【求助】真急人，宝宝2岁2个月了怎么还不怎么说话啊！

[闲散人]

我家儿子2岁个月了，什么都挺好的，活泼健康，就是不怎么开口说话。真是急死人了！各位姐妹们，有什么好的办法吗？

[盈ying]

是不愿意说还是不会说？我的意思是会说简单的吧．有些孩子语言环境复杂，开口将长段是晚一点，不用着急．只要他对你讲的话很明白，只是不愿开口，保不准过一阵滔滔不绝吓到你．

[闲散人]

作者: 盈ying

是不愿意说还是不会说？我的意思是会说简单的吧．有些孩子语言环境复杂，开口将长段是晚一点，不用着急．只要他对你讲的话很明白，只是不愿开口，保不准过一阵滔滔不绝吓到你．

感觉是不愿说，因为爸爸妈妈爷爷奶奶，还有谢谢什么的，其实都会说。但就是不张嘴，你让他说时，他偏不说。高兴的时候，想起来什么说什么。

[ForeverYoung]

就是多说。我家孩子都是2岁多才开口说话。

[Jenny-w]

这有什么可急的，三岁才说话的孩子多了。何况你孩子会说很多，只是不愿意说而已。你越急，他越不愿意说。我儿子那会我一点都不急，因为我侄子真的是三岁才说话的，一经满世界乱跑了，就是说话没人听得懂，还是baby talk。我坚持大人该怎么说怎么说，不逼着他说。他说错了我就用我的说法重说一遍表示我听懂他的话了，而不是要纠正他。如果你急于纠正他，他就受打击了。

[bibibo]

更急！
我儿子21个月了，除了爸爸妈妈爷爷奶奶，啥也不会说，但是我确定他什么都听得懂，简单指令都能照办。就是不愿意开口，一点都不开那种。

[newbeetle]

好像男孩子说话都晚吧?

[我爱吃海鲜]

我孩子小，我没经验，但是我婆婆说，我老公3岁前什么都不说，3岁以后突然有一天说出了一长串的话，吓坏我婆婆了，然后就开始滔滔不绝的说了。但是我妈说，我1岁左右就说话很多了，不到2岁就能背儿歌和唐诗了。所以可能男孩比女孩说话晚。不知道你是否听说过“贵人语迟”？

[smellyfish]

每个小孩都不一样的，有的走得快有的说得快，只要他能听懂你们的说话就不用担心，
听说说话迟的小孩，以后话特多，，，
很多朋友的小孩说话大部分从电视上学来的，一朋友儿子18个月的时候就会学大人说很多话，他们说他是看《不一样的兔子》学了很多，呵呵。。。

[dadalong]

Don't worry,when he speak he speak at least two language.

[sage]

有一个语言测试叫First Words，是免费的，可以测试一下孩子是否有语言发展延迟，而且专家也会给些帮助语言发展的建议。

[gemini0]

作者: smellyfish

每个小孩都不一样的，有的走得快有的说得快，只要他能听懂你们的说话就不用担心，
听说说话迟的小孩，以后话特多，，，
很多朋友的小孩说话大部分从电视上学来的，一朋友儿子18个月的时候就会学大人说很多话，他们说他是看《不一样的兔子》学了很多，呵呵。。。

18个只要能说5个词就达标了。

[一面湖水]

理解理解，我家姑娘也是很迟才说话，即便是现在，３岁半也说的不是很利落，３岁上的ＤＡＹＣＡＲＥ，结果，目前英文比中文好，对这一点我很失落

因为姑娘的说话问题，曾经经过专门的考核，姑娘介于需要进行特殊训练的边缘，因为当时刚上ＤＡＹＣＡＲＥ医生建议过１月再测试，因为表现还不错，所以就没去特殊训练了

先声明，我是个话不多的人，除了讲故事和必要的说话外，比较少和姑娘说话，另外我和ＬＤ说方言，我跟姑娘说普通话，在外面玩说英文，不知道是不是因为这个问题造成的姑娘说话问题。

如果你真的担心小朋友的语言问题，不妨做下测试，看专家怎么说

电话４１６－３３８－８２５５＆４１６－３３８－００２５

ｔｏｒｏｎｔｏ　ｐｒｅｓｃｈｏｏｌ　ｓｐｅｅｃｈ＆　ｌａｎｇｕａｇｅ　ｓｅｒｖｉｃｅ

免费的，但最好尽早预约，我排了８个月的队，实际上已经错过最好的训练时间，对此，我是很后悔的，这个信息希望有所帮助

[Calgary_Sun]

我给你吃颗定心丸，我同事的儿子三岁才开口，男孩子说话就是比女孩晚的，再加上咱们的特酥环境，孩子一会听中文，一会有听到英文，更加confuse，开口晚也就可以理解不是

[sage]

很多人觉得孩子在双语环境里说话会晚，这是个误区。
语言发展是认知发展很重要的一部分，所以speech delay其实就是cognitive development delay，跟双语或多语环境无关。一个中文讲得好的孩子英文肯定也说得好，反之亦然。
最佳方案是找专家测试。我刚刚查了一下，貌似我上面说的First Words Screening Clinic是俺村专有的，别地应该有类似机构，但名称不同。而且专家会给你很具体的建议，教你怎样促进孩子语言能力的发展。

[yang1999]

作者: 闲散人

我家儿子2岁个月了，什么都挺好的，活泼健康，就是不怎么开口说话。真是急死人了！各位姐妹们，有什么好的办法吗？

how about eye contact and listening/understanding? if it's Ok, then no worries.

[sage]

Delayed Speech or Language Development

Your son is 2 years old and still isn't talking. He says a few words, but compared with his peers you think he's way behind. You remember that his sister could put whole sentences together at the same age. Hoping he will catch up, you postpone seeking professional advice. Some kids are early walkers and some are early talkers, you tell yourself. Nothing to worry about...

This scenario is common among parents of kids who are slow to speak. Unless they observe other areas of "slowness" during early development, parents may hesitate to seek advice. Some may excuse the lack of talking by reassuring themselves that "he'll outgrow it" or "she'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 child is right on schedule.

Understanding Normal Speech and Language Development
It's important to discuss early speech and language development, as well as other developmental concerns, with your doctor at every routine well-child visit. It can be difficult to tell whether a child is just immature in his or her ability to communicate or has a problem that requires professional attention. These developmental norms may provide clues:

Before 12 Months
It's important for kids 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, children should also be attentive to sound. Babies who watch intently but don't react to sound may be showing signs of hearing loss.

By 12 to 15 Months
Kids this age should have a wide range of speech sounds in their babbling and at least one or more true words (not including "mama" and "dada"). Nouns usually come first, like "baby" and "ball." Your child should also be able to understand and follow single directions ("Please give me the toy," for example).

From 18 to 24 Months
Kids should have a vocabulary of about 20 words by 18 months and 50 or more partial words by the time they turn 2. By age 2, kids should be learning to combine two words, such as "baby crying" or "Daddy big." A 2-year-old should also be able to follow two-step commands (such as "Please pick up the toy and bring me your cup").

From 2 to 3 Years
Parents often witness an "explosion" in their child'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 child should begin to understand what it means to "put it on the table" or "put it under the bed." Your child also should begin to identify colors and comprehend descriptive concepts (big versus little, for example).

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

Speech is the verbal expression of language and includes articulation, which is the way words are formed.
Language is much broader and refers to the entire system of expressing and receiving information in a way that's meaningful. It's understanding and being understood through communication — verbal, nonverbal, and written.
Although problems in speech and language differ, they frequently overlap. A child with a language problem may be able to pronounce words well but be unable to put more than two words together. Another child's speech may be difficult to understand, but he or she may use words and phrases to express ideas. And another child may speak well but have difficulty following directions.

Warning Signs of a Possible Problem
If you're concerned about your child'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 child who:

isn't using gestures, such as pointing or waving bye-bye by 12 months
prefers gestures over vocalizations to communicate by 18 months
has trouble imitating sounds by 18 months
has difficulty understanding simple verbal requests
Seek an evaluation if a child over 2 years old:

can only imitate speech or actions and doesn't produce words or phrases spontaneously
says only certain sounds or words repeatedly and can't use oral language to communicate more than his or her immediate needs
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. Parents and regular caregivers should understand about half of a child's speech at 2 years and about three quarters at 3 years. By 4 years old, a child should be mostly understood, even by people who don't know the child.

Causes of Delayed Speech or Language
Many things can cause delays in speech and language development. Speech delays in an otherwise normally developing child 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.

Many kids with speech delays have oral-motor problems, meaning there's inefficient communication in the areas of the brain responsible for speech production. The child encounters difficulty using 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 indicate a more "global" (or general) developmental delay.

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

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

What Speech-Language Pathologists Do
If you or your doctor suspect that your child 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 doctor can refer you to one.

In conducting an evaluation, a speech-language pathologist will look at a child's speech and language skills within the context of total development. Besides observing your child, 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:

what your child understands (called receptive language)
what your child can say (called expressive language)
if your child is attempting to communicate in other ways, such as pointing, head shaking, gesturing, etc.
sound development and clarity of speech.

your child's oral-motor status (how a child's mouth, tongue, palate, etc., work together for speech as well as eating and swallowing)
If the speech-language pathologist finds that your child 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 child 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 child more realistically.

What Parents Can 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 child adequately stimulated at home or at child care? Are there opportunities for communication exchange and participation? What kind of feedback does the child get?

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

Here are a few general tips you can employ at home:

Spend a lot of time communicating with your child, even during infancy — talk, sing, and encourage imitation of sounds and gestures.
Read to your child, 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 kids to look while you name the pictures. Try starting with a classic book such as Pat the Bunny, in which the child imitates the patting motion, or books with textures that kids can touch. Later, let your child 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, in which your child can anticipate what happens. Your little one may even start to memorize favorite stories.
Use everyday situations to reinforce your child'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 child's responses (even when they're hard to understand). Keep things simple, but never use "baby talk."
Whatever your child'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 child will likely be better able to communicate with you and the rest of the world.

Reviewed by: Amy Nelson, MA, CCC-SLP
Date reviewed: October 2008

[smellyfish]

作者: gemini0

18个只要能说5个词就达标了。

我家小子，语言发展也是很慢，1岁是到儿科医生那体检，爸爸妈妈都说不清楚（但跟他说话他理解），医生建议上小儿语言测试中心看看，因为我们没觉得是问题，就没去。
现在18个月，也就几个词：
第一组：爸爸，妈妈，baby，妹妹
第二组：hi，胖，爱你
现在可以一，二组任意混合搭配了，比如hi爸爸，hi妈妈，hi baby，hi妹妹，胖爸爸，胖妈妈，胖baby，胖妹妹，爱你爸爸，爱你妈妈，爱你baby，爱你妹妹。。。

还有一些实在听不懂的鸟语。。。什么“八嘎”“嘎boom”“马嘎”

[newbeetle]

"八嘎"应该还是听得懂的吧？

[爱囡思念]

既然已经开口说了，就坚持陪着说话，要有耐心，这种事急不得。要是两岁多啥也不说才应该着急。