Family Doctor Health Advisor

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Speech difficulties

Consult this chart if your child has any problem with his or her speech, such as a delay in starting to talk, lack of clarity, defects in pronunciation, or stammering. Such difficulties often improve with time, but, in most cases, it is wise to seek the advice of your doctor or nurse. If not addressed early, speech difficulties may cause behaviour and school problems. A speech therapist will usually be able to improve your child's ability to communicate effectively.

1 Are you worried that your child is late in starting to talk or talks too little for his or her age?

Yes 2 No 3

Self-Help Encouraging your child to talk

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Helping a baby talk
It is important to talk to your baby as often as possible because babies learn by imitating the people around them.

The following measures should help to stimulate and encourage your child to speak:

  • From birth, talk to your child frequently.
  • Look at your child when you speak.
  • Try not to speak too quickly.
  • Use actions to help your child associate words with objects and events.
  • Use simple books and nursery rhymes to extend your child's vocabulary.
  • Let your child mix with children and adults.
  • Try not to interrupt your child when he or she is speaking.

Speech development

Language skills vary widely among children. Some children are slower to speak and develop vocabulary than others. Boys are often slower than girls.

By about 1 year of age, most children are able to recognize a few phrases and can say single words. By age 2, simple instructions, such as "Give teddy to mummy", are usually understood, and by age 3, most children can use simple sentences and have a good basic vocabulary. Although a child's pronunciation is usually clear enough for most of his or her speech to be understood by a stranger at age 3, some sounds, such as "z" and "th", may still not be pronounced clearly until the child is about age 7.

Family Doctor Health Advisor is for information purposes only, and is designed as a general reference and catalyst to seeking further information.

The RACGP is not engaged in providing medical or other advice or services, and is not responsible for the results of any actions taken by any person on the basis of any information in this publication, or for any error in, or omission from, this publication.

Publication Date: 31 March 2009
Authorised By: RACGP

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