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Parenting System that Reduces Problematic Behavior in Children and Teens with ASD Level 1


From the office of Mark Hutten, M.A. - Counseling Psychology

Highly Effective Research-Based Parenting Strategies for Children and Teens with High-Functioning Autism: Learn How to Reduce - and Eliminate - Meltdowns, Tantrums, Low-Frustration Tolerance, School-Related Behavior Problems, Sensory Sensitivities, Aggression, Social-Skills Deficits, and much more...
 


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Dear parents,

I'd like to talk to you about my parenting system that significantly reduces problematic behavior in children and teens with Asperger's and High-Functioning Autism (ASD Level 1).

"Parenting Children and Teens with High-Functioning Autism" is a 4-part downloadable eBook (along with audio instruction) designed to help parents of Asperger's and High-Functioning Autistic kids who are experiencing behavioral difficulties. The program contains prevention, identification, and intervention strategies for the most destructive of autism-related behaviors.

Although ASD [Level 1] is at the milder end of the autism spectrum (i.e., high-functioning autism), the challenges parents face when raising a child on the autism spectrum are more difficult than they would be with an "average" child. Complicated by symptoms associated with the disorder, the HFA child is at risk for even greater difficulties on multiple levels, unless the parents’ disciplinary techniques are tailored to their child's special needs.

The standard disciplinary techniques that are recommended for “typical” children and teens do not take into account the many issues facing a youngster with a neurological disorder. Meltdowns, shutdowns, aggression, sensory sensitivities, self-injury, isolation-seeking, and communication problems that arise are just some of the issues that parents of these young people will have to learn to address.

Parents need to come up with a consistent parenting plan ahead of time, and then present a united front and continually review their strategies for potential changes and improvements as the HFA child develops and matures.

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Kids on the autism spectrum possess a unique set of attitudes and behaviors:

Social Skills— Social conventions are a confusing maze for young people with HFA. They can be disarmingly concise and to the point, and may take jokes and exaggerations literally. Because they struggle to interpret figures of speech and tones of voice that “neurotypicals” (non-autistic children) naturally pick up on, they may have difficulty engaging in a two-way conversation. As a result, they may end up fixating on their own interests and ignoring the interests and opinions of others.

Sensory Difficulties— Children on the autism spectrum can be extremely sensitive to loud noise, strong smells and bright lights. This can be a challenge in relationships as these "special needs" kids may be limited in where they can go, how well they can tolerate the environment, and how receptive they are to instruction from parents and teachers.

Routines and Fixations— These young people rely on routine to provide a sense of control and predictability in their lives. Another characteristic of the disorder is the development of special interests that are unusual in focus or intensity. These children may become so obsessed with their particular areas of interest that they get upset and angry when something or someone interrupts their schedule or activity.

Interpreting and Responding to Emotion— Children and teens on the spectrum often suffer from “mindblindness,” which means they have difficulty understanding the emotions others are trying to convey through facial expressions and body language. The problem isn’t that these kids can’t feel emotion, but that they have trouble expressing their own emotions and understanding the feelings of others. “Mindblindness” often give parents the impression that their child is insensitive, selfish and uncaring.

Awkwardness— Children with HFA tend to be physically and socially awkward, which makes them a frequent target of school bullies. Low self-esteem caused by being rejected and outcast by peers often makes these kids even more susceptible to “acting-out” behaviors at home and school.

School Failures— Many HFA children, with their average to above average IQs, can sail through grammar school, and yet hit academic and social problems in middle and high school. They now have to deal with four to six teachers, instead of just one. The likelihood that at least one teacher will be indifferent or even hostile toward making special accommodations is certain. The adolescent student on the autism spectrum now has to face a series of classroom environments with different classmates, odors, distractions and noise levels, and sets of expectations. HFA teenagers, with their distractibility and difficulty organizing materials, face similar academic problems as students with ADHD. A high school term paper or a science fair project becomes impossible to manage because no one has taught the teenager how to break it up into a series of small steps. Even though the academic stress on a "special needs" teenager can be overwhelming, school administrators may be reluctant to enroll him in special education at this late point in his educational career.

Social Isolation— In the school environment where everyone feels a bit insecure, children and teens that appear different are voted off the island. HFA students often have odd mannerisms. Isolated and alone, many of these "special needs" students are too anxious to initiate social contact. They may be stiff and rule-oriented and act like little adults, which is a deadly trait in any popularity contest. Friendship and all its nuances of reciprocity can be exhausting for the kid on the spectrum, even though he wants it more than anything else. 

As the years go by, are you seeing your child rapidly becoming reduced to a person who is surviving on:
  • anger
  • being a mistake
  • depression
  • hate
  • isolation
  • low self-esteem
  • resentment
  • sadness
  • ...and self-hate?

Have you heard your child say things like:
  • I'm a mistake.
  • I'm dumb.
  • I'm useless.
  • I hate myself.
  • I wish I was dead.
  • What is wrong with me?
  • Why was I born?

If so, then alarm bells should be going off. You know changes need to happen! Low self-esteem and behavioral problems go hand-in-hand!!!

The program "Parenting Children and Teens with High-Functioning Autism" is guaranteed to (a) improve your child's behavior and self-esteem, and (b) empower parents and assist them in starting to enjoy their amazing and talented child or teen.

Parenting young people on the autism spectrum is tough!  If you don't know how, that is. In this program, you will discover how to:
  • Be your child's best advocate
  • Help her comply with rules and expectations
  • Help him learn positive ways to "work with" his differences - not to "fight" them
  • Learn the specifics of autism-related behavior and how to keep it in perspective
  • Look at mistakes as lessons - not as major set-backs
  • Re-evaluate your expectations
  • Take your power back as the parent
  • Tune-in to who your child genuinely is - not what the stereotypical child is (based on social beliefs)
  • Cope with your child's difficult and aggressive behaviors
  • Understand what is really going on inside her head
  • Help him cope better in the community and at school
  • Keep the peace at home with the rest of the family
  • Greatly improve your child's self-esteem, because "special needs" kids with low self-esteem have very little - or no - motivation to change behavior

==> If you have tried talking, screaming, punishing, pleading, and negotiating - but your Asperger's or HFA teenager still walks all over you… 

==> If you find yourself "walking on eggshells" around your child trying to avoid saying something that will set him off… 

==> If you are tired of struggling with a person who is disrespectful, obnoxious, or even abusive toward you in your own home… 

==> If you are frustrated and exhausted from constant arguing… 

Then download this 4-part eBook, and begin the healing process within 5 minutes from now!

Imagine NO MORE:
  • Begging to get your child to respond to simple requests
  • Getting pulled into pointless, never-ending arguments
  • Energy-sucking power struggles that ruin the whole evening
  • Feeling powerless and stress-out because nothing you say to your child gets through

Now, when you talk, your youngster will listen and respond appropriately. Don’t go another day being a hostage in your own house. Get back in control of your child today.

I can tell you from over 20 years of experience that "bad autism-related behavior" does NOT change without an intervention like the one I'm giving you here. Inside this program, you will get all the tools you need to improve your child's behavior... or your money back!

The problem is that most parents of children and teens on the autism spectrum have tried very hard to get just a little respect and compliance, but with little - or no - success. And it seems the harder the parent tries, the more the child feels frustrated, which often results in tantrums, meltdowns, or non-compliance.

I often hear the following statement from parents: “I've tried everything with this child – and nothing works.” But when they download this program, they soon discover they have NOT tried everything – rather they have tried some things.

You now have the opportunity to learn "cut-to-the-chase" parenting strategies that work immediately rather than weeks or months down the road. And I guarantee your success or you get your money back – and you can keep the 4-part eBook. This is how confident I am that this information is going to work for you!

No, I’m not a miracle worker. But you don’t need a miracle! All you need is this set of proven parenting techniques – specific to the Asperger's and HFA condition – to use with your "special needs" child or teen.

If parents don’t have the techniques outlined in this program, all they are left with are typical disciplinary methods. And as you may have discovered, typical methods don't work with an HFA child.

Here is a partial list of typical parenting strategies. Parents have found these strategies to have little - or no - effect on their "special needs" child's behavior:
  • Trying to "reason" with the child
  • Having heart-to-heart talks
  • "Confronting" the child or being assertive
  • Grounding
  • Taking away privileges
  • Time-outs
  • Counseling
  • Trying to be a nicer parent
  • Trying to be a tougher parent
  • "Giving in" and letting the child have his way
  • Verbal warnings
  • Ignoring misbehavior
  • Medication
  • Having the child go live with his other parent (if parents are separated or divorced)
  • Having another family member "talk to" or attempt to "mentor" the child
  • Threatening to send the child away to a juvenile facility
  • Threatening to call the police
  • and so on...

I’m giving you the chance to break the cycle of confusion and non-compliance …to bring some peace back into your household again …and to keep your child from potential self-destruction. And you can start in just 5 minutes from now!

In the "Parenting Children and Teens with High-Functioning Autism" program, you will receive:
  1. The Comprehensive Handbook on Parenting Children on the Autism Spectrum
  2. How to Stop Meltdowns and Tantrums
  3. Teaching Social Skills and Emotion Management
  4. My audio book entitled “Unraveling The Mystery Behind High-Functioning Autism”
In addition, you will receive:
  • The “Parenting Defiant Asperger's and HFA Teens” audio course
  • Access to me, Mark Hutten, M.A., as your personal parent coach (via email correspondence) 
  • My 100%, Ironclad, "Better-Than-Risk-Free" Money Back Guarantee

I say "better-than-risk-free" because this whole package is yours to keep even in the unlikely event you decide to ask for a refund. If for any reason you aren't completely satisfied with your purchase, just contact me within 60 days (that's right – two months!), and I'll give you a 100% prompt and courteous refund...  no questions asked!  I’m the one taking the risk here – not you.

I’ve learned a lot in my 20+ years of working with families affected by autism spectrum disorders. And this counseling psychologist is putting all of his best tools in this one package that can now be yours.

I trust that you’ll take a step of faith here and get started with this on-line program today. 

~ Mark Hutten, M.A.


CLICK HERE  to get started...
 
[Note: At check-out, click on RETURN TO MERCHANT 
before leaving PayPal to access this digital product.]

With this parenting toolkit, you will finally be able to manage your child's meltdowns, tantrums, attention difficulties, behavior problems at home and school, picky eating, problems completing homework, rigid thinking, rituals and obsessions, sensory sensitivities, sleep problems, social skills deficits, verbal and physical aggression ...and much more!


About the Author: 

Mark Hutten, M.A. is the executive director of Online Parent Support, LLC. He is a parent-coach (Master's Degree) with more than 30 years’ experience. He has worked with hundreds of children and teenagers with ASD Level 1 and High-Functioning Autism (HFA), and presents workshops and runs training courses for parents and professionals who deal with Austim. Also, Mark is a prolific author of articles and eBooks on the subject.

Contact Information:

Online Parent Support, LLC
2328 N 200 E Anderson, IN 46012
Phone: 765-810-3319
Email: mbhutten@gmail.com


Testimonials :

"Mark.  I just wanted to tell you that I have purchased so many Parenting programs for help with my son with ASD. While they do touch on related issues, they seem to operate on the principle that these kids are from the same mold and will all respond to the same forms of discipline. Your program is the first (and I think the last) one that has actually helped my situation. Thank you!!!" ~ D.H.

"Today I spoke to my son's former counselor (whom I was asking for a referral for another counseling, which I did before I found your program). I told her, 'I think I don't need it for now,' because I found your site. I gave her your site and told her to spread the word about your program, since her job deals with parents and kids of similar problems. Thanks for all the help!" ~ A.D.

"Thanks Mark. I have been very impressed with your advice and felt I should 'pay it forward' as we feel we are getting such extreme value for our money. As such, I sent your email address to the doctor who was 'trying' to help us. Our son was so extremely disrespectful during our visit with the doctor that he was exasperated at the end and told us there was nothing more he could do and so we should consider kicking him out at 18 and prior to that, send him to a home for 'raging' teens if his behaviour continued. I also note that our doctor has a Psychology degree. I know he has many cases such as ours, so I sent him your website to pass on to other parents who would benefit from this resource. Kindest regards!" ~ S.F.

"I just started your program, but I am already seeing an amazing and positive difference in my HFA daughter. We have struggled with her behavior since she was 9 months old. I was humbled and astounded to learn that I was a big part of the problem in the way that I was reacting to her. We actually have some peace in our home and she even hugs us and says 'I love you' on a regular basis. She has  even begun apologizing for getting angry and being unreasonable. The next step is to help her bring her grades up and stay out of trouble at school. I have every confidence that we have turned a corner and I’m referring everyone I know to your program. Thank you!" ~ T.E.

"My Asperger child (high functioning) had been on medication for ADD for several years.  It never seemed to help the way we hoped. His anger was out of control and most of the walls in our home had holes from him punching them.  He was violent with his siblings and distant from us. I found your program while looking for a treatment facility to send him away to.  I knew it was not safe for his brother and sister if he stayed in our home. About 2 and a half weeks into your program we were able to take him off the medication and he continued to improve. (His doctor insisted we were making a huge mistake and that medication was the only way to help him.)  He is changing into a more confident self-controlled person thanks to your program. He used to scream at me how much he hated me.  Now when he does not get his way he will yell, 'Why are you such a good parent???' He will try to sound angry, but he is letting me know he is happier with the way things are now.  He is learning to diffuse tense situations as well.  We have both become better people.  Thank you for giving me my son back." ~ K. M.

"Nothing has helped as much as this common sense advice. We've been to counseling, read books, you name it.  We can't even put into words what we owe you.  Thank you so much for your help." ~ L.B.

"I have purchased your program ... just wanted to say how amazing your work is proving to be.  I work in psychiatry but have struggled to discipline my son and to understand his behaviour.  I have put in to practice the first week session and already it is working.  Your insight into teenagers with Asperger syndrome is amazing... it was like you had written it all for my son and I.  Thank you, a thousand times, thank you.  I’ll keep you informed of J__’s progress." ~ T.J.

"I wanted to say thank you for all your support, sound advice, and speedy email responses. You were the only person I could speak with, and you helped me enormously. I will never forget your support Mark - when I was terrorised and totally overwhelmed, you gave me the strength and support from half way around the world that allowed me to do my very best for my autistic son. God bless you for your generosity of spirit and your great work." ~ V.T.

"I am so thankful and blessed I found your website.  I am incorporating your suggestions into my life with my 15-year-old daughter on the spectrum – and things are going so much better.  We are both trying and, though she still goes to counseling, I feel like I have tools to work with her now.  Thanks a $$$million and God Bless You!" ~ J.P.

"I started using the language and skills suggested and WOW what a difference it's making already! My most defiant Aspie is being positive, kind and respectful to me. It's hard to change, but I'm convinced this is going to work for my family. I've learned that my actions have a direct effect on my child, and when I show him respect, I get it right back! Thank you so much for retraining me!!!" ~ M.H.

"I have seen such a change in myself and my son, it's amazing. Not that the problems are all gone, but simply by saying I'm not arguing and honoring that, even though I've said it before, surprised him (and me) and put an end to so many problems. It was like I was the MOM again. I guess just having the support of the program helped and knowing there were others out there with the same problems." ~ T. A.

"I just wanted to say THANK YOU. I was trawling the WWW at 02.30 for some help and found your sight and thought I would have a look. I sat in tears listening to you... it was like you had stepped into my home and seen the destruction, the tears became tears of relief that I could possibly make a change in my parenting that could help change my child's behaviour, and so I signed up. It has taken me 2 weeks to get though the first part of the program, but I have already seen tiny creaks for the better in all our behaviour." ~ E.B.

"Thank You Mark! Our prayers were answered with your program/ministry.  We are gradually reclaiming control of our family. THANK YOU for bringing love, peace and harmony to our family once and for all this time.  Yes there are still those idle complaints here and there and the occasional gnashing of teeth. But we have seen so many improvements in our special needs child since we, the parents, have changed our perspective and attitude." ~ R.W.

"I wanted to just take a minute to Thank You and to share my results thus far with my teen son (aspergers, high functioning) using your methods. We have been in counseling since February of this year and yesterday, we withdrew. In all these months, I never felt like we were making any permanent progress....just dancing around, two steps forward, one step back..etc. Since utilizing your strategies along with having our counselor as a sounding board, here are some of the things that have changed: arguments are fewer and less in intensity, a prevailing sense of peacefulness has come back into our home, my son has become more responsible, he has become more respectful towards me, I now have less "guilt" about saying "No" and less difficulty MEANING it, and there is no longer any question about who the parent is now. I can only hope and pray and continue to implement your strategies to see that he does move forward into his adult life in a more positive manner." ~ A.S.

"I am very glad to have you here working with us parents and "our" kids.  I appreciate your insight and your "heart" for these kids.  I just watched "Take the Lead", which is based on a true story about a man who made a commitment to teach ballroom dancing to inner city kids in New York who were in "detention" for the remainder of the school year.  No one else would work with them.  His message to them was simple:  have enough confidence in yourself to lead; enough trust in yourself to follow; and to always show respect for others. Very powerful stuff. There are only a few of you around, Mark. Keep doing what you love - it shows." ~ K.H.

“During these past few weeks, my husband and I have been implementing many steps, successfully. Our Aspergers son has been completing his weekly chores with not much complaint.  There haven't been any melt-downs around here, and the few irritable times we've had have been much less stressful. I hope it's still ok to email you from time to time to say hi and fill you in on our progress.” ~ T.P.

"My daughter simply couldn't understand her peers and did not socialize well at all. Unfortunately, she knew when she was being teased and became very hostile toward the teaser. Her retaliation often resulted in her having to leave the classroom and spend the rest of the morning in the "quiet room" all by herself. Fast forward... we have been working on "how to interject" and the SENSE method that you discuss in the material. These two skills alone have made just a big difference in her coping ability and level of empathy toward others." ~ M.K.

“I have fired the counselors, weaned my child off medications, and I am ready to begin the work of becoming a stronger, more focused parent. My soon to be ex-husband has also agreed to purchase the program and we intend on working it together to get our teen back on track. I thank you for your help and guidance.” ~ W.S.

"Glad I found these parenting skills. Wish I had known about it long before now. Would have saved us a lot of sleepless night." ~ B. F.

“I wanted to let you know how much I really appreciate your program. It is full of really practical and easy-to-use information to help parents with their Asperger’s and HFA children, and also the rest of the family. As a journalist, I know a thing or two about writing - and this is definitely put together and written very professionally.”  ~ I.K.

"I wish my child's teachers would read your ebooks. Since I've been working with him, he does much better at home, but school is still an issue - mostly because his teachers don't get it." ~ N.W.

“In just one week of the course, I saw huge changes in my child with Aspergers Syndrome – and even the teacher noticed. He’s a happier person due to this program. Thank you… thank you …thank you!” ~ C.D.


Become THE expert in helping your child cope with his or her “out-of-control” emotions, inability to make and keep friends, stress, anger, thinking errors, resistance to change, and much more...

ASD and Delayed Speech

Question

"Does a child with level 1 autism typically have delayed speech?"

Answer

Approximately 50% of kids with ASD Level 1 or high-functioning autism (HFA) have delayed speech. While many of them grow out of this by age five, others go on to experience other language problems. These generally fall into one or more of the following three areas of linguistics:

1. Pragmatics—

Pragmatics refers to language usage and the way that context relates to meaning. Kids with HFA often have difficulty in holding a normal conversation where there is give and take and social interaction. While most children learn these skills by observing others, those with the disorder may need some personal coaching. Problems with pragmatics manifest in the following forms:
  • does not allow the other person to talk
  • does not use people’s names
  • focuses exclusively on topics that interest them
  • gives too much detailed information
  • interrupting others
  • lack of facial expression and eye contact
  • lack of greeting
  • oblivious to boredom in others
  • oblivious to emotional reactions in others


2. Semantics—

Semantics is defined as the meaning or interpretation of a word, sentence, or other language form. While many children with HFA and Asperger's are extremely intelligent and avid readers, they often struggle in this particular area. They may have problems with the following:
  • difficulty in understanding jokes
  • difficulty in understanding metaphors and figures of speech
  • interpreting everything literally
  • pedantic speech
  • problems with understanding teasing
  • sarcasm is not understood

3. Prosody—

Prosody refers to the tonal and rhythmic aspects of speech. Kids on the autism spectrum often have a strange manner of speaking. It may come across with words enunciated precisely and formally and the speed, volume and rhythm may be odd. Problem areas to look out for include the following:
  • difficulties in coordinating speaking and breathing
  • little or no inflection
  • monotonous sound
  • stilted or formal speech
  • strange rhythms of speech
  • talking loudly

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's


Help for Linguistic Difficulties—

HFA kids and grown-ups with language problems can benefit from one-on-one training with a parent or speech therapist. The problems are often tackled individually and it takes perseverance and repetition to see lasting results. Methods vary but could include the following:
  • practicing eye contact and body language
  • practicing normal pronunciation and inflection
  • teaching how to start a conversation
  • training them not to interrupt
  • use of pictures to explain figures of speech

Unless they observe other areas of "slowness" during early development, moms and dads may hesitate to seek advice. Some may excuse the lack of talking by reassuring themselves that "he'll outgrow it" or "he's just more interested in physical things." Knowing what's "normal" and what's not in speech and language development can help you figure out if you should be concerned or if your youngster is right on schedule.

It's important to discuss early speech and language development, as well as other developmental concerns, with your physician at every routine well-child visit. It can be difficult to tell whether a youngster is just immature in his ability to communicate, or has a problem that requires professional attention.

These developmental norms may provide clues:

• Before 12 Months: It's important for children this age to be watched for signs that they're using their voices to relate to their environment. Cooing and babbling are early stages of speech development. As babies get older (often around 9 months), they begin to string sounds together, incorporate the different tones of speech, and say words like "mama" and "dada" (without really understanding what those words mean). Before 12 months, kids should also be attentive to sound and begin to recognize names of common objects (for example bottle, binky, etc.). Babies who watch intently but don't react to sound may be showing signs of hearing loss.

• By 12 to 15 Months: Children this age should have a wide range of speech sounds in their babbling (like p, b, m, d, or n), begin to imitate and approximate sounds and words modeled by family members, and typically say one or more words (not including "mama" and "dada") spontaneously. Nouns usually come first, like "baby" and "ball." Your youngster should also be able to understand and follow simple one-step directions ("Please give me the toy," for example).

• From 18 to 24 Months: Though there is a lot of variability, most toddlers are saying about 20 words by 18 months and 50 or more words by the time they turn 2. By age 2, children are starting to combine two words to make simple sentences, such as "baby crying" or "Daddy big." A 2-year-old should also be able to identify common objects, common pictured objects, indicate body parts on self when labeled, and follow two-step commands (such as "Please pick up the toy and give it to me").

• From 2 to 3 Years: Moms and dads often witness an "explosion" in their youngster's speech. Your toddler's vocabulary should increase (to too many words to count) and he or she should routinely combine three or more words into sentences. Comprehension also should increase — by 3 years of age, a youngster should begin to understand what it means to "put it on the table" or "put it under the bed." Your youngster also should begin to identify colors and comprehend descriptive concepts (big versus little, for example).

Language vs. Speech—

Speech and language are often confused, but there is a distinction between the two:

• Language is much broader and refers to the entire system of expressing and receiving information in a way that's meaningful. It is understanding and being understood through communication — verbal, nonverbal, and written.

• Speech is the verbal expression of language and includes articulation, which is the way sounds and words are formed.

Although problems in speech and language differ, they often overlap. A youngster with a language problem may be able to pronounce words well but be unable to put more than two words together. Another youngster's speech may be difficult to understand, but he or she may use words and phrases to express ideas. And another youngster may speak well but have difficulty following directions.


If you're concerned about your youngster's speech and language development, there are some things to watch for.

An infant who isn't responding to sound or who isn't vocalizing is of particular concern. Between 12 and 24 months, reasons for concern include a youngster who:
  • has difficulty understanding simple verbal requests
  • has trouble imitating sounds by 18 months
  • isn't using gestures, such as pointing or waving bye-bye by 12 months
  • prefers gestures over vocalizations to communicate by 18 months

Seek an evaluation if a youngster over 2 years old:
  • can only imitate speech or actions and doesn't produce words or phrases spontaneously
  • can't follow simple directions
  • has an unusual tone of voice (such as raspy or nasal sounding)
  • is more difficult to understand than expected for his or her age. Moms and dads and regular caregivers should understand about half of a youngster's speech at 2 years and about three quarters at 3 years. By 4 years old, a youngster should be mostly understood, even by people who don't know the youngster.
  • says only certain sounds or words repeatedly and can't use oral language to communicate more than his or her immediate needs

Causes—

Many things can cause delays in speech and language development:

• Ear infections, especially chronic infections, can affect hearing ability. Simple ear infections that have been adequately treated, though, should have no effect on speech.

• Hearing problems are also commonly related to delayed speech, which is why a youngster's hearing should be tested by an audiologist whenever there's a speech concern. A youngster who has trouble hearing may have trouble articulating as well as understanding, imitating, and using language.

• Many children with speech delays have oral-motor problems, meaning there's inefficient communication in the areas of the brain responsible for speech production. The youngster encounters difficulty using and coordinating the lips, tongue, and jaw to produce speech sounds. Speech may be the only problem or may be accompanied by other oral-motor problems such as feeding difficulties. A speech delay may also be a part of (instead of indicate) a more "global" (or general) developmental delay.

• Speech delays in an otherwise normally developing youngster can sometimes be caused by oral impairments, like problems with the tongue or palate (the roof of the mouth). A short frenulum (the fold beneath the tongue) can limit tongue movement for speech production.

==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism

What Can A Speech-Language Pathologist Do?

If you or your physician suspect that your youngster has a problem, early evaluation by a speech-language pathologist is crucial. Of course, if there turns out to be no problem after all, an evaluation can ease your fears. Although you can seek out a speech-language pathologist on your own, your primary care physician can refer you to one.

In conducting an evaluation, a speech-language pathologist will look at a youngster's speech and language skills within the context of total development. Besides observing your youngster, the speech-language pathologist will conduct standardized tests and scales, and look for milestones in speech and language development.

The speech-language pathologist will also assess:
  • if your youngster is attempting to communicate in other ways, such as pointing, head shaking, gesturing, etc.
  • sound development and clarity of speech
  • what your youngster can say (called expressive language)
  • what your youngster understands (called receptive language)
  • your youngster's oral-motor status (how a youngster's mouth, tongue, palate, etc., work together for speech as well as eating and swallowing)

If the speech-language pathologist finds that your youngster needs speech therapy, your involvement will be very important. You can observe therapy sessions and learn to participate in the process. The speech therapist will show you how you can work with your youngster at home to improve speech and language skills.

Evaluation by a speech-language pathologist may find that your expectations are simply too high. Educational materials that outline developmental stages and milestones may help you look at your youngster more realistically.

What Can Parents Do?

Like so many other things, speech development is a mixture of nature and nurture. Genetic makeup will, in part, determine intelligence and speech and language development. However, a lot of it depends on environment. Is a youngster adequately stimulated at home or at childcare? Are there opportunities for communication exchange and participation? What kind of feedback does the youngster get?

When speech, language, hearing, or developmental problems do exist, early intervention can provide the help a youngster needs. And when you have a better understanding of why your youngster isn't talking, you can learn ways to encourage speech development.

Here are a few general tips to use at home:

• Read to your youngster, starting as early as 6 months. You don't have to finish a whole book, but look for age-appropriate soft or board books or picture books that encourage children to look while you name the pictures. Try starting with a classic book (such as Pat the Bunny) in which the youngster imitates the patting motion, or books with textures that children can touch. Later, let your youngster point to recognizable pictures and try to name them. Then move on to nursery rhymes, which have rhythmic appeal. Progress to predictable books (such as Eric Carle's Brown Bear, Brown Bear) that let children anticipate what happens. Your little one may even start to memorize favorite stories.

• Spend a lot of time communicating with your youngster, even during infancy — talk, sing, and encourage imitation of sounds and gestures.

• Use everyday situations to reinforce your youngster's speech and language. In other words, talk your way through the day. For example, name foods at the grocery store, explain what you're doing as you cook a meal or clean a room, point out objects around the house, and as you drive, point out sounds you hear. Ask questions and acknowledge your youngster's responses (even when they're hard to understand). Keep things simple, but never use "baby talk."

It is never too late to seek help for speech difficulties. While a child may never sound completely normal or be able to hold a perfect conversation, there are definitely ways to work towards a great improvement. The key to success is often a commitment from a parent or family member to work with the youngster for extended periods of time.

Whatever your youngster's age, recognizing and treating problems early on is the best approach to help with speech and language delays. With proper therapy and time, your youngster will likely be better able to communicate with you and the rest of the world.

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