• Difficulty with clear production of speech sounds

• Has omissions, distortions, or substitution of speech sounds                          

         (some developmental errors are appropriate)

• Not using 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

• Pronoun confusion (using "I, me, you, her/she" incorectly)

• Lacking specific vocabulary to name objects or actions.

        (May use "that," "thing" or "you know," or gesture to find words)

• Difficulty with social relationships with peers

         (inappropriate remarks/difficulty initiating interaction with peer, volume       

         control difficulty, unawareness of other's feelings or facial expressions)

• Distractibility - attention/focus difficulties

• Does not attend to a speaker

• Overly focused on routines, sensitive to change

• Dumps or lines up toys instead of playing or imitating appropriate use

• Difficulty with turn taking 

• Showing general developmental delays

• Learning difficulties - particularly in the areas of reading and writing

• Difficulty following the rules of conversation

        (limited eye contact, personal space, interrupting, poor topic maintenance)

 

We frequently refer clients for a hearing test with an audiologist to rule out hearing loss or fluid in the ears. We also refer to developmental pediatricians when there are significant indicators for developmental delay and to rule out autism spectrum disorder.