Dealing with Possible Articulation Disorders?

Updated on March 17, 2009
J.B. asks from Columbus, OH
17 answers

Hi moms~ I took my daughter to the Dr. yesterday for her 4 yr old checkup. Her pediatrician said that she's pretty much "exceeding all her developmental level expectations".... that his only concern is that she's mispronouncing or not clearly pronouncing some of her letters, letter combinations, or replacing letters with others. For example instead of saying my name Jennifer she gets excited and says Jifiner or Zinnifer. Another example would be that she says Tistmas instead of Christmas, or wabbit instead of rabbit. I know that some of mispronounciations can simply be corrected when she takes her time and thinks about what she's saying....others she struggles with and gets mad at me when I try to get her to mirror me. I know how she feels from experience b/c when I was her age I had some of the same problems. I mixed up letters, etc. When my parents took me to a speech pathologist the told me and my parents it was b/c my mind was working faster than my mouth....still happens on rare occasion. I guess where I'm going with this is..... the Pediatrician did not directly tell me to have her evaluated, but it seemed like he was hinting that it might be a good idea. When I told him I had the problems when I was her age he pretty much stopped talking about it. I have a background in early childhood development & education and have been working with her over the past year. She has came a long way, but I also know that she is definitely struggling with pronouncing certain sounds and letters. Should I go ahead and have her evaluated by a speech pathologist or should I just continue working with her? Has anyone ever dealt with these issues and if so what did you do? When did you have your child evaluated?

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So What Happened?

Thank you to all that replied! Being the concerned, sometimes overprotective, mom that I am...... I had my daughter evaluated for both audiology and speech this past week. I wasn't concerned about her hearing, but took her for that evaluation to make sure that her articulation problems weren't linked to inability to hear correctly.... its not, her hearing is perfect. As for her speech/ articulation.... in most areas she's "above the norm" for her age. She does have a mild articulation problem. She's forming a few sounds in the front instead of the back of her mouth. She's also SOMETIMES LAZY and drops a letter from blended letter sounds. Since she just turned 4... the speech pathologist gave me some games to play and other things to do at home. She doesn't think its severe enough to need any therapy. Again thank you for your responses. I greatly appreciate it. :)

More Answers

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C.T.

answers from Columbus on

Hi Jen:
My daughter had the same problem at about that age (3 I think) Off the charts with other things, but speech related problems. We went to OSU Speech and Hearing dept. They use grad students to work with the kids and my daughter really responded to someone younger. They are hard to get into because you have to get in on the 1/4, semester or whatever. But they are worth it. They staff is very good at making the program fit the child. It is a fun atmosphere for the child and my daughter always looked forward to going to the sessions.

As a word of encouragement, get it done ASAP because it is so much easier to get it fixed when they are young. My daughter is now in 4th grade, no speech issues and in the gifted program. It all works out in the end! Good Luck!

1 mom found this helpful
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V.B.

answers from Columbus on

I responded to someone before with similar concern and I will say this again: there is absolutely no harm or stigma in getting your child evaluated and in speech therapy. Both are done in such a way your daughter will not even suspect this game has a serious purpose. And nothing is done in a pushy way. So really, nothing to loose other than money that eval may cost, but then it may be covered by your insurance. If the kid qualifies for speech therapy it can be free too.

1 mom found this helpful
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D.T.

answers from Indianapolis on

Get her evaluated! Call your local elementary school and ask for the Early Childhood coordinator. The Early Childhood Development program picks up where First Steps stops - it's for ages 3-5. She'll be evaluated by the speech therapist at the local school and if she qualifies for services (ie, it's bad enough to require therapy) then she can get speech therapy free through the local school.

My son was evaluated soon after he turned 3. He was in speech for 2 years before starting school and was almost 'normal' by kindergarten. He continued to be in speech twice a week in kindergarten and by the end of the year was all caught up. We didn't pay anything for 3 years of speech therapy.

Even if your child doesn't qualify now, the therapist can give you good guidelines. There are certain sounds children aren't expected to master until 2nd or even 3rd grade. So if your daughter isn't making them now, she won't qualify. But if she still doesn't make them in 2nd grade (or at the appropriate age/grade level) then she may get therapy then.

A very good book on articulation issues is "Teach Me to Say It Right" It gives a good guideline on what sounds are expected at different ages. It also has pages and pages of sound-specific exercises to do with your child to help them learn and practice those specific sounds. http://tinyurl.com/cax6v7 (link to the book on amazon.com... I used tinyurl because it was a very long link)

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S.P.

answers from Indianapolis on

You are doing the right thing in working with her.
I had these same problems with my son and that is what I did and it worked out well.
I have a granddaughter with the same and her parents are doing the same.
It will probably resolve itself with your help.
And if she gets mad, so what!
Just keep at it.

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C.

answers from Cleveland on

Hi Jen,

Our son is three and we have the same problem... very bright, ahead of his age group but cannot pronounce certain sounds/letters. Mainly he drops the end of words so they all sound alike. We had him evaluated and he was right on the border. Everyone involved said it would be better to get him started with speech therapy now and by the time he went to school, he probably will not have any problems. We contacted our local school district and they have a county preschool that we entered him in. They would like him to continue there all the way to kindergarden. It is a great program and free since they idetified a "development problem". I would research it now.

Good Luck,

C

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N.N.

answers from Columbus on

My daughter was the same at that age. When I took her for her preschool screening, I asked them about it and I was told she was borderline, but they would watch her. I spoke to one of my friends who is a speech pathologist and she said that she was a little behind, but would be fine. So she did improve but was still a bit behind to start kindergarten. I spoke to the speech pathologist at the school at kindergarten screening and she talked with her for just a few minutes, showed her a few pictures and told me, basically that she was just lazy. She could say the sounds when they occurred in the middle of the words or the end; she just didn't say the beginning sounds correctly. She said to let it go, don't draw attention to it, and it would work out as she got older. She is now in the 1st grade and you would never know that she had a problem. She sounds like all the other kids now and she has no problems. She's also in the top of her class and is a leader in her classroom. If your dr. isn't concerned, and you're working with her and see improvement, I would just keep doing what you're doing. As long as you understand what she says and she's not saying the same sounds incorrectly all the time, then it just sounds like its more of a behavior issue than an actual physical or developmental issue. Good luck.

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D.G.

answers from Columbus on

My niece Krystina had the same problem and we took her to a speech therapist at our loal hospital. She went for around a year and since my sister couldn't afford it I paid for it. Krystina's problem was that my family spoke to her in baby talk all of the time so she spoke in baby talk.And also that she had many ear infections before her 3 rd birthday so she wasn't hearing things properly. You might want to take her to a ENT Dr. first and see if she has blockages, Krystina did and it was easily removed .

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K.D.

answers from Cincinnati on

Hi Jen-
My first thought when I read your post was that your Dr. shouldn't be hinting at anything. I am a firm believer that doctors need to be as clear as possible when it comes to our childrens health & if they aren't ask ALOT of questions. But be ready to be brushed off as a "overprotective" worrysome parent. My oldest son had alot of speech delays & mispronuciations & I mentioned it at his 2 yr check up. The Dr. said not to worry about it, that he would catch up. Long story short, my DS was diagnosed with High functioning Autism at 3 1/2. My point here is, listen to your Mommy voice. If it's telling to to have your daughter evaluated DO IT! My 2 yr old son is now getting speech services through first steps & is doing wonderfully.

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B.B.

answers from South Bend on

If your daughter is not in pre-school/head start try getting her in. They do wonders. My Gdaughter had problems like yours, but after a yr. in pre-school she straightened up. Her kindergarten teacher said it's perfectly normal to sound things wrong or write their letters backwards and upside down ,even into 1st grade. By the way, my Gdaughter is in the top 10% of her class. They even tested her because she's smart in math and language. Most doctors think that all kids should be at the same level, they like to put everyone into brackets.
Just help your daughter as much as you can.

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C.W.

answers from Indianapolis on

Haven't read the other responses so I may be repeating here...I would take her to get evaluated. To me speech is something that as she gets into school, if other kids can't understand her or they think she talks "babyish" they're going to make fun of her. So, why do that to a child. Both of my kids (twins) need speech and it was no big deal, however I'm glad I did it. My neighbors daughter (1st grader) her speech has been so bad and they just thought she'd "grow out of it" well, guess what she hasn't and it's only making for some tough times. Also, yes you can work with her, but you are mom and we all think we can be the ones to help our kids through something like this, especially if you have the back ground, but it's not like that... kids are always going to give their own parents a hard time and do much better with someone else when it come to something like this. Goodluck

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K.S.

answers from Cincinnati on

I would get her evaluated.

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J.G.

answers from Columbus on

Much like the others, my DS was observed as having "something going on" at an early age in PreSchool. He was diagnosed PDD-NOS and went on to have delayed speech. He is dyslexic and has other things going on as well. While his speech articulation was cute for awhile, it became clear that he needed speech therapy to work on certain phonemes. It helped a lot. Early detection and intervention is definitely the key. I would also stay on the lookout for dyslexia as there is a correlation of phonemic awareness, speech delays, etc. You can learn more on that at diaohio.org.

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M.R.

answers from Columbus on

Jen,

If you think that it is out of the typical range, then take her to be evaluated. It is always better to err on the side of too much and too soon when it comes to developmental issues. The earlier you catch it, the better the outcome. You could take her to your school district, they serve preschool children begining at age 3, she may qualify but because it is just articulation and they do not think that it will effect her educational performance, she may not qualify. Even if she does qualify, you will always want your own evaluation and more therapy than the school is required to give her.

M.

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R.A.

answers from Indianapolis on

Hi Jen.

I'm a speech therapist by training (now a stay at home mom) and I would recommend you have your daughter evaluated. Early intervention is very helpful! The sooner she starts getting therapy (if she qualifies) the easier it will be to correct her speech errors. I don't know where you live, but in Indiana the public schools provide free therapy, even if your daughter is not in preschool yet. If you have her evaluated at a school the therapist would also do a hearing screening. If she doesn't pass that, then you'd be referred to a doctor to have her hearing checked more thoroughly. If you decide to go that route, just call the main office and ask them how to get in touch with the preschool speech therapist. Sometimes kids don't qualify in the schools (depends on the severity of the problem) but will in a private practice/hospital setting. If that happens, I'd encourage you to seek out that option so she gets the help she needs. Good luck!

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R.B.

answers from Toledo on

My 4-year-old also mispronounces some words, such as saying "re-sgusting instead of disgusting. She often puts "re" at the beginning of words in that way. I would just keep modeling the correct pronunciation, and it will come in time. Don't make it obvious you are correcting her, as you mentioned that she gets angry when you point out her mistakes. I wouldn't worry about having her evaluated at this time.

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J.J.

answers from Evansville on

My oldest son had trouble pronouncing alot of his first consonants up until he was about 4 1/2 years old. I worried that he might need help with his speech. I talked once with a friend of mine who was a speech teacher and she told me not to worry about it. She said that kids are still developing speech control until age 6. For the longest time he called himself "Tameron" when his name is Cameron. We kept working with him and now he can say all of his words right. I think pre-school also helped him alot too. Sometimes its just easier for kids to take instruction from someone other than their parents.

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C.W.

answers from Cincinnati on

I think you should have her checked. It could be part of a inherited thing it could also be physical. My youngest grandson we thought was coping a cousin who sturtered but when he went to preschool it was found he had a tied tongue and had to have it clipped and when to speak for years to correct it. Took what seemed like forever to understand him. He cried allot because we didn't understand him.I would try to get him to slow down thnking he was just speaking to fast and I do have trouble understand the best of times but it only made him worse. He's 13 now and doing great. So my advice would be taker her it would not hurt and could help the sooner she goes.

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