• Speech is a form of expression that is not just a function or mouth and lips or vocal apparatus.
  • Apart from above following are more common causes
  • A child who cannot hear.. deafness
  • A child who can hear but cannot listen, attention deficit
  • A child who gives attention but cannot understand, cognition deficit
  • A child who can understand but cannot express, apraxia/aphasia
  • Apraxia of speech: non verbal Communication deficit 
  • Aphasia of speech: verbal communication deficit
  • Often if the child has behaviour issues in addition, there is also likely hood or poor understanding and possibility of autism.
  • Speech delay lasting more than three months is itself a form of  disability
  • Other speech issues are speech paucity, echolalia, only need based speech,poor vocabulary issues related to sentence formation, issues of syntax and grammer and speech with poor composition and poor comprehension
  • Remember unless child hears, listens, understands...child cannot express
  • Initial expression is by eye contact, facial or body language or pointing
  • And then only expressing in words
  • Understanding to expression journey is two years with normal brain, needs active inputs of wide vocabulary through stories, essays and compositions.
  • Teaching by music, videos, questions and physical activity doesn't help in improving cognition and vocabulary.
  • Teaching by asking is like taking exam before the topic is understood.
  • For more speech related tips by Dr Kondekar visit Facebook page http://facebook.com/speechandsenses
  •  comprehension.Each one will have a different way if approach.You may read my tips on speech development at www.facebook.com/speechandsenses