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33 month old speech and understanding

11 replies

userabcname · 11/03/2020 18:34

Nursery have suggested my toddler is delayed in his speech and understanding. He is my first so I have nothing to compare him to. He will be 3 in June.

He can:

  • speak in 2-5 word sentences. I'd say mostly 2-3 word sentences but he can and does reguarly do more.
-reply to questions like 'what happened?' 'What do you want for lunch?'
  • play imaginatively where his toys "talk" and have little conversations e.g. "help! I'm stuck!", "I'll save you!" (Long elaborate rescue mission) "thanks!" "You're welcome!"
  • babble, which he does constantly when he is playing, but not always understandably; do sound effects when playing e.g. sirens, explosions, roaring
  • ask questions "mummy where are you?", "what happened?" "What's wrong?"
  • understands most of what DH and I say.
  • identify some emotions/needs - happy/sad/scared/hungry/sleepy
  • follow simple instructions e.g. fetch me a _, put this in the bin, wash your hands, brush your teeth (as long as he can see whatever it is he needs to fetch and knows where the sink/bin is. Also may ignore if he doesn't want to do it!).
-count to 10 and recognise numbers 1-10 written down. Counts to 20 with help. -identify most colours (red, blue, green, white, black, orange, yellow, pink)
  • know and uses his name. Also knows the names of people he sees regularly.
-join in with songs he knows and actions if there are any.
  • copy new words and often remembers them to use again independently.
  • say when he needs a wee or poo but usually does not.
  • respond to others appropriately e.g. when his baby brother cries he strokes his head gently and says "it's ok", if the cat is scratching the sofa he says "kitty is naughty!"
-identify and say most main body parts
  • when reading him a story he can point to the pictures and say what's happening. He knows books tell stories and will sometimes "read" to us (make up a story based on pictures, flicks through each page and then finish with saying "the end").

Based on what similarly aged toddlers we know can do, he cannot:

  • say if he is a boy or a girl (tbh he has no concept of boys and girls)
  • say when his birthday is
  • answer questions like "what do you want to do when you grow up?"

He is not potty trained. We have tried but he hates sitting on the potty and screams until he is allowed off. He is also quite uncooperative (I know all toddlers are but he is a lot more stubborn than other toddlers we know!) and will refuse to do things just because. He tantrums.

Main areas of concern for nursery seem to be potty training and following instructions (they seem to think this is a comprehension issue but I'm not sure if it's behavioral as in he just doesn't want to follow their instructions!). I definitely know much more articulate 2 year olds and am worried I've not noticed that he is behind. I have contacted my health visitor and have left a message but just wondering what others have experienced with toddlers at this age and what the next steps were.

OP posts:
JiltedJohnsJulie · 11/03/2020 19:47

If the Nursery thinks that he is behind in Speech and understanding, you can self refer to SLT in most areas. There’s a list on ICan of roughly what he should be doing.

Bear in mind that Nursery will what to get him potty trained as that would mean that a member of staff isn’t tied up changing his nappy.

I would make an effort with the potty training though but possibly wait until you have a few days at home with him and it’s a bit warmer. I think it’s pretty unusual for them not to be potty trained by 3, but you’ve got a bit of time yet Smile

userabcname · 11/03/2020 19:58

@JiltedJohnsJulie thank you- that's a helpful link. Yes the potty training is an ongoing battle but I hope we will crack it by his birthday!

OP posts:
crazychemist · 11/03/2020 20:01

Just throwing this out there - is his hearing definitely ok?

My DD has a minor hearing impairment. She’s 3.5 now. When I’m with her alone, everything about her speech/ comprehension seems great to me. Most people that have spoken to her 1:1 think the same. But her pronunciation was a little behind, so before she was 3 although I could understand her perfectly some people couldn’t, so thought her ability to express herself was less than it was. Also, in a group setting such as preschool, she doesn’t always respond to instructions well because she struggles when there’s a lot of background noise, and has a tendency to tune things out.

Worth seeing if he responds to noises of different pitch/volume? Just simple things like ask him to point towards where a bird is tweeting, see if he can do it. Or see if he notices noises like a key in the door when someone gets home - does he look up?

userabcname · 11/03/2020 20:04

@crazychemist hm, interesting point! I will investigate and see what he can hear/pick up ( you've reminded me that MIL told me DH had hearing issues as a toddler actually so I really should have considered this!).

OP posts:
JiltedJohnsJulie · 11/03/2020 20:20

If you are going down the route of talking to your HV, usually the first thing they will suggest is a hearing test anyway. Again, you don’t need to wait fir the HV to get back to you as you can self refer for hearing tests usually.

crazy’s suggestions of checking the hearing yourself are excellent though Smile

lyssie29 · 11/03/2020 20:28

My DD has speech delay. She couldn't say many clear words when she started playgroup at 2 and was referred to s&l it took awhile for the appointments etc but it turned out she had glue ear. After subsequent hearing tests and almost getting grommets her ears cleared and they said her hearing was now ok. She saw s&l therapist and she improved but at 4 years old she still has problems with certain letters such as S and F. Everything else she is fine for her though. She's not behind in learning letters, numbers etc.

For her potty training she took a while but wasn't bothered her sister however was a nightmare. It was was awful and at almost 3 and a half I decided enough was enough and I refused to give her nappies. She cried and screamed saying she didn't want to but she had to eventually and I went out and bought her a prize when she did. After a day or so of her getting upset (less and less each time though) she just said she would never wear a nappy again not even for bed and never even had an accident.

JiltedJohnsJulie · 11/03/2020 20:47

Have you tried taking him on a shopping trip to buy some “big boy” pants too?

Peer pressure might work as well. My DS idolised a lad across the road so I used to point out how he used the toilet and not nappies because he was a big boy. Worked a treat.

userabcname · 12/03/2020 09:26

Thanks everyone. From the checklist it really doesn't seems as though he is behind where he should be. Hearing is definitely worth investigating as it may well be he is struggling in the noisier setting. I will also be asking for further info on what nursery thinks he is / isn't doing to provide a bit more clarity. He does have pants - he chose hey duggee ones - and he really enjoys wearing them. He just holds and holds when he does so, screams when he sits on the potty and then wets himself! But I shall persevere. My friend's child was similar and she has given me some tips to try to overcome his reluctance so I will get cracking with those. Thanks again.

OP posts:
JiltedJohnsJulie · 14/03/2020 17:31

If he doesn’t like the potty, have you tried him on the toilet with a toilet seat?

Another thing to try is getting him to sit on it whilst he watches his favourite TV show or sit him on it whilst you run the bath and give him a book.

The idea is that it becomes a normal part of the day and not something he feels under pressure to get right.

userabcname · 15/03/2020 09:49

Yes that's basically what my friend advised - we are just encouraging him to sit on it with no pressure, turning it into a game and giving him loads of praise. It does seem to be helping as he has stopped screaming now which is definitely progress! He still hasn't done anything on it but hopefully that will happen now he is relaxing a bit. We do have a seat for the loo - he disliked that just as much but will try it again with him.

OP posts:
Ariek · 03/03/2024 21:35

Hi,
I know this post is old but I’ve done a search on similar things that you’ve queried with speech delay and your query come up. My toddler would be about the same age you've put originally; I’m just wondering - and hope you don’t mind me asking - how did they come on? Did you check hearing?

My toddler has an older sibling, they’re a few years older but he’s completely different to how they were, his personality and temperament, everything!?! The terrible twos have been fun!!!😰🤦🏻‍♀️

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