Children with CAS generally have a good understanding of language and know what they want to say. They have difficulty, however, carrying out the complex motor movements of the lips, tongue, jaw, and soft palate that are necessary for developing intelligible speech. In essence, CAS is a wiring problem in which the brain says speak but the mouth does not respond.

Not all children with CAS are the same. Your child may show some or all of the signs below:

  • Has limited vocalizations in infancy

  • Is delayed in saying first words
  • Says only a few different sounds:

    • may often use mainly vowels
    • Lack of a consonant by 12 months of age
    • Fewer than 3 consonants by 16 months of age
    • Fewer than 5 consonants by 24 months of age
  • Has problems putting sounds together to form syllables/simple words
  • Little use of different syllable shapes [consonant + vowel (CV); vowel + consonant (VC); CVCV, VCV]
  • Does not always say a word the same way
  • Understands speech and language better than they can produce speech.
  • Has problems imitating what others say. If she can imitate, those words will sound better than words she says on her own.
  • More trouble saying longer words than shorter ones.

  • Difficult to understand, especially with those who don’t know the child well.
  • Speech may sound choppy, flat, or monotone. The child may put stress on the wrong syllable or word or have difficulty with continuous voicing across syllables or words.

Some Words From Our Clients

“I highly recommend Ladybug Language and Literacy to anyone who is in need of speech therapy.”

D. A.

“The office is clean, beautiful, and has endless resources. Emily and the team are supportive and work diligently with each child. Excellent experience!”

K. J.

“We’ve had a wonderful experience with Ladybug Language and Literacy! My daughter sees Miss Emily for speech once a week, and we’ve seen so much progress. Miss Emily is kind, professional, and truly great with kids. I would highly recommend Ladybug Language and Literacy to anyone looking for speech therapy services.”

F. B.

“My child absolutely adores Ms Emily! He looks forward to every appointment and has made amazing progress with her guidance. We’re so grateful for her!”

B. R. 

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