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Discussion Starter #1
What actually IS a speech delay?<br><br>
Is it offically definded somewhere -- medical, psychological?<br><br>
I didn't speak till 3, and DS says only da and Mum .. not clearly and not 100% in contect.<br><br>
He has 2 signs -- and be bables constantly -- he is clearly "telling you" stuff (pointing at pictures, or tractors or whatever) with bable and arm motions and so on.....<br><br>
All other milestones are met and SIL who works in early childhood intervention for the school distric (with SN kids) says she thinsk his fine motor is advanced<br><br>
i am not worried.<br><br>
just wondering WHEN i shuld worry -- you know????<br><br>
Aimee
 

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AFAIK it is being late on language milestones by more than two 'standard deviations' - i.e. - obviously late, not just 'a little late' .<br><br>
Do I get it right that your son is about 18 months old? If so, it's still early and he is likely to be doing alright. I would worry if nothing further happens in the next 6-12 months, or if something goes away, like he stops pointing or loses his few words.
 

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Discussion Starter #3
yes 17.5 months, sorry i should have added that to OP.<br><br>
Thanks<br><br>
Aimee
 

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this link shoudl answer all your questions<br><a href="http://kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&article_set=22948&cat_id=146&" target="_blank">http://kidshealth.org/PageManager.js...48&cat_id=146&</a><br><br>
and here's the definition, Wikipedia Style.<br><a href="http://en.wikipedia.org/wiki/Speech_delay" target="_blank">http://en.wikipedia.org/wiki/Speech_delay</a><br><br>
Speech delay refers to a delay in the development or use of the mechanisms that produce speech. Speech, as distinct from language, refers to the actual process of making sounds, using such organs and structures as the lungs, vocal cords, mouth, tongue, teeth, etc. Language delay refers to a delay in the development or use of the knowledge of language.<br><br>
Because language and speech are two independent stages, they may be individually delayed. For example, a child may be delayed in speech (i.e., unable to produce intelligible speech sounds), but not delayed in language. In this case, the child would be attempting to produce an age-appropriate amount of language, but that language would be difficult or impossible to understand. Conversely, a child with a language delay typically has not yet had the opportunity to produce speech sounds, it is therefore likely to have a delay in speech as well.<br><br><br>
It sounds like you mean language delay, or speech & language delay. I had a son with a severe speech delay, but at that time his language was on track. It meant he talked lots but you couldn't' understand a thing he was saying <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Discussion Starter #5
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">It sounds like you mean language delay, or speech & language delay. I had a son with a severe speech delay, but at that time his language was on track. It meant he talked lots but you couldn't' understand a thing he was saying</td>
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Yep -- he bables all the time, inflection and everything -- but nothing is understandable. he doesn't even use baby talk -- ie the same sound of nonsense word for the same thing each time.<br><br>
thanks for the links i will read up<br><br>
and his receptive langue is great -- follows two part verbale directions and so on......<br><br>
Aimee
 

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the 'offiicial' standards are 1.5-2 standard deviations below the mean. right now, it sounds like your son is on the low end (maybe 1 sd below the mean? I'm making this up, so don't use this as a figure) with just 3 words at 17.5 months.<br><br>
There is a phenomenon known as "late talker" - these are kids who don't use many words until later. Their eventual language turns out to be OK. Usually kids with good receptive language turn out to have better outcomes than those without good receptive language.<br><br>
This is a good page that gives some detailed explanations of what to 'expect' for receptive and expressive language:<br><a href="http://www.speech-language-therapy.com/devel2.htm" target="_blank">http://www.speech-language-therapy.com/devel2.htm</a><br><br>
I'm pretty conservative when it comes to language development. If your son doesn't have about 50 words at age 2, I would definitely have his hearing evaluated (sometimes it is a hearing issue - fluid in the ears can markedly slow language development), and an eval by an speech language pathologist. 50% of late talkers go on to be fine, 50% need continued therapy. Alas, right now, it's hard to predict at age 2 which 50% a child is going to fall into.
 

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"If your son doesn't have about 50 words at age 2"<br><br>
My firstborn didn't talk until he was 24 mos old but he when he started he spoke in sentences like "I want a cookie!". Before that he didn't really use more than 5-8 words.<br><br>
My fourth at 30 mos (2 1/2 years old) only said "mama", and "dada" and "nana" for his sister Natalie. He's going to 4 in 3 weeks and he has only added the word "no" in 16 mos of speech therapy! His approximations are easier to understand now. He has aprasia and dysarthria.<br><br>
(My girls started speaking in words at 16 and 18 mos.)
 

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Discussion Starter #8
i understand the importance of hearing, and that hearing can decrease after birth.<br><br>
however -- would that decrease REQUIRE an illness or injury -- infection or something, or could it just "happen" as his hearing test at birth was in teh excellent area of the scale.<br><br>
also is there a chance that the hearing loss would not OTHERWISE be noticed? his receptive lanuge is great, and he sure noticed people talking, or aniaml noses and so on -- no apperant diffculty.<br><br>
I want to ask Ped about it at next WBV -- but i want to know what i am talking about - YK?
 
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