What does the DSM-IV define as:     A. Disturbance in the normal fluency and time patterning of speech, characterized by frequent occurrences of one or more of the following: (1) sound and syllable repetitions (2) sound prolongations (3) interjections (4) broken words (5) audible or silent blocking (6) circumlocutions (word substitutions to avoid problematic words) (7) words produced with an excess of physical tension (8) monosyllabic whole-word repetitions B. The disturbance in fluency interferes with academic or occupational achievement or with social communication.     C. If a speech-motor or sensory deficit is present, the speech difficulties are in excess of those usually associated with these problems.
Speech and language impairment Speech and language impairment Speech and language impairment are basic categories that might be drawn in issues of communication involve hearing, speech, language, and fluency. A speech impairment is characterized by difficulty in articulation of words. Examples include stuttering or problems producing particular sounds. Articulation refers to the sounds, syllables, and phonology produced by the individual. Voice, however, may refer to the characteristics of the sounds produced—specifically, the pitch, quality, and intensity of the sound. Often, fluency will also be considered a category under speech, encompassing the characteristics of rhythm, rate, and emphasis of the sound produced A language impairment
Speech sound disorder are not caused by hearing problems, congenital deformities, motor disorders or selective mutism. The DSM-5 diagnostic criteria are as follows: For most children, the disorder is not lifelong and speech difficulties improve with time and speech-language treatment. Prognosis is poorer for children who also have a language disorder, as that may be indicative of a learning disorder. Speech sound disorder A speech sound disorder (SSD) is a speech disorder in which some speech sounds (called phonemes) in a child's (or, sometimes, an adult's) language are either not produced, not produced correctly, or are not used correctly. The term protracted phonological