Discussions By Condition: I cannot get a diagnosis.

3 and half years old girl not speaking.

Posted In: I cannot get a diagnosis. 7 Replies
  • Posted By: Anonymous
  • May 12, 2007
  • 07:27 PM

My daughtet is 3 and half years old but she is only capable of saying 20-30 words. Her words are limited to "Water, open, sitdown, come here" and other 20 words. She is very, emotionally and physically, well developed but seem uninterested even reluctant to learn language. She makes good eye contacts but she tends to ignore people who try to talk to her. She doesn't like to be in a position where she has to respond verbally. The pediatricians ruled out autism (maybe in a very mild form) but her two seperate speach therapist think she falls into mild ASD or Asperger. Can anyone tell me what might be wrong with her or what can I do to help her?

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  • JVia,Does your daughter understand spoken language well? If you ask her to go get something (that is not a word she can/will say) does she go and get it?Has her hearing been tested? Did/does she have ear infections?When she does talk, is her speech clear? Does she stick to single words, or can she use phrases or sentences? Does she play with other children? Does she like to look at books? Does she like to watch TV? Does she like to be read to?Sorry for all the questions, but without more info, I'm not sure what to answer. So I'll look for your responses, and see what I can come up with.Best,Shula
    Anonymous 42789 Replies Flag this Response
  • Hi Shula,Thank you for gettng back to me so quickly.My daughter does understand few daily used request such as let's take bath,turn off the tv, put this in the rubbish and etc. I would say she understands about ten to fifteen command/request sentences. She also reponses when asked to fetch something she knows like toys or books. She never had ear infection but hasn't done a hearing test as of yet. This test is my next in agenda. But I know she can hear me well even when I whisper to her.When she speaks those few words she knows she can say them quite clearly and they are single words. Sometimes she can say something like "I'm coming" or "Sit down". She also likes to play with children and interested in what they are doing but often end up playing by herself because she can't communicate with them. She also likes to watch Walt Disney animations and can watch entire movie but doen't like books. She some times look at pictures on the book but doesn't want to be read. Really, she is normal child with lots of sparkles in her eyes always gets into mischiefs and extremely affectionate. Can she be autistic even with all this traits? If not, then what can be done?
    Anonymous 42789 Replies Flag this Response
  • My daughtet is 3 and half years old but she is only capable of saying 20-30 words. Her words are limited to "Water, open, sitdown, come here" and other 20 words. She is very, emotionally and physically, well developed but seem uninterested even reluctant to learn language. She makes good eye contacts but she tends to ignore people who try to talk to her. She doesn't like to be in a position where she has to respond verbally. The pediatricians ruled out autism (maybe in a very mild form) but her two seperate speach therapist think she falls into mild ASD or Asperger. Can anyone tell me what might be wrong with her or what can I do to help her?Have your daughter checked for vitamin B12 deficiency--- by them ordering a urinary methylmalonic acid test. Many children who have developmental delay-- including delayed or poor language have been found to have a B12 problem and respond very well to high dose B12.Do not give any B12 until you test her--- if you start giving her B12 and she responds and then test her--- it will screw up the results--- and you will never know if a B12 problem was what was causing her language delay If it comes back positive (which the MMA result will be elevated)--- she If you go on www.b12.com you will find Norman Clinical Lab--- which has been doing the urinary MMA test for over 20 years.Your pediatrician can order it for you at other labs also.I have co-authored the book, "Could It Be B12? An Epidemic of Misdiagnoses," Quill Driver Books, 2005---and chapter 6 deals with children, developmental delay, and chapter 12 deals strictly with autism and inborn errors of B12 metabolism. (13 reviews on Amazon.com)Sally
    Anonymous 42789 Replies Flag this Response
  • Really, she is normal child with lots of sparkles in her eyes always gets into mischiefs and extremely affectionate. Can she be autistic even with all this traits? If not, then what can be done?Hi JVia,What country are you in? Knowing that could (might not) help me direct you.My first suggestion would be to see if you can find a Speech and Language Pathologist, who deals with young children, and ask that person. But that could be very hard to find. The next would be an Pediatric Occupational Therapist, and have that person do a complete evaluation. Sometimes other issues are hiding, and can help pin-point what is going on. Right now, from what you've described, she has both receptive and expressive language problems. The sooner you get her working with someone on these problems, the better. Early intervention for language delay is generally more successful than later. Starting before age 4 is a very good thing.Regarding autism...the medical establishment has not got a great handle on autism. And one of the things they are finding is that some mildly autistic kids, especially girls, can be more sociable than they previously thought. I hope this is helpful.Best,Shula
    Anonymous 42789 Replies Flag this Response
  • I am not sure if this will help or not, but have her checked for Dyslexia also. They thought my son had Autisim and it turned out he had this along with tone deafness, so a lot of words came out very different. Good luck and hope she is okay?
    BigHopes 7 Replies Flag this Response
  • I think it could be Asperger's. My friend has a daughter with Asperger's and she is very similar. She is now 4 and half, she started to use proper language later that others, by age 3 and half, but she speaks now very nice and clearly.She had been at first diagnosed with high funkcioning autism, but now she is considered to have Asperger's.Your daughter may also have high funkcioning autism, so check about that.But Classic autism... it seems like she doesn't have it. I think that for talking about Dyslexia is too premature. At first the child have to be tought how to read and when she tries to read, we can start talking about des she have Dyslexia or not. This is my advice, but it sounds to me more about one of spectrum autistic disorders.
    Anasthasia 22 Replies Flag this Response
  • If your daughter understands what you say and can speak even a little.....it doesn't sound like any type of physiological issue to me. Some children just take longer than others to develop speech. Keep teaching her words and even asking her to say them....she'll get it. You can even make it a fun game where she is the 'star' and gets lots of praise when she says what you want her to. You could not give her things she wants unless she asks for it or otherwise show her the purpose of language, in a fun way. I do know that the more stressed out you become over this, she will pick up on that. So, try to keep calm about things yourself. It could just be her pace-- and I think she's entitled to it! My brother didn't begin really talking (like your daughter, just a few words) until he was 4. One day, out of the blue, he just began talking in sentences so the family story goes. He'd had all kinds of testing done because of course my parents were worried.......but it was just the natural development for him. He's a perfectly healthy adult now, never had any speech issues once we got him started. He doesn't have autism or any other disorder, never did. He simply began talking later than most. So, I guess I'm saying it could just be her preference. Remember, all people (children) are individual and go at their own pace for the developmental milestones. There might not be a thing wrong with your daughter.....just give her some time and try to make talking and words a fun thing for her so that she might be more inclined to use language. My bet is one day, out of the blue like my brother, she's going to surprise you with all the words she knows and just hasn't yet said.
    Harmonium 322 Replies Flag this Response
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