When Is It Too Late for Delayed Children to Start Talking

Hey, guys, today I am talking about whether. When it's too late for speech delay, children to start actually talking. So as you can see, usually I don't care about my background, but I just want to. Like this shabby chair here. If you're on ig, you cannot. You can see my cat right there. Just chilling out. Just want it. Slade to be here. So anyways, let's talk about it. When is it too late? So I get this question a lot. All right, wait, let me just change the mic mode here. I get this question a lot. And the easiest way to answer the easiest way to answer this question is. I don't know. I really don't know when is the latest, because a lot of people have stories, right? Oh, my nephews don't know what. My nephews. Whatever. My uncles. I don't know what. How many. How many orders of. Of cousin that. That are, you know, or whoever's friend's friend. Oh, my kid started talking. That kid started talking at 10, and now he's fine, right? That kid is started at whatever. At whatever age, and now he's okay, right? So you have this kind of. This kind of thing going on, and you have other stories, such as, oh, my kid started. That kid started talking at 5, and he's still talking in single words, right? So there's something called survivor bias, or whatever that term is, right? Yeah, survivor bias or confirmation bias. Basically, you're looking for information to support what you want to hear. All right? You're looking for stuff to support what you want to hear. So this happens a lot in this space because we're dealing with a lot of moms who are trying to. Who are trying to navigate this space, search on Google. They don't know what they're looking at. They're trying to confirm what they're thinking. Oh, it's not autism. Oh, it's not speech delay. Oh, it's not apraxia, whatever. They're trying to confirm that it's not or confirm that it is sometimes. And fighting an uphill battle, right? I mean, I don't have to tell you how many dads. The people who are watching me right now, 80% are women, right? Or more basically. And basically, what. What's happening here is that the dads say, oh, don't worry, because, you know, like, kids, they will outgrow this or whatever. It's. It's not too late for them. Why are we, like, so. So concerned at this moment in time when this. And so on and so forth. They also didn't have whatever, like back in the day, if you don't speak, it also didn't matter. Right? So what does this mean at the end of the day, why you're watching this, why you're caring about therapy, why are you care about teaching your child is because a. A teacher has talked about it, right? You better see a speech therapist. Right? You gotta get. You better get it diagnosed. That's number one. Yeah. Number two is that you see a discrepancy between. You see a discrepancy between your child and other children of the same age, and therefore you're starting to get scared. Right? So if that's the case, then you need to start thinking about, oh, what should I do? And so on and so forth. Right. Number three, the other case is that you feel like. Actually number three and number one are pretty similar. You feel like the education isn't 100% aligned with your child's ability. Right. You're seeing that they're struggling, they're not having fun at school. Right. So the biggest practical thing right now is that the child cannot really stay in school. And the parent and the teachers would like to, how to say they want to get the kid diagnosed, right? Get the kid. Get the kid. You know, I have a client in Ireland, all right. I think I can speak pretty openly about this. Is that they're trying to get the child to get a diagnosis and therefore they don't really want the child to be in the classroom anymore or they want more support, so to speak. Right. And so if that, when that's the case, when, when your, your child's everyday academy academic problems come into play, it becomes like a pressure. So I must get this done. I must, whatever, because the school is pressuring me, whatever. So when is it too late? Obviously, you don't know. It's just like you're trying to, like, reduce the risk of your child not being able to go to school. Like you're trying to reduce the risk of getting kicked out. Right. A lot of the times in Southeast Asia, where I'm at right now, that might not be the biggest problem because they don't really mind having a child like that. Like that. I don't mean it in a bad way. I mean, having a child that they cannot really teach in the way that they know how to. Right? Because they're not. They don't really mind that way. All right? Most of the time they're like, oh, you're paying, it's fine. That's just how life is over here. But if you're talking about somewhere else, right? Like, for instance, in Hong Kong, I have a friend who's a kindergarten, like, really good friend who's a kindergarten teacher. And she's always talking about how they have to talk the parents into getting a diagnosis. They're like, oh, no, I don't want to hear anything. And that school attracts a lot of these children who are, you know, delayed just because that school is more lenient. Most, most, you know, in Hong Kong kindergartens, they go through interview, and the frequency first question they ask is, oh, what books do you read? Right? Who's your favorite author? Right? So it's, it's quite crazy because at the end of the day, like, who would read books when they're young? Who cares about authors when they're young, Right? So back to the question. When is it too late? All right. Honestly speaking, it's really dependent on a few things. Number one is your child has. Your child has any. What kind of interest does he or she have? Right? That's number one. Yeah. Number two, do you. Does he or she already understand what you're talking about? Right? Does he or she require, like, that is the receptive language, meaning the amount of that he or she understands is enough, Right? Is good enough to understand what you're talking about, Right. Number three, when you teach something to the kid, is it very, very quickly the kid catches on? Right. And we call this dynamic assessment. We go, ah, are they able to learn? Are they able to pick up new cues? Are they capable of understanding the task quickly? Right? These kind of things that we look into for a child, right? So at the end of the day, there's loads of factors. There's loads of factors. If you're talking about, like, person's asking here, Zayan, I'm. I don't know if I'm getting your name correct. My child is 5 year old, but not start. Hasn't started talking. But he is not autism, Right? So it really depends. Is your, Is your child already able to communicate with you on a daily basis? With, with or without, like, with or without speech, does he understand all your questions? Does he understand all your commands? Can he get along with life and get along with school? If so, okay, then, you know, expressive language isn't all the way. Like, hasn't been talking that much yet. Is that a problem? Yes, but not as much as big of a problem if the child doesn't understand anything. Right? So that's my biggest point. Is the child functional? Right. Are we talking about a child who is, who has problems with potty training, who cannot eat properly, right. Who cannot sit at a, at a place for, for extended period of time, who doesn't play toys correctly, right? A big, big, big indicator of a child whether, as you know, as we call prognosis, prognostic factors. Now I can't speak today is play skills. Why is play skills important? Is. Because play skills is. It tells you how much the kid knows about the world, right? You need to interact with different items, right. You need to learn how to use tools, so on. And also it's an indicator to cognitive abilities, right? So at the end of the day, if your child is lacking in play skills and cannot really understand much and has daily functional activities that aren't up to par yet, then yeah, that's going to be a risk, like huge risk factor that the older they get, the harder it is for them to really pick up on language. If you don't start right away, right? So there's no point in waiting. Really, there's no point in waiting. You got to go start now. Because when you're teaching your child, then you will know. You start to know. Oh, okay. So from the trajectory, from the way that when I'm teaching a kid, I feel like as a speech therapist or whatever therapist there is that are. Who's working with your child, they will start to see or we will start to see. Oh, well, actually they're taking up the cues quite well. The skills are developing quite good, right? So other than that, the other factors is that it might not be just a language problem, it might be a speech problem. So if we're talking about like some motoric speech problems, right, we don't have to be so specific about like, oh, it's apraxia, it's disaster. We don't need to talk about that because at the end of the day that, that's really something that a speech therapist should do the diagnosis for and you just need to follow the, the activities and exercises given by the speech therapist. You don't have to think, oh, whether if it's this or that. Because sometimes when you are trying to do a differential diagnosis yourself, that's what we call it, you run into a lot of problems, right? Because I just had someone from Czech Republic ask me, oh, do you guys have like a set thing that you guys do for oral motor. I'm like, no, not really. It's like it's through clinical expertise, right? You look at a kid for like, look at loads of kids. And I was telling my other friend who's a, who's a software engineer and we were having a talk about, oh, can we put like, oopsies. Can we put speech articulation assessment into an app, right? Into a, into a website? And he was like, oh, dude, how do you even know? Like, don't you need people to check? I'm like, no, it's just, it's just waveforms, right. I mean, it's just errors. So where was. I was going on. Off on a tangent. Right, so let's talk about. Leave that to the speech therapist because there's, there's no way that you can. How to say. There's no way you can even, even professionals, you, you get, how to say, you get like very conflicting opinions sometimes. You know that there's, there are actually lawsuits and court cases about people thinking about, oh, it's articulation cases. No, it's a, whatever case. And then they go to court or whatever and it's like, it's not the best use of money and time, whatever. So this does happen even with professionals. Don't think that. Oh, because you can. Like, for myself, I go on WebMD and I, and I look at stuff and I feel like, oh, I've got this thing going on with my body and then an ultrasound or whatever, checkup, it just clears it up. Clears it up, Right. But obviously it doesn't. It's not as clear cut because it's not really a medical condition that so to speak, it's a developmental problem. Right. So at the end of the day, if, if there's like stuff such as speech or articulation or phonological, whatever you call it, that adds into the equation, then yeah, it could, it could mean that the whole acquisition of language will be pushed back, meaning your child will need more time to learn the language to able to use those sounds. Right. If it's not only just a language problem, there's like some motoric problems there. All right, so you know, like, if you're on Facebook and you find like, what's his name? Jordan. Fighting for apraxia. Fighting for my voice. I forgot his Facebook page. Sorry, guys. But if, if you, if you search on Facebook, like fighting for my voice. Jordan or something, and then you find that guy, that guy, like he only really started to talk at 5 around. Right. So at the end of the day it really. And he's. Now he's speaking, but you can still feel that he's stuttering at times and he's having some problems in some cases. Like, problems as in like not fluent thinking about how to what we call groping, finding the sound, right? So it really depends on what the diagnosis is and what the factors are and how the child is performing in order to give you an answer. If you just laugh and tell me, oh, what's the. What's the latest date? And then the answer is going to be, how long is a piece of string? It depends. How do I know? Right? It's not like I've got a crystal ball. As I tell, as I say all the time, if I had a crystal ball, I could tell you then, we don't need to do this right now. We don't need a care. We don't need to. I'll just tell you, right? Oh, your fate is like this. Your child's fate is that they're not going to talk for the first five years. They're going to start talking at seven. Who cares, Right? And it's the same as, like, if I tell you as well, you don't have to do anything in life, right? I can tell you, oh, you don't. You know what, you're going to become like very wealthy at the age of 40. So it doesn't matter what you do right now. Just wait until 40, right? It's not like that. It's not like that. If it were, then, you know, like some voodoo magic stuff that you do, you don't even want to touch. Right? Okay, so Gian, I'm sorry, Instagram peeps you cannot see the questions, but Gian says can follow command sphere, but doesn't want to try to try to produce sounds. Doing ABA for eight months. Well, got. That's. Yeah. I mean, if he doesn't even want to produce sounds yet, doesn't even want to try, then the biggest problem is the reward. Right? Okay. Keith says keep up. Good work. Oh, thanks. Thanks, Keith. That's really nice. Abid. So I bid. Sorry, my cat's using toilet and the question is totally just blocking my head. So I'm just going to turn the, turn the camera for Instagram around and I can read it. Right? Let's read it together. My child is five, is able to communicate now and is using three word sentences. His problem was originated from a hearing problem that he developed on. Here's 1.5. Okay. Happens a lot, by the way. Hearing problems are one of the, if not the most, is one of the biggest factors for speech and language delay. Let me just put this on my stand so I don't have to hold it. Right. So he started ignoring our attention. Plus he stopped saying along with mom we did not know what happened until we found out he has a 40 hearing loss in one year and the 25 in the other. But something's happened. Therapy is now speaking much better. Oh, it's not a question. Thanks, man. I thought there was going to be a question. I was reading it, but yeah, you came back hearing to a 75, and I believe that. Okay. I cannot see what other things there are over here. But anyways, let's change this back. Yeah. So hearing loss is another thing. If your child is not speaking yet, you better get the hearing checked up, because it's one of the biggest factors. The reason why is because there's a tube inside of our. There's a tube inside of our ear, right? It's called the. I'm not going to try to say that word. I'm very bad at pronouncing that. Eustachian man tube. Let me just read how to. How to. How to. How to. How to pronounce that. But anyways, you get what I mean, right? It's not chinchub. And what. What that is is that for young children, the. The tubes are rather flat. It's not at an angle. So the ear fluids, it's easier to clog up. And therefore, when there's. When there's, like, fluids, it's easier. Easier for inflammation. And when there's inflammation, what do you get? You get like, whatever, middle ear infection, right? So when you have middle ear infection, what do you have? You have hearing loss, right? So whereas when us humans, as we grow older, our tubes, they become more and more angled, and therefore it's easier to drain. Okay. And this is especially the case. It's even worse for down syndrome kids. So that's something you have to be aware of. All right? Okay. Someone asks Tamsila asks, hi. Is the child not able to speak if he has tongue tie? No, tongue tie is just the limiting of. It's just the range of motion, what we call, so to speak. So, for example, if you cannot touch your toes with your hands while standing, that's a range of motion, right? That's a range of motion problem. So if your tongue cannot touch the roof of your mouth, then that's the range of motion problem. So a tongue tie usually means. Everyone has a tongue tie. It's a degree of which. Right. So is it a tongue tie? The degree is so much that you cannot touch certain parts of your mouth with your tongue. Then that's going to be a huge problem for saying certain sounds. All right. Some people have, like, some Kids even have a very severe tongue tie that they can only create like vowel sounds. But it doesn't mean they can't speak, it's just that their speech will be impaired, right? It means that a lot of sounds are incorrect. All right, so when that happens, when that happens, you got to get a surgery for it which takes literally five minutes, right? Nowadays you have got a laser thing goes. And it just, it just like burns the, burns the thing away. Burns the, it just cuts the tongue tie really, really quickly. All right, let me see. Someone asks, how can I help my 3 year old son? He's a late talker and he's hyperactive. I don't know. That's not enough information for me to give an, a sensible answer for you, my friend. So I really don't know how to, how to tell you how to help given that little information. So Ashley, let me just turn this around. So Ashley says my, my son turned five. He knows his numbers, basic addition letters, can identify cue words, but he cannot. He mostly winds all day, hand pulls and repeat dialogue from his favorite movie. I try to do speech therapy at home, but he screams over me if I start to talk. Is there anything more or different I can do? Yeah, of course. Actually this is a great question and this is like what most, most moms are going through at home, right? So what do you got to do here is, is as we always say in this channel, is that you don't talk. You, there's no way, there's no need to talk because right now, I mean like for instance, a lot of people who watch these lives and watch the videos would know what to answer you actually. So basically the problem here is that the use of his language right now is for self entertainment purposes, right? So if it's self entertainment purposes and you teach him to talk for other things, he's going to say, yo, what's this about? Why should I talk? Why should I talk for you? Why should I do this? So as we always say, teach some gestures first to help him learn a new language function. Which is, which is to have something, right? To request something from you. That's the easiest language function ever. You don't need a lot of skill to teach that. Let's say he wants, I don't know what he wants from you. If he hand pulls, right? Let's say he wants like a candy from you. All you got to do is to present the candy and then teach him a gesture without talking at all. And teach him some communication without any, any speech first. I mean this is pretty hard thing for moms to do because all they do in the beginning, like, don't say like, I'm not trying to be rude here, but you know, I can, I can tell you exactly what's going on. Like he wants something, you ask him, well, what do you want? You say first, whatever. And then he starts like, like ah, like pulling your hand even more and then getting even more mad and stuff. Right. So don't talk. Teach him a gesture, give him stuff. All right, that's as simple as I can put it. Give him stuff over and over and over again. Okay. Over and over. Let's say like he likes cookies. Make a cookie smaller. Keep on doing it until he stops crying, he stops pulling and all he does is the gesture. Then he's starting to wait. And when he's waiting, then you can talk and then you can teach him some, some other things. Right. Let's see. Jan can hear really well. Improve doing aba. There's other skills. Imitation, compliance. Really good at memorizing. Now having a hard time on speech because he doesn't want to produce sounds. Yeah. Well, is there any tips to make him produce sounds? Like somebody does vowel sounds but seldom doing it. I asked him, you should say ah. Oh, and so on. Okay, cool. I think that Gian, I think the problem here is this. Why does he like, there are only two reasons why someone doesn't do something. In this case is producing sounds. Either he doesn't want to or does he know or he doesn't know how to. Which one is it? So you got to know, can he do perform harder tasks that are non verbal? Which one is it? Does he not know or is it both? So you got to think about that. If that's the case, you got to eliminate the part where he doesn't want to. So is the reward of a plus plus standard, is it something that he would fight for? Is this something that he would really try his best to, to do? Right. If it is, then great. Then it means that he doesn't know how to do it yet. So that means vowel sounds is not the level to treat. Then it should be some sort of mouth shapes or some sort of like fine motor gestures, fine motor imitation actions. Right. So I, I, I think if you keep, you keep on doing the same thing over and over again and expecting that he would produce sounds and he's failing every time. You're just teaching him to fail. Right. So you got to, you either need to lower the task difficulty or actually do both. Right. Give him like a Reward that he really likes and see if it's either unwillingness to do it or that he doesn't know what to do. Okay. Curious about support for parents through this journey. Well, I don't know what you're curious about. This is exactly the topic we're talking about right now. Okay. Someone, the. The person has. Let me just show you guys on Instagram. I rarely do these lives on Insta. But anyways, I. What I mean is he is three years old and he started ABA therapy at school, but his teacher complained that he doesn't listen. He's all over the place throwing stuff and climbing stuff. Yeah, I'm thinking how to answer you because that's like. That's a lot of kids. You know, a lot of kids are like that. So the problem is this, right? If the child is. Is throwing stuff and. And cannot sit down, obviously the first thing is to get his learning to learn things done. Right? Is he. Does he understand that he has to sit nicely at school? Does he have a reward schedule? Right. If you're starting aba, what behavioral tactics do you have? Do you have like a token system or whatever? If you don't understand the jargons I was talking about, that's something that you have to ask the ABA person because they're going to be the person who's going to show you how to modify the behavior. Right. If you don't know what's a token system and you don't know what's. If you don't know what's a token system, you don't know what's a. You don't know what's up. Behavioral system. Then you know, like, you gotta ask the ABA person to teach you. Pravati says hi, Ming. Yeah, I've been so influential. Oh, thanks. I got my much help checked up. I was fine and recommended for speech therapy. Sorry. Fab many. Okay, cool. I thought it was a question. Thanks. Thanks so much. Cara. Hi, Cara. What the holler? They try to communicate, but he only turns one Saturday, I think hasn't said Mama D anything, just holler. Okay. I think at the mo. Like just to. I think at the moment time, if it's just turn one. Supposedly the latest for a kid to start using single words is that at the latest it's one and a half. So I don't think it's too much of a big deal in my books. If a child hasn't started talking yet at 1. It's not too much of a big deal in my books. So to be honest with you, it's fine. I'm not 100. What you mean by hollers? Like, could you define it better? But you know, like, as long as. As long as, you know, like. Yeah, I know, I know. Like, this is what mothers do, right? That's fine. You don't have to. Yeah. You don't have to be unhappy. They're worrying too much. It's better to worry than not to worry. Right? So I think, yeah, at this moment in time, it's not too bad. Too much a big deal. If you went to a speech therapist at, like, you brought a child at one, you know, their attention span is like two minutes, and the assessment is going to be like an hour and a half. Right. What do you even get? Right? So if you came to me and your child was like one, I would just say, come back when she. When he's two. Right, Right. Yelling for attention. Okay. I mean, that's how babies get your attention. Right? Don't worry about it. It's not too much of a big deal. I mean, he's only one usually. If a child is like that still at like 2, then. Yeah, maybe we should look into it. All right, let's do, like, a few more questions and then. And then let's call it at night. Micah or my chat. I don't know which one. Let me know. You said my child is 21 months. She imitates words, but not clearly. She's not conversational. She's sometimes scream when she wants something. Okay, yeah, 21 months is what, not even two. It's fair enough to not be conversational. I think it's totally okay. In fact, I think it's more than okay to be not conversational. And if she screams sometimes to get what she wants, that's also fine. All right, if she's only imitating words, then obviously it's not good enough. And clearly or not doesn't matter. At this. At below 2, all children have a speech like. Like the speech development for sounds of just takes time, you know, it really does take time. Right. And we wouldn't. It wouldn't be a problem. I would think the biggest problem is that she only imitates and doesn't use the words immediately to ask her what she wants. Right. So if she says something, like if she wants a cookie and you must say cookie and then she says cookie, then that's a problem. You want her to immediately say cookie by herself. And how you do it is by just teaching her the gestures. Again, it's always going back to the gestures instead of talking so that you don't have to use your voice to make her say something. You just use your actions to prompt that word Instead of like, oh, follow me. And every time it's just a copy. Then how to get rid of your verbal cues? It's impossible, right? All right, I'm still booking. Great. Thanks. Ming. We have a question. He's formally make two sentences that word. Oh, well, yeah, if it's only making two sentences, then yeah, you should see a speech therapist or, you know, you got to work hard at home. All right. My girl is two. But handle you towards what if she can't reach the item? Okay. Yeah. I mean if you watch the video on YouTube about if you go to go to YouTube, you search agents of speech, you'll see my YouTube channel and then watch the video on hand pulling. I think that would answer your question pretty nicely, Ronnie. My granddaughter is four now and just started speaking. Can now put some sentences together. But before she started this, she was pinching a lot. Now I realize Alex frustration not being able to speak. Exactly. So she's using a different form of way, a way of telling you that she cannot. You don't get me right. All right. My child is diagnosed with speech therapist that has child aspraxia. Okay. Seven years old, doesn't speak a single word. Not something therapy anymore. I don't understand. I can't understand how to help him speak. Okay, so if he can't say a single word, what's the lowest that he can go in terms of a verbal imitation? Is it. Is it a vowel? Is it a consonant? What is it? And that's the place that you need to start. And you can't give up there if it's really apraxia. And by the way, don't call it childhood apraxia speech because apraxia goes all the way to adulthood. Right. It's one of those things that keep on like it just keeps on going right in the life and all you can do is to keep on teaching. All right. I hope I like right. Don't give up. The thing is find the lowest point that you can teach. That's the breakdown point. And keep on teaching there. Or else if you want to go at word level, it's impossible. All right. Jesse. My three year old started producing sound some letters last week. Yay. Yay. Attempts to imitate mouth shapes too. Really? I just want to say thank you for all the hipstream and sharing. Oh, thanks man. A lot of. Lot of positive vibes today. I think it's Because I, I wrote some stuff on that email. But anyways, do therapists. Lynn asks. Let me just turn this around. So although like a lot less people are watching on insta. But it's fine. Let me get this correct. Do speech therapists always assess the distorted of the mouth jaw muscles such that could be contributing speech issues? For example, if the toddler is drooling, diagnosis with autism. But no, under additional weak muscle control, he is saying words. Annunciation is an issue. All right, so this is a great question. The answer is no. I mean, I mean the answer is yes to assess the disorders of the mouth, so to speak. So if you say disorder of the mouth, that's kind of a little bit inaccurate. We would always try to say like, oh, is there a problem with the jaw, lip and tongue, the coordination between the range of motion and the strength and so on. So that's a whole different topic. But the reason why I. If a toddler is drooling, most of, the, most of the cases drooling is the problem of sensory. All right. Not really to do with the muscles. Okay, maybe there's like low muscle tone and that the kid can't keep their lips shut. But there's a lot of people with their mouths open all the time who breathe through their mouths and they don't drool. So what's the, what's the case here? Most of the time is sensory. Right? Why. Why do therapists always assess the disorders of the mouth? It's got a bait, like a good picture about what's going on. So if you always have, if you always assess everything, then you will, you can rule things out and say, oh, there's nothing wrong with these stuff. There is weak muscle control. But you know, like having weak muscle control or like oral motor problems doesn't mean that you will. The, the words cannot be pronounced correct correctly are produced as a better word is produced correctly. And the reason why is because like. Let me give you an example. Right? Okay. The per. Like if there must be some people who do a certain sport really well, but they're not that well built. Like think about back in the day when you're in school. I had a friend who swam really well, but he was not big at all. Like he was weak. He had the gym, he was like and stuff. But he swam fast. And the reason is because he knew how to, how to use his muscles correctly. Right now I'm not trying to like make this example too like too woo woo and out there. I'm just trying to say that it doesn't matter about your. Your. Your base strength, your base muscle coordination, whatever, to perform a task. Right. Obviously there are. There's a huge link in between. But, for instance, do we have to spread our lips like this when we say the sound E? Right. Most of the time when we say it, when we're talking, we don't even move our mouths that much. So you can even go E like that. Right? You can move. You can open your mouth a little bit and say, you don't need to spread your lips. Right. You get my point? Okay, Wendellin. My daughter is 5 years old, diagnosed with ASD due to speech delay. She can say mama, dada, nor can she say the words, but cannot repeat it. No. Or. Okay, no. Or she can say words but I can't repeat it. Henley's can. How can I help her? Okay, She cannot repeat it. Why can it? Why can't she not repeat it? That's the. Like, if you rewind back 10 minutes ago, I was talking about whether a child is her ability or she doesn't want to. Or does she. Like, either she doesn't want to or does she? She. She doesn't know how to. So that's the biggest problem here. She. If she understand a simple command, it means that you need to go down one level in the invitation thing and go back to, like, imitation of actions first before you go back to repeating sounds. Right? So Nanam says it sounds like ma. Yeah. So your level for apraxia would be like trying to say ma and trying to make ma, mi, mu, me, mo, like all those first. Right. And after she. If. If he can, then do it like two or three times. Like, maybe go down one level just like ah, and do like a vowel sequencing and go like ah, ah, ah, Right. Three times. Or like, and then you change the last sound and go ah, E. Right. So I'm not an expert at apraxia of speech. Not a lot of people are. So what? I. There's a mosquito around here? Anyways, the. What. What I was trying to say is you gotta start. You just gotta start doing it. You know, you just gotta start doing it. And you got to find someone who knows, who can coach you. And it really depends on your child's performance to give you a better idea. All right? Samita doesn't show me interest, like ball game back. Okay. Just move away. Only interest. Puzzles. Oh, great. You'll get bored. Everything and cry. Get bored. He couldn't express feeling, not saying anything. Only a few words. Label sometimes. Yeah, totally. Samita Smita. Right? All you got to do now is to lean into his interests and then teach him something funner with you. Right? If it's puzzles or matching numbers, whatever, you know, like put it into a container and teach him how to do the open gesture like we always say in the videos, right? What's a better way to help your child to speak words? Except mama Dada, she could understand simple comments even here. Probably doesn't want to know how to speak. Yeah, don't always think about speaking. Think about how to teach them gestures first. So stop. Stop thinking about speaking. Guys, teach some gestures first and then go back to speaking. Sorry, I'm really going through these questions really quick because I want to go shower. I heard my daughter counting, but until number three, she can't say words. But sometimes she doesn't say the word. Exactly. But I understand what she wants to say. I just noticed that she was in something repeatedly. She can. Is that normal? She's 21 months. Thank you so much. She's 21 months. You gotta relax a little bit. It's not even two when you're doing something repeatedly. I think it's just like, it's just getting boring, right? I have no idea. I mean, like this is one page out of the diary. I really cannot answer questions that easily. How do I teach verbs? It's currently hard making sentences, but he's, he has a good, very good vocabulary. Well, you teach verbs by playing with him and focusing on a sequence and teach the verbs involved in each of the steps. So let me give you an idea to. So basically, if you're teaching the child to cook, the verbs would be like pick up, wash, cut, cook, put, eat. Right? And once you have those verbs, you add the thing that you were cooking, like pick up carrot, wash, carrot, cut carrot, whatever. And then, then you have, you have a two word phrase and then what you got to do then is add the subject at the front and then you have the subject, verb, object. Right? Pretty easy when I'm, when I'm saying it. When you're doing it, it's going to take for a long time. It's going to take like a week or so to get there. All right. Rena says my daughter turns three this November. She can only say a few words. Is it normal? Is it late? Yeah, that's not, that's not that. That is a little late. Usually like a few words meaning, like she only has single words and it's a few. Or is it like she has a few words, words in a sentence. If it's A few words in a sentence. It's not. It's not late. If it's only like a few single words, then it's late. Micah. Micah not used to call. Is it normal? Is that all right? If you want something, just scream. Yeah, that's not all. That is not all right. That's not all right. So what you got to do now is to teach. If you just go to the. The agents of speech, YouTube, Facebook is really hard to search stuff. If you go to YouTube and search agents of Speech, hand pull and then you'll see it all right? Watch that. Watch that video. When he wants to go back and recess party, isn't that good then? Oh, and that's not good. I mean, like, you wouldn't expect a child to speak in a full sentence for things that he really needs. So I think you shouldn't be stuck there. You should be thinking about how to incorporate those sentences and play first, right? Smitha says throw stuff behind sofa. Cry a lot if you need anything. Well, I kind of forgot how old he was. Oh, three years and four months. Yeah. I think you really need to watch the video on YouTube first, right? I really think you really need to watch that first. A lot of guys are saying the same stuff, right? Not. Not speaking yet, Throwing stuff, tantrums, pointing, hand pulling, whatever. Go to Agents of speech, the YouTube channel, and search hand pull, right? My son is four. She can speak words. When I'm talking, everyone. You sense himself, like he fulfill his needs but can't tell stories. Yep. So your. Your biggest thing is to. Your biggest thing to do right now. Rav is his. His. His. His language is what we call need based, right? It's very need based. It's all about him getting what he wants. Right. But when he cannot use sentences, what I want you to do is what I just. What I just described about, like teaching verbs. Focus on the play. Make sure that he wants to use the. The language to play with you, and then slowly you'll get there. All right? You cannot just run to stories right ahead. You gotta start getting him to speak in, like, short sentences during play. Again, if you search on YouTube like agents of Speech, Asian speech, and then you search like sentence or something, and then you'll see some videos says, do you have any available proper face massage? I don't do face massage. I don't know how to do it. I've never used it. I. I'm not sure if it's helpful or not. I use. I don't know. I don't know, man. I don't do that stuff. I really don't. All right, so. Oh, thank God I was able to answer all questions. So my Facebook page for the Insta Instagram question is as Ming Fung M I N G F U n G and then agents of speech. So you can go there and take a look there. All right, last question, last question. And that's it. Okay, I got a shower. She doesn't make complete sentence. She only says words only. So I need to start time. So I need to start any kind of therapy? Yeah, I think, I think you should, you should totally start some therapy. You should totally do it. If financially possible or you have any like funding or whatever. You should totally do it. Why not? Right? And I think you should start playing with her as much as possible like I was describing, get her into a sequence and then teach her the verbs. All right, so that's it for tonight. Thanks guys. Thanks everyone who has joined tonight and I will talk to you guys probably next week. Just been, things have been going really fast and just wanted to make this live since I haven't been online for quite some time now. There's one last question. Let's see what, what it is. My son is 3 year old, doesn't call me mom at all. His mom, I think. Go on YouTube and search how to teach your mom how to do mom, how did your child to say mama. And you'll know exactly what to do. All right, cool. Thanks guys. I will talk to you guys probably next week, Monday. And if you haven't go to agents of Speech.com, scroll down and join our email list. Because I share a lot of. I share a lot more on email. It's easier for me to type than to talk. So I type much faster than I talk, believe it or not. So that's all. Appreciate all of you. Thanks for all the great comments. Although I would rather you ask me some questions. But anyways, thanks so much. Have.