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12 months old (age adjusted almost 11 months), language delay

47 replies

JLaw1002 · 19/01/2023 18:46

Hi everyone. I have a baby boy who just turned 12 months old, but was born 6 (almost 7) weeks early, so age adjusted he'd still be in the 10 month old bracket, but almost 11 months.

We just had an early intervention screening because he's been a little behind in communicating with us, and they found that he has a Receptive language delay. His expressive language they found was ok. Cognitive he was right on the borderline but was still passing.

I'm pretty shaken up. I have OCD and I've been obsessing about the possibility of him having autism for the last few months. And while the therapist said she doesn't necessarily see a case for autism yet, I can't help but feel it's right around the corner.

For his positives... He likes to be held most of the time. He is doing pretty well with fine and gross motor. He babbles a ton, always making new sounds. He does mimic us sometimes, and he says a couple things pretty frequently (mama, wah wah), but not all the time. In a particular song he likes, there is a part that goes "lalala" and he recently started singing along with that sometimes. He is able to wave goodbye to people, and will often give you a high five if you put your hand in front of him, but that's mostly the extent of his gestures (he's clapped a handful of times, but it's rare). He likes peek a boo, and recently he even started burrowing his head into the couch and popping his head back up whilst smiling when we say "where is he"?. He likes to be chased in his walker, especially when you say "I'm gonna get you". If I'm carrying him around and point at things, he usually will look at them, I'd say 80% of the time. There's actually a song on YouTube he likes where one of the characters is pointing out body parts, and at the part where she points out fingers, he wiggles his fingers like her. He likes toys, and doesn't seem to hyper fixate on just one.

But the main issue they saw was that his name recognition was pretty poor, when he's involved with a toy or something it's rare that he cares about you calling him. He doesn't seem to understand what "no" means, in fact I'd say he doesn't even care when we raise our voice. When I say "ba ba" he doesn't care, it's not until he visually sees the bottle that he wants it. And when he wants something, he doesn't point or gesture to it, he just cries. He doesn't show us toys or objects if we ask him, no reaction whatsoever, just continues about what he's doing.

His joint attention is fairly poor also, although before about a month ago it was non-existent.. he's really just starting to look at an object, then back at us, then back at the object... It's rare but he has started to do it, and the evaluator actually noticed him do it too. His eye contact has always been hit or miss. He will look at people, but it usually happens at specific moments, like when I'm holding him and giving him a bottle, put him on his changing table, standing in his doorway of his room, or if I sing a nursery rhyme to him... otherwise he just seems too occupied looking at other things, but at the same time it doesn't seems like he's intentionally looking away.. it just seems getting and keeping his attention can be difficult. I suppose with a language delay that could make sense... The word a lot of relatives use to describe him is "busy".. he just always seems so into what he's doing, but unfortunately he doesn't seem too into other people. He will NOT let you sit him on your lap to read a book or anything, he just wants to be on the move, doing his own thing most of the time.

One thing the evaluator noted was that some of his toys are very noisy and that can distract babies from hearing language.. and then a light bulb went off in my head and I realized that from the time he was very young (about 4 months old) his babysitters have put shows on TV for him, and he's watched them I'd say at least 2 hours a day (sometimes 3 I'd wager).. and I've read that TV can definitely cause language delay in infants.

I'm trying to say positive, but I'm also really terrified. I have a sibling with severe level 3 ASD, and I'm just hoping if there is an issue we caught it early and EI can help him get through this with a good result.

Has anybody had babies at a young age with poor receptive language and joint attention and seen them blossom and do ok later on?

OP posts:
bumbledeedum · 19/01/2023 20:09

Agree with all PP, utterly ridiculously to be making any assessment on a 12 month old (let alone a corrected 10 month old) for language delay. Unless he was utterly mute and showing other developmental delays or signs of hearing problems I can't see any issue with what you're describing. You little one sounds completely normal.

Emmamoo89 · 19/01/2023 20:12

He sounds like he doing fine. I can understand your worry. All babies are different. My son responded to his name at like 4/5 months. But he's slow on other things which is totally okay and normal. Just enjoy him. X

carmenitapink · 19/01/2023 20:13

Lol sounds like a normal 12 mo baby

If paying for these assessments someone is really pulling a fast one on you 😂😂

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Jellycats4life · 19/01/2023 22:04

Bigbadfish · 19/01/2023 20:00

I was confused until you said your from the USA. Of course they throw these assessments at you. They want money. It's what the American health care system is based on.

There is nothing wrong with a 11 month old not having full understanding of language.

This is my impression of the system too. My kids are autistic and I absolutely baulk at parents across the pond who have their autistic preschoolers in 30-40 hours of therapy a week. Speech therapy, occupational therapy, behavioural therapy… you name it. All presented as essential for the development and overall wellbeing of the child.

It’s just a system built on making money.

3WildOnes · 19/01/2023 22:29

None of mine had any words until closer to two. None understood no at that age. I can't really remember what their joint attention was like at that age but not great from what I recall. One of mine probably does have ASD, the other two definitely do not. The American system is ridiculous.

JLaw1002 · 19/01/2023 23:52

Hey guys . Lot to unpack here.

First I want to say thank you for the replies. I won't lie, being told that it sounds silly is definitely making me feel a little better, and I completely hope you're right!

Second, yes, I totally agree American health system is garbage! But that said, I did not have to pay (directly) for this evaluation. Early Intervention is a taxpayer funded service here in my state. It is free to me. How it works outside of that I have no idea, but I just wanted to clear the notion that someone is specifically robbing me out of the way.

Third, yes I totally get it that not having many solid words at 11-12 months isn't quite a big deal. His delay seems to be specifically in the Receptive language department, which is the way his brain is processing the language he is hearing. That's what the therapist was concerned with.

And for my personal worries, it's moreso his engagement and response to us that has me concerned. A lot of times we could speak to him and try to get his attention and he could care less. There's some mornings where I walk into his room and say hi and he glances at me for half a second then his eyes are elsewhere... But then there's times where he's in his walker and I could hide around a corner and he'll come look for me, which seems like decent engagement.

Its confusing, but I suppose babies are confusing creatures!

OP posts:
Shauna27 · 19/01/2023 23:55

He sounds perfectly normal. Try to stop obsessing over it and it will happen naturally.

Cafeaulait27 · 20/01/2023 10:14

From what you’ve said I don’t think there is any delay here… he sounds exactly like my little boy at around 12 months. They all go at their own pace and the fact he is playing games with you and interacting with you is good and positive. I’m no expert but I don’t think this is anything to worry about x

YourGazeHitsTheSideOfMyFace · 20/01/2023 10:22

I presume that he’s had a hearing test and all is normal? If not, you could look at that - he might not be hearing his name all the time, and so on. Just keep talking to him, use his name a lot when you are doing things together - you do something and then say ‘now Jack do it’, all the time, to reinforce it. Everything sounds really normal, though. He is so tiny still.

Lenald · 20/01/2023 12:14

JLaw1002 · 19/01/2023 23:52

Hey guys . Lot to unpack here.

First I want to say thank you for the replies. I won't lie, being told that it sounds silly is definitely making me feel a little better, and I completely hope you're right!

Second, yes, I totally agree American health system is garbage! But that said, I did not have to pay (directly) for this evaluation. Early Intervention is a taxpayer funded service here in my state. It is free to me. How it works outside of that I have no idea, but I just wanted to clear the notion that someone is specifically robbing me out of the way.

Third, yes I totally get it that not having many solid words at 11-12 months isn't quite a big deal. His delay seems to be specifically in the Receptive language department, which is the way his brain is processing the language he is hearing. That's what the therapist was concerned with.

And for my personal worries, it's moreso his engagement and response to us that has me concerned. A lot of times we could speak to him and try to get his attention and he could care less. There's some mornings where I walk into his room and say hi and he glances at me for half a second then his eyes are elsewhere... But then there's times where he's in his walker and I could hide around a corner and he'll come look for me, which seems like decent engagement.

Its confusing, but I suppose babies are confusing creatures!

My kid is the same age, and honestly he is exactly the same. He’s my fourth, I’m not one bit worried.

jannier · 20/01/2023 16:41

JLaw1002 · 19/01/2023 23:52

Hey guys . Lot to unpack here.

First I want to say thank you for the replies. I won't lie, being told that it sounds silly is definitely making me feel a little better, and I completely hope you're right!

Second, yes, I totally agree American health system is garbage! But that said, I did not have to pay (directly) for this evaluation. Early Intervention is a taxpayer funded service here in my state. It is free to me. How it works outside of that I have no idea, but I just wanted to clear the notion that someone is specifically robbing me out of the way.

Third, yes I totally get it that not having many solid words at 11-12 months isn't quite a big deal. His delay seems to be specifically in the Receptive language department, which is the way his brain is processing the language he is hearing. That's what the therapist was concerned with.

And for my personal worries, it's moreso his engagement and response to us that has me concerned. A lot of times we could speak to him and try to get his attention and he could care less. There's some mornings where I walk into his room and say hi and he glances at me for half a second then his eyes are elsewhere... But then there's times where he's in his walker and I could hide around a corner and he'll come look for me, which seems like decent engagement.

Its confusing, but I suppose babies are confusing creatures!

His engagement and reaction to his name is totally normal....
The fact your not paying makes no difference your state is and these people are earning money and probably more from offering early therapy.....early intervention has a place but not for a 12 month old for speech.

JLaw1002 · 20/01/2023 17:14

Lenald · 20/01/2023 12:14

My kid is the same age, and honestly he is exactly the same. He’s my fourth, I’m not one bit worried.

That's comforting to hear. Even the somewhat lackluster engagement? That's what has me most worried.

I also want to add, when the early intervention specialist had us do a "name recognition test", we did it while we had already been sitting in the room with him for about 30 minutes.. I had previously read that test was supposed to be done with you quietly entering a quiet room and then softly saying your child's name to see if they'll look... I thought the way we did it was odd.

OP posts:
Cafeaulait27 · 22/01/2023 09:21

Often at that age my boy would act like I’m not there - not look at me when I came in in the morning and got him up, and not acknowledge me during the day etc. we took it as him seeing me as ‘part of the furniture’ and actually part of him, as I was with him all the time (on maternity leave)

I believe it signifies a strong bond and attachment, he sees you as part of him at this age and doesn’t feel he has to ‘perform’ for you.

in a few months time you’ll see, he will be interacting with you so much more and will want you to play with him, he will try to make you laugh, all of those things.

be patient and don’t worry, and don’t wish the time away 😊

lljkk · 22/01/2023 09:32

JLaw1002 · 19/01/2023 19:15

I'm in the US, I believe most on this forum are based in the UK? I guess things are pretty different here. There are screenings for delays and ASD as early as my son's current age. What they found is that he's not processing the language he's hearing appropriately for a one year old.

They cannot know that OP, I'm sorry, but no SLT can tell you that at 11m adjusted. Not a chance. they are just guessing & hoping. The best they could tell at this age is whether he hears the full range of sounds & if he likes social interaction, is interested in social interaction. Even Am.Med.Assoc doesn't say you can detect autism at 11m, and they only say it "might sometimes" be detected as young as 14m. In the situation described in that link, "detected" = "symptoms that proved relevant later" ; not definitive symptoms that without a doubt always means autism in every child.

You can fob me off as mom in UK but I am parent to 3 kids who had speech delay. Middle one didn't point at things until past 1yo (pointing at 18m or later, or not pointing at all, is a flag for possible communication problems because pointing is other-referential, shows they understand theory of mind and that other people don't know things they know; this simple basic skill can take until 18m to emerge even in the healthiest babies). You're not describing speech delay. You're describing a very ordinary baby.

JLaw1002 · 22/01/2023 14:53

Cafeaulait27 · 22/01/2023 09:21

Often at that age my boy would act like I’m not there - not look at me when I came in in the morning and got him up, and not acknowledge me during the day etc. we took it as him seeing me as ‘part of the furniture’ and actually part of him, as I was with him all the time (on maternity leave)

I believe it signifies a strong bond and attachment, he sees you as part of him at this age and doesn’t feel he has to ‘perform’ for you.

in a few months time you’ll see, he will be interacting with you so much more and will want you to play with him, he will try to make you laugh, all of those things.

be patient and don’t worry, and don’t wish the time away 😊

Wow thank you, you have no idea how nice this post made me feel! I don't know if this is the exact same case with me, but the thought of it being a possible brings me some comfort. Thanks!

OP posts:
JLaw1002 · 22/01/2023 14:56

lljkk · 22/01/2023 09:32

They cannot know that OP, I'm sorry, but no SLT can tell you that at 11m adjusted. Not a chance. they are just guessing & hoping. The best they could tell at this age is whether he hears the full range of sounds & if he likes social interaction, is interested in social interaction. Even Am.Med.Assoc doesn't say you can detect autism at 11m, and they only say it "might sometimes" be detected as young as 14m. In the situation described in that link, "detected" = "symptoms that proved relevant later" ; not definitive symptoms that without a doubt always means autism in every child.

You can fob me off as mom in UK but I am parent to 3 kids who had speech delay. Middle one didn't point at things until past 1yo (pointing at 18m or later, or not pointing at all, is a flag for possible communication problems because pointing is other-referential, shows they understand theory of mind and that other people don't know things they know; this simple basic skill can take until 18m to emerge even in the healthiest babies). You're not describing speech delay. You're describing a very ordinary baby.

Thank you. I wouldn't write off what you have to say! I'm a first time parent so I am open to hear everyone's words of advice. What you said makes a lot of sense.

OP posts:
Fleur405 · 22/01/2023 15:04

Sounds almost exactly the same as my 10.5 month old daughter. We have no concerns about her. She is close to walking so I put the fact that she is very slightly behind her peers in clapping and waving and that she has a very short (/non existent) attention span down to the fact that she is always busy exploring.

Scirocco · 22/01/2023 15:32

Your son sounds like he's doing great, especially considering his adjusted age. There's very little scientific basis for claims of being able to detect receptive language deficits in babies - I suspect the service responsible for these screenings either profits from them or feels a need to justify their existence with "Look, this baby was borderline on initial assessment and then we got involved and now they aren't!".

If you're concerned about screen time and loud toys, you could try making some changes, but do it for your son and yourself, not because of this (imo bogus) "assessment".

Busygoingblah · 22/01/2023 15:38

Speech and language therapist here. There is literally nothing I would be worried about from what you’ve written about your son. I’m genuinely angry that a professional has made you you feel this way. I really hope they are not making any money from this assessment or any potential follow up as it’s incredibly unethical to cause stress like this to parents without there being an issue.

JLaw1002 · 22/01/2023 18:19

Fleur405 · 22/01/2023 15:04

Sounds almost exactly the same as my 10.5 month old daughter. We have no concerns about her. She is close to walking so I put the fact that she is very slightly behind her peers in clapping and waving and that she has a very short (/non existent) attention span down to the fact that she is always busy exploring.

Thank you for your response. Yes, that honestly is what it seems like.. he just seems more interested in exploring and interacting with the world currently than he does with socializing.

OP posts:
Mumof3bb1 · 21/09/2024 08:23

Hi @JLaw1002 just wondering how your little one has come on?

Zanatdy · 21/09/2024 08:25

He’s so young OP, it doesn’t sound like there’s a problem at all. My nephew is 2yrs 6 months and not speaking at all. That’s when you start to look at interventions. 10 months corrected is so young. My kids didn’t speak until 2 plus, both academically smart, exceptional. So I really wouldn’t be worrying at this point at all.

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