ABA update: we’re accepting a limited number of preschool-aged children for ABA in select area preschools.Now hiring BCBAs, RBTs, SLPs, OTs & PTs →
Midsouth Therapy Group

speech-language therapy · Awareness

Following Directions: Why Some Kids Struggle and How to Help

Hannah Hutcheson, M.S., CCC-SLP

Written by Hannah Hutcheson, M.S., CCC-SLP

Speech-Language Pathologist & Co-founder

Updated 2026-06-20

“He just doesn't listen” is one of the most common frustrations parents share — but often a child who struggles to follow directions isn't ignoring you; they're having trouble understanding or processing what was asked. Knowing the difference changes how you help.

The skills behind following directions

Following directions draws on receptive language (understanding words and concepts), attention and memory (holding the steps in mind), and processing speed. A breakdown in any of these can look like “not listening,” when the real issue is that the message didn't fully land.

What's typical by age

  • Around 1 year: follows a simple direction with a gesture (“give me the ball” while reaching).
  • Around 18 months–2 years: follows simple one-step directions without gestures.
  • Around 2–3 years: follows two-step related directions (“get your shoes and bring them here”).
  • Around 3–5 years: follows longer, multi-step, and more complex directions.

How to help at home

  • Get their attention first — name, eye level — before giving the direction.
  • Keep it short and concrete; one step at a time for younger kids.
  • Pair words with a gesture or visual when needed.
  • Have them repeat it back, and give time to process before repeating.
  • Build up gradually from one step to two.

If your child consistently struggles to follow directions appropriate for their age — especially alongside other language concerns — it may point to a receptive language difficulty worth evaluating (and a hearing check is always wise to rule out first).

Wondering if it's “won't” or “can't”? An evaluation can tell you.

How speech therapy helps

Speech-language pathologists assess receptive language and build understanding and direction-following through targeted, playful practice — and coach families on strategies that work at home. Speech therapy requires a referral from your child's primary care provider (faxed to 901-589-9001).

Frequently asked

Is my child not following directions on purpose?
Sometimes it's typical testing of limits — but often a child genuinely struggles to understand or process multi-step directions. Difficulty appropriate-for-age directions, especially with other language concerns, is worth a closer look.
Should I get my child's hearing checked?
Yes — when a child struggles to follow directions or respond, ruling out a hearing issue is always a smart first step before or alongside a speech-language evaluation.
Do I need a referral?
Yes — speech therapy requires a referral from your child's primary care provider, faxed to 901-589-9001.

Sources

These links point to external organizations for general education and are not a substitute for an evaluation by a qualified professional.

Hannah Hutcheson, M.S., CCC-SLP

About the author

Hannah Hutcheson, M.S., CCC-SLP

Hannah is a licensed, ASHA-certified speech-language pathologist and co-founder of Midsouth Therapy Group, where she leads the speech-language team serving children across the Memphis metro.

Meet the full team →

Learn more about speech-language therapy at Midsouth Therapy Group.

“Not listening” — or not understanding?

Our speech-language pathologists assess the language behind following directions. Reach out and we'll help.