Speech & Language Therapy

Speech & Language Therapy 2018-09-27T17:25:30+00:00

Speech and Language Therapy

At Play2Learn, in Chesterfield, MO, we offer speech and language therapy services for children 12 months to 15 years of age. We often find when people are in search of pediatric therapy services, that there is a confusion between whether the child has a speech disorder, or a language disorder.For more clarity,a speech disorder affects the production of sound (i.e., the actual articulation of sound, distortions, misarticulations, and dropping syllables). In turn,a language disorder means the individual is having difficulty understanding language concepts (i.e., socially, following directions,or understanding word meanings). Our therapists work with children with both receptive and expressive language disorders, and can aid in any of the aforementioned challenges. We also offer services for children experiencing articulation, fluency, resonance or voice disorders.

Our expert therapist addresses expressive language disorder with excellence, and collaborates with parents. Children with expressive language disorder often have the language skills to comprehend written and verbal communication, but they lack the ability to form complex sentences,and remember previously learned words. They also tend to have a smaller vocabulary than their peers.

Play2Learn in Chesterfield, MO is an industry leading medical practice that is able to address all of these child language disorders, in order help your child get back on track with their language development. Setbacks with language development do not have to affect your child’s academics when caught and addressed at a young age.  If you are uncertain whether your child’s speech and language development is on track, a simple evaluation can never hurt.

A therapist from our highly skilled pediatric speech and language therapy team will evaluate the child’s therapy needs, and help the child reach his/her specific therapy goals. Clinic-based therapy is able to address delays in speech development that are often not recognized as a delay until the child has reached a specific age in the school system.

Our speech and language therapist holds a Certificate of Clinical Competence that reflects her level of excellence in Speech and Language Therapy.


Are you worried about your child?

Early signs of speech or language disorder show up differently at different ages. If you’re concerned your child has a speech or language delay, please contact our pediatric therapy team, or your pediatrician for an assessment.

Early signs of a speech or language disorder can start as early as seven months. Usually, a parent notices her child isn’t making sounds or babbling. By the age of two, if a child has less than 20 words, a screening for speech and language delays or disorders is recommended If your child has difficulty following directions he/she might have a receptive language delay.

If a child has a language concern they might substitute inappropriate words when speaking in a sentence or talk out of context. Children might also have trouble following directions, or have difficulty at school with reading and writing.

We also help children experiencing speech or language delays as part of our pediatric therapy services. Give us a call to schedule an appointment at our office in Chesterfield, MO.


Signs of Speech Sound Disorders

Your child may have trouble making sounds. He may substitute another sound, leave sounds out, add sounds, or change the sound. It can be hard for others to understand him.

It is normal for young children to say the wrong sounds. For example, your child may make a “w” sound for an “r” and say “wabbit” for “rabbit.” She may leave sounds out of words, such as “nana” for “banana.” This is okay when she is young. It may be a problem if she keeps making these mistakes as she gets older.

Adults may have speech problems that started when they were children. They may start to have problems saying sounds as an adult. They also may substitute, add, leave off, or change sounds.

Not every speech error is a problem. You and your child may sound different because you have an accent or dialect. This is not a speech sound disorder.

The chart below shows the age range for each speech sound.

By 3 months:

  • Makes cooing sounds

By 5 months:

  • Laughs and makes playful noises

By 6 months:

  • Babbles with sounds like “puh,” “mi,” and “da”

By 1 year:

  • Babbles longer strings of sounds, like “mimi,” “bababa,” and “upup”

By 3 years:

  • Says m, h, w. p, b, t, d, k, g. and f in words

By 4 years:

  • Says “y” and “v” in words
  • May still have trouble with s, sh, ch, j, th, z, l, and r sounds

Causes of Speech Sound Disorders

You may not know why your child has problems speaking. Many children learn to say speech sounds over time, but some do not.

Your child may have speech problems if he has:

  • A developmental disorder, like autism.
  • A genetic syndrome, like Down syndrome.
  • Hearing loss, from ear infections or other causes.
  • Brain damage, like cerebral palsy or a head injury.

Speech and Language Milestone Chart

By: PRO-ED Inc.

Developmental milestones

The course of children’s development is mapped using a chart of developmental milestones.

These milestones are behaviors that emerge over time, forming the building blocks for growth and continued learning. Some of the categories within which these behaviors are seen include:

By age one

  • Recognizes name
  • Says 2-3 words besides “mama” and “dada”
  • Imitates familiar words
  • Understands simple instructions
  • Recognizes words as symbols for objects: Car – points to garage, cat – meows
Activities to encourage your child’s language
  • Respond to your child’s coos, gurgles, and babbling
  • Talk to your child as you care for him or her throughout the day
  • Read colorful books to your child every day
  • Tell nursery rhymes and sing songs
  • Teach your child the names of everyday items and familiar people
  • Take your child with you to new places and situations
  • Play simple games with your child such as “peek-a-boo” and “pat-a-cake”

Between one and two

  • Understands “no”
  • Uses 10 to 20 words, including names
  • Combines two words such as “daddy bye-bye”
  • Waves good-bye and plays pat-a-cake
  • Makes the “sounds” of familiar animals
  • Gives a toy when asked
  • Uses words such as “more” to make wants known
  • Points to his or her toes, eyes, and nose
  • Brings object from another room when asked
Activities to encourage your child’s language
  • Reward and encourage early efforts at saying new words
  • Talk to your baby about everything you’re doing while you’re with him
  • Talk simply, clearly, and slowly to your child
  • Talk about new situations before you go, while you’re there, and again when you are home
  • Look at your child when he or she talks to you
  • Describe what your child is doing, feeling, hearing
  • Let your child listen to children’s records and tapes
  • Praise your child’s efforts to communicate

Between two and three

  • Identifies body parts
  • Carries on ‘conversation’ with self and dolls
  • Asks “what’s that?” And “where’s my?”
  • Uses 2-word negative phrases such as “no want”.
  • Forms some plurals by adding “s”; book, books
  • Has a 450 word vocabulary
  • Gives first name, holds up fingers to tell age
  • Combines nouns and verbs “mommy go”
  • Understands simple time concepts: “last night”, “tomorrow”
  • Refers to self as “me” rather than by name
  • Tries to get adult attention: “watch me”
  • Likes to hear same story repeated
  • May say “no” when means “yes”
  • Talks to other children as well as adults
  • Solves problems by talking instead of hitting or crying
  • Answers “where” questions
  • Names common pictures and things
  • Uses short sentences like “me want more” or “me want cookie”
  • Matches 3-4 colors, knows big and little
Activities to encourage your child’s language
  • Repeat new words over and over
  • Help your child listen and follow instructions by playing games: “pick up the ball,” “Touch Daddy’s s nose”
  • Take your child on trips and talk about what you see before, during and after the trip
  • Let your child tell you answers to simple questions
  • Read books every day, perhaps as part of the bedtime routine
  • Listen attentively as your child talks to you
  • Describe what you are doing, planning, thinking
  • Have the child deliver simple messages for you (Mommy needs you, Daddy )
  • Carry on conversations with the child, preferably when the two of you have some quiet time together
  • Ask questions to get your child to think and talk
  • Show the child you understand what he or she says by answering, smiling, and nodding your head
  • Expand what the; child says. If he or she says, “more juice,” you say, “Adam wants more juice.”

Between three and four

  • Can tell a story
  • Has a sentence length of 4-5 words
  • Has a vocabulary of nearly 1000 words
  • Names at least one color
  • Understands “yesterday,” “summer”, “lunchtime”, “tonight”, “little-big”
  • Begins to obey requests like “put the block under the chair”
  • Knows his or her last name, name of street on which he/she lives and several nursery rhymes
Activities to encourage your child’s language
  • Talk about how objects are the same or different
  • Help your child to tell stories using books and pictures
  • Let your child play with other children
  • Read longer stories to your child
  • Pay attention to your child when he’s talking
  • Talk about places you’ve been or will be going

Between four and five

  • Has sentence length of 4-5 words
  • Uses past tense correctly
  • Has a vocabulary of nearly 1500 words
  • Points to colors red, blue, yellow and green
  • Identifies triangles, circles and squares
  • Understands “In the morning” , “next”, “noontime”
  • Can speak of imaginary conditions such as “I hope”
  • Asks many questions, asks “who?” And “why?”
Activities to encourage your child’s language
  • Help your child sort objects and things (ex. things you eat, animals. . )
  • Teach your child how to use the telephone
  • Let your child help you plan activities such as what you will make for Thanksgiving dinner
  • Continue talking with him about his interests
  • Read longer stories to him
  • Let her tell and make up stories for you
  • Show your pleasure when she comes to talk with you

Between five and six

  • Has a sentence length of 5-6 words
  • Has a vocabulary of around 2000 words
  • Defines objects by their use (you eat with a fork) and can tell what objects are made of
  • Knows spatial relations like “on top”, “behind”, “far” and “near”
  • Knows her address
  • Identifies a penny, nickel and dime
  • Knows common opposites like “big/little”
  • Understands “same” and “different”
  • Counts ten objects
  • Asks questions for information
  • Distinguished left and right hand in herself
  • Uses all types of sentences, for example “let’s go to the store after we eat”
Activities to encourage your child’s language
  • Praise your child when she talks about her feelings, thoughts, hopes and fears
  • Comment on what you did or how you think your child feels
  • Sing songs, rhymes with your child
  • Continue to read longer stories
  • Talk with him as you would an adult
  • Look at family photos and talk to him about your family history
  • Listen to her when she talks to you