Phonological disorder is a type of speech disorder known as an articulation disorder.
Children with phonological disorder do not use some or all of the speech sounds expected for their age group.
Articulation disorder; Developmental articulation disorder; Speech distortion; Sound distortion; Speech disorder - phonological
This disorder is more common in boys.
The cause in children is often unknown. Close relatives may have had speech and language problems. Other risk factors may include poverty and coming from a large family.
Phonological disorders may also be caused by:
In a child developing normal speech patterns:
Children with phonological disorder have:
These errors may make it hard for other people to understand the child. Only family members may be able to understand a child who has a more severe phonological speech disorder.
Exams and Tests
Children should be examined for disorders such as:
The health care provider should ask about issues, such as whether more than one language or a certain dialect is spoken at home.
Milder forms of this disorder may disappear on their own by around age 6.
Speech therapy may help for more severe symptoms or speech problems that don't get better. Therapy may help the child create the sound, for example, by showing where to place the tongue or how to form the lips when making a sound.
The outcome depends on the age at which the disorder started, and how severe it is. Many children eventually develop almost normal speech.
In severe cases, the child may have problems being understood even by family members. In milder forms, the child may have difficulty being understood by people outside the immediate family. Problems with social interaction and academic performance may occur as a result.
When to Contact a Medical Professional
Call your provider if your child is:
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Review Date: 5/18/2016
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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