What is the typical vocabulary size for an 18-month-old child?

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Last updated: December 18, 2025View editorial policy

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Typical Vocabulary for an 18-Month-Old Child

An 18-month-old child typically speaks 10-15 words, according to the American Academy of Pediatrics 1.

Expected Language Milestones at 18 Months

  • By 18 months, children should have a productive vocabulary of 10-15 words that they can say spontaneously, not just imitate 1.
  • Children at this age are on the cusp of a major language expansion—by 19-24 months, they typically begin combining two words together (like "Mommy shoe") and reach approximately 50 words 1.
  • Comprehension vocabulary is substantially larger than expressive vocabulary at this age; children understand far more words than they can produce 2.

Important Context About the 18-Month Assessment

The evidence reveals important nuances about assessing vocabulary at exactly 18 months:

  • Research shows that approximately 10% of 18-month-olds produce fewer than 8 words, and about one-third of these children catch up to fairly normal performance within just a few months 3.
  • This suggests that 18 months may be slightly early for definitive concern, as some children are simply on the later end of normal development and will rapidly accelerate 3.
  • However, children who remain below 10-15 words at 18 months warrant close monitoring, as this represents the lower boundary of typical development 1, 3.

When to Be Concerned

If an 18-month-old has fewer than 8-10 words, follow-up assessment within 3-6 months is recommended rather than immediate intervention, given the high rate of spontaneous catch-up 3.

Key red flags that require immediate evaluation include:

  • Regression in previously acquired language skills 1.
  • Poor social engagement or limited eye contact accompanying the language delay 1.
  • Inability to follow simple one-step commands by 18 months 1.
  • Lack of communicative intent (not attempting to communicate through gestures, vocalizations, or other means) 4.

Supporting Language Development at This Age

Parents should implement evidence-based strategies:

  • Respond immediately to all vocalizations and communication attempts, even if just babbling, and expand on what the child expressed 1.
  • Use the expansion technique: if the child says "dog," respond with "Yes, that's a big brown dog running!" 1.
  • Read books together daily and provide a language-rich environment with diverse vocabulary exposure 1.
  • Practice turn-taking in "conversations", allowing adequate pause time for the child to process and respond 1.

References

Guideline

Language Development Strategies for Toddlers

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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