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Speech and Language Disorders – More Than Speech Sounds

What comes to mind when you think of a speech/language disorder? A child who stutters? someone who says “wabbit” for “rabbit”? An autistic child with only a few words in their spoken vocabulary? Speech-language pathologists work with a wide range of issues. These problems are divided into several main categories:

Articulation

Articulation disorders include all kinds of speech sound errors.

Language

A language disorder is a deficit in receptive language (comprehension), expressive language (speaking), or both. The child may lack vocabulary, have difficulty forming complete sentences or answering questions. He may display poor grammar or misuse pronouns. His speech may sound normal enough, but he may not use it appropriately in social situations.

Don’t stutter

A child (or adult) who stutters has difficulty with fluency. He can repeat sounds or syllables. He lengthens sounds at the beginning of words or may get “stuck” when speaking. He may avoid social situations that he fears will cause him to stutter. Because many children’s language skills are growing rapidly, there is a brief period of speech impairment between the ages of two and four. This can be completely normal. If the symptoms are severe or the patterns last more than four times, it may be an indication of a stuttering problem that needs speech therapy.

Voice disorders

The most common voice disorder in children is hoarseness caused by voice abuse. This is usually seen in little boys who shout a lot. It is also common in singers. This vocal abuse can cause physical damage that requires surgery. A speech pathologist can work with the child to help him learn speaking techniques that will be gentle on the vocal folds and allow the damage to heal.

Another common voice problem in children is hyponasality or hypernasality. These are usually affected by cleft palate (repaired or unrepaired) or hearing impairment.

Speech-language pathologists also work with some issues that are not directly related to speech, such as swallowing disorders.

If you suspect that your child may have problems in any of these areas, a speech and language evaluation may be recommended. A speech pathologist can help determine if your child’s speech behaviors need correction, follow-up and retesting, or if they are within normal limits for their age.

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