Social communication (pragmatic) difficulties

Impairments in social interactions


Children with social skills deficits may have difficulties in: 

  • Using eye gaze for social referencing

  • Playing with other children

  • Initiating interactions with others

  • Engaging in a conversation

  • Reading subtle social cues

  • Reading others' facial expressions/body language 

  • Behaving in a socially appropriate manner


Our speech pathologist can help your child to learn basic social skills such as turn taking, social greetings, and playing cooperatively, as well as more advanced social skills such as perspective taking, problem solving and social thinking. 

Stuttering

Disruption in speech fluency

Talking in repetitions, prolongations or blocks of sounds, syllables, words or phrases​ (e.g.,  'ba-ba-ball', 'bbbbb-ball', or 'b.......ball').


Stuttering typically begins in children younger than 6 years of age, and most commonly in three year olds. The cause of stuttering is unknown, although it is now understood that stuttering is a neural speech processing problem (not a psychological program) with genetic involvement. Treatment is essential for young children who stutter, particularly if they are not showing immediate signs of natural recovery. For more information, please see www.lidcombeprogram.org.


Our speech pathologist treats stuttering by implementing behavioural treatment such as the Lidcombe Program or by teaching your child ways to manage the stutter, such as using 'prolonged speech' (also known as 'smooth speech') or syllable-timed speech. ​​

Language difficulties

Difficulties with receptive, expressive and pragmatic language


  • Difficulties in understanding spoken/written language.

  • Difficulties in using language to express wants, needs, thoughts, emotions or ideas​.

  • Difficulties in using language for social interactions (e.g., maintaining a conversations, or telling a story).


​Our speech pathologist can help your child to develop his ability to understand increasingly long and complex instructions, understand stories, use word structures and sentence structures that are appropriate for his age, tell stories, as well as use appropriate spoken language in social interactions. For children who are non-verbal or minimally verbal, our speech pathologist can help you to develop and use appropriate Augmentative and Alternative Communication (AAC) System, such as Aided Language Display, visual schedule, communication book/board, or personal chat-book, etc. 

Speech difficulties

Difficulties in speaking ​clearly


Phonological delay ​

   Difficulties in using the correct patterns of sounds in words.

Articulation delay 

   Difficulties in producing sounds accurately.

Childhood Apraxia of Speech

   Difficulties in the motor planning for speech production.

Motor speech disorder

   Deficits in strength, coordination and control of the muscles        and oral structures necessary for speech production​.

​Orofacial myofunctional disorders

   For example: tongue thrust or lisp.


Using a variety of approaches and resources, our speech pathologist works with your child to develop their awareness of patterns of sounds in words, learn to make speech sounds accurately using correct placements and manner of articulation, and develop motor planning for increasingly long speech productions.

What is a communication delay/disorder?

A communication delay or disorder refers to a delayed in development or a disorder in one or more of the following areas of communication: speech, language, fluency, social communication and voice. 






 












































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Paediatric Speech Pathology Services