Okay, well he is not within the expected range of ability for a 2 year old which is probably why your MCHN wants him assessed by a speech therapist. A 2 year old is meant to have a minimum of 20 clear words and be starting to link 2 words together (most have more than this).

This does not mean you have cause to worry however!

My DS had an assessment with a speech therapist after his 18 month check because he didn't have 5 words. I took him myself because I didn't want to torture myself wondering. It turned out that his understanding etc were perfect but for whatever reason he just wasn't communicating, so the speechie gave me some exercises to do with him to see how he went. This was very reassuring for me - the way the MCHN carried on about it, it really got me concerned. He just had his 2 year assessment and he probably has about 70 words and is just starting to link 2 words together, so still below average, so to speak, but within the range, so no more talk about speech therapy. I never took him back after the initial assessment, haven't had to.

There can also be a genetic factor involved. If you or DH were late talkers - then your children may be. I and my siblings didn't speak till well past the age of 2 - so my mum was very disparaging over the notion of speech therapy because it was never raised as a problem with her!

Definitely get him assessed, even if it is just for your peace of mind. Far better than wondering if you should worry or not. Then, if there is an issue, at least you are onto it asap. Your MCHN might also want to schedule a hearing test as well - that's the easiest thing to rule out.