

When do children start talking?
This is one of the most common questions posed to a speech therapist. As a parent, if this questions has come to your mind – this indicates a certain level of concern for your child which is a great start. An open minded parent, who shows keen interest in their child’s developmental milestones, is the beginning of a child’s progress. Being in denial about any delay in your child’s milestones is more detrimental to your child than the actual delay itself. For any concern, assistance is always available. Trust your gut feeling – motherly instincts are there for a very good reason, listen to it. At the end of this article we share a fun activity to encourage your child to make verbal requests in various lengths with the final aim being – “Mommy, may I have more chocolate pizza please” The standards that we have for our children differ according to various factors. Two parents, who may have had a rough childhood financially, could have opposing views regarding money when it comes to their own children. One parent may feel that their children need to value money in the same way hence they limit their spending and have a set amount of allowance they receive. The other parent may feel that they do not want their child to be ‘deprived’ the way they were hence they have no limits regarding how much money their child receives. Both parties need to have a common ground to avoid conflict in their relationship and the relationship they have with their child. You might be wondering – what does this have to do with my child’s speech development? In the same way 2 parents can have different opinions regarding finances, 2 parents can also have different opinions whether a child’s speech is delayed “just like so and so’s son” or a visit to a speech therapist is compulsory. Depending on who you ask, the stage of “talking” is interpreted differently. For some, it may be when a child starts using vocalisations such as /nana/ whilst others it could be when a child uses a two-word utterance such as /baba gone/. The former is known as babbling which begins around the age of 4 months and the latter is achieved by 18 months. Before we discuss these milestones in greater detail, let’s understand the difference between speech and language. As elaborated in our May edition, All You Need to Know About Speech Therapists, “speech” is the actual sounds that emanate from the mouth. Disorders of speech can include stuttering, a lisp, apraxia, dysarthria. “Language” is a system of communication made up of written text and sounds. Language is further broken down into receptive and expressive language. A child who can follow age appropriate verbal instructions but is unable to express himself verbally is said to have delayed expressive language development. At birth, your new-born’s sole method of communicating hunger, pain and discomfort is by crying (see Dunstan baby language by Priscilla Dunstan as featured on the Oprah Winfrey show). Cooing and laughter are 2 reflexes that a baby can’t control i.e. it happens naturally. Playing the game peek-a-boo is an ideal way to stimulate these reflexes in children 4 – 12 months. They would laugh (sometimes uncontrollably!) at almost any silly sound that you make. Just as walking is preceded by crawling, so too is talking preceded by babbling. For some babbling are the non-sense sounds which babies make that have the ability to melt anyone’s heart. Ironically, we can’t wait for babies to start talking, however once they are older and the questions don’t stop – we wish they would keep quiet. 4 – 5 months Simple babbling Ba – na – da Your child discovers s/he has a “voice” and will experiment with pitch, volume, tone etc 6 – 7 months: Reduplicated babbling (repeated the same sound) Baba – nana – mama – dada A string of the same sound may be repeated e.g. mamamamama 8 – 9 months: Variegated babbling (repeating different sounds) Maba – daba – bana 10 – 11 months: Jargon 12 month: First meaning word By the age of 12 months, your child will understand more words than they can say i.e. their receptive language will be greater than their expressive language. As parents, it is tempting for us to respond to our children’s non-verbal cues as compared to prompting them for a verbal response. Let’s explain further using a practical example Scenario 1 Ten-month old Ben was playing with a soft ball which has rolled under the bed. His mother noticed that the ball has disappeared. Without saying a word, she reaches under the bed to get the ball and pass it to Ben. Ben’s mother could have used verbal and non – verbal communication which requires minimal effort but has a profound impact on Ben’s development. Scenario 2 Ten-month old Tom’s mother, Sarah, noticed that his favourite toy fell off the table. She turned to Tom and asked, “Where is your toy” while using exaggerated facial expression, a questioning tone of voice and arms in the air. Sarah then puts her hand over her mouth and says “Oh-o!” with her other hand on her hip. By now Tom is carefully examining his mothers body language and taking cues from her tone of voice that something is wrong. Sarah then repeats the words “Gone!” in a stern tone a few times. Tom is making association between his mothers body language, tone of voice and choice of words. Sarah decides to let Tom crawl on the floor and look for his toy. He finds his toy and exclaims by saying ‘bababa’. Sarah then takes the toy away from him and places it behind her back, out of Tom’s sight. She asks Tom again, “Where is your toy”. Only once his facial expression changes does she repeat the words “Gone!” using the same tone of voice and facial expression as before. Sarah has used the opportunity to expand her child’s