Speech Sound Disorders

As children learn to talk, they may say some sounds incorrectly. For example, a child may say wed instead of red. Some speech sounds develop earlier for children, while others take longer to learn. Many children can accurately produce nearly all speech sounds by four to six years of age. Children who have not learned these sounds by their expected age of development may have a speech sound disorder.

Signs of a Speech Sound Disorder

  • substituting one sound for another

    • For example: saying wed for red

  • omitting sounds from words

    • For example: saying at or ba for bat or tar for star

  • changing consonant sounds

    • For example: saying gog for dog or cop for top

Possible Causes of Speech Sound Disorders

  • childhood apraxia of speech

  • dysarthria

  • hearing loss

  • cerebral palsy

  • traumatic brain injury

  • developmental disorders, like autism

  • genetic disorders, like Down syndrome

While some speech sound errors are typical for a younger child, they become indicative of a speech sound disorder as children get older. It is important to note that accents and dialects are not speech sound disorders.

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