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Called Early Intervention for JV's speech delay ..

post #1 of 11
Thread Starter 
.. and while I wait for the call-back to schedule the appointment, I'm writing up a list of the words he says and the few signs he's invented from I know not where. I'm stressing myself pretty spectacularly over his speech issues (just like I was doing with his walking issues this time last year) so I wanted to run this list by anyone who's willing to take a look at it & tell me whether it sets off huge red flags and alarms in their minds.

N.B. He was anemic for a little while, and that was playing hell with his sleep, so he was supercranky for months on end before we figured out what was wrong. This may be why he was a lateish crawler and lateish walker (16 months) so he may well still be catching up. His mouth muscles are plenty strong, and he can drink from a cup, blow through a straw, stick out his tongue, etc.

He turned 2 last month.

Words (italics for consistently-used words; plain text for rarely- or once-used)
mama (first said at ~5-6 months, then never for several months, then constantly)
dada
lala (his grandmother)
yeah (can sound like "yeah," "gah," or "da")
water(sounds like "wawa")
more(sounds like "mm")
milkies(sounds like "mm")
give/give me (sounds like "gim" or "gimme". Used to use it constantly; replaced with "more.")
wind(blowing air out through his mouth)
dog(he makes a sound like a dog howling)
car/truck/etc ("brrrm!")
again (sounds like "a-ga")
ball (sounds like "ba")
down (sounds like "da")
boom! (used once)
bath (used several times in one day & then never again, sounded like "baff")
duck (used once, sounded like "duh")
bridge (used once, sounded like "bwid")

If you ask him what a T. Rex says, he'll growl.
If you ask him to sing, he yells "Ayayayay!" from a song I sometimes sing to him.

He has mimicked intonation, i.e. rising inflection in "I'm gonna getcha!" games — but never using words. He sort of hums or sings it.

In babbling he has made all the letter sounds and lots of letter combinations/alternating consonants, though does not mimic them unless it's in the context of saying a word to get what he wants. And then he only says the words he knows. He resists trying new ones until he actively wants to.

In the past month or two his interest in babbling has gone up exponentially, and he'll talk to himself for many minutes in a row, whereas before he'd have an intense spate of babbling once and then lose interest for weeks on end.

He does "speak in 2-3 word sentences" in that he'll combine a word with pointing, or a sign with pointing, or a word with a sign. Though this is rare, it's also fairly recent (2-3 months maybe?)

Seems to have very little interest in talking. Loves to watch people talk and have books read to him, and he can follow complex instructions and pick up new understood/received words very quickly, but you try to coax him to talk and you get stonewalled. He gives you a "Mom, I know!" look and then looks away. Sometimes gets frustrated if you don't understand what he's trying to tell you, but never in the context of a stream of babbling; more pointing and saying "more" or whatever, which he'll happily keep doing until you guess what he wants.

Signs he invented (italics for consistently-used words; plain text for rarely- or once-used)
fan (point and make a round-and-round gesture)
sleep (tucks his head against his shoulder)
big (arms up above head)
hat (patting top of his own head)
want cereal! (exaggeratedly miming eating with a spoon; used several times, but he seems to think he doesn't need it, so he doesn't use it much)

Other communicative gestures
pointing
nodding/shaking head
waves hi/bye

Probably a few I'm forgetting there, but that's certainly most of 'em. Thanks bunches if you've stuck with this so far! Input is appreciated. Am going a little crazy here.
post #2 of 11
I didn't notice his age in the post?
post #3 of 11
Thread Starter 
See, I KNEW I'd forget something important!

He turned 2 last month.
post #4 of 11
I am no expert but he seems pretty normal. My son is 25 months old and is in Speech twice a week. It is really just a playdate where the therapist plays with him with playdough/bubbles/cars and says the words while playing. My son wasn't talking much at all at 18 months when I took him to the Ped, he has had a huge jump in words though is still about 2 months behind.
If your son was slow in crawling/walking, it's easy to expect him to be slower in talking. The best thing you can do is to try and ease your mind right now, he will talk. If you are getting outside pressure from family/friends, address it with some advice/info from your ped on development, etc.
One thing I've learned is, although as mothers we tend to do this all the time, don't compare children...everyone is different with the own timelines on these things.

My sons SP just recommends saying the words but not forcing it upon your LO. When your son is playing, say, putting a block into a box, just say outload something like "put it in". When he wants something, just say "want..." "oh, you want me to open that..open!"
post #5 of 11
Sounds pretty normal to me too. And my ds had a language delay and has speech/articulation problems. Your ds has about 20 words now, is he getting at least 1 new word a week? At 2 you are looking for about 50 words and while your ds isn't at 50 he isn't too far behind. As long as he is understanding what you say (receptive language) and hearing fine I wouldn't worry.
post #6 of 11
Thread Starter 
Hmm. Up until recently I'd say nowhere near 1 word/week, but I'm looking back over the list & it looks like in the past couple of weeks he's added in new "words" .. okay, one sound effect (growl for T.Rex) and one sign, new as of this evening so not in the post, but he signs "smooth" by making a smoothing gesture with his hand with arm out and palm flat. Hard to explain. Actually, his "sleep" sign is from within the last month, and so is his spoken "ball" though he seems to have lost interest in that one again ..

That .. actually helps put it into perspective a little. Thanks for that.

Also it seems I can't be reminded enough to not compare kids. I have this little parenting devil on my shoulder that likes to remind me how I was talking in full sentences by 1 and reading with perfect comprehension by 2 .. and my friend's kid (one week younger) is talking up a storm and knows all his letters, etc. Hate that parenting devil with the heat of a thousand burning suns.

Sigh!
post #7 of 11
Quote:
Originally Posted by bluejaunte View Post

Also it seems I can't be reminded enough to not compare kids. I have this little parenting devil on my shoulder that likes to remind me how I was talking in full sentences by 1 and reading with perfect comprehension by 2 .. and my friend's kid (one week younger) is talking up a storm and knows all his letters, etc. Hate that parenting devil with the heat of a thousand burning suns.

Sigh!


it is so hard, isn't it?? Been there, felt that.
Just so you know, I feel much better about it, I really don't worry at all and can now just enjoy his new growing vocabulary.
post #8 of 11
Of course, I'm no 'expert'... but it sounds to me that 1) yes he's behind the "normal" schedule but 2) he's developing well and communicating well and will "catch up".

My DD was "behind" -- not as much as yours -- no real words until about 16mo, 18-19mo started adding a few slowly. Around 20-22 mos had an EXPLOSION and by 2yo was back to the 'normal' range and now at age 3 is well ahead. We were never concerned because she was also signing, had like 75-100 words by 18mo in signing, so she was able to communicate just fine.

And my little brother was a really late talker. Pretty much no words at all until he was 3. Our parents were starting to consider getting some kind of professional help, when he suddenly started talking in complete sentences. It's like he was just waiting until he had the WHOLE THING figured out before trying it piece by piece.

Anyway, as for yours... the speech is later than usual, but he's communicating, making sounds, and -- most importantly -- you're seeing progression. If he was at this stage but 'stuck' there I might be concerned. But if he's adding sounds, babbling more... and he's also communicative, he's making 'conversations', imitating tone of voice, and understanding complex instructions, I think he's fine.
post #9 of 11
Thread Starter 
That's pretty much where my mind's at too -- delayed but catching up. Maybe it'll be like he was with walking and crawling -- a week after he decided he was ready, you'd never know to look at him that he'd only just started. Not that I'm expecting fluent English within a week of him deciding he's ready to talk but that does seem to be his pattern.
post #10 of 11
From a speech path point of view, I think it is a good idea to have early intervention at least take a look. They may say the same thing--delayed a little, but catching up, but they can also give you some good ideas for boosting language--everyday type things that are easy to forget about, especially when you are already worried! Simple things like:

-using 1-2 word repetitive "sentences" when playing with DS. "Dog! Dog run. Dog bark! Go dog. Nice dog. Dog!"
-Remembering to "wait." Even as an SLP, this is HARD. Some kiddos need time to process what you have said before they can respond or imitate. After asking a question or saying a phrase you'd like them to say back just pause and wait SILENTLY for 15-20 seconds. That doesn't seem like a lot, but count it in your head next time you are talking/playing with you son...it will seem like an eternity : ) Sometimes just leaving a little extra "air space" helps kids find the time to process what they heard.
-Offer lots of choices: crackers or grapes? milk or water? etc. and WAIT for a response. Since you sign with him, you can use the signs when you offer the choices to provide the visual for him as well.
-since he loves to read books, maybe make a picture book of things around the house for him to practice naming--bed, bath, duck, etc. Things he is familiar with. Then you can add in new pics as he learns those words.
-imitate HIM! This can be really fun for kids. If he is babbling, imitate his intonation. If he says a word, say it back to him. Sometimes kids need to see that their words are indeed being heard and people can imitate what they say--then it occurs to them that they can do the same : )
-don't ask him to imitate you--just WAIT and let it happen. Sometimes kids shut down when they know they are being watched or expected to say something.

Those are just a few ideas--the EI speech path will be able to share more (if needed!) Obviously I haven't met your son, so these are just intended to be general language boosting ideas
post #11 of 11
Thread Starter 
Thanks so much for all the input. I really appreciate it!

Interesting thing is, the past 2 weeks or so he's been talking to himself (in his own language) constantly. More each day. Which is odd for him. My mom says he sounds like a babbling 15-month-old or so. So maybe it's just a bit of a delay and he's catching up by himself. I dunno. EI person comes today just to pick up forms (I can't fax them for some reason; she has to drive all the way out here just to pick up forms) and then we schedule an eval.
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