Every child that appears to have speech delay is not really the way it seems in each case. unless there is a clear hearing/ larynx deficit , there cangt be true speech delay. Its very prudent to pick up associated feature of communication delay, social delay, sensory issues and audiotory processing defects early without wasting time. A visit to a neuro developmental pediatrician usually helps solve the confusion in diagnosis. A delayed diagnosis may make them permanent disability. Dr kondekar addresses various forms of social communication and speech patterns that may point towards autism evaluation. Read Dr Kondekars way to manage autism DSM 5 way at www.pedneuro.in

1. Speech delay and
Autism connection
Dr Kondekar MD
For general Population
www.pedneuro.in Dr Kondekars Autism Clues 1

2. Types of Speech
•Receptive Speech
•Expressive Speech
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3. Delays
•Receptive speech delay
•Expressive speech delay
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4. Speech reception
•Hearing issues: since birth or acquired
•Auditory processing issues
•Developmental delay
•Sensory issues
•Age in appropriate
•Social inappropriate
•Patterns of Speech
•Behavioral issueswww.pedneuro.in Dr Kondekars Autism Clues 4

5. Speech issue or communication issue
•Non verbal communication
•Verbal communication
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6. Development of non verbal communication
•Eye contact to pointing
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7. Development of verbal communication
•Sounds
•Words
•Prosody/ repititions
•Context
•Pragmatics
•Verbs
Grammer
Fluency
Coherence
relevance
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8. Sensory and Social deficits or Delay
•Autism
www.pedneuro.in Dr Kondekars Autism Clues 8

9. Speech delay in autism are communication
delays
•Receptive communication
•Expressive communication
www.pedneuro.in Dr Kondekars Autism Clues 9

10. Receptive communication deficit
•Social communication deficit
•Body language deficit
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11. Expressive communication deficit
•Body language deficit: nonverbal communication
•Verbal communication deficit
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12. Not just deficits, but patterns
•Accent
•Repititions
•Echolalia
•Pronoun reversal
•Prosody
•Self talk
•Pragmaticswww.pedneuro.in Dr Kondekars Autism Clues 12

13. Autism diagnostic criteira DSM 5
•A: SOCIAL COMMUNICATION AND
INTERACTION: PERSISTENT DEFICIT: ONE
EACH OF A1 A2 A3 IS MUST
•SOCIAL EMOTIONAL RECIPROCITY-
•DEFICIT IN NONVERBAL COMMUNICATION
•DEFICIT IN DEVELOPING MAINTAININGAND
UNDERSTANDING RELATIONSHIPSwww.pedneuro.in Dr Kondekars Autism Clues 13

14. ANY 2 OFTHE FOLLOWING
•STEREOTYPED OR REPITITVE MOTOR MOVEMENTS
•SAMENESS / RIGIDNESS/ INFLEXIBILITY/ RITUALITY
VERBAL OR NONVERBAL
•HYPER OR HYPO REACTIVITYTO SENSORY INPUT OR
UNUSUAL INTEREST IN SENSORYASPECTSAROUND
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15. So speech delays are easily grouped as
1.Speech delay with obvious hearing deficit : BERA hearing test
abnormal … >>> MAY NEED ENT SURGERY/ DEVICES
2.Speech delays without hearing deficit >>>Speech therapy
3.Speech delays with social behavioral and emotional issues >>>
Occupational, behavioral and Speech therapy and neuro
Pediatric evaluation
4.Speech delay with neurological deficit >> Multidisciplinary
Approach
5.To know more whatsapp 91-7021713681www.pedneuro.in Dr Kondekars Autism Clue7 15