Expressive Language Disorder
The scores obtained from standardized individually
administered measures of expressive language development are substantially below those
obtained from standardized measures of both nonverbal intellectual capacity and receptive
language development. The disturbance may be manifest clinically by symptoms that include
having a markedly limited vocabulary, making errors in tense, or having difficulty
recalling words or producing sentences with developmentally appropriate length or
measures, the patient's scores of expressive language development are materially lower
than those of both nonverbal intellectual capacity and
receptive language development. Clinically, the patient
may have severely limited vocabulary, make errors of tense,
recall words poorly or produce sentences that
are shorter or less complex than is developmentally appropriate.
This disorder interferes
with educational or occupational achievement or with social communication.
It does not fulfill
criteria for a Mixed Receptive-Expressive Language Disorder or a Pervasive Developmental
If the patient also has
Mental Retardation, environmental deprivation or a speech-motor or sensory deficit,
the problems with language are worse than you would expect with
Language difficulties are in excess of those usually
associated with these problems.
Some disorders have similar or even the same symptoms. The clinician, therefore, in
his/her diagnostic attempt has to differentiate against the following disorders which need
to be ruled out to establish a precise diagnosis.
Mixed Receptive-Expressive Language Disorder
Pervasive Developmental Disorder.
Three to 5% percent of all children will possess expressive
language disorder. The child has difficulty understanding and using language. The cause of
this disorder is unknown. Problems with receptive skills begins before the age of 4.
Direct theraputic intervention for speech and
language difficulties, together with and psychotherapy, if necessary, are the best
approaches to this type of language disorder. Therefore, learning disorders are treated with specialized
educational methods. In addition to special classroom instruction at school, students with
learning disorders frequently benefit from individualized tutoring which focuses on their
specific learning problem.
Counseling and Psychotherapy [ See Therapy Section
Psychotherapy is recommended for children because of the
possibility of an emotional or behavioral problem associated with mixed
receptive-expressive language disorder.
Medical & Other:
Standardized receptive and expressive language tests can be
given to any child suspected of having this disorder. An audiogram should also be given to
rule out the possibility of deafness
On Axis III code any neurological condition or a
speech-motor or sensory deficit.
See also our Developmental Disorders Links Page