When should we consider speech production onset delayed?

[Eileen Brann]

A few thoughts come to mind:

    Does she blow bubbles or blow out birthday candles? Make environmental sounds (beep-beep for a truck backing up, imitate animal sounds, which are consonant-vowel productions). I tell parents to start with these tasks in a playful environment and see what happens in 6-8 weeks.
I agree with a pediatric audiological evaluation as soon as possible.
Is the child using communicative gestures now, such as pointing to objects that she wants, waving "hi"/"bye"?. Very young children shake their heads "no" to refuse an activity or to answer a question.

When in doubt, contact a pediatric speech-language pathologist for an evaluation. 

 Eileen Brann, PhD, CCC-SLP
Assistant Professor
Communication Disorders
Governors State University
University Park, Illinois


On Sep 12, 2014, at 10:03 AM, Fatima Badry <badry at aus.edu> wrote:

> A 16 months and 2 weeks child has not yet produced her first words   Although she seems to have  age appropriate cognitive and social development. She is very interactive and communicates all her intentions by grabbing adults' hands and direct them to do what she wants, she makes sounds (mostly vowel combinations with hardly any consonants)  with appropriate intonations. She also follows melodies by singing, using something like lalala with appropriate tunes. Her mother has been interacting with her since birth in English and so have other family members.  Her dad is interacting with her in Arabic.  
> She is also late in standing and walking. 
> If we rule out delayed cognitive development and autism givien her very social behavior, what could explain the delay in speech production? Are the delayed speech and walking related? Could it be some motor skill issue eventhough she has great coordination and can navigate youtube on phones to get to her favorite nursery rhymes with amazing dexterity! 
> Her mother wants to know if she  can she do to help her start speaking?
> All insights are much appreciated.
> Fatima
> Sent from my iPad
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