The Early Years Birth to five
Milestone map · 10 age windows

What tends to emerge, age by age.

Choose a window to shorten the list. Each card combines social and emotional, communication, and movement and thinking skills. Open any card for what to practice now and what is worth raising with a clinician.

Read this before the list.

A milestone is not a deadline. Children reach these in different orders and at different speeds, and the range of normal is wide — especially for walking and talking. What matters is the pattern and the trend: is your child gaining skills over time, and is communication growing? If a skill disappears, that is different from a skill arriving late, and it is worth a call. Every “bring it up” line below is a conversation starter for a well-child visit, not a diagnosis.

10 age ranges shown

0–2 monthsSettling & connecting

Connection

  • Calms when spoken to or picked up
  • Looks at faces and begins to smile socially

Communication

  • Makes sounds beyond crying
  • Reacts to loud sounds

Body & thinking

  • Watches you move
  • Lifts head briefly during tummy time

Try nowFace-to-face talk at close range, short supervised tummy-time sessions, slow tracking with a face or a high-contrast object, and answering her sounds as if they were words — because to her, they are.

Bring it upIf she does not respond to loud sound, does not watch faces, or seems unusually floppy or stiff.

2–4 monthsReciprocity

Connection

  • Smiles to get your attention
  • Chuckles and tries to keep an interaction going

Communication

  • Coos and answers your sounds
  • Turns toward your voice

Body & thinking

  • Holds head steady without support
  • Brings hands to mouth and opens them more often

Try nowPause after speaking so she can answer. Place safe toys within reach rather than in her hands. Read short books. Offer supervised floor play every day, on her back and on her tummy.

Bring it upIf she rarely moves one or both arms, cannot hold her head up at all, does not make sounds or smile back, or still cannot hold her head steady without support by the end of this window.

4–6 monthsReaching & exploring

Connection

  • Recognizes familiar people
  • Laughs and enjoys mirror play

Communication

  • Takes turns making sounds with you
  • Squeals and blows raspberries

Body & thinking

  • Reaches, grasps, mouths objects, and watches her hands
  • Rolls from tummy to back; pushes up on arms

Try nowOffer safe textures to mouth, copy her sounds back, put toys just within reach rather than in her hand, and let her explore upright with support. This is the window to discuss starting solids — see the readiness signs.

Bring it upIf she does not reach for objects, does not show affection, does not make vowel-like sounds, or is not gaining head control.

6–9 monthsMovement & discovery

Connection

  • May become wary of strangers
  • Enjoys peekaboo and familiar routines

Communication

  • Babbles repeated sound strings
  • Looks when her name is called

Body & thinking

  • Sits without support
  • Transfers objects between hands and looks for dropped things

Try nowCreate a genuinely safe floor area and stop fencing it off. Play hide-and-find with a cloth. Name what she touches. Offer soft finger foods once she sits with support and brings things to her mouth — always seated and watched.

Bring it upIf she is not sitting without support by 9 months, does not bear weight through her legs, does not respond to sound or to her name, or uses very few sounds.

9–12 monthsIntent & mobility

Connection

  • Plays simple social games
  • Shows clear preferences and seeks a caregiver

Communication

  • Waves and uses other gestures
  • May say a special name such as mama or dada

Body & thinking

  • Pulls to stand and cruises along furniture
  • Puts objects into containers

Try nowPractice pointing and waving — gestures come before words and matter more than most parents realize. Give one-step directions with a gesture. Stack and fill containers. Let her feed herself safe pieces, and expect the mess.

Bring it upIf she does not use gestures, does not share sounds back and forth, does not sit independently, or puts no weight on her legs. Note that crawling style varies widely and some children skip crawling entirely — that alone is not a concern.

12–18 monthsFirst words & first steps

Connection

  • Checks that you are nearby
  • Points to show you something interesting

Communication

  • Tries several words beyond names
  • Follows a simple direction without a gesture

Body & thinking

  • Walks independently
  • Copies simple household actions

Try nowName what she points at. Let her turn board-book pages. Offer a spoon even when it is slower. Invite her to help put items in a basket. Give safe things to climb on rather than banning climbing.

Bring it upIf she loses any skill she had, does not point to share interest, is not trying at least three words besides caregiver names by 18 months, does not walk independently, or rarely seeks shared attention with you.

18–24 monthsCombining & pretending

Connection

  • Notices when others are upset
  • Looks to your face in a new situation

Communication

  • Combines at least two words
  • Points to named pictures or body parts

Body & thinking

  • Runs and kicks a ball
  • Uses a spoon and plays with more than one toy at a time

Try nowExpand her words — “dog” becomes “yes, a big brown dog.” Offer pretend play. Use simple either/or choices. Practice handwashing as a game. Let her scribble with chunky crayons.

Bring it upIf she is not combining two words, has very few gestures, does not follow simple directions, or has lost language or social skills.

2–3 yearsIndependence & ideas

Connection

  • Plays beside — then increasingly with — other children
  • Separates more easily in familiar places

Communication

  • Has short back-and-forth conversations
  • Asks who, what, where, or why questions

Body & thinking

  • Jumps with both feet and pedals with help
  • Matches, sorts, and draws a circle after seeing one

Try nowOffer two acceptable choices instead of open questions. Narrate feelings out loud. Sing rhymes. Sort socks. Practice dressing with elastic waists. Begin toilet learning only when the readiness signals show up.

Bring it upBy age 3: if other people cannot understand her speech most of the time, if she does not follow familiar two-step directions, if there is very little symbolic or pretend play, if she shows no interest in joining other children, or if she struggles with walking or using both hands.

3–4 yearsStories & cooperation

Connection

  • Joins other children in play
  • Comforts others and enjoys being a helper

Communication

  • Tells what happened during the day
  • Uses sentences of four or more words

Body & thinking

  • Catches a large ball most of the time
  • Names colors and draws a person with several parts

Try nowRetell the day together at dinner. Play turn-taking games. Let her cut with child-safe scissors. Count real objects rather than reciting. Give small jobs with a clear beginning and end.

Bring it upIf others rarely understand her, if she cannot join simple pretend play, if she falls often, or if she consistently avoids eye contact and shared play.

4–5 yearsPlanning & confidence

Connection

  • Follows rules and takes turns in games
  • Does simple chores and adjusts behavior to the setting

Communication

  • Tells a story with at least two events
  • Keeps a conversation going across several exchanges

Body & thinking

  • Hops on one foot and buttons some buttons
  • Counts to ten, names some letters, and attends briefly

Try nowAsk open questions about stories you read together. Practice drawing and early writing without pressure or correction. Play rule-based games. Build independence in dressing and cleanup.

Bring it upBy age 5: difficulty sustaining a multi-exchange conversation, telling a two-event story, following simple game rules, counting to ten, attending to an activity for 5–10 minutes — or any loss of previously held skills.

If a skill disappears, call — do not wait for the next well-child visit.

Losing a skill a child previously had is the one pattern in this whole guide that warrants prompt attention rather than watchful waiting. The same goes for persistent differences using one side of the body, feeding or swallowing difficulty, or any concern about hearing, vision, or movement. The When to ask page has the exact wording to use and who to call.