It is good that mom is concerned though. I had a child who was 3.5 and had almost 0 words. Communicated with pointing or going to get what he wanted. He also fully understood what we were saying and I could give him 4 step instructions and he would go and do them in order. He was a smart little boy other than the fact that he had virtually no words. Mom wasn't overly concerned. She finally noticed how much farther the younger kids in my care were with their vocabulary and signed him up for speech therapy. It was a one year wait list and so she had to resort to private therapy which was something like $100/hr, maybe even more? Whatever they do in therapy must work though, within just a month or so he had more words but was still quite far behind. Mom ended up loosing her job and staying home and I have lost touch with them. I always thought he and his older brother both had a touch of autism and would be interested to know what happened. (edited...there was more than just non verbal issues though)
At 18 months I don't think I would be overly concerned but it would be in the back of mind as something to keep an eye out for.

































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