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Speech delay - does it ever resolve ??

14 replies

SameIssue · 23/04/2026 14:38

Anyone here whose child didn’t speak at all (not even 5 words in the right context) till the age of four?

we have tried everything at this point and are desperate so looking for some hope here!!

OP posts:
TinyMouseTheatre · 23/04/2026 16:05

DC2 didn’t speak until 3 and can talk fairly well now. I do appreciate that’s a whole year younger though.

What interventions have they had so far @SameIssue? Flowers

1995SENNDMUM · 23/04/2026 17:27

Sons in sen school and there's children that started speaking at 7, equally we ve been told at 5 that best case scenario could be some single words but to be prepared for him not to speak.

So although it could still go either way, it really depends on the reason for the speech delay too.

SameIssue · 23/04/2026 18:45

Thanks both for responding.

In terms of intersections, he’s been under audiology assessments to ensure there are no hearing related issues. He has seen one speech therapist on a weekly basis for six months and another one on the same frequency over a subsequent six month period. At home, various techniques (visual aids / flashcards / pictures based learning, miss Rachel YouTube videos, watching cartoons with him where we interact/comment a lot) as well.

He does understand what’s being send to him, does follow instructions for the most part, does make eye contact but almost no speech and does show some behavioural concerns owing to frustration around inability to adequately communicate his needs/wants.

OP posts:
TinyMouseTheatre · 23/04/2026 19:10

Sounds like you’ve got things in oma e to help him. Just wondering if he has had an OT assessment and has been referred to Portage too?

Does he currently have an ECHP?

SameIssue · 23/04/2026 19:22

He was referred for OT assessment by the nursery almost a year ago but nothing has come off it. Apparently the waitlist there is quite long. We were told that it’s only after assessment and official diagnosis of some sort and some other series of bureaucratic steps is when you end up reaching the ECHP. Is that not the case?

For now, the only professional intervention has been via speech therapists, nothing for any assessment/evaluation for behaviour/development and of course no ND type diagnosis.

OP posts:
TinyMouseTheatre · 23/04/2026 19:34

SameIssue · 23/04/2026 19:22

He was referred for OT assessment by the nursery almost a year ago but nothing has come off it. Apparently the waitlist there is quite long. We were told that it’s only after assessment and official diagnosis of some sort and some other series of bureaucratic steps is when you end up reaching the ECHP. Is that not the case?

For now, the only professional intervention has been via speech therapists, nothing for any assessment/evaluation for behaviour/development and of course no ND type diagnosis.

Absolutely not the case. ECHPs are based in need rather than diagnosis and I’m not trained but I’d say being non-verbal is a pretty strong need.

You can always apply for an ECHP here. The SN Section is usually also quite good for getting support with this process Flowers

EHC needs assessments

An EHC needs assessment is an assessment of a child or young person’s education, health and care needs

https://www.ipsea.org.uk/ehc-needs-assessments

SameIssue · 24/04/2026 02:57

TinyMouseTheatre · 23/04/2026 19:34

Absolutely not the case. ECHPs are based in need rather than diagnosis and I’m not trained but I’d say being non-verbal is a pretty strong need.

You can always apply for an ECHP here. The SN Section is usually also quite good for getting support with this process Flowers

That’s good to know, thanks very much!!

OP posts:
TinyMouseTheatre · 24/04/2026 07:06

SameIssue · 23/04/2026 19:22

He was referred for OT assessment by the nursery almost a year ago but nothing has come off it. Apparently the waitlist there is quite long. We were told that it’s only after assessment and official diagnosis of some sort and some other series of bureaucratic steps is when you end up reaching the ECHP. Is that not the case?

For now, the only professional intervention has been via speech therapists, nothing for any assessment/evaluation for behaviour/development and of course no ND type diagnosis.

I’ve just reread your post. Has been been referred for ASD assessment yet @SameIssue?

hollygoolightly · 25/04/2026 15:01

Is he currently 4 years old?

Does he do gestures like pointing to what he wants and to get you to notice things, clapping, waving hello/goodbye, know body parts/colours/basic shapes/numbers?

SameIssue · Yesterday 18:21

TinyMouseTheatre · 24/04/2026 07:06

I’ve just reread your post. Has been been referred for ASD assessment yet @SameIssue?

No he hasn’t been assessed, he is on the waitlist for OT assessment which I am assuming is the same as ASD assessment?

OP posts:
SameIssue · Yesterday 18:24

hollygoolightly · 25/04/2026 15:01

Is he currently 4 years old?

Does he do gestures like pointing to what he wants and to get you to notice things, clapping, waving hello/goodbye, know body parts/colours/basic shapes/numbers?

He does take our hand towards things that he wants, does say “bye” sometimes when leaving the house, does clap sometimes, doesn’t really say hello.
And no he doesn’t know shapes, colours or body parts. He will be exactly 3.5 years old in a week’s time.

OP posts:
hollygoolightly · Today 13:24

SameIssue · Yesterday 18:24

He does take our hand towards things that he wants, does say “bye” sometimes when leaving the house, does clap sometimes, doesn’t really say hello.
And no he doesn’t know shapes, colours or body parts. He will be exactly 3.5 years old in a week’s time.

At 3.5 that is a bit of a red flag, OP. It seems like more than a speech delay. Pointing to a few body parts when asked is a 18-24 month old skill for example.

Does he understand what your saying? Does he follow instructions like go get your shoes, wheres the dog, pass mummy the red cup, can you point to the dinosaur? If not, I'd be pushing for an paediatrician referral immediately.

hollygoolightly · Today 13:30

SameIssue · 23/04/2026 19:22

He was referred for OT assessment by the nursery almost a year ago but nothing has come off it. Apparently the waitlist there is quite long. We were told that it’s only after assessment and official diagnosis of some sort and some other series of bureaucratic steps is when you end up reaching the ECHP. Is that not the case?

For now, the only professional intervention has been via speech therapists, nothing for any assessment/evaluation for behaviour/development and of course no ND type diagnosis.

Why did nursery refer to occupational therapy? What were their concerns?

TinyMouseTheatre · Today 15:48

No OT and a referral for assessment for ASD are completely different. Did Nursery offer you a referral to iscan or a Paediatrician?

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