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Child Behavior (Expert Forum)
sever delays in receptive and expressive language
Answered by
Kevin Kennedy, Ph.D. - Child and Adolescent Psychotherapy, Family Therapy, Crisis Intervention
Harvard Vanguard Medical Associates
This forum is for questions and support regarding child behavior issues such: Child Discipline (behavior management), Normal Child Development, Parent-Child Communications, Social Development
sever delays in receptive and expressive language
by joanna hanna, Feb 18, 2000 12:00AM
we have a little girl that just turned 2. her nurologist noticed that she was not talking or understanding as well as she should be for her age. we recentally had a completev speech eval on her and she was all over thespectum in one area from 0-3mo to31 mo in her speech and the same think with her expressive language most of what she was behind in was her fundamentals she should had learned when she was a newborn. she did have a pda ligated at 6 1\2 mo and slept alot due to the condition which left her with a disfunction LV for almost 7 mo after her surgery she still has a dialated cardiomyopathy and mild mitral regurgitation. but even with that she was behind in attachment and bonding coming in at 18-20 mo. this bothers me because she is very frindly with every one and will run off even in a crowd. she also has a generalized siezure disorder that mad its self known when she was 16 mo they fill they are related to hypoxia r\t breath holding but shouldent a child be able to hold breath for more than 10-15 seconds a not have a siezure. at anyrate is it odd to have a child that can not understand what is being said to them or not understand what they are saying to you and for that child to be way ahead in other areas. she just recantly turned2 on the 1-29-00.
Doctor's Answer
by Kevin Kennedy, Ph.D., Feb 19, 2000 12:00AM
, Feb 19, 2000 12:00AM
Dear jmh,
Development does not proceed in an even manner in most children. A child may well be ahead of the norm in some areas, within the norm in others, and somewhat behind the norm in others.
Having said that, though, your daughter is definitely experiencing a problem that is not within the normal 'developmental lag' spectrum. I suspect that her language problems are related to her neurological condition. Some epileptic disorders (e.g., Landau-Kleffner Syndrome) are associated with deficits in langyage development. Discuss this possibility with your daughter's pediatrician, pediatric neurologist, etc. It might also be worthwhile to have your daughter examined by a developomental pediatrician.
Development does not proceed in an even manner in most children. A child may well be ahead of the norm in some areas, within the norm in others, and somewhat behind the norm in others.
Having said that, though, your daughter is definitely experiencing a problem that is not within the normal 'developmental lag' spectrum. I suspect that her language problems are related to her neurological condition. Some epileptic disorders (e.g., Landau-Kleffner Syndrome) are associated with deficits in langyage development. Discuss this possibility with your daughter's pediatrician, pediatric neurologist, etc. It might also be worthwhile to have your daughter examined by a developomental pediatrician.
Generally, some abnormality will have been demonstrated on the brain studies.