Speech Sound Disorders
Related NDBP Services, URMC Collaborations, and Resources
As young children learn language skills, it's normal for them to have some difficulty
saying words correctly. That's part of the learning process. Their speech skills develop
over time. They master certain sounds and words at each age. By age 8, most children
have learned how to master all word sounds.
But some children have speech sound disorders. This means they have trouble saying
certain sounds and words past the expected age. This can make it hard to understand
what a child is trying to say. Speech sound disorders include articulation disorder
and phonological process disorder. Articulation disorder is a problem with making
certain sounds, such as "sh." Phonological process disorder is a pattern of sound
mistakes. This includes not pronouncing certain letters.
About articulation disorder
Articulation disorder is the inability to form the certain word sounds correctly past
a certain age. Word sounds may be dropped, added, distorted, or swapped. Keep in mind
that some sound changes may be part of an accent, and are not speech errors. Signs
of an articulation disorder can include:
Leaving off sounds from words (example: saying "coo" instead of "school")
Adding sounds to words (example: saying "puhlay" instead of "play")
Distorting sounds in words (example: saying "thith" instead of "this")
Swapping sounds in words (example: saying "wadio" instead of "radio")
About phonological process disorder
Phonological process disorder is a regular pattern of certain word speech mistakes.
The mistakes may be common in young children learning speech skills, but when they
persist past a certain age, it may be a disorder. Signs of a phonological process
disorder can include:
Saying only 1 syllable in a word (example: "bay" instead of "baby")
Simplifying a word by repeating 2 syllables (example: "baba" instead of "bottle")
Leaving out a consonant sound (example: "at" or "ba" instead of "bat")
Changing certain consonant sounds (example: "tat" instead of "cat")
Causes of speech sound disorders
Often, there is no known cause for a speech sound disorder. But some speech sound
errors may be caused by:
Injury to the brain
Intellectual or developmental disability
Problems with hearing or hearing loss, such as a history of ear infections
Physical abnormalities that affect speech. These include cleft palate or cleft lip
Disorders affecting the nerves involved in speech
Diagnosing speech sound disorders
First, your child's hearing should be checked. This is to make sure that he or she
isn't simply hearing words and sounds incorrectly.
If hearing loss is ruled out, you may want to contact a speech-language pathologist.
This is a speech expert who evaluates and treats children who are having problems
with speech-language and communication.
By watching and listening to a child speak, the speech-language pathologist can determine
whether the issues are part of normal growth and development or are a speech sound
disorder. The pathologist will evaluate your child's speech and language skills, keeping
in mind accents and dialect. Speech-language pathologists can also determine if a
physical problem in the mouth is affecting your child's ability to speak.
Treating speech sound disorder
The pathologist can then recommend a therapy plan to help your child overcome his
or her disorder. Speech-language pathologists work with children to help them:
Recognize and correct sounds that they are making wrong
Learn how to correctly form their problem sound
Practice saying certain words and making certain sounds
The pathologist can also give you activities and strategies to help your child practice
If your child has a physical defect in the mouth, the pathologist can also refer your
child to an ear, nose, throat healthcare provider or orthodontist if needed.
A positive outlook
Early recognition and diagnosis of speech sound disorders can help children overcome
speech problems. They can learn how to communicate well and comfortably.
Online Medical Reviewers:
- Adler, Liora C., MD
- Bass, Pat F. III, MD, MPH
Related NDBP Services
NDBP does not treat children with a speech sound disorder as their main diagnosis; however, we do treat children who have developmental disabilities as well as a speech sound disorder.
Behavior Interventions for Families Program - Teaches families ways to prevent bad behavior and increase positive behaviors, and teaches children the skills needed to behave in a desirable way.
Community Consultation Program - Provides technical assistance, training, and continuing education to schools, community and state agencies that provide services to children with learning and behavioral challenges.
Crisis Intervention Program - Provides services to individuals with a developmental or intellectual disability living in Monroe County with significant behavioral difficulties.
Physical Medicine and Rehabilitation - Provides outpatient evaluation and intense and targeted therapy programs for children and teens.
Speech Pathology - Meets the needs of children who have difficulties with speech, communication, oral-motor control, and feeding/swallowing.
You can find resources for speech sound disorders in our Resource Directory!