Speech Disorders: What You Need To Know
Speaking is one of life’s skills that you really can’t manage well without. We are social beings, and our need to communicate has been vital, in our history, to our survival. It is now a skill that is necessary to enable children to communicate with their parents and with each other to have their basic needs met and to socialise.
Speech difficulties are many and varied. If a speech difficulty is undiagnosed or untreated, it cans cause huge frustration for a child and curb their abilities in the classroom (since they can’t express all that they may know, they may be classed as being of lower ability and become bored and frustrated as a result). Interestingly, the prison population and the population in Pupil Referral Units (where children are sent to be educated if they are excluded from a school and not accepted elsewhere) have a high percentage of people who have had undiagnosed speech difficulties in their youth.
That is not to say, of course, that a child with speech difficulties will end up bored, frustrated, truant and incarcerated. No, not if they have supportive family and teachers who recognise their difficulties and accommodate them.
Asking a young child with a speech difficulty a question like, “What’s that colour?” when they can’t tell you can lead you to think that they don’t know their colours. Ask them “Can you point to the blue one?” can let a child show you what he knows.
If your child gets to the age of 2 years old and is not speaking so that others can understand him, he can be referred to speech therapy. However, as a parent you will probably have known for some time before then that there is something amiss (particularly if your child is otherwise bright and their lack of speech is anathema) so by the age of 2 years you will have been pulling your hair out wanting help that isn’t forthcoming. This is on the basis that many children just don’t talk until the age of 2, so not talking before that age is not deemed ‘abnormal’.
There are several possible causes of speech delay or defects. They can include temporary ones like glue ear (which can be resolved by the insertion of grommets, though the time waiting for this procedure, particularly if your child has frequent colds and has been without proper hearing for a long time, can mean that they effectively have to re-learn their language and this can be a slow process), or long-term ones like speech dyspraxia (which is a problem with co-ordinating the muscles of the mouth, tongue, lips and voice/air flow). There can be physical causes, like a cleft palate or being tongue-tied (having a short frenulum, beneath the tongue, which prohibits its free movement). It can also be part of a global developmental delay, which may be clear from other aspects of the child’s development (like slowness to move, lack of eye contact or interest in the world).
Next week, we will summarise the ‘normal’ pattern of speech acquisition, and the role of speech therapists.