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This is atypical. Please seek out a speech and language evaluation for your child.
Sincerely, An SLP |
+1 this is a receptive issue. Talk to Ped and many counties like MoCo will do a free eval. |
| I would have him evaluated. My daughter had the same issue when she was a little younger than your son. It’s a mixture of echolalia and pronoun reversal. Like the other poster, DD had other issues and her speech does not involve as much back and forth as she should be able to produce given her large vocabulary and age (she’s nearly 4). Just like the previous poster: lots of commenting and requesting, and unless you have or are around a lot of children, you wouldn’t recognize the problem. |
It is not atypical in two year olds. In fact echolalia peaks at 30 months - the exact age of OPs child!!! It only becomes a concern if it persists significantly at age 3 and beyond. |
| It’s totally normal. |
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I don’t think it is normal. My now-8 year old would say things like “help you?” when he was asking for help at that age. What op describes resonated 100 percent with me. Between ages 3-4 he was dx with a mixed expressive receptive language disorder and then ASD, and now ADHD. We have done school and private therapy for years and he still has poor receptive speech and struggles with expressive speech.
He is also on grade level, has zero behavior issues, and a ton of friends. For me, it’s a flag. Also the fact that you posted tells me you have a hunch something isn’t right. I recommend you have him evaluated- if needed, the sooner he gets services, the better. My kid has made HUGE strides but the best advice I ever got was someone told me that issues like this can’t necessarily be “cured” with a few speech sessions. It’s years of support that give them the skills to adapt and adjust to a disability. Sorry to freak you out. It could absolutely be nothing, and if it is something, I am confident you will be able to support your child and they will thrive because of your support. |
Bad advice, Listen to the SLP. |
Not necessarily. He might understand you, but not have the words to respond so he is repeating back what you say. Model for him the correct response and look into early intervention if you haven't already. |
There was no advice there - just a statement of fact that echolalia is normal in a 2 year old. Actually it's terrible advice to listen to anyone on DCUM. https://teachmetotalk.com/2008/06/01/echolaliawhat-it-is-and-what-it-means/ |
| This should warrant a speech eval. +1000 to the recommendation for OWLS - they rock. Best of luck to you and your kiddo! |
| OP here- thanks for your responses. My DS was in early intervention around 19 months of age when he had no words. Around 22 months of age he started saying a few words so we thought things were fine. There have been other signs that have bothered me, like hand leading, lack of joint attention and sleep regression. But the pediatrician doesn’t seem to be concerned at all which just causes more anxiety for me. |
| The pediatricians are not child development experts. Please make an appointment for your own sake. I’ve been in your shoes. |
Hey OP—agree with other posters that this isn’t really a good area of expertise for a pediatrician. I am the pp who mentioned my DD has ASD. I always had these gut concerns that things were a bit off with her but she was never delayed “enough.” None of her screeners that we filled out at the ped’s office flagged any developmental concerns (other than a brief stint, similar to yours, in speech therapy where she caught up). I finally asked her preK teacher what she thought about 2 months into her first year of preK—she had just turned 2 and was the youngest in her class so the teacher offered a lot of caveats. But she said yes she had similar concerns as I did—and she was a veteran teacher so I felt very seen! I let our pediatrician know who said you know I don’t see anything, she doesn’t screen on anything as warranting concern, BUT your teacher sees her way more and so do you so I definitely think an eval is warranted. We got onto the child development clinic at children’s National waitlist (which was fairly short compared to a lot of wait lists around here). We simultaneously signed up for an Early intervention eval through the county which found no real significant delays so we were not offered services. The child development clinic’s eval was more thorough and they ended up diagnosing the ASD at the end of her session. It really helped offer insight into what sorts of therapies to line up for her. Anyways I am not trying to alarm you by any means—just saying that you should go with your gut. Schedule an early intervention eval and if you are local, look into children’s child development clinic (or similar if you aren’t local). You could be worrying about nothing and they will affirm that, or your worries could confirm there’s something going on which will give you insights into next steps! |
I'm the PP whose 2.5 yo son was just diagnosed with ASD. I was also falsly reassured by the early intervention evaluators when they said they did not suspect autism at all, so I put off the Children's evaluation until the echolalia started popping up. The autism evaluators at Children's thought his case was very evident, however, even though it was less so for me and apparently the other more general evaluators at early intervention. |