Does this count as stuttering? How should it be addressed?
Hello Doctor: My son has just turned two years and one month old.
His language development has always been good, and he is able to express his opinions well.
However, recently, my nanny and I have noticed that he often repeats words in phrases he used to understand clearly, such as "I want want to sleep," "Mommy want want to make juice," "I am am playing with this," "Can you lend lend this for a moment," and "Others are are singing." I heard that the nanny has been asking him to repeat himself, but it seems that the situation has not improved (and may even be getting worse).
Is this approach appropriate, or should we see a doctor? If we do see a doctor, which specialty should we consult? Thank you!
vicky, 30~39 year old female. Ask Date: 2005/12/18
Dr. Zhang Wenwang reply Pediatrics
Hello Vicky,
1) You may want to observe if adults also exhibit this phenomenon in their speech patterns, which could become a model for children to imitate.
2) If the phenomenon continues to worsen, you may seek assistance from a speech therapist in the rehabilitation department.
Wishing you health and happiness,
Wang Zhang, Changhua Hospital, concerned about your health.
Reply Date: 2005/12/18
More Info
It sounds like you're experiencing some understandable concerns regarding your toddler's speech development. Stuttering, or disfluency, can be a common occurrence in young children as they develop their language skills. At around the age of two, many children begin to experiment with language, and it's not unusual for them to repeat words or phrases as they try to express themselves. This phenomenon is often referred to as "normal disfluency" and can be a part of the natural progression of speech development.
Understanding Toddler Speech Development
1. Normal Speech Development: Children typically go through various stages of speech and language development. Between the ages of 2 and 3, it's common for children to exhibit some disfluency as they learn to form sentences and express their thoughts. They may repeat words or phrases, which can sometimes sound like stuttering. This is often a normal part of their development and may resolve on its own as they gain more confidence in their language skills.
2. When to Be Concerned: While some disfluency is normal, there are signs that may indicate a need for further evaluation. If your child is showing signs of frustration when speaking, avoiding speaking situations, or if the disfluency persists beyond the age of 3, it may be worth consulting a professional. Additionally, if you notice that your child is struggling with other aspects of communication, such as understanding language or using a variety of words, these could be indicators of a more significant issue.
3. Handling Disfluency: The approach your nanny is using—asking your child to repeat what they said—can sometimes exacerbate the situation. Instead, it's often recommended to model slow and relaxed speech, giving your child time to express themselves without pressure. Encouraging a supportive environment where your child feels comfortable speaking can be beneficial.
Seeking Professional Help
If you decide to seek professional advice, the best course of action would be to consult a speech-language pathologist (SLP). These specialists are trained to assess and treat speech and language disorders. They can provide a thorough evaluation of your child's speech patterns and determine if there is a need for intervention.
What to Expect from a Speech Evaluation
During the evaluation, the SLP will likely:
- Observe your child's speech in various contexts.
- Ask about your child's speech history and any concerns you may have.
- Assess your child's overall communication skills, including understanding and using language.
Based on the evaluation, the SLP can provide recommendations, which may include strategies to support your child's speech development or, if necessary, a structured therapy plan.
Conclusion
In summary, while your toddler's speech patterns may be concerning, they could also be a normal part of their language development. Monitoring their progress and providing a supportive environment is crucial. If you have ongoing concerns, consulting a speech-language pathologist can provide clarity and guidance tailored to your child's needs. Remember, early intervention can be beneficial, so seeking help sooner rather than later is always a good idea if you feel uncertain.
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