Who to refer

If you have any concerns about your child’s communication development you can arrange an appointment to have an assessment with one of our therapists. Below are some indicators of communication difficulties in particular areas. You may like to consider these when deciding if you need to seek our help.

Signs of Articulation Difficulties

? speech can be difficult to understand;
? child consistently mispronounces some words and/or sounds
? child leaves sounds out of words, e.g. "ouse" for house or "ligh" for light
? child substitutes one sound for another, e.g. "tat" for cat
? child distorts the sounds in words, e.g. lateral lisp, vowel distortions
? child adds extra sounds in to a word, e.g. "sdun" for sun
? child mixes the sounds up within a word, e.g. "efalent" for elephant

Signs of Receptive Language Difficulties

? difficulty following instructions
? poor concentration
? difficulty with listening tasks
? copies others
? inappropriate answers to questions
? difficulty answering questions

Signs of Expressive Language Difficulties

? Child does not talk / says very little
? Short and simple sentences
? Incorrect grammar
? Sentences are jumbled
? Sentences don’t make sense
? Limited vocabulary

Signs of Difficulties with Social Language

? Difficulty Initiating and sustaining conversation
? Difficulty explaining occurrences
? Poor turn – taking
? Poor eye contact
? Don’t stay on the topic
? Use non-specific language
? Give too much/not enough information
? Difficulty using and reading Non-verbal communication

Signs of Stuttering

? Child repeats sounds
? Child repeats words
? Child repeats phrases / sentences
? Child stretches out sounds in words
? Child "gets stuck" on words
? Overuse of fillers (e.g. “um”)

Signs of Voice Problems

? Child's voice is hoarse, harsh, breathy or scratchy
? Difficulty Initiating and sustaining conversation
? Child uses an abnormally soft or loud voice
? Child's pitch is abnormally high or low
? Child may sound as if he/she is talking through their nose
? Child may consistently sound as if they have a cold