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Doctor insights on: Can Child Abuse Cause Speech Delay

One study indicates: That abused children who live with their families do not seem to have speech delay unless they are also subjected to neglect. However child abuse effect differs from child to child. Here is a website re effects of abuse and neglect on development: http://www. Dshs. Wa.Gov/ca/fosterparents/training/chidev/cd05a.Htm seek help for abused/neglected children and children with delayed speech.

Yes: Depending on where you adopted from the child can be quite delayed. Especially babies from the European Eastern block (Russia, Romania) who have been in an orphanage can be definitely delayed. Same with most children adopted from China.

No: Speech delay needs to be treated with speech therapy, not medications.

Possibly, however,: Speech = articulation, the motor aspect of language. A child with receptive & expressive language delay" has impaired ability in comprehending language & in verbalizing ideas. Language is best learned from birth-5. Autism pre-k has 6 hrs. Of intensive instruction. Developmental delay pre-k has 2 1/2 hrs. Of instruction for children with various needs. Try the higher level of service first.

Speak to pediatricia: You should make an appointment to speak to your pediatrician. Have your child's hearing checked and if OK, consider a referral to an autism specialist.

No: There are no drugs to fix this collection of issues. Hyperactivity may benefit from several available if found reasonable on a workup by the doc. Hearing impairment & speech delay must be evaluated through ENT /speech pathology testing to decide proper therapy.

Not an issue: This is a curious disorder of older school age kids and adolescents. At 3, various forms of speech and language delay, verbal apraxia etc are more common and relevant. An evaluation by a developmental pediatrician and speech and language pathologist would give you more information.

Yes: Just about anything "horrible" can do it. (car accidents, fires, you name it). But, at the same time, who gets, and who does not get, ptsd, is a very very difficult thing to predict. It really depends on the kid.

Not always: Reaction to abuse can be quite varied. Some children come to see abuse as normal, so they may seek out abusive relationships. They feel numb and try to get some feeling back by taking risks or becoming the"life of the party" or class clown.

Bipolar Disorder: Does not cause child abuse. But, when someone is severely depressed or manic they may neglect children's needs or lack impulse control or feel more aggressive. So it could be a contributing factor.

Probably not: Child abuse, especially the shaken baby syndrome, causes significant damage in the eye, . Mostly retinal disruption with bleeding and loss of vision. The optic nerve is in a well protected canal and would only be damaged in these circumstances if the trauma were so great that the bones around the nerve were fractured although this would not be called optic neuritis, but just traumatic damage.

Does it really?: Actually, I am not aware that there is any evidence that this occurs. If so please share with me the evidence.

Nope: Not as an isolated symptom, no. Has your child had the Baylor screen? This screens for many metabolic and other disorders, I have been using it in my practice for many years for families that would like expanded newborn screening. http://www. Baylorhealth. Edu/Research/InstitutesCenters/IMD/ClinicalTests/SupplementalNewbornScreening/Pages/default. Aspx

Traumatic events can: Cause ptsd in infants 9 mos.-old & >. ("handbook of infant mental health" by dr. Charles zeanah). Signs of selective mutism, adhd & odd can present in 1-3-yr.-olds exposed to violence. Assessment of communication, social reciprocity, self-help/adaptive & motor skills drives early intervention therapies for tots with developmental receptive &/or expressive language +/- articulation disorders.

No, but: There are no studies that associate the development of schizophrenia to early child abuse. While the causes of schizophrenia are unclear, some evidence supports a genetic link, a link to chronic and early marijuana use, and effects from a fetus being exposed to certain viruses. However, childhood abuse can lead to symptoms that may look like schizophrenia, including hallucinations.

Avoidant: Personality disorder is a pervasive lifelong pattern of feelings of inadequacy, sensitivity to rejection, etc. It’s highly doubtful that APD or other personality disorders, would be a result of childhood trauma. Trauma can make one susceptible to mood and anxiety disorders, most commonly. Regardless, seeing a therapist and a psychiatrist is the best recommendation given your history.

No: No, unless she has middle ear fluid, for some time, you should have that checked, if yes, consider tubes, in ears, following antibiotic failure

Might contribute: This is a highly pathological family situation. This particular kind of event isn't likely to cause speech delay, but the overall horrible situation in the family certainly could contribute to it. You need to discuss this frankly with the todler's pediatrician. Good luck to all concerned, especially your kids.

Anxiety: You have several issues that should be followed and managed by behavior health and adult medicine to decide which medication is right for you.

Many things: Such a painful situation here. Many people who abuse or molest children were themselves abused. . . . Thus perpetuating a generational crime against younger (and less powerful) kids in the family. The key is to shift the victim to survivor through timely treatment, as was probably not done for the perpetrator. Sometimes when the child "tells, " she or he is not believed, either. Tragic.