When to consider Speech Therapy?

For Children if you have:

  • delayed speech and language skills
  • impaired attention and memory with impulsivity
  • limited vocabulary
  • difficulty expressing basic needs and wants
  • difficulty saying greetings (i.e., “hi” and “bye”) on own
  • difficulty counting to 10
  • limited eye contact
  • limited social behaviors (i.e., appropriate comments, turn taking, staying on topic)

For Adults if you have:

  • poor organization, with limited problem solving and judgment
  • limited awareness of extent of difficulties; exhibits socially inappropriate behavior
  • difficulty with concepts of time and money
  • difficulty self-disciplining and self-monitoring to follow rules
  • difficulty changing routine or schedule; difficulty learning new rules
  • difficulty selecting appropriate words and remembering names
  • limited memory and/or knowledge of current events and/or personal history
  • missing or misunderstanding humor
  • difficulty understanding nonverbal communication (i.e., facial expressions and/or body language)
  • difficulty understanding abstract information

Difficulty managing home or maintaining a job or business due to:

  • difficulty planning and completing necessary daily activities
  • difficulty following directions
  • difficulty comprehending or applying abstract written information
  • difficulty analyzing personal and/or business problems, identifying and applying solutions
  • difficulty assessing own strengths and weaknesses, developing effective plans to improve weaknesses
  • difficulty managing multiple responsibilities simultaneously
  • difficulty managing emotions (especially anxiety, frustration, or anger) related to performance difficulties
  • difficulty making, following, and modifying plans as needed

Does Your Child Need Speech Therapy?

Potential Consequences/Impact of Speech Impairment Can Include:

  • Difficulty expressing need or routine information intelligibly
  • Difficulty communicating intelligibly in order to function at level of independence expected for age
  • Difficulty expressing feelings intelligibly; may be at risk for frustration or depression
  • Difficulty engaging successfully in social and/or classroom situations that require intelligible speech
  • Difficulty achieving adequate intelligible speech to reach educational potential

Behaviors that should trigger an Speech Therapy referral

By age 3 years cannot:

  • be understood by family and/or caregivers
  • correctly produce vowels and such sounds as p, b, m, w in words
  • repeat when not understood without becoming frustrated

By age 4 years cannot:

  • be understood by individuals with whom they do not associate regularly
  • be understood by family and/or caregivers
  • correctly produce t, d, k, g, f
  • be asked to repeat without becoming sensitive

By age 5 years cannot:

  • be understood in all situations by most listeners
  • correctly produce most speech sounds
  • be asked to repeat without exhibiting frustration
  • Disturbance in neuromuscular control causes difficulty learning to produce sounds appropriately speech is usually slurred; difficulty controlling respiration for speech; abnormal loudness, rhythm, or vocal quality exhibits difficulty learning sounds to form words; may sound nasal, strangled and/or breathy
  • exhibits frustration and/or avoidance of speech due to extreme difficulty forming sounds or difficulty being understood