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Your rating has been recorded. Write a review Rate this item: 1 2 3 4 5. Preview this item Preview this item. One way to make sure that your toddler understands choosing is to offer a non-preferred item as a choice. For example, ask if he wants to play with bubbles or a sock. You can also use this with favorite snacks and a not-so-desirable option. For example, hide a ball in your hand and ask her where it is.


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Ask her where common objects are in your home so that she can go get them. Ask her to locate family members by pointing or looking as you are seated around the table during meals. Have Dad or an older child model the correct answers as you ask your child. Practice these kinds of tasks often knowing that you are building a foundation for verbal responses. I use an exaggerated point to help cue the correct answer. For answering questions about recent experiences, use the choice method or the review method. A little foreknowledge of what she actually did is required for this to be effective!

Practice the review method in daily routines and especially at the ends of specific play times. Narrate what you did and then ask questions. When you come in from playing outside, have her tell Dad what she did. Another great time to practice is at meals. Fade the review and pointing when she begins to answer on her own. Fade the coaching as he becomes better. For children with better language comprehension skills who understand humor, try using a ridiculous choice to entice her to respond without echoing. This may catch on and be a loooong phase at your house!

A good way to begin working on this is to ask older children first so that your child can hear a model and it becomes a game. Be sure to? Gender is often a difficult concept for children with language delays. I can provide that for you!! So i guess my husband and i have been doing something right, because everything you mentioned we have done or are starting to do it. I think our son will make great progress especially with the advice and information on this site.

Thanks again Laura you have no idea how this site has opened my eyes and rested my worrying mind. I have been writing to you regarding both expressive and receptive speech delay for my 33 month old son. He goes to school and the teacher was complaining that he only follows limited instructions , and based on her feed back, these were instructions that we use at home with him like sit down , come back etc. Beyond that he is only imitating what other kids are doing after an instruction is given. Just wanted to know is this the normal way for an improvement in the receptive language?

He is also on Spoeech therapy and does a lot of echolalia. Is is possible to place an order as I am geting a message that service is not available in India from your site. Niyati — Keep reading the articles in the receptive language section for ideas on targeting these things at home. As you probably know, DVD players for televisions operate using different systems around the world. Check it out with any other DVD you have at home before you place an order. If that works for you, then you can order the DVD.

All international orders also should send an e-mail to Johnny teachmetotalk. There is absolutely no response from her. Let me specify that her hearing has been tested by a specialist and is perfect. She can hear and recognise the smallest of sounds.. To come back to t he problem, Even though she knows her name is Ramya. And she uses both I and Ramya while speaking about herself. She simply repeats the question oin. For eg. If I ask: Did George come to school?

Ramya replies: Do you like Icecream? But asked as a question, she does not know how to respond. At 3 year 3 months, is this normal? At other times, she is hopping, jumping up and down the furniture and hugging and climbing all over us. Her Emotional Quotient is very high. She has been tested for autism and pronounced fine and fit by an eminently qualified doctor. In short, we have got all the medical tests done and doctors say she is ok. But I worry about points 1 and 2 above. Also, it is difficult to make her look at us when we speak to her though when she chooses to talk to us and demand our attention, her eye contact is perfect.

Can it be plain disobedience? How can we explain her refusal to look us in the eye when we want to tell her somehing strongly?

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Is it becaue she does not chose to do what we want her to do? She is a strongwilled and stubborn child and seems to be extremely intelligent. Please advise at the earliest…we are very worried! Thanks a trillion! At 11 mos, he recognizes and can read the alphabet, can count 1 to I could tell, that at his age he is advance academically. At age three, he can read most of his books: these are shorts stories and kids words. He is now four years old, and was able to answers few questions. Thank You! I am almost sailing in the same boat with my 3.

Could you please share your experiences? How did you fix your daughters problem? You have had her evaluated by doctors, but I am wondering if you have had her language skills assessed by a speech-language pathologist. I would search high and low for a speech-language pathologist who is willing to treat her and help you tease out these issues BEFORE she goes to kindergarten. She needs to learn how to understand and appropriately answer questions. Find someone who can help her and help you learn how to carry over strategies to help her at home. Responding and answering are essential skills, and the sooner you can find ways to help her consistently do these things, the better.

Keep reading the articles here for ideas while you are looking for someone to assess her and help you in person! Her therapist thinks echolalia and auditory delay butshe also thinks she may just be add or adhd and just have too much energy. Alot are spontaneous but only bc she remembers them and not bc she is just talking. Any advice would be nice were just concerned.

If not, get those because you can SEE how to work with her at home to focus on helping her learn to understand more. I would be concerned about echolalia — which is seen in children with autism and with auditory processing issues. My new book on autism may help you with that. Hi laura Zelda My daughter is going to 3 in june. She has same problem she can count knows alphabet phonics animals fruit and many other things. She love to play withe parents and her sister. She was very responding till 18 month after my 2nd baby birth she is very much involve in watching tv so she learned what she watch and nows she does not answer me if she need anything she just pull us or point but not speak.

My son is 28 months old. He knows many words but doesnt say them at all. He also doenst reapond when asked any questions. He doesnt gesture or point out if he wants anything just cries looking at it. His eye contact is perfect. Dear Laura, My very sincere thanks for your immediate response. I am grateful for your in-depth assessment of the problem and intend to work on your advice. Even when we talk among ourselves, she seems to listen and take stock of the situation. For eg: when I talk to my mother about packing clothes, she at once understands that a train journey is in the offing and starts talking about it.

When I tell that I have a headache, she hands over the pain balm to me. On her own accord, she narrates stories and copies all the actions of the cartoon characters. But judging from her sololoquy, it is apparent that she has understood and grasped the whole incident and whatever her teacher has told her. Would you very kindly let me know if it does not prove that she is able to fully process all the incoming information? To give you more insight on the problem — Her paediatrician had suspected Attention Defecit Disorder and slight hyperacivity and told us to put her in a playschool when we frequently expressed our concern for her refusal to respond to her name.

She said that mingling with other children might improve her communicating skills as she seems medically fit otherwise. As for ADD and hyperactivity, when the doctor ran a few tests with some montessory apparatus when ramya was around 2 years old , she snatched the toys and all the apparatus and wanted to play with them in her own way.. The focus and attentiveness with which she completed her task made the doctor wonder about the presence of ADD and the double-quick way she finished it made her wonder if she was hyperactive or overbright..

However, she asked me to put her in a playschool early which we did. Does this rule out auditory processing issues? Are there any specific tests that I can ask doctors for? Just when you think you might have an answer for her — BOOM! She goes and bursts the bubble of your theory! I would so love to work with Ramya because it would be so exciting to peel back her layers to get to the root of her issues. She would be so fun to work with, so I hope you will give some lucky SLP this great learning opportunity!

I will also caution you with one other point. She sounds like a wonderful little girl with lots of strengths mixed in with those weaknesses too! Just so you know how I have come to think about this — being able to spit back a story is not the same as formulating an answer to a novel here-and-now, on-the-spot question. It still could be processing the question, as well as her ability to generate a novel answer. Start with answering those basic questions using the suggestions I posed in the articles in the receptive language section. These things really do work, AND it lets you channel your energies where they need to be — helping her excel rather than wondering what the exact problem could be.

Again, you may never know! Hello my son is turning 4 and he is doing same like ramya …. Hi there. She will actually give you a much better perspective than anyone else because she actually works with and knows your son. The bottom line usually is that when he understands more language, he will be more likely to answer your questions. Talk with his teacher too about getting updates from you so you have a better idea of what you should ask him about school. Hope this helps!! Dear Laura, I cannot thank you enough. I intend to follow your advice word by word.

I am based in south of India and finding an SLP with as much knowledge and experience looks like a remote possiility. However I have already started enquiring. If only me and ramya could come and see you. Meanwhile me and my family are going to study your website for more information and knowledge. We will keep you posted for any developments. Ramya is a wonderful child and I feel blessed to have her in my life. Thank you once again for everything. Your advice and assessment meant a lot to us. God bless you! My son Mason will be turning 3 on Sept.

He repeats dialogue from his cartoons, and can sing whole songs. But when I ask him which snack he wants, or which show or book he wants he can tell me. He knows how to ask for things he wants. He also ignores us a lot. He hits other kids, and prefers to play by himself, but loves to be around other children. Please help me figure out what I need to do to help him.

Read the article above for ideas. Thank you Laura for your rapid response to our concerns. Sometimes when Moms are scared, I really ask them to shift the focus and work on what he needs help with rather than worrying about WHY he might need help for right now. Bear in mind, turning this into a question for him to answer trips up lots of kids, so keep working at it!! Now on to the more delicate question — have you thought of having him formally evaluated? Try to think about the outcome of an assessment as Mason getting whatever help he needs, rather than a specific diagnosis.

Please tell me what you coupon you tried to enter so I can see what the problem is. I will also credit your order. Thanks so much!! Laura thank you so much for being honest and up fromt with me. Of course these concerns scare me to death, but like you said I would much rather he get the help he needs than just ignore them and hope they go away. Mason has his 3rd year check-up with his pediatrician on Oct. I will keep you posted as to his progress as he is definitely making some. Thanks again for valuable knowledge and you generosity in sharing it.

I so appreciate it and you will be blessed for helping all the people you do. Let me know how he progresses. AND, just for the record, I am blessed beyond belief every single day of my life and never cease being grateful for the wonderful people who cross my path! I got great use out of your first teachmetotalk video, by the way.

But although he often uses complex phrases but rarely with a subject now e. I have to be majorly pushy with something majorly gross just to get half a head shake. As I type this I feel a little crazy obsessing over this because he has come SO far he is now 32 months but at 23 months he had no spoken words and about 10 signs , but it feels significant to me. Am I wrong to be worried about this? I am concerned about my daughter who will turn 4 next month.

Let me explain, she was in school for 2. She would just whisper her request. Now she is speaking above a whisper but sometimes I still have trouble with her answering yes and no questions and all other questions where there are two options. For example, do you want to go to bed, her response NO. She knows where and what. She is excellent at expressing her feelings and she often tells me about her day. I just do not know what to do in regards to the yes or no.

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Her teacher says she is doing well in school. There are somethings we have to work on but nothing of concern. Should I just push for the speech therapist? Are those your shoes? Is she just indecisive and shy, or is a real comprehension issue? Can she follow mutliple step directions? Love this website. If so, how? One thing I make sure I recommend to moms with kids who learn in this way is to model exactly what you need him to say when he has to go.

No, that is great advice. My gut tells me know knows. He has peed in the potty many times, but only with prompting.

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But never on his own accord again. Very random , and he never, ever tells us he needs to go. He can definitely hold it never pees on the floor or in the tub but will gladly pee in underwear. As for poop, when he is going he tells us to go away or he hides, etc. Okay, was devastated but am moving on, taking action. There is. Google is very scant on them. Emily — My only advice is to keep at the potty training. Let me explain pragmatic language disorder. The official definition of pragmatic language is language use.

Check out a related article here on the website with ways to help work on pragmatic language at:. Mixed language disorder means that you have delays in both receptive comprehension and expression speaking skills. My advice to any parent of a child with language comprehension delays is to make helping him understand language even more of a priority than what working on what he can say. This may be why potty training is so hard for him and you.

He may not really get it yet. Feel free to keep your questions coming here on the site! Yes, you clearly love what you do and are good at it! I will read the article. My daughter who is 25 months old really picked up her speech around 19 months. She started a few words around 10 months but due to recurring ear infections and subsequent ear tubes procedure at 15 months potentially delayed things. My question is, is it too early to detect echolalia? While she is not consistent in repeating everything we say but she does quite often just repeats the question we ask her.

She initiates speech and lets us know most of the time what she wants. She has a lot of repetitive speech. Sometimes she gets the concept of waiting but it is inconsistent. We have a Speech evaluation appointment next month but I am skeptical on how that would go as she gets extremely anxious in new surroundings partly bad experience from recurring ear infections. Due to her anxiety around new surroundings, people peers and adults and speech concerns, I suspect that she may have an underlying issue. Here is a list of her milestones:. By 28 months could count to 20 — Same with Alphabets. Not sure if she is memorizing them.

But she knows the sounds phonetically — know lots of colors including the difficult ones like grey, purple, turquoise by 18 months. Her nervousness pours out in her speech. She would go on nonstop with a frown. I would really appreciate it if you could offer some advice on what you think of her repetitive speech.

The very best way to test her might be through a facility that offers team assessments. Another option might be through your state early intervention program which may provide services in your home vs. To answer your specific question about repetitive speech, imitation for children with typically developing language usually peaks around 19 months then decreases as they expand their spontaneous vocabularies. Instead, focus on developing her back and forth conversational skills, pretend play, and expanding her vocabulary with words that she needs for everyday life.

Although she seems to have real visual strengths for recognizing numbers and letters and even reading, and she may really enjoy these activites, I would not focus on these skills right now. Thanks so much for putting things in perspective for me. You are absolutely right about focusing on developing her conversational skills and other areas that she needs help with. The reason for mentioning Numbers and letters were to indicate that she perhaps indicate signs of Hyperlexia.

For the SPL evaluation, I will take your advise and highlight just concerning areas so not to confuse things. I will look it up right away. We did take her to the OT once as it is very obvious to me she has sensory issues, however, she was so anxious that the therapist decided to stay out and talk with me in private while her dad played with her alone.

Although since then, I have read up a lot of books on SPD and we are engaging her in various experiences. It is helping a little bit.


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But professional help would definitely be better. Thanks again for your input. I really appreciate it. Sophie is set to see the speech pathologist early April. I will definitely post the outcome of the visit. Sharon — Keep us updated! Let us know what the SLP says and what she recommends. Hopefully you can follow-up for OT too! Good luck!! I visited the website with plans to order a DVD and found so much more in these posts. My son Anthony is older than the children I have read about here; he is 4 yrs old.

By the time he was 9 months old he literally had already had 8 ear infections and recieved his first set of tubes. He then recieved his second set of tubes after the first ones fell out at age 2. We were told early on that he would more than likely have some speech delay because of his hearing problems. Hearing this, I was not alarmed that his vocabulary was limited but I began noticing echolalia and even reciting parts of stories and movies he had heard or seen. I started asking other parents who I knew with children with ET tubes and inquired about any speech delay problems.

I became worriedthat something was really wrong and took him in for a speech evaluation. He is very social with other children and does well in large play groups. He was diagnosed with severe expressive and receptive speech delay and has been in speech therapy for 2 months now. A lot of the echoing has decreased, but he still gets that blank look with questions about what he has done during the day. I know it will take time and committment and possibly even holding him in preschool another year, but can you offer any other advice? Try not to beat yourself up too much. I would highly recommend that you work with him as often as possible at home.

Children with the best outcomes have parents who are absolutely committed to working with them at home. Understanding language is the foundation for being able to functionally USE language, so keep at it. Use the strategies your SLP gives you in therapy too since she actually knows your son and what he needs to work on. Thanks for your comment. My son just turned 4 years old and went through a really rough time with ear infections starting when he was 20 months old.

There was a lot of middle ear fluid that persisted, and I immediately enrolled him in a state-provided speech therapy program for children under 3. He tested out with a receptive language level of 14 months, expressive language of 16 months, social and emotional at 33 months! Well, he tested out of fine motor skills OT in less than a month! And when his ears finally cleared on their own we barely avoided ear tube surgery , he began talking in one weekend. We were all thrilled, and I was very happy that I had learned so many things that as a stay-at-home mom, I could continue to model for him and coach as his language continued to blossom.

And this is where we are having issues with questions which I know can even make non-speech-delayed kids clam up. A year ago, we were having a lot of trouble getting him to answer yes or no questions, but because of his SLP I used a lot of the techniques you used here, and now he is a pro at it. Do you have any advice as to how I might work on the more difficult abstract questions? And is this delay with these sorts of questions still part of the original speech delay could he still be catching up?

By the way, I love the trick about using one parent to whisper the answer while the other parent asks the questions! Candace — First of all congratuations on his progress! Keep explaining things so that you are constantly helping him link meanings with those difficult abstractions. Would you rather have something else? Are you not hungry right now?

You sound like a great mom, and if it happens, it happens. You can do this regardless! Thanks for your email. Hi Laura — do you have any specific advice on how to get my almost 3 year old to stop repeating questions rather than answering them? Giving visual cues and choices is usually is the best way to target this, but read the ideas in the articles about echolalia. Hey laura, I have a baby girl 2yrs 8 monhts… when she was 18 months old.. Now she does not use words..

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I am very concerned about her not speaking any words almost at all… me and my wife speak different languages.. Hi Laura. I have a 17 month old little girl who I believe might have a speech delay. I have contacted Early Intervention in my state. What is your take? Any help is greatly appreciated. My daughter is 3. She goes to preschool part time.

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It seems like she can not get it right even though we keep asking her and giving her the right answer. Sometimes we ask her how old are you? If we ask her other questions she usually gives us a short but correct answer, but she is not able to carry on a conversation. We are billingual. She knows all her alphabet, numbers, shapes since before she was 2 years old.

She is polite like she will say good morning to her teacher or excuse me when she burps or bless you if you sneeze, thank you, please, etc.

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She can say a lot of words in spanish and english. She will switch from spanish to english depending on who she is talking to. She can tell us what she can see in a book and if we are reading she can answer some questions about the story. She was evaluated by a speech therapist when she turned 3, but it seems like everything was right even though she was not talking a lot by that time. Do you think she should be evaluated again? It is something normal for her age to get confused with her anwers even if we provide her with the right answer and we try to practice all the time?

Please help!! I have a question for anyone on here that can answer it. My child is 7 and about 2 months ago she began to start hesitating when asked a question. I am at a loss for what to do anymore. What do I need to do? Is there something mentally wrong with her? Hi, I have had my daughter evaluated however we did not have her evaluated for speech because she apparently speaks so well.

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I say apparently because one of the evaluators said she is definately echilalic. I have automatically been doing some of the things you mention in the article. Like the difference between good and bad. She is three yrs old. Does not interact with other children, is unaware of where she is in space. Would not answer questions for the longest time. Getting better in the last 6 months when I started saying things like yes or no and realizing that her repeating back second half of? What should i look for? How do I know if they are any good?

The short version of this response is that you should definitely have her re-evaluated by an SLP who works with very young children. Combined with her other social and sensory processing issues that you reported, I would be concerned about autism. Thanks for your question.

Questions like why did you do that? Why are you in here? I will give her ideas like, were you, mad, sad,scared,hurt,angry,happy and she answers with why or because. Then I further my question with because what and repeat any emotions or actions that could be possible. I get the same answers over and over. I have tried asking what is the reason? I just get blank stares. I disagree. Should a child her age be able to answer why questions?

I recently came across your site and I am excited about all its useful information. I have some questions concerning my 2. We were referred by our pediatrician to an E. They have signed him up with a D. We have seen some improvement in my son from the group but not much. And my son runs away the SLP every time she comes to our house. Then recently we went to an ENT who diagnosed my son with negative ear pressure. He said that this could be why he was delayed in his speech.

It has been three weeks since my son had a surgery for the removal of his tonsils, adenoids, and tubes placed in his ear. What can be expected to change with this surgery? Will he gradually start speaking more on his own? Kathie — If the physical reasons were the only factors, you should start to see a pick up within a couple of months. Therapy should be fun. Have you seen the DVDs? If not, ask what your other options are. If the therapists continue to mention autism, ask what the next step should be in getting him evaluated and this ruled out.

They may be waiting on you to take the next step and ask some questions about the process. Thanks for your great questions! Hang in there!! You want her as ready as possible for success in school. He is a very social, sensitive little guy. Then the whole routine happens maybe 20 times in a 2 hour playdate , and enjoys affection and roughhousing. He loves music and sings along to his favorite songs. Transitions are hard for him, though he has improved to the point of total enjoyment of preschool.

The first few weeks were very hard, with meltdowns with each and every transition. Now he moves through the 2 hour session just like all the other kids. He responds to a lot of questions by repeating the question back to us. I tried til I nearly went crazy today. Yes while nodding and moving the cheddar bunnies closer to him or No while shaking my head and taking them away?

Because he was a preemie, he saw a PT and OT as part of an early intervention program, and because he was hitting gross motor skill milestones late. He covers his ears a lot when there might be a loud sound, or when he wants to somehow protect himself from a super stimulating experience. It took him a long time to eat solid food and to feed himself. I do think he has Sensory Processing Disorder— he fits the description of a mild version. However, I will have time to answer on the podcast this Sunday at 6 pm.

Have you had a chance to listen to my show yet? All ended up with with different diagnoses as they got older, saw a different set of professionals, and had different issues persist in their preschool and early school age experiences. Congratuations to you for that and for diligently pursuing help for him! I have a 20 month old daughter. Is this something i should be concerned about. Blair — Great question! Check out those DVDs to see what I mean and show you how to work on understanding more language at home. Dear Laura, my son is 32 and is not putting two words together on his own to make a sentence when I ask him a question like where is your cup he will answer cup.

I know you meant 32 months! The evaluation is free. After a child turns 3, the local public school system is responsible for providing free assessments and therapy services in addition to preschool services for children who are 3 and 4 with delays. You can find out about your program by calling the school board and asking for more information. In the meantime, there are LOTS of articles here on the website that will teach you how to target language. Laura, thank you so much for replying back. I have brought up my concerns with his pediatrian a couple of times and he made feel stupid for bringing it up.