babbling words
• No pointing

1 year = WALK + WORD + WAVE

• Walks independently
• Climbs stairs with help

• 10–25 words
• Points to body parts

• Scribbles
• Builds tower of 2–3 cubes

• Temper tantrums
• Parallel play

• No walking
• No single words
• No pointing to needs

18 months = RUNNING START + WORDS GROW

• Runs well
• Kicks ball

• 2-word phrases (“want milk”)
• ~50+ words

• Tower of 6 cubes
• Turns pages one by one

• Parallel play
• Defiant behavior (“NO” phase)

• No 2-word sentences
• No running
• No pretend play

2 years = RUN + 2 WORDS

• Hops on one foot (3–4y)
• Skips (5y)
• Rides tricycle/bike

• Full sentences
• Tells stories
• 1000+ words by 5y

• Draws circle → cross → square
• Copies shapes

• Cooperative play
• Imaginary friends
• Understands rules

• Poor speech clarity at 3y
• Cannot draw simple shapes at 4–5y
• No social interaction/play

3–5 = SKILL + STORY + SOCIAL WORLD