Is your toddler slower to start talking, using only gestures, or hard for others to understand? Consulting a qualified child speech therapist in Patna gives your family clear answers and a gentle, play-based plan.
At Care of Balance in Kankarbagh, we help children aged 1–12 years overcome late talking, language delay, autism communication challenges, childhood stammering, and unclear speech alongside practical parent coaching.
Parents often worry when they see a child not speaking at 2 years or 3 years (bachcha nahi bolta), or pulling a hand instead of using words. We assess two areas: a speech delay (trouble forming clear sounds and words with the lips and tongue) and a language delay (trouble understanding instructions or joining words to express ideas).
Every child develops at their own pace, but don't wait and watch too long if milestones are missed. Starting speech delay treatment in Patna early makes learning to talk easier before school begins.
Book Child AssessmentSpeech-Language Pathologist (Pediatric Speech & Language)
B.ASLP, M.ASLP (Gold Medalist, Osmania University)
Lic No. A74216 (RCI) | Care of Balance, Kankarbagh, Patna
Learn more about our team and child-friendly clinical care. [CONFIRM: other therapist names & qualifications]
Use these speech milestones by age to check your child's progress. Loss of words or skills a child already had, at any age, needs prompt evaluation.
Expected: Cooing by 2–3 months, babbling (ba-ba, da-da) by 6–9 months, turning to sounds, responding to name, understanding "no," and saying a first word by 12 months.
Warning signs: No babbling by 9 months, no response to name or loud sounds, no gestures like pointing or waving bye-bye, or a very quiet baby with minimal vocal play.
Book Early AssessmentExpected: 10–50 words by 18 months, two-word combinations by 24 months ("mama come," "more milk"), following simple one-step instructions, and pointing to familiar objects or body parts.
Warning signs: Fewer than 10 words by 18 months, no two-word combinations by 2 years, not understanding simple spoken commands, or losing previously learned words.
Book Speech AssessmentExpected: 200–1000 words, 2–3 word sentences, asking simple questions, understood by family 50–75% of the time, naming everyday household objects, and using pronouns ("I," "mine").
Warning signs: Speech remains unclear even to parents, frequent crying or tantrums when trying to communicate, only echoing words without meaning, or trouble following two-step instructions.
Book ConsultationExpected: Full sentences (4–6 words), simple storytelling, understood by strangers 75–100% of the time, asking "why" and "what" questions, using past tense, rhyming, and counting.
Warning signs: Unclear speech in children that teachers or relatives cannot understand, child stammering or getting stuck on words, difficulty answering questions, or avoiding play with peers.
Book AssessmentExpected: Clear pronunciation of all speech sounds across complex sentences, retelling stories in order, reading readiness, and confident participation in school activities.
Warning signs: Ongoing sound errors (such as k, g, r, l, s, sh), difficulty organising thoughts to explain school events, social communication struggles, or stammering that continues.
Book ConsultationChildren learn to speak by listening. Sometimes a late talking child has mild or fluctuating hearing loss—such as middle-ear fluid after frequent colds—even if they startle at loud sounds.
At Care of Balance, we perform a painless child hearing test (OAE, Tympanometry, or sleeping BERA) under the same roof in Kankarbagh.
• Toddler does not turn when called softly from behind
• History of frequent ear infections, mouth breathing, or colds
• Child watches your lips closely or sits very near the TV
• Speech sounds muffled or misses soft consonant endings
Every programme at our clinic is designed specifically for toddlers, preschoolers, and school-age children:

Play-based stimulation to help late talking toddlers imitate sounds, build their first 50–100 words, and request everyday items naturally.
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Helping children follow spoken instructions, answer questions, expand vocabulary, and combine words into meaningful 2–4 word sentences.
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Building eye contact, joint attention, turn-taking, and functional communication for children on the autism spectrum using play and visual supports.
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Fun sound-play exercises to correct substituted or missing sounds (like k, g, t, r, l, s) so family and school teachers understand your child clearly.
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Gentle, indirect fluency techniques and parent pacing strategies for preschoolers and school kids who repeat sounds or get stuck while excited.
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Strengthening lip closure, tongue movement, and chewing skills for children with drooling, picky texture transitions, or weak oral-motor control.
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Helping children learn how to greet others, share toys, take turns in conversation, and play cooperatively with classmates at school.
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Listening and spoken-language training for babies and children fitted with hearing aids or cochlear implants so they learn to listen and speak clearly.
Book NowSpeech delay is not a parent's fault, and often no single cause is found. Where contributing factors exist, an assessment helps identify them:
• Hearing Loss or Ear Fluid: Muffled hearing delays word copying.
• Oral-Motor Issues: Trouble coordinating lip, tongue, and jaw movements.
• Autism Spectrum Differences: Challenges with joint attention and imitation.
• General Developmental Delay: Slower overall motor, play, and language growth.
• Limited Interaction & Screen Time: High mobile/TV screen time can reduce the two-way conversation toddlers need.
For children on the autism spectrum, our speech therapy for autism in Patna focuses on functional communication—helping your child express daily wants and feelings calmly.
We build shared attention, eye contact, imitation, and turn-taking in play, using natural gestures, picture cards, or simple AAC tools that bridge into spoken words.
Note: Ethical clinicians never claim to "cure" autism; steady therapy and family coaching help children communicate and connect meaningfully.
These six simple habits turn daily routines with your child into language-building moments:
Describe what you are doing during bath, dressing, and meals using short phrases ("Pour water," "Wear shoes") so words match actions.
If your child says "ball" or "doodh," praise them and add one word: "Big ball!" or "Doodh chahiye" to model short sentences.
Point to pictures of animals and vehicles, make fun sounds ("moo," "beep-beep"), and let your child turn the pages.
Turn off mobile videos during meals and replace passive screen time with blocks, ball play, and face-to-face songs.
Offer a choice ("Apple or banana?"), hold both near your face, and wait 5–10 seconds warmly so your child can respond.
Avoid pressuring your child with "bolo, bolo." Model the word naturally and celebrate every gesture, sound, or attempt.
Bring any prior medical or hearing reports and 2–3 short phone videos of your child playing or talking at home. Sessions last [CONFIRM: child session duration] at [CONFIRM: recommended weekly session frequency].
We talk with you about pregnancy/birth history, developmental milestones, feeding, hearing, and review your home videos in case your child feels shy in a new room.
Through age-appropriate toys and games, we observe your child's eye contact, understanding of instructions, gesture use, vocabulary, and oral-motor skills without stress.
We explain your child's current communication stage in simple terms and set practical, step-by-step therapy goals (and recommend a hearing screening if needed).
Regular sessions ([CONFIRM: child session duration]) use structured play, picture cards, and interactive routines to build comprehension, words, and clearer pronunciation.
After sessions, we show you exact activities to practise at home during meals and playtime, reviewing milestones regularly as your child progresses.
Led by Dr. Abhijeet Kumar (B.ASLP, M.ASLP, Gold Medalist, RCI Lic No. A74216), trained at IGIMS Patna and AIISH Mysore. [CONFIRM: other therapist names & qualifications]
We never force toddlers to sit with flashcards. Children learn fastest when they feel safe and engaged in structured play.
Parents are active partners in our pediatric speech therapy Kankarbagh clinic—learning practical home routines so progress continues every day of the week.
With OAE, Tympanometry, and BERA testing in the same centre, parents do not have to travel across Patna to rule out hearing causes of speech delay.
Every child's therapy plan is built around their developmental stage with clear, realistic goals and regular reviews rather than one-size-fits-all timelines.
Located at Gauri Shankar Complex, behind Domino's Pizza, P.C Colony, Kankarbagh (Mon – Sat, 10:00 am – 8:00 pm). We also offer speech therapy for teens and adults.
Most babies coo by 2–3 months, babble sounds like ba-ba or da-da by 6–9 months, and say their first meaningful word (such as mama or papa) around 12 months. By 18 months, children usually use 10–50 words, and by age 2 they begin joining two words together. If these milestones are delayed, an early evaluation helps.
Relatives often advise parents to wait, saying the child will speak on their own, but waiting too long can make catching up harder once school starts. If your 2-year-old has fewer than 50 words, is not combining two words, or relies only on pulling your hand, consulting a child speech therapist gives you clear answers and practical home steps.
Yes, many late-talking toddlers have good receptive language—meaning they follow instructions and point to items—but struggle with expressive speech or oral-motor planning to produce words. An assessment checks why spoken words are stuck and shows parents how to turn gestures and sounds into meaningful words through everyday play without pressuring the child.
Screen time alone is not the only cause of speech delay, but hours of passive mobile videos or TV rhymes reduce the back-and-forth face-to-face interaction a young brain needs to learn talking. Replacing screen time—especially during meals—with interactive play, picture books, and daily conversation often makes a noticeable difference alongside therapy.
Yes, speech therapy supports children on the autism spectrum by building joint attention, eye contact, turn-taking, and functional communication so they can express their needs without frustration. Depending on the child, we use play routines, gestures, picture cards (AAC), and spoken language coaching while training parents to continue these strategies at home.
Yes, checking a child's hearing is an important first step whenever speech is delayed or unclear. Even mild hearing loss from middle-ear fluid after frequent colds can muffle the sounds a toddler hears, making it hard to copy words. We can perform painless OAE, Tympanometry, or BERA testing under the same roof in Kankarbagh.
The duration depends on your child's age, the cause and severity of the delay, how regularly sessions are attended, and how consistently parents practise at home. Some late talkers or children with mild sound errors progress within a few months, while broader language delays or autism communication support require longer, steady guidance.
You do not need to wait until a child is 3 or 4 years old to start speech therapy. If a baby is not babbling or responding to sounds by 9–12 months, or a toddler is not using single words by 15–18 months, early parent-guided intervention during the brain's fastest learning years gives the strongest foundation.
Yes, paediatric speech therapy at our clinic does not look like a strict classroom lesson. For toddlers and young children, we use toys, puzzles, picture books, bubbles, and turn-taking games on the mat so your child feels safe and relaxed while naturally practising new sounds, words, and two-way communication.
Care of Balance Speech & Hearing is located at Gauri Shankar Complex, behind Domino's Pizza, Housing Board Colony, P.C Colony, Kankarbagh, Patna, Bihar 800020. We are open Monday to Saturday from 10:00 am to 8:00 pm (closed on Sundays). Call 082100 76657 or use our appointment page to book your child's visit.
Gauri Shankar Complex, behind Domino's Pizza, Housing Board Colony, P.C Colony, Kankarbagh, Patna, Bihar 800020
Mon – Sat: 10:00 am – 8:00 pm
Sunday: Closed