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child:communication:speech-sound-disorder [on May 28, 2019]
child:communication:speech-sound-disorder [on March 29, 2021] (current)
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 == Comorbidity == == Comorbidity ==
-Language disorder (especially in those expressive deficits) may co-occur with speech sound disorder. Individuals may also have a history of delay or poor coordination involving facial musculature (e.g. - chewing, maintaining mouth closure, and nose blowing).+[[child:​communication:​language-disorder|Language disorder]] (especially in those expressive deficits) may co-occur with speech sound disorder. Individuals may also have a history of delay or poor coordination involving facial musculature (e.g. - chewing, maintaining mouth closure, and nose blowing).
  
 <callout type="​question"​ title="​What is the Timeline of Development of Speech?"​ icon="​true">​ <callout type="​question"​ title="​What is the Timeline of Development of Speech?"​ icon="​true">​
 In normal children, at age 2, only about 50% of speech may be understandable. By age 4, overall speech should be intelligible. By age 7, most speech sounds and words should be produced clearly and pronounced accurately. The most frequently misarticulated sounds are the "late eight" sounds (children may have difficulty with these sounds up until age 8 and this is normal). The sounds are (//l//, //r//, //s//, //z//, //th//, //ch//, //dzh//, and //zh//). In normal children, at age 2, only about 50% of speech may be understandable. By age 4, overall speech should be intelligible. By age 7, most speech sounds and words should be produced clearly and pronounced accurately. The most frequently misarticulated sounds are the "late eight" sounds (children may have difficulty with these sounds up until age 8 and this is normal). The sounds are (//l//, //r//, //s//, //z//, //th//, //ch//, //dzh//, and //zh//).
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-===== Diagnostic Criteria =====+===== DSM-5 Diagnostic Criteria =====
 <WRAP group> <WRAP group>
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 Onset of symptoms is in the early developmental period. Onset of symptoms is in the early developmental period.
 == Criterion D == == Criterion D ==
-The difficulties are not attributable to congenital (i.e. - during fetal development) or acquired conditions, such as cerebral palsy, cleft palate, deafness or hearing loss, [[cl:​tbi|traumatic brain injury]], or other medical or neurological conditions. Hereditary and genetic disorders (e.g. - Down syndrome) are excluded from this criterion.+The difficulties are not attributable to congenital (i.e. - during fetal development) or acquired conditions, such as cerebral palsy, cleft palate, deafness or hearing loss, [[cl:​tbi|traumatic brain injury]], or other medical or neurological conditions. Hereditary and genetic disorders (e.g. - [[child:​genetic-disorders:​down-syndrome-trisomy-21|Down syndrome]]) are excluded from this criterion.
 </​WRAP>​ </​WRAP>​
 </​WRAP>​ </​WRAP>​