Patient's question:
Is it the same as ADHD? He has hearing and language abilities. His speech is unclear. He never answers when guests come. He also plays with children. He shows emotions while watching TV. He has simple communication with his mother. By the age when normal children start to answer, he...Doctor's answer:
Hello, if a child who is over two years old still does not respond verbally, there are mainly two possible reasons: 1. Delayed language expansion; 2. Mild intellectual disability.Suggestions: Family factors are also related to the timing of verbal response. Some children have normal intellectual development, no hearing impairment, and no other diseases found, but they respond late. This situation may be related to intergenerational inheritance in the family, as their parents might have also been slow to speak in their childhood. Generally speaking, oral conditions in young children, such as cleft lip, cleft palate, or an elongated frenulum, will never cause delayed speech. Before these conditions are repaired, they may only interfere with the clarity of speech.
It is best to communicate with the child as much as possible. Although the child may not be able to speak, they can understand. Simple words can be encouraged through continuous repetition. Good parent-child interaction is the optimal environment for a baby to learn to speak. Repeat the words you want the child to practice, or say them loudly. Repeat the same words to the child, sing the same songs, and recite the same rhymes. All of this can naturally occur during caregiving and can have a progressive effect. A rich language input is very necessary.
Do not worry too much.