IMPROVING communication, transforming LIVES

Does My Child Need Help?

Consider having your child evaluated by a speech and language pathologist if any of these characteristics are noted:

At any age if…

  • you are concerned about any aspect of speech or language development.
  • you are concerned about your child’s fluency.
  • your child is frustrated or embarrassed by his or her speech.
  • you have learned your child is hearing impaired.

As an infant if your child…

  • has an unusual or ineffective suck reflex, does not swallow well, has difficulty chewing, or has delayed oral-motor development.
  • has a cleft palate.
  • demonstrates neuro-motor impairment.
  • has a permanent indwelling trach tube.
  • has neurological or structural deficits that put him/her at a high risk for later communication or feeding problems.

At 18 months if your child…

  • is not talking, has little speech sound play, or few consonants.
  • has fewer than ten words, but has an advanced gesture system.
  • does not respond accurately to short, simple directions accompanied by gesture.
  • shows any of the previously listed problems.

At 2 years if your child…

  • has few words and is not obviously increasing his or her vocabulary.
  • has many words, but is unintelligible, with very few consonants or a lot of vowel distortions.
  • does not understand short directions or simple questions, or does not pay attention to talking.
  • shows any of the previously listed problems.

At 3 years if your child…

  • is very difficult to understand.
  • consistently omits initial consonants.
  • has excessive nasal tone.
  • is not combining three and four words into connected utterances.
  • still has a lot of jargon.
  • echoes a lot and does not initiate many of his own utterances.
  • cannot follow two-step commands or does not respond appropriately to who, what or where questions.
  • has an excessive amount of dysfluencies and is showing obvious tension or actually blocks (freezes) on some of his sounds.
  • has any of the previous problems listed.

At 4 years if your child…

  • is hard to understand
  • consistently drops word endings.
  • has noticeably faulty sentence structure.
  • has consistent difficulty pronouncing multisyllabic words and either mixes up the sound order or drops out whole syllables.
  • is not able to relate events with good sequence and information content.
  • has any of the previous problems listed.

At 5 years if your child…

  • has difficulty following directions and attending to verbal information in a classroom setting.
  • does not speak in complete sentences.
  • has a harsh, hoarse, or unusual voice.
  • has a suspected learning disability that may be language based.
  • has any of the previous problems listed.