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Identify the Signs – Speech & Hearing Disorders

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Use the following charts to help recognize signs of speech, language, and hearing disorders and find the
help needed to address these disorders.

Signs of a Language Disorder

Age RangeSign
2 – 3 months and updoes not smile/interact with others
4 – 7 monthsdoes not babble (“bababa”)
7 – 12 monthsvery few sounds or gestures (pointing)
7 months – 2 yearspoor comprehension of what others say
1 1/2 – 2 yearsall speech is difficult for familiar listeners to understand
1 1/2 – 3 yearsdoes not combine words into sentences
2 – 3 yearsdifficulty talking to and playing with peers
2 1/2 – 3 yearsdifficulty with early literacy and pre-writing skills

Signs of a Speech Sound Disorder

Age RangeSign
by age 3incorrect production of early sounds /p,b,m,h, w/ in
words
by age 4incorrect production of /k,g,f,t,d,n/ in words
by age 5speech is unclear, even to familiar listeners

Signs of a Stuttering Disorder

Age RangeSign
2 1/2 – 3 yearsdifficulty producing sounds or words
2 1/2 – 3 yearsrepeats the first sound of words (b-b-b-baby for “baby”)
2 1/2 – 3 yearsfrequent pauses of silence when talking
2 1/2 – 3 yearsstretching sounds out while talking (sssss-silly for “silly”)

Signs of a Voice Disorder

Age RangeSign
any agehoarse- or breathy-sounding voice
any agenasal quality to voice

Signs of a Hearing Problem

Age RangeSign
birth – 1 yearpoor attention to sounds in the environment
7 months – 1 yeardoes not respond when name is called
1 – 2 yearsdifficulty following simple directions
birth – 3 yearsdelays in speech and/or language development
any agescratching or pulling at ears
school-agelimited academic progress, especially math and/or reading
school-agesocial isolation and unhappiness at school
school-agediscomfort in ears after exposure to loud noise

If you think your child may have problems with speech, language, or hearing…

Do not hesitate to ask your child’s pediatrician about an evaluation from a certified Medical Support Services Speech-Language Pathologist or Audiologist. If your child is school-age, discuss your concerns with his/her teacher. Identifying a communication disorder early plays a key role in how soon effective and appropriate treatment can take place. For any questions, give us a call at (262) 287-0090.

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