Do You Suspect a Speech/Language Problem? Language You may suspect a language problem in your child if he/she: has difficulty understanding concepts involving time (‘tomorrow’), space (‘above’), quantity (‘many’), and directionality (‘left/right’) understands and/or uses fewer words than is expected for age and/or grade placement expresses incomplete thoughts when speaking demonstrates difficulty understanding and answering ‘wh’ questions (who, what, why, where, when, and how) has difficulty understanding and following age appropriate directions has difficulty describing objects or events (i.e. category, function, similarities/differences, sequence of events). As a listener, are you able to understand his/her account of the weekend or do you find it difficult to follow? uses sentences which are grammatically incorrect or incomplete when speaking can only speak in short sentences which lack complexity uses inappropriate verbal/nonverbal language in social situations with peers and/or adults does not adhere to the basic rules of conversation including imitating, turn-taking, staying on topic, and eye contact does not exchange social greetings without prompting demonstrates difficulty expressing logical and reasonable responses to questions, (i.e. problem-solving, making decisions, making inferences, making predictions, cause and effect. Older students may have difficulty with understanding figurative language concepts such as similes, metaphors and idioms. Articulation The following is simply a guideline. There is room for interpretation based on the individual child. By age 5, children should be using the following speech sounds: p, b, m, t, d, k, g, h, w, n. By age 6, children should be using the following speech sounds: ing, j, sh, l, zh, v, ch. By age 7, children should be using the following speech sounds: s, z, th (as in “the”), s-l-r blends. By age 8, children should have all their speech sounds, including: r and th (as in “thumb”). Other Areas of Concern Do you suspect that your child stutters? i.e. sound/syllable repetition, vowel prolongations, tends to “get stuck” on words or phrases. Voice concerns: hypernasality, hyponasality, breathy, harsh, hoarse, raspy sounding Oral motor concerns