Exactly How Much Should My 2-year-old Be Saying?

Patrick McLean

Patrick McLean

Patrick McLean serves as Administrative Director and Co-CEO of Chicago Pediatric Therapy & Wellness Center, a comprehensive pediatric therapy practice he co-founded with his wife Rose in 2014. With over a decade of healthcare business leadership, Patrick has transformed their vision of coordinated, family-centered care into a thriving multidisciplinary clinic serving families throughout Chicago. After graduating from Western Illinois University in 2004 with a Bachelor's degree in Business and Finance, Patrick developed expertise in healthcare operations, strategic planning, and organizational growth. His business acumen combined with a deep commitment to serving children with developmental needs has positioned Chicago Pediatric Therapy & Wellness Center as a trusted resource for families navigating speech delays, sensory processing challenges, autism spectrum disorder, motor delays, and behavioral concerns. As Co-CEO, Patrick oversees essential operational pillars including marketing and community outreach, human resources and staff development, financial management and insurance coordination, and long-term business strategy. His leadership has enabled the clinic to expand from offering single therapy services to providing integrated physical therapy, occupational therapy, speech therapy, ABA therapy, and social work—all coordinated under one roof for maximum family convenience and clinical effectiveness. Patrick's management philosophy centers on creating systems that empower both staff and families. He has built a culture of collaboration where therapists from different disciplines communicate seamlessly about each child's progress, ensuring holistic treatment plans that address the whole child. His proudest moments come from witnessing families' journeys—from initial concerns through celebrated milestones and hard-won achievements. Beyond his professional role, Patrick brings personal perspective as a father of four children. He actively coaches his kids in various sports, enjoys creating barbecue masterpieces on his smoker, and values connection time with friends on the golf course. This balance between professional purpose and family life reinforces his understanding of the families Chicago Pediatric Therapy & Wellness Center serves every day.

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Many times during speech evaluations, our speech pathologists here the question, “How much should my two year old be talking at this point?” There is a lot of variance at this age, however, for all children at this point, there should be a large influx of verbal language. As with any milestone, the number of words will vary for each child. According to the research from Language Disorders from Infancy through Adolescence, the average number of words a 24-month-old uses is 200-300 words. Two-word combinations are being used frequently at this age (for example: “Hi Dad,” “food hot,” “ milk spill,” etc.). Children should be using their words to request information and objects, answer questions, acknowledge what was said to them receptively, refuse things offered to them, and comment on stories, observations and their environment around them. Pointing is replaced with pairing words and objects as well as requests at this stage as well.

There are many ways to encourage verbal language from your little one throughout daily routines. Provide two options for a snack and encourage them to verbally approximate the one they want. For example, if you offer crackers or bananas, and your child says “nanas” rather than just pointing to their choice without verbalizing, give them their choice that they have asked for. Sing songs and pause to have them fill in the missing words. This works great with Old McDonald and your child can fill in the animal noise. You can also ask simple questions while reading a book where the answer is a familiar word for them. For example, if the mom in the story is eating, you can ask, “Who is eating?” and encourage them to answer “mommy.” You can tailor your questions to always have the answer for a word they use frequently. During pretend play with animal toys, you can encourage your child to tell you how the animal should get from one point to another. By asking them to use a verb and the animal they would like, you can excitedly complete the action with their toy to reinforce their request (e.g. “fly bird,” “swim fish,” “run dog,” etc.).

Remember, this doesn’t happen overnight. Starting to practice these skills during story time before they turn two will help to assure your toddler is moving in the right direction in making gains with their speech and language. It will also help build their receptive language, or language that they are understanding, before they begin to have a burst of expressive language. If you are unsure if your child is making appropriate speech and language gains for their age, please call our center at 773-687-9241 to meet with a pediatric speech and language specialist for an assessment of their skill level. You can also email us at info@cptwc.com for more information!

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