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Does Your Child Have a Speech-Language Disorder?

Parents often can see that their child is struggling with communication, but they don’t know exactly what to call it, or how to help.  I’m going to walk you through the different types of speech-language disorders and how to recognize them.   Hi, my name is Carol Edgel, and I’m a certified speech-language pathologist.  In my years of teaching, I’ve noticed that parents often can see that their child is struggling with communication, but they don’t know exactly what to call it, or how to help.  Even the child’s teachers might not know how to label it.  In this video, I’m going to walk you through the different types of speech-language disorders and how to recognize them.   1. SPEECH SOUND DISORDERS:  First there are Speech-Sound disorders.  These involve the child mispronouncing sounds.  We can divide speech-sound disorders into 2 general types:   1. Articulation Disorder – this is when the child has only a few errors. For example, the child may say, “free” instead of “three”.  F/TH is a fairly common error among young children.  Depending on the child’s age and how hard he is to understand, the child might need to be evaluated by a speech-language pathologist.  It is always better to begin treatment while the child is young, before he has had time to build up incorrect speech habits.   1. Phonological Disorder – this is when the child has many errors and is very hard to understand. The child is unable to understand the rules of sounds (phonology).  Here is an example of how a child with a phonological disorder would speak.  If the teacher says, “Tell me what you did last summer,” the child might respond, “We went to Talifonnia an wen to Ditneywan, an we wen to da beats an went surpin. Den we wen to Wedo Wan an Sea Wood an I saw sarts an pendins.  Den we tame home adin an dat’s all.” The child exhibited many substitution errors, as well as deletion and distortion of other sounds.  Rare condition -- Childhood Apraxia of Speech (CAS) -- this is when the child cannot coordinate signals between his brain and his speech articulators in order to form words correctly.  His errors will be inconsistent, and he may exhibit groping behaviors.  The cause of CAS is usually unknown, and it is different than apraxia in adults.   Because a child with CAS or a phonological disorder will probably have many errors that make the child hard to understand, he should be evaluated by a speech-language pathologist.   1. LANGUAGE DISORDERS:  There are many facets of a language disorder.  A child may have difficulties in one area or several.   1. Syntax/Grammar – this is when the child struggles with the rules of language and can’t put together a complete sentence correctly. He may struggle to use the right verb form or pronoun when he speaks or writes. Using the same vacation story above, a child with a grammar problem might say it this way:  “I go California, go see Disneyland, go at beach and do surfing. Then us see Lego Land and Sea World, I see sharks and penguins.  Then us go home, go home again and that’s all.” Notice how the child is pronouncing his sounds correctly, but is using the wrong verb tenses and pronouns, among other things.   1. Language Processing – this is when children are slower to interpret and respond to the language signals they receive.  It can take them longer to answer questions, follow directions, write a paper, or do anything involving language. It’s not that they don’t want to listen, or respond, or follow directions, it’s just that they can’t keep up with the rest of the class.  This is different than an attention disorder like ADD/ADDHD, although they can occur together.   An example would be a child who struggles to follow multi-step directions at home or at school.  Imagine if a first grade teachers is telling the class, “Take out your math book and turn to chapter 2, exercise 1.  That should be on page 54.”  Already the child will be struggling to follow the directions but the teacher will continue, “Now get out a piece of paper and write your name on the top right corner and number the paper from 1-10 down the left-hand side.”  By now the child will probably be asking the teacher, “What?  What do we do again?”  or turning to his neighbor and saying, “What page?  What do I put on the paper?”    1. Language Comprehension – this is where the child just doesn’t understand the language input. Even if they understand the meaning of words, they may not understand the subtleties of how changing the order of words in a sentence can change the meaning.  Or they may hear the words of a story but not understand the underlying message or theme of the story. For example, you may read your child the story of The 3 Little Pigs, and ask her, “What was the main idea of this story?”  She may answer, “Pigs!”  If you push her by saying, “Yes, there were pig...