Characteristics of Speech and Language Impairment

• In an articulation disorder, a child will face issues in pronunciation. For example, a lisp, mispronunciation of letters such as "L" or "R".
• Impairments in fluency occur when the flow of speech is disrupted by different sounds, syllables, or word repetition. There may be periods of silence. Tension may been in shoulders or fists.
• Voice impairments may change the sound of the voice- nasal sounding, raspy, harsh. Often the voice is lost or there are drastic changes in the pitch.
• Issues with language are the improper use of words, the inability to express one's thoughts, limited vocabulary, and often the inability to follow directions.