Will My Nonverbal Autistic Child Ever Talk?
Jan 15, 2022 As a parent of a child with autism, there are many unanswered questions when it comes to your childās development. Unfortunately, thereās no clear yes or no answers to questions related to autism and development.
For children with autism, the rate of development is slightly different. Many children with autism are behind in speech and language development. This often leads to the question, āāWill my nonverbal autistic child ever talk?ā
What Does Nonverbal Autism Mean?
Nonverbal autism is not a diagnosis within itself. It simply means a child or person struggles with verbal communication. For those in the autism spectrum, thereās no clear-cut line between verbal and nonverbal autism. Like autism spectrum disorder itself, itās complicated.
Here are a few examples of how complicated nonverbal communication is within the autism spectrum:
- Some children with autism will say simple words to communicate what they want. For instance, a child will say ācarā to mean āI want to go for a car ride.ā But for those who donāt know the child, they will think the child is just identifying the vehicle. While this child can use simple words to ask a question, he/she cannot answer a follow-up question like āWhere do you want to go?ā
- Other children are able to use more complex words, but they lack meaningfulness. Example: They can echo or recite sentences from movies or scripts learned from a therapist. When this type of nonverbal communication is done, the child is not communicating their wants or needs.
- Many children with nonverbal autism are able to communicate there wants and needs through sign language, flashcards or digital devices.
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Does Nonverbal Autism Mean Low IQ?
To be honest, there is no known causes of why individuals with autism become nonverbal. This is a subject within the autism spectrum that needs more research. Although we donāt know why many people with autism are nonverbal, it needs to be understood that nonverbal autism is not due to a lack of intelligence.
There are many societal misconceptions about autism. One of those misconceptions is that nonverbal autism is the result of low intelligence. However, many children and adults within the autism spectrum are able to understand more than they are able to communicate through language.
Itās been historically assumed someone who is nonverbal also has a low IQ below 70. The problem with this assumption is that standardized IQ tests are not effective when used on individuals with autism. Therefore, some people with nonverbal autism may be misdiagnosed with intellectual disability due to standard methods of IQ testing. A 2011 research study found low IQ and autism together were less common than historically thought.
Because intellectual disabilities are not the cause of nonverbal autism, some research points to a positive correlation between autism and genius. A 2015 Cambridge University study found those with autistic traits were more likely to pursue careers in areas involving high intelligence including technology, engineering, science, and math.
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Will My Nonverbal Autistic Child Ever Talk?
Within the autism spectrum, roughly 40% of children are considered to be nonverbal. This percentage seems very high and is also a depressing outlook for parents whose children are nonverbal. But there is one recent research study that holds promising results for nonverbal autistic children and late speech development.
A study from the Center for Autism and Related Disorders looked at 535 children diagnosed with autism between the ages of 8 to 17. All participants experienced extreme language delays at four years old. At the age of 4, the participantsā language delays included nonverbal and only simple words or phrases.
The research study found the following positive results for children with nonverbal autism:
- 47% of participants became fluent speakers
- 70% spoke were later able to speak in simple sentences
- In an effort to predict if nonverbal children with autism would develop speech, it was found that most participants had higher IQās than previously thought
- Repetitive behaviors and intense interests didnāt affect language development
This study published in Pediatrics holds promising hope for parents wondering if their nonverbal child with autism will ever talk. Although 70% of the children developed speech enough to only say simple phrases. I believe any language development is a positive step forward for a nonverbal child!
If you are wondering whether your nonverbal child will ever talk, I would say āYes!ā Thereās always hope for language development. Some children with autism simply need longer to develop with the help of speech and occupational therapy.
Conclusion
Iāve asked myself this question many times about my own son since his speech regression at the age of three. While my son is moving forward with receiving an autism diagnosis, a speech therapist wants us to begin using a picture communication system with him.
While Iām excited to start flashcards with him so he can point to his needs and wants, Iāve also found myself asking the question: āWill he be communicating with flashcards all his life?ā I donāt want a picture communication system to be the end result of his speech and language development. I want to be able to exchange conversation with him eventually. Whether it is soon or years down the road, I believe my own son will speak again even with the setback of a speech regression.
Just because a nonverbal child with autism doesnāt use words to communicate does mean he/she has an intellectual disability. Studies are finding in most cases children with nonverbal autism will grow up to develop speech and language skills. Just at a different rate of development than those without autism.
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Have a question for our Speech Therapists?
Hi, My son is 18 months old and has no words . He understands very few commands and babbles a lot . He is otherwise very active happy and has fairly good eye contact . Is he on the spectrum or speech delayed. I know itās not the right forum but any inputs to help him speak would help
Hi. It sounds like your child is doing exactly what he is supposed to be doing. At 18 months, children should have 1-2 words, but those words may not always sound like the exact word. For example, he may be babbling āda,ā which will eventually turn into ādada.ā Babbling is the precursor to speaking in complete words and phrases. Right now, due to the fact that he is babbling, making eye contact, and understanding commands, he sounds like he is on track! My suggestion would be to model any language that you believe he is attempting to say. For example, if he is pointing to an object, make sure you point to your mouth and then say the word. You can also give him choices instead of just giving him what he wants. This can be accomplished during mealtime, reading a book, or even on the playground!
Stacie Bennett, SLP
Hello
So my 14 month old just had an assessment and she scored pretty low. So far sheās non verbal and she doesnāt point to things or even answer to her name. Thereās other things but those are the big cues. Thankfully she shows eye contact with me but not so much with other people.
I guess I just wanted to say Iām very worried. The unknown is scary. I just want my baby girl to not have to struggle and live a normal life like any other kid.
Hi Krystle. Itās completely normal to be afraid and worried about your childās future. As parents, we always want whatās best for our kids, and knowing that there is an issue, isnāt easy to deal with. The good thing is that you got her evaluated early! The earlier that you start therapy, the better chance that your child will be verbal and ācatch upā to her same-aged peers. Did they mention any sort of diagnosis to you? Are there speech and language delays in the family? If they do, try not to panic. You can always reach back out to us for more information/where to turn. Iād also suggest you download Speech Blubs and start doing some of the exercises at home. This will prep her for therapy! Hang in there and know that you are doing the right thing!
Stacie Bennett, M.S. CCC-SLP
Hello, my son is now 14 and will being going to high school next year. Although he has no problem communicating and letting people know what he wants or needs heās still nonverbal. He really seems like heās trying to speak and wants to speak. Heās about to start speech therapy, is there any other her therapy or service I should get him in? Heās the happiest and fun loving kid youāll ever meet and I just want to make sure Iām doing everything in my power to help him.
Hi! It sounds like all he should need is speech therapy! If you donāt have any other concerns regarding his motor skills (e.g., walking, writing), speech might be the only thing he needs!
Stacie Bennett, M.S. CCC-SLP
Hello
My 5 year old grandson is nonverbal and was assessed on the autism spectrum. Lately he is starting to repeat a lot of what we say and sometimes says an appropriate command at the right time like āopen.ā He has different therapists working with him and this year is attending a regular K class with the help of an aid.
My question being his grandmother is, will he start talking one day?
We are very optimistic but sometimes I feel very sad for my son and his wife. They have a very bright 8 year old boy who excels in school and sport activities.
Thank you.
Mati.
Hi Mati. I really wish I had an answer for your question, however, we cannot predict if a child will ever speak. It sounds like his parents are doing the right thing by getting him all the therapy that he needs. It might take years for communication to happen and it might never happen at all. Try and remain optimistic and patient!
Stacie Bennett, M.S. CCC-SLP