Red Flags for a Speech & Language Delay
Difficulty with clear production of speech sounds
Has omissions, distortions, or substitution of speech sounds (some developmental errors are appropriate)
Not using words single words by age 1 or combining words by age 2
Frequent drooling or difficulty eating different textures
Repeats back words and phrases (echolalia/TV talk)
Hesitates, repeats, or prolongs words
Unusual vocal quality, or a sing-song prosody
Difficulty with rules of grammar
Lacking specific vocabulary to name objects or actions. May use "that," "thing" or "you know" or use gestures
Difficulty with social relationships with peers (inappropriate remarks/difficulty initiating interaction with peer, volume control difficulty, unawareness of other's feelings or facial expressions)
Distractability - attention/focus
Learning difficulties - particularly in the areas of reading and writing
Difficulty following the rules of conversation (limited eye contact, personal space, interrupting, limited topic maintenance)
We frequently refer clients for full hearing tests with an audiologist to rule out hearing loss or fluid in the ears.
We also refer to developmental pediatricians when there are signigicant indicators for developmental delay and to rule out autism spectrum disorder.