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Behaviour/development

Speech delay - when to be worried?

12 replies

Banana82 · 02/06/2016 16:18

Just after a bit of advice really. My little boy turned 2 in April and has delayed speech. At what point should I be worried? Many people are telling me that it will just come all of a sudden. He is incredibily bright and happy child. Understands nearly everything I say to him/ask him to do. Plays happily at nursery with the other children but just listens when they talk to him as he can't talk back.

He points to things he wants and has his own little signs for things such as he puts his finger in his mouth and says "eee" when he wants to eat. If he hurts himself he will show me where it hurts and what he hurt himself on. He makes several animal sounds, says mama and dada. But when he wants either of us he won't use those words. He just tends to moan or shout. When I ask him to call us by our name and say mama and dada to him he will repeat it. But that's about it.

He was born 6 weeks early so not sure if I factor that in? We haven't had our 2 year check with the health visitor yet so not really sure where to go from here. Do I just wait a little longer in the hope it will all click for him soon like so many people are telling me it will?

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s88 · 02/06/2016 18:08

Get a hearing test !

I was in the same position as you a few months ago , I thought my ds would jist pick it up when he was ready to .

Turns out he has glue ear and has an appt in 3 weeks to get a date for grommets Sad

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Nowthereistwo · 02/06/2016 18:13

Second hearing test. My dd also has glue ear.

Also we have drop in speech and language sessions in Hertfordshire- might have something similar in your area.

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Bertieboo1 · 02/06/2016 20:48

We also had a hearing test but it came back negative but definitely useful for ruling it out. We have a special speech and language helpline which we have used, and they will do us a referral if not improvement in a few months. They gave us some good tips, eg. Describing what he is doing rather than putting him under pressure asking questions, etc. We have just booked a GP appointment to discuss ASD with them, as he has several other typical features.

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Banana82 · 03/06/2016 08:36

Thank you for the replies! I have had a look and glue ear symptoms and he doesn't really have any of them. I actually had a letter for his 2 year review when I got home last night and its in a couple of weeks so I see what the health visitors suggest. Just can't help but worry!

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NickyEds · 03/06/2016 14:27

My ds is 2.6 and I've been worried about his speech for some time. I took him to a SALT drop in just before he turned two then again 2/3 months ago and a therapist has visited him at pre school. My ds sounds similar to your son, he has good understanding, will point, engage, communicate, he's good with other children.....but he doesn't talk.He has very few words, just a handful really, but has recently started to make lots of vowel sounds, so "eeese" for trees and cheese and "ooose" for goose. The SALT more or less said that it's still a bit too soon to tell, he doesn't really have any other asd characteristics but could have verbal dyspraxia.....or he could be slow to talk. I've requested an appointment for the group SALT sessions and have been told that it will be a couple of weeks. The way I see it if he starts to talk all of this can be cancelled but I feel better knowing that if he doesn't then it's all in place IYSWIM.

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Marsquared · 03/06/2016 14:31

Sooner the better with speech delay. It's better to over react and start some intervention than leave it and wait and see.

If he can't physically form the words (verbal dyspraxia) you can do lots of oral exercises to help him. Def worth doing a hearing test just in case too:

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Bigfam · 03/06/2016 14:45

Definitely what Marsquared said about sooner the better.

Ds1 who is 6.5years has speech delay, he never went to nursery and as a result only started seeing a SALT when he started in primary, it was clear early on that it was quite bad.
No-one at school could understand anything he was saying, they had to get help from his sister (older by 1year) To translate.
Anyway here's in year one now, in sept he will have been seeing a salt for two years. I can't praise them enough, he's still difficult for strangers to understand, but he's pronouncing words a lot more clearly and speaking in full sentences (before he'd say words as I'd they only had one syllable) and he can read and write. He has come on so well & I'm sure if I'd of addressed the issue when he was younger, he'd have made even more progress.
Hth Smile

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thefamilyvonstrop · 03/06/2016 14:49

My son has verbal dyspraxia (two and a half) and I would second what marsquared said - early intervention is crucial with speech delays. A hearing test will eliminate any possible issues but it takes so long to get referrals (in my area anyway), that I'm glad I started sooner rather than waiting.
By the way, we were also told that one day he would just start talking and would amaze us but we could see clearly his development wasn't typical as far as language acquisition goes.

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BackforGood · 03/06/2016 15:09

Agree that I would be making an appt, had your appt not just arrived.
Ask for a hearing check (dc are incredibly good at compensating for not hearing at all pitches - after all, they aren't aware they are missing anything). Ask for a referral to SaLT. If he's suddenly 'clicked' by the time the appt comes through (that'll be the best part of a year here), then you phone and tell them you no longer need the appt and all's well. If you 'wait and see' then join the end of a waiting list, then that's a long time before he gets help, and it's likely he'll get frustrated at his own inability to make himself understood.
Meanwhile TalkingPoint is an incredibly helpful service. Smile

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NickyEds · 03/06/2016 16:21

Sorry for hijacking your thread op but thefamily, when was your son diagnosed with verbal dyspraxia? My ds seems to display a lot of the symptoms but the SALT seemed reluctant to diagnose anything at all really.

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thefamilyvonstrop · 03/06/2016 17:06

Hi Nicky, my son was formally diagnosed with "global delays with dyspraxic indicators" very recently at 2.6. They are very reticent about diagnosing dyspraxia at such a young age however my son had been seeing a private slt since he was 20 months so we had lots of indicators of how he processed speech. Our slt had recommended seeing a paediatrician and had explained she suspected he had dyspraxic indicators but we would need a doctor to confirm that. We had already seen a specialist by the time we saw the paediatrician and they did very thorough reviews (took approx 3 hours) and gave very detailed reports.
The issue we have is that early intervention is really important but the nhs support is very basic till 3.5 and the group sessions we had were aimed at teaching parents techniques that encourage speech. My son simply can't make the sounds that are the foundations of speech so it didn't help other than frustrate him.
Drop me a pm if you want me to explain in more detail what we have done/ are doing with him.

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Ifiwasabadger · 03/06/2016 17:50

PLEASE PLEASE PLEASE get his hearing tested.

My DD had NO symptoms of glue ear, never even had an ear infection. minimal speech at 2 (just a few words.)

everyone told me not to worry i was over anxious, nothing wrong with her blah blah blah. took her for a hearing test and she flat lined in both ears - could hardly hear a thing, despite reactng to sounds all the time.

i felt dreadful. she can hear, but it's all muffled.

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