Opening hours

9am – 5pm Monday to Friday

(Messages can be left out of office hours. We will return calls as soon as possible.)

14 The Close, Norwich NR1 4DZ

Opening hours

9am – 5pm Monday to Friday

(Messages can be left out of office hours. We will return calls as soon as possible.)

14 The Close, Norwich NR1 4DZ

Developmental Language Disorder (DLD) - Symptoms, Diagnosis & Treatment

With the right support, children with DLD can develop effective communication skills and build resilience, but early identification and intervention are key.

What is Developmental Language Disorder?

Developmental Language Disorder (DLD) affects approximately 1 in 14 children, however, it is often unrecognised and is not widely understood. While many children have language delays when they are young, DLD is more persistent; it is a lifelong condition, though the specific language challenges change with time, age and context. 

Previously called ‘Specific Language Impairment’ it is a condition where children have language difficulties which are not caused by something else e.g. other neurological, neurodevelopmental or genetic conditions. 

DLD can impact a child’s ability to understand language (receptive language) and express themselves (expressive language). Children with DLD might not understand what is said to them or may not be able to communicate effectively with others; this can impact their academic progress, social relationships, and emotional well-being.

 

DLD Symptoms & Signs

DLD symptoms vary widely and may be mistaken for other issues, therefore diagnosis can be challenging.

Here are some common signs of DLD:

Preschool-aged children:

  • Difficulties understanding basic instructions or questions.
  • Becoming frustrated with communication.
  • Difficulty forming sentences – short sentences, limited vocabulary, muddled word order, grammatical errors. 

Primary-aged children:

  • Trouble following multi-step instructions or understanding classroom directions.
  • Difficulty organizing thoughts to tell a coherent story or sequence events.
  • Limited vocabulary compared to their peers, or difficulty finding the right word.

Secondary-aged children:

  • Difficulties with abstract language, such as idioms, jokes, and sarcasm.
  • Challenges with complex sentence structures, especially in academic writing.
  • Difficulty participating in group discussions or social conversations.
  • Lower self-esteem and confidence, often linked to past communication struggles.

Children with DLD often work hard to understand and communicate, which can be exhausting and impact their social relationships. Recognising these signs early on can lead to better support and more positive outcomes for children with DLD.

DLD Diagnosis - Early Intervention

Early intervention for DLD can make a significant difference in a child’s life. Children who receive a diagnosis and receive support early often see better outcomes in school and in social interactions. When children receive specialised language support, they can improve their vocabulary, sentence structure, and confidence in communicating.

Parents, teachers, and caregivers play a critical role in spotting potential signs of DLD and seeking an assessment with a Speech & Language Therapist. If you notice signs of language difficulties, an early referral can lead to targeted support, even if symptoms seem mild. By addressing these difficulties early, we can help your child develop a solid foundation for learning and communicating.

Developmental Language Disorder may be challenging, but it is a manageable condition with the right support. By increasing awareness and understanding of DLD, we can help more children get the early intervention they need to thrive. Speech and language therapy plays a crucial role in supporting these children, giving them the tools and strategies they need to communicate confidently and succeed in school and life.

DLD Treatment - How we can help

If you’re worried your child might have DLD, we offer a specialist diagnosis and assessment service – find out more about our DLD Assessment Service.

If your child is diagnosed with DLD, our Speech and Language Therapists (SLTs) are specially trained and will develop an individual therapy plan, focusing on your child’s specific strengths and challenges. 

Assessing language skills – we conduct thorough assessments to understand how a child understands and uses language, identifying specific areas of difficulty. This assessment might include standardised tests, informal observations, and information from parents and education staff.

Building vocabulary and grammar skills – Therapy sessions might involve games, stories, and activities that make learning language fun and meaningful.

Developing social communication – Children with DLD often struggle with social cues and conversation rules. We use role-play and interactive exercises to help children learn how to take turns, stay on topic, and interpret nonverbal cues like facial expressions.

Teaching strategies – We support children and their families to learn strategies to manage language challenges. For example, parents might learn how to simplify instructions or use visual supports to aid comprehension. Teachers might receive guidance on how to adjust classroom instructions to support a child with DLD. Children are given support to identify and request help when they need it and to advocate for their needs. 

Therapy can vary in length and frequency depending on each child’s needs and may include regular reviews to monitor progress. Early intervention helps children with DLD to develop essential language skills before challenges impact their education and self-esteem further.

Personalised Care for Every Stage

Early intervention can make a world of difference in supporting language development and building self-confidence. If you think your child has DLD symptoms, get in touch for an assessment. 

Children and young people spend as much time in education as they do at home, so it is important to us that nursery/school staff and parents/carers all know how best to support the child. This means that we provide sessions both in clinic and in educational settings, as appropriate in each individual case, supporting all those around the child.

 



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Since attending speech therapy, our son has blossomed. The delight on his face as he learns new skills and his excitement as he realises what he can achieve is wonderful to see. It has been a real journey of discovery for the whole family and we can finally look forward and see a way ahead for him.

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Related Post:
Understanding Developmental Language Disorder (DLD)

Frequently Asked Questions

DLD is a lifelong condition where a child has ongoing difficulties understanding and/or using spoken language that are not explained by another diagnosis.

Signs include difficulty understanding instructions, limited vocabulary, short or unclear sentences, and problems expressing ideas.

DLD is linked to differences in brain development and often runs in families. It is not caused by poor parenting or low intelligence.

DLD affects around 1 in 14 children, making it one of the most common childhood developmental conditions.

No. DLD is a distinct condition, although it can co-occur with autism, ADHD, or learning differences.

DLD is lifelong, but with appropriate support, children can make significant progress in communication and learning.

DLD can impact following instructions, reading comprehension, writing, and social interaction in the classroom.

Support usually includes speech and language therapy, classroom strategies, and adapting communication to meet the child’s needs.

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