Hi, my son turned 2 in October, and isn't saying many words either. Like your son, he had a couple of words when he was younger, which he doesn't say any more. I first spoke to our GP when he wasn't pointing much at 12 months, who sent us to a Paediatrician. He's also seen a developmental paediatrician for a full assessment, the result being most things are on track, except his expressive and receptive language skills, and his social skills.
My son has been having speech therapy, since he was about 18 months old, and during that time we've seen a few different private therapists, while being on public waiting lists. The therapist we see at the moment is fantastic, but the one we saw previously gave us very vague advice which was also very obvious. I think it's very important to find a therapist who you like.
Best advice we have had is:
- Lifting up his hand to make him point to pictures in books, if he doesn't point by himself. eg. If he doesn't point when I say "where is the cat?", I lift up his hand, place it on the cat, and wait for him to look at it, then give lots of encouragement and praise.
- Using very simple language - singles words - when possible.
- Waiting for him to respond - sometimes this takes longer than we as adults have patience for.
- Playing games that require taking turns. He puts a block on the tower, then I do, then he does, etc.
- Holding off on giving him what he wants, to encourage him to say "more". One grape at a time, for example.
- Having a couple of days a week at childcare where the carers don't know exactly what he wants all the time.
I think it is pretty common for boys to be late talkers, lots of Mums have told me that their child didn't talk till age 3. I think it is more serious when they also seem to not be understanding as much as other kids -which is the case for my son.
In terms of improvement, I can't say if the therapy has had any direct effects for him. I feel that a lot of the advice is centered around simply spending time with him - turning off the tv and getting on the floor to play together - which is something i did anyway. He is improving gradually, hard to say whether as a result of the therapy though. My thoughts are that it's better safe than sorry - while the therapy is quite expensive, all the advice seems to be centered on early intervention - and the regrets would be huge if a long term problem was not dealt with now.
All the best for you and your son. Would love to hear any advice you have had that has been helpful too.