My child does not speak, is silent, speaks little, speaks poorly!
At the Sarclinic consultation, parents ask: “Why doesn't a 3 year old child speak or talk?, what to do?" " A 4-year-old child speaks poorly and is silent!” “Why doesn’t a boy speak for 5 years, where should I go?” “A 6-year-old girl does not speak, speaks poorly, how to treat?” " Why does a child speak poorly? or speaks few words? " How to teach a child to speak, talk?" “What to do if a preschooler, schoolchild, boy, girl does not speak in sentences, as if he has porridge in his mouth?” “How to help a child if speech development suffers, there is no active speech, speech centers suffer, and there is no vocabulary?” “Children younger than us form sentences, and we moo, where should we turn if just mooing is all?” “When will the baby start talking?” Let's look at the main reasons why babies don't speak.
Reasons why a child does not speak
The main reason why a boy or girl, son or daughter, son or daughter, son or daughter (daughter), a child does not speak is intrauterine hypoxia, or lack of oxygen. Lack of fetal oxygen can occur during pregnancy, during childbirth, and during caesarean section. In this case, an experienced microneurologist , pediatric neurologist , pediatric neurologist makes a diagnosis of “perinatal encephalopathy of post-hypoxic-ischemic origin” or “perinatal encephalopathy of mixed origin” (perinatal damage to the central nervous system). Perinatal encephalopathy can be grade 1, 2, 3.
Stage 1 perinatal encephalopathy with timely and comprehensive treatment at Sarklinik is completely cured in a fairly short time. Stage 2 perinatal encephalopathy is a serious disease that requires long-term serious treatment. Stage 3 perinatal encephalopathy usually has serious consequences, including the development of pathology such as cerebral palsy. Frequent causes of delayed speech development in children are pathology of the mother during pregnancy, birth trauma of the child, difficult childbirth, poor results of neurosonography, entanglement of the umbilical cord, breech presentation of the fetus, weakness of labor, anatomically or clinically narrow pelvis, somatic diseases of the mother before and during pregnancy, maternal infections, fetal infections, toxic effects on the child's brain of bilirubin in hemolytic jaundice of the newborn (HDN), intoxication with anesthesia during cesarean section, intoxication with drugs (drugs) in the perinatal period. Any somatic pathology, ARVI, bronchitis, tracheobronchitis, infections, rickets, metabolic disorders lead to the fact that at a later age the child does not speak , the child speaks poorly , the child speaks little , the child is silent , begins to speak late, speaks little, is not clear , incomprehensible, retarded in development, retarded in speech, mental, psychomotor, psycho-speech development, mental development.
There is RRD (retardation, delayed speech development, including severe delay in speech development), ZPR (lag, delayed mental development), ZPRR (delayed psycho-speech development in children), PMR (delayed psychomotor development in a child), ZUR (mental retardation). development in children). Rarely, a child is influenced by hereditary factors in which developmental delay was observed in the mother or father, or in both. Any weakening of the child’s body, decreased immunity, side effects of vaccinations (vaccines) can lead to the fact that “ the child does not speak .” Also, a child’s speech development is negatively affected by an unfavorable environmental situation in the area where the mother and child live, an unfavorable climate in the family (conflicts between parents), defective, unclear speech in a contact environment (speech problems among relatives or parents), the birth of a second child in the family, the presence of severe severe neurological diseases (for example, cerebral palsy). With delayed motor development, there is often a delay in speech development, and later a delay in mental development. With any damage to the organ of hearing, a condition in which “ the child does not speak ” is also noted. In this case, you need to consult an otolaryngologist (ear-nose-throat-doctor).
Factors that play a role in speech formation
The development of speech skills is influenced by many factors. All of them, to one degree or another, can influence when the little one begins to speak.
We recommend reading: What to do if a child does not walk for one year
- Correct physiological development. This is one of the most important criteria for the formation of speech skills. So, if a child has hearing problems, he cannot adequately evaluate the speech he hears, which means he will not be able to reproduce it. Visual impairment also negatively affects development, because the baby carefully watches the articulation of adults, how their lips move when pronouncing words. Finally, a group of neurological disorders that contribute to mental retardation often leads to speech delays.
- Genetics. The hereditary factor is important. If one of the parents has been silent for a long time, it is quite possible that his children will also speak up late.
- Gender. It is believed that girls learn to speak faster than boys, they have a richer vocabulary, but for a long time they use only words for objects. The boys, having remained silent, begin to speak in sentences, using verbs, pronouns, etc.
- Personal intellectual abilities. It must be admitted that the mental abilities of a child depend not only on the inclinations inherent in him, but to a greater extent on how much the desire to learn something new is developed in him. If the family has a calm atmosphere and the child communicates a lot, then he will have a craving for new discoveries. So, the attention of parents influences to some extent the intelligence of their child.
- The right motivation. Why strain and learn to speak if parents, at the first squeak, give everything you need, unmistakably guessing desires? That's right, no reason. Therefore, the baby may simply be lazy to speak. So, if at 9 months it is normal to give the child the desired object or feed him what he points to, then by the age of one and a half years you need to persistently invite him to put what he wants in verbal form.
- Sociable environment. Modern technologies offer parents numerous gadgets such as baby monitors, phones with recorded fairy tales, mobile phones, swings with various voice functions, not to mention computers, tablets, etc. However, nothing can replace live communication with parents, through which emotions and spiritual connections are transmitted , where the baby can observe facial expressions and gestures and receive answers to questions that concern him now. Simply listening to programmed speech cannot satisfy the baby's needs.
- A disservice to the dummies. It was noticed that a pacifier does not stimulate rapid speech development in any way, but even inhibits it. A child with a pacifier in his mouth experiences emotional satisfaction and often “withdraws into himself.” Moreover, a pacifier after 2 years contributes to the formation of an incorrect bite, which also negatively affects the pronunciation of hissing and whistling sounds.
- Too much information. The desire to educate a genius can play a cruel joke. If a child has not yet mastered basic communication skills, but he is taken to all sorts of classes, studied foreign languages, taught the alphabet and counting, the child becomes overloaded. First, he needs to imagine the world in a language he understands, where even complex things will sound simple and where the baby will explore not abstract numbers that mean nothing at the moment, but the objects that surround him every day: things in the house, the playground, his own body, plants and trees, food, etc.
- Twin baby. Twins are special children. They are not bored together, and they can talk to each other for hours in their own language, so the need to switch to normal speech appears later.
- Stress factor. Screaming, quarrels, domestic violence, moving, long separation from parents - all this can negatively affect the baby’s psyche. As a result, the child becomes withdrawn, sleeps poorly, and is capricious. Therefore, it is important that the younger generation grows up in a calm environment.
What to do if the child does not speak?
Many parents turn to a speech therapist with this question. But a speech therapist can make sounds, the letters “r”, “l”, “sh”, “shch”, hissing, if the child can respond to classes. A speech therapist is a teacher, not a doctor. With hypoxic lesions of the brain and central nervous system, the speech therapist is powerless. In these cases, complete comprehensive speech rehabilitation of the child is needed. Unfortunately, some careless parents, mothers and fathers wait for the child to speak on his own and naively think that he is being lazy. But we must not forget about the norms of speech development. At 1 year old, a child should speak 10 words, at 2 years old – 50 words, build phrases and sentences from 3 – 4 words. By the age of 2.5 years, a child normally speaks from 100 to 200 words and constructs sentences of 5 to 7 words. At 3 years old, a child absorbs the words of adults like a sponge, should already speak in complex sentences of 6-8 words, and at 4 years old, the vocabulary should already be about 2000 words.
Stages of speech development
Although speech development is individual, there are certain standards that serve as a guide for pediatricians that speech formation is successful. And if for the first 2 months the baby can only scream with different intonations so that the mother understands what he wants, and by the third month humming and cooing appears (this is what we call baby talk), then by six months the child makes a big breakthrough: he learns to publish sounds. Usually these are simple combinations, such as “ba”, “bu”, “ma”, “ka”, which over time turn into a kind of song “ba-ba-ba-ba, ta-ta-ta-ta”, etc.
At 8 months, the child responds very well to his name and is ready to “communicate” with his parents in his own language. And although for now his words consist of monotonous simple sounds, his passive vocabulary is replenished every day. The baby grasps the connection between the name of an object and its purpose.
The first conscious words appear, as a rule, by the 11th month. They are simple and mean the most precious, most necessary things for the baby. He learns to say “mom, dad, give, here, baba.” By the age of one year, the vocabulary is about 10 “essential” words, including onomatopoeia such as “beep”, “meow”, “woof-woof”.
Parents eagerly await their baby's first words
The earlier treatment for speech disorders is started, the higher its effectiveness.
When speech development is delayed, an important point is the time of initiation of treatment. If a child does not speak 10 words per year, then there is no need to wait until he is 7 years old when he “starts speaking on his own.” After all, precious time is wasted. The later treatment is started, the more difficult it will be to catch up with healthy children of the same age, since with increasing age the lag will become noticeably larger and larger. Some children, when their parents address them, understand the speech addressed to them, but do not respond, there are only gestures. Some children do not understand the spoken language and do not speak. Which is very bad. And if children speak little, indistinctly, then speech correction is needed.
Treatment of children with delayed speech development, how to treat children with speech disorders
Fortunately, Sarklinik has treated hundreds of children with delays in speech, psycho-speech, mental, motor, and psychomotor development. Treatment of alalia, treatment of dyslalia, treatment of general speech underdevelopment, treatment of dysgraphia, treatment of acalculia, treatment of encopresis, treatment of perinatal encephalopathy, treatment of tone disorders, treatment of akataphasia, treatment of akatagraphy, treatment of intracranial hypertension syndrome, treatment of dyslexia, treatment of autism, treatment of cerebral palsy, treatment are provided. enuresis, treatment of minimal cerebral dysfunction in Russia, in the Saratov region, in Saratov. Sarklinik knows how to teach a child to speak, how to treat and cure a child, how to treat delayed speech development in a child , how to treat delayed psycho-speech development in children, how to cure delayed neuropsychological development, how to give impetus to speech development, how to replenish vocabulary, how improve speech. Treatment methods have proven themselves over the years. Severe, moderate, and mild delays in psycho-speech development, and mental retardation are treated. Sarclinic works with serious diagnoses, when parents have less and less hope for recovery. Unfortunately, in such cases, as a rule, multiple courses of complex treatment are required, as a result of which memory, thinking, speech, mental development, motor sphere, and motor activity are improved. There is extensive experience in treating children with pediatric pathologies aged from 3 months to 17 years. There are plans to publish a video course “ How to teach a child to speak ?” On the medical website sarclinic.ru you can ask a doctor a question online for free and read patient reviews. Help your child right now!
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Text: ® SARCLINIC | Sarclinic.com \ Sarlinic.ru Photo: (©) Hyrman | Dreamstime.com \ Dreamstock.ru The child depicted in the photo is a model, does not suffer from the diseases described and/or all similarities are excluded.
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Some babies begin to speak at one year old, while others are silent at two, three, or even four. This is when parents begin to worry: is everything okay with my child?
Children begin to speak relatively late, when they have learned not only to walk, but also to run quickly. And everything that happens before that is called the pre-speech period of development. And if each of its stages is completed on time, then parents have nothing to worry about. The main thing is to know what is characteristic of each new rung of the ladder leading to the development of speech.
Why doesn't the child speak?
The causes of speech development disorders are divided into social (the leading role is played by the environment in which the baby develops) and physiological (related to health).
Social reasons for delayed speech development include insufficient attention to the child: he does not speak because he simply has no one to talk to. The environment is such that speech loses its value, for example, the TV is constantly on, adults communicate loudly with each other, and many extraneous sounds are heard. The child gets used to not listening to speech, begins to speak late and mostly in quotes from cartoons, often not understanding the meaning of the words. If mom or dad speak too quickly, then the baby does not have time to isolate individual words and eventually stops trying to understand the adult and convey his request to him. Quite often, children in bilingual families have difficulties with speech; the baby simply does not know which language to focus on; he masters both at once, but over a longer period of time. And overprotective, over-attentive parents, guessing all the baby’s wishes, do not create in him the need to express his requests and emotions in words, depriving the baby of motivation to master speech. Excessive demands and a didactic style produce a similar result. If family members force the baby to pronounce the same words and phrases correctly, then the baby stops saying anything at all.
Physiological causes of delayed speech development include:
Hearing impairment. Underdevelopment of articulation organs - lips, tongue, facial muscles, soft palate. Visual impairment. Stress – fear, parental quarrels, screaming. Brain damage caused by intrauterine and birth injuries, falls, or severe illness at an early age. A physiological delay in speech development should be suspected if at 4 months the baby still does not pay attention to sound signals, does not hum, does not smile in response to the mother’s call, does not show a revival complex (vigorous movements of the arms and legs), and at 9 months does not show interest in toys with sound signals, and his only vocal reaction is loud crying.
Why is timely speech development so important?
If measures are not taken, then as the baby grows, the set of deviations in speech development will increase:
At 1.5–2 years old, the baby will not be able to say his name, name surrounding objects, perform a simple command, for example, wave his hand, approach his mother, or show a cat in the picture. At 2.5 years old, he will not be able to form a sentence of two words (“Mom, give me”, “let’s go for a walk”). The baby’s behavior will change; when communicating, he will try to use non-verbal means of communication (facial expressions, gestures). At 3 years of age, the delay in speech development in a child will become especially noticeable from the outside. Even when parents do not pay attention to the problem, doctors and friends will not miss it. The baby will speak his own language, incomprehensible even to his mother, too quickly, swallowing parts of the word or, conversely, at a slow pace. He will have difficulty chewing food (the baby may choke on even a small piece), as well as increased salivation. Such a child constantly has his mouth open for no obvious reason (runny nose).
Delayed speech development: when to see a doctor?
The sooner treatment for delayed speech development begins, the greater the chance that the child will be able to study normally at school. To get to the bottom of the true cause of the problem, brain tests (EEG, ultrasonography, computed tomography, magnetic resonance imaging) may be needed, which will help determine the attending physician. A defectologist is connected to 2-year-old children. From the age of 3, if necessary, a psychoneurologist, psychologist or orthodontist joins, and from the age of 4–5, a speech therapist also joins. It is also expected to prescribe drugs that actively nourish the neurons of the brain, as well as drugs that stimulate the speech zones of the cortex. Physiotherapy, massage, magnetic therapy, LHC. Biofeedback, electroreflexotherapy - which affects areas of the brain in order to improve blood supply to areas responsible for diction and memory.
But don’t forget - the effectiveness of the correction largely depends on the efforts of the parents.
