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Toddler not talking


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#1 Seven of Nine

Posted 25 November 2018 - 09:57 PM

My youngest son isn't much of a talker. He has only a handful of words and he meets the criteria for funded speech therapy which we do together. The speech pathologist says his receptive language is good but that his expressive language is delayed. She hasn't mentioned any other concerns. My toddler has a brother who received an ASD diagnosis after he started school (but whose speech was not delayed - rather it was echolalic.)

Should I be looking around to do more than just speech therapy? My parents are really pushing me to take him to a paediatrician, but I am unsure.

#2 Paddlepop

Posted 25 November 2018 - 10:10 PM

With a brother with ASD, yes I'd be taking him to a developmental paediatrician. The dev. paed. can make baseline observations of him, and have them to compare to as he grows and develops. The dev. paed. might recommend other therapies, like OT.

#3 Paddlepop

Posted 26 November 2018 - 12:28 AM

Have you had his hearing checked recently? Any history of ear infections for him?

#4 PocketGingerJingle

Posted 26 November 2018 - 01:30 AM

I absolutely agree with both of paddlepop's posts.

#5 Silverstreak

Posted 26 November 2018 - 04:41 AM

My DS only had a handful of words before age 2 and was echolalic, with good receptive language. He was diagnosed with autism aged three. My advice is:

Get a hearing test: DS also had glue ear, so his ENT wanted to see a year's worth of good hearing tests to rule out any hearing issues.

Do consider an ASD assessment, particularly with a family history of ASD. Our speech therapist at the time raised some red flags, but didn't actually come out and say "Get him assessed." I didn't want to wait around for another year when he could be accessing therapy, so I got the ball rolling.

Also, an assessment can take a while, depending on which State you're in.  I wanted a diagnosis before DS started kinder, it made it much easier to get funding for extra support at kinder.

Good luck!

#6 Drat

Posted 26 November 2018 - 05:18 AM

How old is he?

To be honest, our mums group is basically full of 2 year old non talkers. There seems to be about 4 or 5 that talk a bit, and then my daughter and another girl that talk alot but most seem to only say a few words here and there.

I'd get his ears checked too. That was the recommendation of one of our non talkers.

#7 Kafkaesque

Posted 26 November 2018 - 08:21 AM

You have family history so I would be checking further. However if your speechie isn’t concerned that’s a good sign.

#8 sarahec

Posted 26 November 2018 - 08:38 AM

I think getting ball rolling with paed is a good idea.

My first son has asd and second had a mild language delay that resolved after grommets and 10 speech therapy sessions.

The dev paed helped a lot. She did ASD assessments over a year and cleared him of asd / developmental delay.

It helped cos I know where to focus my energy and not overthink things.

#9 mayahlb

Posted 26 November 2018 - 08:45 AM

We were told with a family history of ASD that any flags should warrant seeing a developmental pead and monitoring the child for other behaviours that could result in needing a formal assessment further down the track.

I’d also recommend a hearing test as well if you haven’t done so. It could be he is perfectly fine and will catch up, but is your child has a sibling with asd they have a higher chance of asd. Genetics and all that.

My youngest had speech issues but it turned out to be a hearing issue mostly. Apparently he’d been getting ear infections without symptoms but the antibiotics he was on for persistent chest infections cleared most of them. Except they left behind glue ear. Grommets helped though his speech was still odd and he tended towards rushing and merging words and mumbling. (Turns out that issues was adhd related because he was trying to talk as past as he was thinking. It improved when he started meds).

#10 Seven of Nine

Posted 26 November 2018 - 09:54 AM

Thanks for taking the time to reply.

He has an audiology appointment next month, so we're on to that.

My husband and i feel that it's nothing more than being the youngest in a large family, but I love sarahec's point that if it is then seeing a dev paed will give us an answer. I have spent a lot of time worrying! Seeing a paed could mean I stop worrying, no matter what the result, and of course if he does have an underlying difficulty I want to access intervention asap.

Thanks, you've all convinced me to take him to the developmental paediatrician.

Edited by Seven of Nine, 26 November 2018 - 09:55 AM.


#11 PrincessPeach

Posted 27 November 2018 - 08:00 PM

With the family history it's worthwhile getting an ASD assessment done.

But other thing to ask the speech therapist about is CAS - childhood apraxia of speech.

I'd never heard of it until my little man was diagnosed with it, but big flags for that is few words, few sounds within those words (his words were dada, duck, do & a couple others which I've forgotten now). And lost words, he'd say something a handful of times & then never again.

#12 Seven of Nine

Posted 27 November 2018 - 08:12 PM

View PostPrincessPeach, on 27 November 2018 - 08:00 PM, said:

With the family history it's worthwhile getting an ASD assessment done.

But other thing to ask the speech therapist about is CAS - childhood apraxia of speech.

I'd never heard of it until my little man was diagnosed with it, but big flags for that is few words, few sounds within those words (his words were dada, duck, do & a couple others which I've forgotten now). And lost words, he'd say something a handful of times & then never again.

That's very interesting. DS has definitely lost words. He used to say "cluck cluck", for example, but now he has some new words and he never says "cluck cluck" anymore (despite loving the chickens!)

He also seems to favour B sounds at the moment. He can say "bye", "ball", and "bubble". Also "car" and "there". Other than that he only has "mumumum" and sometimes "dada". He used to have "brum", "cluck cluck", "raa", and he used oink like a pig. Those four disappeared when the newer five above began to appear.

Before he had any words he used to say "juu" for everything and before that he made speech-like noises with his mouth shut. It sounded like he was talking with a dummy in his mouth. He still does that sometimes.




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