Sandbox/speech sound disorder

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Diagnostic Criteria

DSM-V Diagnostic Criteria for Speech sound disorder[1]

  • A. Persistent difficulty with speech sound production that interferes with speech intelligibility or prevents verbal communication of messages.

AND

  • B. The disturbance causes limitations in effective communication that interfere with social participation, academic achievement, or occupational performance, individually or in any combination.

AND

  • C. Onset of symptoms is in the early developmental period.

AND

  • D. The difficulties are not attributable to congenital or acquired conditions, such as cerebral palsy, cleft palate, deafness or hearing loss, traumatic brain injury, or other medical or neurological conditions.


References

  1. Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.

Overview

Speech sound disorder must be differentiated from other diseases such as dysarthria, normal variations in speech ,selective mutism,and structural deficits.[1]


Differential Diagnosis

  • Dysarthria
  • Hearing or other sensory impairment
  • Normal variations in speech
  • Structural deficits
  • Selective mutism[1]
  1. 1.0 1.1 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.