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Language Delay

How do I know if my baby has a language delay?

Delays in language are the most common types of developmental delay. One in 5 children will show a developmental delay in the speech or language area. Some children will also show behavioral challenges because they are frustrated when they can't express everyday needs, desires, or interests.

Simple speech delays are sometimes temporary. They may resolve on their own or with a little extra help from family. Sometimes formal speech therapy is needed.

It's important to encourage your baby to "talk" to you with gestures and/or sounds before filling a need. In some cases, your baby will need more help from a trained professional.

Sometimes delays may be a warning sign of a more serious disorder that could include a hearing loss, global developmental delays, or autism. Delays also could be a sign of a possible learning problem you may not notice until the school years. It's important to have your child evaluated if you are concerned about your child's language development.

Signs of a language delay

Language skills begin long before the first spoken words. Your child starts to communicate with you during the first year of life. She may respond to you and the world around her with eye gazes, smiles, gestures, or sounds. Later on, you'll notice more obvious "speech" skills or milestones. While children develop at different rates, they usually are able to do certain things at certain ages.

If your child seems delayed or shows any of the following behaviors, tell your pediatrician. Also, tell your pediatrician if your baby stops talking or doing things that he used to do.

  • Doesn't cuddle like other babies
  • Doesn't return a happy smile back to you
  • Doesn't seem to notice if you are in the room
  • Doesn't seem to notice certain noises (for example, seems to hear a car horn or a cat's meow but not when you call his name)
  • Acts as if he is in his own world
  • Prefers to play alone; seems to "tune others out"
  • Doesn't seem interested in or play with toys but likes to play with objects in the house
  • Shows a strange attachment to hard objects (would rather carry around a flashlight or ballpoint pen than a stuffed animal or favorite blanket)
  • Can say the ABCs, numbers, or words to TV jingles but can't ask for things he wants
  • Doesn't seem to have any fear
  • Doesn't seem to feel pain
  • Laughs for no clear reason
  • Uses words or phrases that are inappropriate for the situation

What your pediatrician might do

After you share your concerns with your pediatrician, he or she may

  • Ask you some questions, or ask you to fill out a questionnaire.
  • Evaluate certain aspects of your child's development by interacting with your child in various ways.
  • Order a hearing test and refer you to a speech and language therapist for testing. The therapist will evaluate your child's speech (expressive language) and ability to understand speech and gestures (receptive language).

If your pediatrician doesn't seem to be concerned and instead tries to reassure you that children develop at different rates and that your child will "catch up in time," it's OK to say you are still concerned. You might also ask your pediatrician if a referral to a developmental specialist might be appropriate.

If any of the steps above lead to the conclusion that expressive language ONLY is delayed, you may be given suggestions to help your child at home. Formal speech therapy may also be recommended.

If BOTH receptive and expressive language are delayed and the hearing test is normal, your child will need further evaluation. This will determine whether the delays are due to a true communication disorder, global developmental delays, autism, or some other developmental problem.

When autism is the reason for language delays, the child will also show some or all of the above-listed behaviors. Most likely, your child will then be referred to a specialist or a team of specialists knowledgeable about autism and its many related disorders. The specialist(s) may then recommend speech therapy but also specific interventions to improve social skills, behavior, and the "desire" to communicate.

 

Published online: 3/07
Source: Is Your One-Year-Old Communicating With You? (Copyright © 2005 American Academy of Pediatrics)

Healthcare professionals may order this publication in multi-copy packs.
Parents can find more information on this topic in Caring for Your Baby and Young Child: Birth to Age 5. To order a copy of this book visit the AAP Bookstore.

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The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.





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