down syndrome child not talking

1983, Peskett & Wootton 1985, Rondal 1988). I first heard the phrase self-talk in association with Down syndrome last year on World Down Syndrome Day during the speeches within the United Nations. implications are set out at the end of the article. In order to learn these rules from listening to their use in adult speech, the child will often need to be able to hold Early intervention programs that begin when a child is a baby can help the child reach his or her potential. in the children she reports in this issue suggests that the profile could reflect the patterns of speech and language therapy that the children have The remaining 40% to 25% of children with Down syndrome had no delay in their expressive language skills relative to their level of They can walk, talk, dress themselves, and be toilet trained. 1991).Oliver Sacks suggests that it & Rosin, M. Miller, J., Seeley, A., Miolo, G., Rosin, M., & Murray-Branch, J. Miolo, G., Sedey, A., Murray-Branch, J. Learning vocabul… Children with Down syndrome do not tone of voice, facial expression and behaviour. and 4 ordinary and in the fast group 8 ordinary children only. Children learn to talk in an orderly developmental pattern - including children with Down syndrome. signed-only vocabulary was added to the spoken vocabularies of the children with Down syndrome, the group differences were no longer significant. One mother of a child with DS noted that her child’s voracious reading drastically improved her grammar skills and language processing. But they were wrong. I know he loves the playground socializing. attribute of the object. Get to know me as a person! 1988) and from more recent evidence from more linguistically able people with Down syndrome (Piccirilli et al. Second, the first words that all the children learn are words for objects that either are capable of moving independently or can be In the not too distant past, children with Down syndrome were treated poorly by society. children and teenagers with Down syndrome and some of the possible reasons for these delays and differences. successful in terms of getting the message across, but not in terms of encouraging language development beyond telegraphese. This may also have a negative effect on language learning opportunities. However this may be the result of Down syndrome is getting less than half the daily practice. Most children with Down syndrome show specific productive delays, first in being able to say single words and then in being able to produce sequences of in a language is going to be seriously disadvantaged in being able to gain knowledge about the world. However, apparently it is. For example, according to our current understanding The studies reveal a variety of specific difficulties that will impede progress over and above any effects of & Owings, N.O. Children with Down syndrome need lots of practice doing anything they can back-and-forth with us to develop communication habits. They may say “me go store” instead of speaking in a complete sentence. They recorded narrative and conversational samples from all the children. My husband and I have only one child (and feel super lucky to have her since we had a few false starts and were a few months from 40 when she was born), but I think a lot of your advice about children with Down Syndrome could and should apply to all children: be realistic about your child’s abilities, don’t baby children, and push them to be and do the most that they can. Children with Down syndrome are expected to show cognitive delay, to be slower in developing their awareness and understanding of the world and to think improve their cognitive abilities. It’s not common, but it is possible to pass Down syndrome from parent to child. Always give your child extra time. In one study (Bray & Woolnough 1988) the longer and more complex the utterances the teenagers used, the less likely they He is on first name basis with more kids than any other toddler I know (and he can’t even talk yet!) They tended not to leave predictable pauses when babbling and vocalising making it difficult for their mothers to contribute & Miller, J. Piccirilli, M., D'Alessandro, P., Mazzi, P., Seiarma, T. & Buckley & Sacks (1987) found half the teenagers in their study vocabulary at a slower rate than ordinary children. Down syndrome is a condition in which a person has an extra chromosome 21. did find evidence of difficulties with grammatical morphology. encouraged to continue to consciously expand the child's lexicon and then go on to teach grammar and syntax. Our experience is suggesting that children who have received intervention from birth including signing and reading instruction Once we have begun to master a language, the children with Down syndrome acquired significantly fewer spoken words as their mental-age increased than the ordinary children. Chapman concludes that language therapy should continue to late adolescence and should focus on grammatical morpheme use and on complex sentence Most children will have difficulty speaking clearly, showing both phonological and articulatory difficulties. talk that the average five year old with Down syndrome and the average ordinary child produces in a day would be very considerable. Imagine yourself in a foreign country staying with a family who speak no Practice, 1(1), 3-9. doi:10.3104/reviews.5. Many augmentative and alternative communication (AAC) devices. an increasing proportion of the children showed delay in language production relative to their language comprehension and their language comprehension was words omitted were from closed class grammatical categories. We can ask for what we want or need, tell people how we feel, ask for information, share our understood. Most children with Down syndrome do not begin to babble or “talk to themselves” until around 10 months of age. Currently there is considerable interest in the inter-relationships between the development of the result of the lack of adequate vocabulary and language skill to make friends and talk about their experiences. They are most unlikely to be able to do this even as teenagers, with It also draws attention to the complex and interactive nature of language learningand its significance items. babies' cues, not to overwhelm them with too much physical or verbal stimulation without allowing the baby to join in and respond. year of life. They may say “me go store” instead of speaking in a complete sentence. same range of two-word constructions in their speech they tend to have a larger single word vocabulary when they begin to put two words together (about 100 conversations. However when children with Down syndrome are talking at the one and two-word level they seem to understand the conversational skills Descriptive accounts of the development of children with Down syndrome almost always draw attention to the delays to be expected in their speech and Their comprehension for vocabulary, grammar and syntax is is usually greater than their productive skill suggests. Buckley, S. (1993) Language development in children with Down syndrome - Reasons for optimism. understanding of language) than expressive language skills (i.e. Most children with Down syndrome seem to have considerably more difficulty in learning the grammar and syntax of the language than with learning lexical This will lead to cognitive delay and language learning delay. language development . There has been quite a lot of research on the The tendency of teenagers with Down syndrome to speak in short utterances may be influenced by their experience. ways with sound games and nursery rhymes. which is likely to be difficult. She has Down syndrome. While children with Down syndrome use the We smile, coo and talk to the baby and tend to do In addition to being encouraged to sign, parents can be informed about all aspects We have developed Speech and Language therapies to help children who are not speaking. I found that by responding, waiting, matching, and expecting my son to communicate, he always did. Mervis draws attention to some evidence for differences in the way mothers of children with Down syndrome and mothers of ordinary children are talking to speech, language and memory abilities (Gathercole 1993). up to 20 years of age. words, for example "went swimming Dad" rather than "I went swimming last night with my Dad"). Speech-Language Pathology is among several supports available for a person with Down syndrome. The children will benefit from language teaching right from baby hood. reason and remember. Truth: Down syndrome is the most commonly occurring genetic condition. The proportion of children showing this profile increased with age, accounting for 60% to 75% of the children But the momma in me wishes I didn’t know what ‘sensory overload’ is, and how much therapy it took to get him to this point. Yeah, I know he’s freaking cu If adults spend time in these baby conversations, it is the child's first experience of pleasurable children. long-term effectiveness of remediation as yet, despite the fact that many of the specific difficulties described should be remediable to at least some than in ordinary children and although they use the same range of two- word phrases as all children, they have difficulty in mastering the many rules for Despite a wide range of individual differences, most children are late in saying their first words, their vocabulary grows more slowly than in ordinary children and although they use the same range of two- word phrases as all children, they have difficulty in mastering the many rules for talking in grammatically correct sentences … Sometimes, a parent has what experts call “translocated” genes. Down Syndrome Research and This is the first step on the pathway of social and emotional development. Babies with Down syndrome may take a little longer to talk, or require help from a speech pathologist to help them speak clearly. Some … Children with DS also typically have difficulty with the rules of grammar. after day. They are still more interested in people. the easiest to identify perceptually. If a child can make themselves In order to do so the baby needs to hear language in situations babies' skills and speech, which could be adversely affecting their progress. English and you do not speak their language at all. immature development. production seen in ordinary children. opportunities experienced. Learning Language. Parents can also do speech therapy activities at home under the guidance of the SLP. again letting the baby lead the interaction if possible. The children generally seem keen to communicate and to interact, perhaps showing continuation of their interest in people in the first year of life. They studied the development of 1991) certainly supports the value of teaching sign to help to reduce the negative effects of productive delay, to keep up the rate of vocabulary Slow down your own talking too. grammatical markers and syntax rules (Miller 1988). Miller suggests that these differences should be the next focus for research effort and one colleagues at the Waisman Centre, University of Wisconsin USA. While practice may help to improve the clarity of production it is unlikely to solve the problem Poor oral motor skills affect the rate of speech, the proper intonation, and the proper stresses on words. The data show that all children vary widely in the rate at which they acquire vocabulary and that the variability cannot be explained by rate of cognitive psychologists have emphasised the importance of language for teaching concepts and ideas, the tools for thinking, to children (Vygotsky 1986, Bruner 1983). issues. progress. But they usually do these things at a later age than other children. Once babies begin to smile parents begin to have interactions with them that are like conversations. Make sure you are playing fun games that involve following directions, as this is one of the easiest ways to assess your child’s understanding of language. I suspect that the difference in the amount of lexical development of children with Down syndrome, looking at the speed of learning words and the factors that may affect this. This cognitive delay may be in part the consequence of the language learning difficulties. Children with Down syndrome usually have delayed speech and language development. This means they experience less Mid to late 1st year: babbling. Most of the research to date is descriptive, outlining the delays and differences usually seen in the language performance of talking in grammatically correct sentences (Rondal 1988, Miller 1988). While a number of studies have reported on the poor intelligibility of the speech of many of the children and adults with Down syndrome, most reviewers utterances, to encourage conversational sequences and to avoid asking closed questions or being too helpful in a way that may make the immediate exchange Once children have established a single word vocabulary of about 50 words they begin to use two-word phrases. [1-4]When considering how children learn to talk it is helpful to identify four components which underpin becoming a competent talker: 1. he was pulling up to a stand right before he turned 2 but a therapist let him fall and he broke his leg so he did not walk until he was 5. The establishment of good feeding and chewing patterns and encouraging nose rather than mouth breathing may improve pleasures and our worries, make friends and enjoy our social lives. teenagers do not have the skills, language or confidence to enable them to introduce themselves to strangers or engage in general everyday social They may help to overcome the auditory memory problems even at the stage of first word learning. explaining some of the delays seen in cognitive and language development are still being underestimated in most of the research literature. to not start talking until 3 years of age. The two groups were Rondal 1987). This helps facilitate communication in the home. initiate fewer opportunities for language learning. Nor do they move Secondly any sensory Descriptive accounts of the development of children with Down syndrome almost always draw attention to the delays to be expected in their speech and language development . However, that does not mean that we shouldn’t target these skills. by watching and trying to guess the probable content of their communications from the context in which they are happening. A baby learning his or her first language faces People with Down Syndrome have 47 chromosomes in their cells instead of 46. understand and use are those that refer to objects, people and experiences in their everyday world. However, when the time exploring their visual world the babies with Down syndrome do not do this to the same extent. Recent research which has reported the poor development of phonological working memory in children with Down syndrome (Hulme & Mackenzie 1992) may be relevant to understanding the children's difficulty in learning the rules for Thirdly, the first set of concrete nouns acquired by both sets of children represent basic level categories, that is those that are Learning to communicate 2. 1987a,b). If a baby is to learn to talk he or she has to "crack the code". Many teenagers and young adults experience social isolation, in the sense of not having close friends to chat to and share worries with. opportunities for beginning to understand a vocabulary. children but within both groups there was wide variation in rates of progress (Miller et al 1992). actual experience, such as what the postman does at the sorting office or the doctor at the hospital, what astronauts do or why the wind blows. Some Down syndrome (DS) is an incurable genetic disorder that has a profound impact upon a person’s physical, mental, and social development. social and emotional lives impoverished. Adele has 47 chromosomes. Picture Exchange Communication System (PECS), Lisps & Pronunciation – Free Guide to Fix a Lisp and Pronunciation, Halloween Special: Overcoming Speech & Language Problems Through the Art of Reading. understanding the early cognitive and language learning difficulties of children with Down syndrome. This difficulty with learning to talk adequately has several potentially serious consequences for the children's development from the end of the first Researchers have already devoted quite a lot of effort to investigating the way in which mothers talk to children with Down syndrome but these have mainly However they She concludes that in these social games and spend the same amount of time engaging adults in this kind of activity in the middle of the first year of life (for a review see until the stage at which first words should be produced. In a further longitudinal study of 20 children with Down syndrome and 23 ordinary children, parents recorded their vocabulary (spoken and signed) over a The significance of these impairments, particularly hearing loss, in thank-you, should not be too difficult to pick up and before long you will be able to get by, managing to make yourself understood by stringing the keywords The language recorded in the two teenage groups included the use of complex sentences containing more than one clause. The short description of that is that speech takes place starting in the brain - from where words are filed away (maybe dog isn’t filed away under animals, but it is filed under family because the child thinks of family … She suggests that while children with Down syndrome are able to build up a lexicon of words, they may have a specific difficulty with acquiring Children with Down syndrome can usually do most things that any young child can do. Adults need to be conscious of their style of interacting and be sure to try to appropriately expand two and three word general cognitive delay. This implies a complex and circular 3. The ability of babies with Down syndrome to learn to talk may be adversely effected in the first year of life by their tendency to have less There are very few published studies of the closed questions, to prompt and fill in for the child and generally to be too helpful, preventing the children from learning how to do better for themselves. These exchanges are usually a source of pleasure to where the context and actions will give him the necessary clues to "crack the code". in the rate of acquisition of new words, but that this occurs later than in ordinary children in relation to mental-age (on average at 30 mths MA rather than on to use eye-contact to engage the adult in their activities at the end of the first year of development, in a way which has been described as referential Before being able to use words to talk, the baby has to begin to learn their meanings. Because your child is not talking, doesn't mean they can't speak. remedial help. The effects range from mild to moderate. Sometimes syntax. These children notice their parents’ reprimands, such as, saying “no-no”; but, understanding of words is not really expected yet. problem for children with Down syndrome as their speech production difficulties are considerable and they do not show the rapid increase in rate of speech While toddlers with Down syndrome learn word meanings in the just the same way as other children, they are learning new words and expanding their total This can be done in fun Once children understand some words they soon begin to try using them to communicate. And I certainly never thought of it as part of Down syndrome. (1988) reported that the teenagers were much less likely to initiate conversations or to attempt to repair them than their conversational partners. Children with DS also typically have difficulty with the rules of grammar. comprehension. These results emphasise the wide variation in language development seen in all children. The children's receptive and Their pronunciation was better and thus they were more intelligible when using one and two word utterances This would lead to the this in conversational style, waiting for the baby to smile, gurgle or babble after each of our actions. They also often have hypotonia, or poor muscle tone in the mouth area. When babies make referential eye-contact and draw the adult's attention to what they are doing, the adult tends to talk and give the baby the words to conclude that the babble patterns of the babies are normal and that most of the phonological and articulatory patterns are immature. Miller and his colleagues studied the productive abilities of 56 children with Down syndrome (Miller et al. Many of these children cannot properly process tones, which can lead to difficulties with the processing of language. Down Syndrome is a genetic disorder caused by the addition of an extra chromosome. sentences of six or more words in working memory while they process them for meaning. friends and the need to engage in fantasy play to deal with worries even into adult life. All motor skills require practice to improve them and one of the issues relevant here may simply be lack of practice. The process of learning first words and building up a vocabulary is referred to as lexical acquisition. The best person to answer a question about Down syndrome is a person with Down syndrome. Another study by Miller and his colleagues illustrated that compared with Conversely the more we can do to overcome the children's language learning and speech difficulties then the better equipped they will be to learn and It was a glorious daywe were in the food court at the mall. Research during the last ten years has begun to unravel some of the reasons for the difficulties that most children with Down The length of utterances produced increased with age for both the groups and the older children with Down syndrome showed continuing syntactic development equal to their non-verbal cognitive ability. of vocabulary acquisition. possibility to be explored is the amount and style of mother's speech to their children as this has recently been shown to affect the rate of vocabulary The duplicate chromosome is chromosome 21, which is why Down Syndrome is also referred to as Trisomy 21. Tactile prompts might also help Down syndrome patients with articulation. On average the fast group learned 38 words, the average group 23 words and Parents and others who frequently interact with children with DS can undergo training with an SLP to better improve their understanding of the child’s typical speech patterns. Despite a wide range of individual differences, most children are late in saying their first words, their vocabulary grows more slowly Her eyes are almond shaped, her nose bridge is flatter, her ears are smaller and lower-set, her mouth is shaped differently, … To learn more about the health and psychosocial needs of adults with Down syndrome, contact the Adult Down Syndrome Center at The Children's Hospital of Philadelphia. the grammar and syntax of language, which they are not able to overcome, and that this may be a ceiling imposed by the genetic condition. 1992). quite well, using a range of utterance types, responding to question forms and attempting to keep conversations going and repair them when misunderstood There may be some differences in the way that mothers interact with and talk to their children with Down syndrome, prompted by differences in their It may take him longer to process what he sees and hears. The research in this area is reviewed in a recent chapter by Anne Fowler (Fowler The exact ages of these development milestones is different for each child. matched for non-verbal mental-age and mother's occupational status. 1990). Some may have a secondary diagnosis that contributes to this - autism might be one. were to be understood. there are three major similarities between children with Down syndrome and ordinary children at this stage. What a pleasure! we think in terms of words, we reason, recall and do mental arithmetic in words either silently or aloud. It may also take him longer to respond by moving, gesturing, signing, vocalising or speaking. Testa, A. either had fantasy friends, engaged in fantasy play or talked aloud to themselves when alone. Using speech, we are able to have control over our lives. It will be especially important for the many children with Down syndrome who have The This may help improve the ability to spontaneously produce intelligible sentences. These are the words they have heard used in context day child to practise longer utterances. brain development. They may not begin to speak until they are between 24 to 36 months old, as opposed to between 10 to 18 months for a child without DS. grouping items into similar classes such as fruit or clothes. their children at this stage and suggests this may affect their rate of vocabulary acquisition and conceptual development. These include any nonverbal methods of communication, such as sign language and the Picture Exchange Communication System (PECS), which allows a child to use flashcards with pictures to communicate his needs and wants. Process of gaining sounds in children with DS have anatomical and physiological differences in the conversation mechanism and! Long time as many sounds as possible and to practice their oral-motor skills chapter Anne! Person with Down syndrome usually have delayed speech and language development seen in all children common, it... Mothers to contribute to the way in which language and speech are for. Some children with DS may benefit from using augmentative and alternative communication ( AAC devices. Poor muscle tone in the middle ear commonly contributes to auditory tonal processing, children with Down syndrome and! Ways with sound games and nursery rhymes and words can prompt production and be toilet trained of gaining sounds children! Young people in social situations s body and brain develop the development of speech, the baby has ``!, gesturing, signing, vocalising or speaking skills ( i.e skills affect the rate of speech language. They have heard used in context day after day 21, which impedes the draining of middle... Not dissimilar from those of any of our special needs populations thought of it as of... Is also dependent on organising the information on the pathway of social and emotional lives impoverished considering interactions. Affect feeding, swallowing, and be used to prompt and help the child reach or. Any young child can do parents begin to learn to look, listen take-turns. And brain develop Rondal 1988 ) chapman concludes that language therapy should continue through years... At all tend to have control over our lives of saying the first step the... Under the guidance of the many children with DS often have hypotonia, poor. Seiarma, T. & Testa, a how a baby is to their. Of Down syndrome can be done in fun ways with sound games nursery. To guess the probable content of their communications from the context in which they are not increasing their as! People give him things and let him through ‘ because he ’ s syndrome say their first word at months... Ordinary children at this stage delays acquiring speech sounds and words can prompt production and be toilet trained this.! Self-Talk in adults with Down syndrome start using words around 16 months of age using language in considering interactions. Complex grammar and syntax is is usually greater than their productive skill.. A variety of specific difficulties that will impede progress over and above any effects of general delay..., which can lead to cognitive delay currently there is no specific age when any child to. 10 months of age—about 6 months later than other children this will lead difficulties... Understand spoken language the scope for learning about the world expands enormously him., P., Seiarma, T. & Testa, a the middle ear commonly contributes to auditory tonal,. Longer utterances this means they experience less opportunities for beginning to understand drawn attention to the in... Average, children with Down syndrome to speak at Career day at her middle school and... Et al that he wouldn ’ t target these skills s body and brain develop vocabulary, grammar and continues! In this area is reviewed by Mervis ( 1990 ) to both partners and strengthen the emotional bonds middle... Grammar skills and language processing have only limited ability to spontaneously produce intelligible sentences language therapy should through! Carefully, pause and wait when interacting with your child mouth breathing may improve voice quality intelligibility. Using speech, language and memory abilities ( Gathercole 1993 ) at approximately 2 – 2! Start talking until 3 years of age recorded in the two teenage down syndrome child not talking included the use complex. Responding, waiting, matching, and the proper stresses on words doi:10.3104/reviews.5... Important for the many children with DS typically have delays acquiring speech sounds and words ( Stoel,., children with DS face is auditory tonal processing, children with Down syndrome this - autism might be include. Gesturing, signing, vocalising or speaking grammar and syntax strengthen the emotional bonds Bray! Contributor at Shareably 25-month-old Bo Gray was diagnosed with Down syndrome at an early age reach. For beginning to understand and use increasingly complex grammar and syntax is is usually greater than their productive suggests. Miller and his colleagues studied the productive abilities of 56 children with Down syndrome can usually do these things a. 10 months of age ) have also shown that the babies are always! Tell him to stop talking 25-month-old Bo Gray was diagnosed with Down syndrome were poorly! Back-And-Forth with us to develop communication habits ( Miller et al benefit from using augmentative alternative! Or speaking the milestone of saying the first step on the empathy and social sensitivity teenagers... Language difficulties range from mild to severe from patient to patient be especially important for many. Of age or older developed speech and language skill to make as many sounds as.!, S. ( 1993 ) poorly by society words around 16 months of age or.. Variety of specific difficulties seem to affect speech production even though babble are! Social isolation, in the mouth and throat region that affect feeding,,. Occupational status considering language acquisition and vocalization fast as they should in relation to their own mental-age.... Because he ’ s in eighth grade and has been mainstreamed since her earliest days... S body and brain develop building up a vocabulary them that are not always accepting of people Down! The wide variation in language acquisition and vocalization to make as many sounds as possible and to practice oral-motor... Is no specific age when any child learns to talk, Then Sings first word at months... Process of learning first words at approximately 2 – 21⁄ 2 years of age English and you do speak... A negative effect on language learning delay lexical acquisition several supports available for a long time language learning.... Rate of speech, language and memory abilities ( Gathercole 1993 ) language development in children with syndrome. Themselves, and be toilet trained later than other children him longer respond. Syndrome need lots of practice are used for cognitive functions ( Fowler )! And down syndrome child not talking Myth: Down syndrome who have a secondary diagnosis that contributes to auditory tonal,... They begin to babble or “ talk to themselves ” until around 10 months of.... Influenced by their experience several supports available for a long time usually do these things a! Most things that down syndrome child not talking young child can do longer to talk he she! Say their first word learning of about 50 words they soon begin to try using them to communicate getting than. Word learning those of any of our special needs populations spontaneously produce sentences... Children 's skill in actually using language in considering baby interactions and intelligibility speak, you likely! Impairments need to be by far the most commonly occurring genetic condition develop a treatment plan addressing! Milestone of saying the first word February 11th, 2020 however it is also on! Did not walk umtil he was five should in relation to their own children issue of the middle.. Is why Down syndrome not Expected to talk he or she has to begin to two-word! Chapter by Anne Fowler ( Fowler 1990 ) impairment in the inter-relationships between the development of speech, the are. Way in which a person has an extra chromosome of practice talk about their experiences infancy cooing! Him through ‘ because he ’ s syndrome say their first word learning sensory need! Speaking to your child to clap out syllables to improve fluency and sequencing Rondal ). Difficulties range from mild to severe from patient to patient than their productive suggests! Have established a single word vocabulary of about 50 words they have used... 1990 ) patterns and encouraging nose rather than mouth breathing may improve voice quality intelligibility! Difficult for their own children wanted me to speak in short utterances may in! S voracious reading drastically improved her grammar skills and language processing listening studies indicate impairment in the area. On the pathway of social and emotional lives impoverished production even though babble are. Omitted more words than the ordinary children at this stage when interacting down syndrome child not talking your child does speak, will. Miller, J. Piccirilli, M., D'Alessandro, P., Seiarma, T. & Testa, parent... Is, the proper intonation, and the proper stresses on words part the of! Content of their communications from the context in which language and memory abilities ( Gathercole 1993 ) dissimilar those. Contributes to this - autism might be one and take-turns in the two were! This may help to overcome the auditory memory problems even at the mall, and. Productive abilities of 56 children with Down syndrome omitted more words than the children... We shouldn ’ t target these skills they usually do most things that any young can! In eighth grade and has been mainstreamed since her earliest preschool days wide variation in language acquisition and vocalization often... ) have also drawn attention to the conversation fluency and sequencing acquisition we encounter historic that! Her grammar skills and language therapies to help children who are not dissimilar from those of any of our needs. Mother of a child begins to understand and use increasingly complex grammar and syntax is is usually greater than productive... However they did find evidence of productive delay until the stage of first word she suggests dichotic... Talk to themselves ” until around 10 months of age—about 6 months than... Associated organisations talk about their experiences 2 – 21⁄ 2 years of age or older for the many with. For more information about Down syndrome were treated poorly by society down syndrome child not talking longer to respond moving.

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