Mothering › Forums › Parenting › Special Needs Parenting › lanugage disorder questions
New Posts  All Forums:Forum Nav:

lanugage disorder questions

post #1 of 6
Thread Starter 
Hello,
My son is one who has had many diagnoses over the years - the dx he has currently are language disorder and sensory processing disorder. His language is "wonky", "funky", etc and I'm not sure what to make of it.

Some examples:
He misunderstands/mixes up words that sound the same or have the same beginning sound. (example, "win" and "winter")

He doesn't always understand the nuances of words and that they mean different things in different contexts - for example, I said "I am getting your cold." and he said "Why are you buying my cold?" - not understanding that in this case "getting" does not mean "buying".

He often will "give up" when trying to explain something and just start mumbling.

He doesn't always understand stories the first time they are read to him. It may take a few times through for him to get it. He loses interest in stories if they are even moderately long.

He will say something that doesn't quite make sense and then when you try to clarify, he will say "That's what I said."

He uses some phrases a lot like "I'll have you know...." that just sound funky and unnecessary.

He says words out of order in sentences like "I got ready when you right told me to." (Instead of "right when you told me to.")

He often says things that are just silly and nonsense - more often than is normal. He laughs so he knows they are nonsense but it's kind of weird (and not funny).

He sometimes repeats what he says in a whisper (like the kid on "The Middle" if you are familiar) or repeats syllables of words. He repeats his own words, not other people's so it's not the same as echolalia and no one seems to know what to make of it. It's almost like he is checking to see if he said the right thing, it doesn't seem like a compulsion b/c he doesn't do it all the time and if you call him on it he laughs. Sometimes he does it on purpose as a joke.

I feel like I never know how he is going to respond when someone talks to him. He doesn't always seem to understand what people say.

He is 6. We know he has a slow processing speed which probably contributes to some of it. He was a late talker; didn't speak more than one word till he was 3.

We have had 3 evaluators tell us he is not autistic, that his language pattern is abnormal but not the same as an autistic child.

I am frustrated because some of it is pretty subtle and the school doesn't seem to think there is a problem. He is in speech therapy but I am not confident it is effective. The therapist has him doing predicting, story re-telling, problem solviing, etc.

I feel like what he needs help with most is conversational - being able to understand what someone is saying and then answer appropriately and fluently.

Does this sound like expressive/receptive language disorder? That was brought up once but now they just say "language disorder" which seems really vague to me. Does anyone else have a child with this type of difficulty? What are the best types of treatments? Should I consider a social skills class?

thanks!!
post #2 of 6
Has he been tested for Auditory Processing Disorder? It sounds to me like he doesn't process the spoken language well. Unfortunately, I think some of the skills needed to test for APD don't develop until 7-8, so he might be too young to test. I do know that therapy also takes a long time for this - it's really a matter of training the connection between ear and brain and teaching the brain how to process information.

http://www.nidcd.nih.gov/health/voice/auditory.htm#2
http://kidshealth.org/parent/medical..._auditory.html
post #3 of 6
Quote:
Originally Posted by kme View Post
Hello,
Some examples:
He misunderstands/mixes up words that sound the same or have the same beginning sound. (example, "win" and "winter")

He doesn't always understand the nuances of words and that they mean different things in different contexts - for example, I said "I am getting your cold." and he said "Why are you buying my cold?" - not understanding that in this case "getting" does not mean "buying".

He often will "give up" when trying to explain something and just start mumbling.

He doesn't always understand stories the first time they are read to him. It may take a few times through for him to get it. He loses interest in stories if they are even moderately long.

He will say something that doesn't quite make sense and then when you try to clarify, he will say "That's what I said."

He uses some phrases a lot like "I'll have you know...." that just sound funky and unnecessary.

He says words out of order in sentences like "I got ready when you right told me to." (Instead of "right when you told me to.")

He often says things that are just silly and nonsense - more often than is normal. He laughs so he knows they are nonsense but it's kind of weird (and not funny).

He sometimes repeats what he says in a whisper (like the kid on "The Middle" if you are familiar) or repeats syllables of words. He repeats his own words, not other people's so it's not the same as echolalia and no one seems to know what to make of it. It's almost like he is checking to see if he said the right thing, it doesn't seem like a compulsion b/c he doesn't do it all the time and if you call him on it he laughs. Sometimes he does it on purpose as a joke.

I feel like I never know how he is going to respond when someone talks to him. He doesn't always seem to understand what people say.
My oldest has mixed expressive/receptive language disorder. He had similar deficits to your son when we started therapy. We've been in the type of therapy that you're describing for 9 months and it's been effective in remediating some of his deficits. (His teacher and our principal describe it as 100% improvement.) His social skills have improved as his ability to process verbal language and use verbal language have improved.

A social skills class isn't a bad idea. In the alternative, a speech therapist can work with him on semantic/pragmatic use of language, which will involve some social skills training.

If you're not feeling confident about the diagnosis, sit down with the SPLT and ask him/her to nail it down for you.

Auditory processing disorder is also a possibility, and involves different treatment, but they should have screened for that already. I'd ask them about it.
post #4 of 6
Thread Starter 
Thanks for your repsonses! He was tested for Auditory Processing Disorder by one of the "experts" in the field, who was actually the first to mention SPD. The APD testing came out negative, which frankly surprised me. I'm just not sure one hour of speech therapy a week is sufficient and we do work on it at home (informally). I just see how he interacts with other kids and how he struggles to keep up with their conversations. He will often give up or retreat or say things that don't really make sense. He has told me other kids make him nervous, and I suspect it is due to his language deficits. It is frustrating...
post #5 of 6
While their are a few more language disorders out there with less vague names (ASDs, auditory processing disorder), it sounds like "language disorder" is specific enough to get him services. While making an accurate diagnosis is important, it's MORE important that the team really understand your kid and the impact his language disorder is having on his life, academically and socially. The activities he is working on sound appropriate, but you may want to stress to his educational team that you'd like them also to focus on pragmatics and/or functional communication in conversational contexts. If needed, you could involve the social worker to collect data on how he is functioning socially, given his language/communication challenges. A social skills class could be a good addition, but given that his language disorder could impact him academically, I don't think he should be in a social skills class without traditional 1:1 or group language therapy where they target the skills he's currently working on.
post #6 of 6
I have found this book very helpful:

Childhood Speech, Language & Listening Problems: What Every Parent Should Know

It discusses a lot of different language disorders and gives good information about evaluations and therapy.

Another thing that might be worth looking into is a Semantic/Pragmatic Language Disorder: http://speech-language-therapy.com/spld.htm
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Special Needs Parenting
Mothering › Forums › Parenting › Special Needs Parenting › lanugage disorder questions