When a child appears not to hear or understand

When a child is not talking by the age of two

When you have difficulty understanding a child’s speech after the age of three

When a child has difficulty expressing his thoughts or maintaining a topic during conversation

When a child’s sentence structure is faulty at age five

When a child talks a lot, but does not really ‘say’ anything

When a child’s development is delayed relative to children his/her age

When a child has difficulty following directions or remembering what he/she has learned

When a seemingly bright child has academic difficulty

When a child has difficulty learning to read

When a child has suspected perceptual, reading, or writing problems

When a child has speech that is too fast, too slow, or does not flow naturally

When a child stutters

When a child’s voice is often hoarse

When a child is embarrassed or bothered by his/her speech at any age

When a child’s speech or language is impaired because of a stroke, head injury or trauma