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Conversation turns: how the skill grows from 12 to 36 months

Conversation turns means taking turns in talk: you say something, your child responds, you respond again. Back-and-forth, with or without words, sits at the heart of responsive caregiving. Keeping a conversation going for at least two back-and-forth exchanges is a CDC 36-month milestone. Turn-taking starts much earlier, with babble, gestures and sounds traded back and forth.

Updated

Conversation turns: the ladder, step by step

Pick the step that looks most like your child today. The next step and activities that practise it appear below.

Where is your child on the conversation turns ladder?

No step picked yet. There is no wrong answer: pick the closest one.

Next step: Gesture and word turns. Answers your question with a point or a word.

Activities that fit this step

Next step: One exchange. Answers "Where's the cat?" with "There!"

Activities that fit this step

Next step: Two exchanges. Responds, listens to you, then adds something more.

Activities that fit this step

Next step: Starts the talk. Comes to you with news and keeps the conversation going.

Activities that fit this step

Top of the ladder (starts the talk). Keep it flexible: offer it in a new place, with a different person or with new materials.

Activities that fit this step

The conversation turns ladder

5 steps from the first sign to a flexible skill, covered here from 12 to 36 months. Children move at their own pace: use the steps to see what comes next, not as deadlines.

  1. Sound turns

    Babbles back when you talk and then pause.

  2. Gesture and word turns

    Answers your question with a point or a word.

  3. One exchange

    Answers "Where's the cat?" with "There!"

  4. Two exchanges

    Responds, listens to you, then adds something more.

  5. Starts the talk

    Comes to you with news and keeps the conversation going.

When conversation turns usually shows up

This page follows conversation turns from 12 to 36 months, a window that spans the 12-month, 15-month, 18-month, 24-month, 30-month and 36-month CDC checklists.

In the library, 10 activities practise conversation turns (3 as their main skill), for ages 12 to 36 months. 4 of them need no prep and take 10 minutes or less. By age, they sit closest to steps 1, 2, 3, 4 and 5 of the 5-step ladder.

Related items appear on the CDC checklists for 36 months.

Related milestones

CDC checklist items (paraphrased) that involve conversation turns. Checklists are for monitoring, not a test.

ChecklistMilestone
36 monthsKeeps a conversation with you going for at least two back-and-forth exchanges.

Open the 36-month checklist →

Activities that practise conversation turns

Placed on the closest ladder step by age. By primary domain: 8 language, 1 creativity & pretend and 1 fine motor. Quickest to start: Bedtime Day Recap (3–8 minutes).

Step 2: Gesture and word turns

Skills practised alongside

The activities for conversation turns most often also work on asking questions (4), first words (3), naming things (3), pretend sequences (2) and two-word phrases (2). Pairing them keeps practice playful: one activity, several skills.

Practise it inside everyday routines

  • Follow your child's lead and talk about what they are looking at.
  • Pause longer than feels natural; count to five in your head.
  • Make comments more often than questions.
  • Use mealtimes and stroller walks for chatting.

What to avoid

  • Background TV during play and meals; it crowds out talking time.

When to mention it to the pediatrician

If by 3 your child does not have short back-and-forth conversations, or talks but rarely responds to what you say, raise it with the pediatrician.

Worried about conversation turns between visits? Call the pediatrician; CDC's free resources also explain how to contact your local Early Intervention program directly. Milestones are for monitoring, not diagnosis.

Frequently asked questions

When do toddlers start conversation turns?

Keeping a conversation going for at least two back-and-forth exchanges is a CDC 36-month milestone. Turn-taking starts much earlier, with babble, gestures and sounds traded back and forth. The first step to look for: babbles back when you talk and then pause.

How can I help my toddler with conversation turns?

Follow your child's lead and talk about what they are looking at. Pause longer than feels natural; count to five in your head. A good first activity is Sock Puppet Hello (12–20 months).

What should I avoid when practising conversation turns?

Background TV during play and meals; it crowds out talking time.

When should I mention conversation turns to the pediatrician?

If by 3 your child does not have short back-and-forth conversations, or talks but rarely responds to what you say, raise it with the pediatrician. You can also contact Early Intervention yourself.

Monitoring, not medical advice. Talk to your pediatrician about any concern. Our sources and method.

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