Does Your Child Need Speech Therapy?
Red Flags:
12 months
· Does not babble, e.g. babababa, dadadada
· Does not respond to name
· Does not gesture, e.g. waving/shaking head for “no”/pointing
15 months
· Does not point to pictures/objects/persons when named by parents
· Does not point to things of interest
· Does not understand and respond to “no”, “up”
· Does not use at least three words
18 months
· Does not follow simple one-step commands like “Get teddy”
· Does not respond with words or gestures to “Where’s teddy?”, “Who’s that?”
· Cannot point to at least 2-3 major body parts such as head, arm, eyes
· Does not use at least 20 words like “Mummy” or “up”
2 years
· Does not pretend play with toys, such as feeding doll or making toy man ride a horse
· Does not use at least 100 words
· Does not consistently join two words together, such as “car go”, “more juice”
2.5 years
· Does not use at least 300 words
· Does not use some adult grammar, such as “two doggies”, “daddy sleeping”
· Does not use prepositions like “on/under” or action words like “run”, “eat”
· Speech is mostly intelligible
3 – 4 years
· Does not follow two-step directions
· Does not ask questions
· Does not use sentences, e.g., “I don’t want that”, “My doll is dirty”
· Unable to tell a simple story by 4-5 years
· Speech is 100% intelligible
At any age
· Has regressed or lost previously acquired speech/language milestones
What is Stuttering?
Stuttering is a speech disorder that impacts the normal fluency and flow of speech. Stuttering is common among young children as a normal part of learning to speak. While most children outgrow this developmental stuttering, some children continue to stutter throughout childhood and into adulthood.
Stuttering Signs and Symptoms:
· Repetitions - “I…I….I….wanna go…” or “What…what….what…is…?”
· Prolongations – “Wwwwwwwwhere’s my drink?”
· Blocks – complete stoppage of speech “…………… where is it?”
· Extra words such as “um”
· Excess tension, tightness or movement of the face/upper body
Impact of Stuttering:
· Embarrassment
· Frustration
· Anxiety
· Withdrawal
When to See a Speech Pathologist:
· Lasts more than six months
· Becomes more frequent
For more information on the Lidcombe Program, visit: http://www.lidcombeprogram.org/
References
The Hanen Centre. (2011). When Should you Seek Help? [Fact sheet]. Retrieved from http://www.hanen.org/Helpful-Info/What-Parents-Need-to-Know/Warning-Signs.aspx
Speech and Language Delay in Children, MAURA R. McLAUGHLIN, MD, University of Virginia School of Medicine, Charlottesville, Virginia Am Fam Physician. 2011 May 15;83(10):1183-1188.