Age 3.5 and 18 words - normal speech delay or something else?

Butterfly67

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My son only has 18 words and he is 3 1/2. I am starting to think this must be something more than normal speech delay as it seems excessive. He is in speech therapy and has a book of pictures to use. I am now looking into speech apraxia.

Has anyone else's LO 'just' had speech delay at this age or should I be looking for something else?

He was also delayed in gross motor skills but is ahead in his understanding of things.
 
If he is understanding language then it sounds like speech apraxia should really be considered. He does not have a normal delay at this point. I work with a developmental preschool and he would easily qualify with so few words.

I cannot see where you are from but I would get with his SLP/doctor and request further testing. And contact your local school district and find out if they have a preschool he can be tested for. In the US it is a required service.

The more services he can receive now the better his outcomes will be in the long run. My best advice is be proactive and advocate for him. If your currently slp isn't helpful find a new one.

If you're in the US I can get you more info about developmental preschool procedures so just let me know.
 
Oh and has his hearing been checked? My son at 21 months had less than 10 words. I got him tested and he couldn't hear. I thought he could but by the sounds of it it was intermittent at best.

One thing I had to so was sit behind him and make a verbal command only where he couldn't see my mouth or any gestures. It was soon apparently he was relying on my gesters to figure out what I wanted.
 
If he is understanding language then it sounds like speech apraxia should really be considered. He does not have a normal delay at this point. I work with a developmental preschool and he would easily qualify with so few words.

I cannot see where you are from but I would get with his SLP/doctor and request further testing. And contact your local school district and find out if they have a preschool he can be tested for. In the US it is a required service.

The more services he can receive now the better his outcomes will be in the long run. My best advice is be proactive and advocate for him. If your currently slp isn't helpful find a new one.

If you're in the US I can get you more info about developmental preschool procedures so just let me know.

Thanks krissie, I am in the UK so I guess different procedures. He has been seeing a speech therapist and they are trying different methods. I think it is only now that he has started preschool that I am realising how bad his speech is and that I need to look into things further.

Oh and has his hearing been checked? My son at 21 months had less than 10 words. I got him tested and he couldn't hear. I thought he could but by the sounds of it it was intermittent at best.

One thing I had to so was sit behind him and make a verbal command only where he couldn't see my mouth or any gestures. It was soon apparently he was relying on my gesters to figure out what I wanted.

Yes he has had a couple of hearing tests and all is fine there.

What does his speech therapist think?

He has 3 more sessions with her starting in a couple of weeks. It sounds strange but I am not sure what she thinks. I have just kind of always thought he was delayed and so assumed that is what she thought too. I hadn't even heard of apraxia until last week when I started looking things up myself. So now I am on a mission to get this sorted and find out what the problem is! I will ask the ST if she thinks apraxia is an option and if not then why not!
 
Wow krissie, I've never even heard of a developmental preschool, just googled it! Don't think they have them over here :-(
 
My son has speech apraxia. He was only diagnosed a year ago and he will be 6 in 3 weeks. He's got a lot of difficulty producing the sounds required to make up words but can understand everything. He isn't tongue tied or anything. He had no real proper words he would say things like 'ah' for car or 'or' for more and most of it was grunting and pointing. He'd even made up his own type of sign language to try to communicate.
Two years ago we realised he wasn't hearing properly and he had to have grommets put in due to fluid despite having no ear infections. We also had his adenoids and tonsils removed as that was interfering with his breathing.
Late last year he was diagnosed with autism and he's been having speech therapy at school once a week with a specialised autism speech therapist. He's had other therapists before but it was difficult as he's incredibly shy and just wouldn't cooperate in sessions at a clinic. School sessions have been a blessing as he loves school and feels the sessions are just part of his schooling. In just this year alone he's had a huge burst in his speech. At 5yrs 7mths he finally said daddy for the first time. He's communicating a whole lot more without getting frustrated. He's still got a long way to go but it's such a massive improvement.

It's been a long road. I've taken my son to countless therapists, paediatricians, psychologists, OTs and what not. My son also has gross motor skills delay. With the combination of this and his behaviour is how we got the diagnosis of autism. I'm not suggesting your son has this at all but it could be something to look into, i also looked into him maybe having global developmental delay. Without a proper diagnosis here in Australia he would really not get any help everything we did prior to his diagnosis was all out of pocket.

I hope my story gives you some hope that even speech apraxia can slowly be overcome. My son went from literally no words to acheiving 80% in reading at school.
 
My daughter was diagnosed with a language delay, severe receptive and mild expressive. After further testing she's been diagnosed with autism which is actually a good thing because as the above poster said with a diagnosis we now get funding for therapy. After 3 months of occupational and speech therapy the improvement in her is amazing! I'm very confident she will go forward to live a largely normal life, most people are shocked if I say she has autism because she presents by and large like a typical 3 year old, I'm so pleased we got onto things early!
 
Thanks Sushai and Take2 it is lovely to hear of stories where the children are going on to make great progress. It is a shame it takes a while to diagnose these things but great that you both finally have a diagnosis. Thank you for sharing your stories :kiss:

It is also interesting that both of your LOs were diagnosed with Autism. it is something that has occurred to me (and I'm not bothered if he has it or not iykwim) but I ahve kind of discounted because he doesn't really have any other traits that go with it. But I am keeping an open mind. A couple of family members have mentioned it (but i think just in response to the speech delay rather than anything else) and I did mention it to the ST but she didn't think so. But he can be a bit OCD at times and he is not massively over affectionate. I will probably bring it up again with the ST and I also have an appointment with the pediatrician in the next month so I'll mention it to her.
 
Good luck Butterfly, I wouldn't dare to suggest one way or another if your child could have Autism knowing so little, aside from the speech delay you certainly haven't mentioned much else to suggest that he may be so it's probably unlikely. Having said that my dd took awhile to receive her diagnosis because she didn't display any super obvious red flag type behaviour, it wasn't until they did all of the tests that these behaviours started to become more obvious. Some children particularly girls have good imitation skills which can often mask their social deficits, which certainly made my daughters diagnosis a lot harder to pinpoint.
I do hope you get some answers and some progress with your sons speech delay soon :)
 
I'll second what take2 says about everything becoming more obvious during the tests. It's never easy to get any sort of diagnosis. It took ages for us to even get the apraxia diagnosis.

Good luck with everything, I hope you get the answers and support you are seeking.
 
At that age my son had speech delay as part of global developmental delay. At 5 they changed it to a learning disability with a phonological and speech sound disorder. Good luck x he's also partially deaf because of severe glue ear he's having hearing aids fitted in a few weeks and we're waiting for an operation.
 
Just wanted to update that we now have a diagnosis of a speech disorder but are waiting on further tests to get more specific. He still has the same number of words so progress is slow and I know it will be a long road!
 
Glad to hear you’ve been given a diagnosis. Hopefully things will look up from here. It will take time but hopefully your little one will get there.
 

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