Speech Delay

[kitty21775]

My 32 Months old son can be so sweet and loving one minute and then if he is told to do something he does not want to do he Cry, yell, and throw things (his toys)
We notice that other people don’t understand him when he is talking, so we get him speech evaluated, and he will start his speech sessions next week
He was attached to his nanny so much (to the limit that he would think she’s his mum) and she had to leave couple of months ago to visit her family, and since then I notice that he would avoid sometimes eye contact, also 60% of the time he don’t answer me if I call him and he is busy playing with his favorite train, his hearing test was normal as well
Also we are speaking 2 language in our house and my son was never in kindergarten and his exposure to group plays is extremely limited (my mistake), however he play very well withhis older sisters (7 years and 41/2 years old)
Do you think I should go for full developmental behavioral evaluation? And if yes where is the best place to do so, also I was trying the Children memorial Hospital and I was told that the first availability will be next year, and I understand very well that few  weeks if  treatment needed means a lot and the earlier the better

[kitty21775]

Thanks a lot for your valuable comments .

[benjimom]

I know at the children's hospital here, there is a big wait list to get into the developmental clinic and really a lot of services there like OT, etc..  

I think the speech therapy is a great idea. My son who is now 6 had a speech delay as well.  He talks pretty well now, still misprounounces some things, but I've seen GREAT progress in teh speech dept.

Sometimes kids do not listen.  Sometims my son is like that.  

Yes, changing caregivers is reallly hard on a kid, we just had to do that as well and it's tough.  Ours wasn't planned, but we had to do it.

[ChristinaOT]

The fact that you speak two languages to him may be somewhat of a factor. As well as limited exposure or opportunity to socialize with his peers. Youngest children often speak later due to his older siblings being more likely to speak FOR him. If he spent most of everyday (5-7 hours or more per day) with the nanny, he would become very attached. In that case, she would be his primary caregiver (thus, sort of replacing a parent). When a primary caregiver leaves a child of that age, (such as a mother going back to work) the child would display some of these behaviors also. Children become very attached to caregivers. The speech therapist who will be working with him should be able to give you more information about behavior and/or other developmental concerns specific to your child. He/she SHOULD have knowledge of normal development and when to refer to other professionals for screening/evaluations.