Children with TOS: ‘It’s not because of a lack of reading or talking to your child’ | family

About 5 percent of children are thought to have a developmental language disorder (TOS). Language and speech development in children with TOS varies. This often results in children also having to deal with challenges or other cognitive limitations. What makes TOS so complicated and what can you do as a parent?

TOS is a language problem that cannot be explained by apparent brain damage, intelligence problems, hearing loss, physical problems or social and emotional problems (Kamphuis and Hermsen, 2015). Research into the cause of developmental language disorders is still ongoing, but possible causes include genes (heredity), brain structure, activity in the brain, or brain capacity.

How can you tell if a child has TOS? Sometimes a child is thought to be not very intelligent, have a developmental delay or a form of autism, Kentalis reports. Koninklijke Kentalis is a Dutch organization that provides research, care and education for people with hearing and communication disabilities because they are deaf-blind, deaf or hard of hearing, or because they have communication problems due to a language development disorder or autism with speech and language problems. According to Kentalis, the risk of not recognizing TOS in time is greater in multilingual children.

slow talker

Marit (last name known to the editors) is the mother of Fiene and Tum. Six years ago, she called herself a child health clinic because she was afraid that her three-year-old son would only speak a few words. “The health clinic indicated that he would be slow to talk and that he would be fine. With great pain and difficulty I got a referral to speech therapy. Once we got to speech therapy, things went quickly and within a few months we could go to Adelante, an organization that specializes in , among others, language and speech problems. In Adelante, Tum was diagnosed with TOS.”

I love sweets

Terms of Service can vary in both severity and appearance. Children may have problems with speech (phonology or the motor skills of speech), with language comprehension or language production, or with combinations thereof. So the TOS manifests itself differently in each child. Children with TOS sometimes don’t talk or talk very little. They can also switch sounds (“laugh” instead of “frog”) or omit sounds (“television” instead of “television”). Children sometimes have trouble coming up with a word, know few words or don’t understand well. Children can get angry if they are not understood well or if they do not understand a person well. Sometimes the disorder appears because children mainly make short sentences or make many mistakes.

Marit: “Tom has problems with pronunciation of sounds and sentence design. For example, he doesn’t say “Can I have candy?”, but say, “I can have candy.” He calls Star Wars Tou sjo and the tablet was a “tab.” Until five.


These children usually find it difficult to understand and direct their feelings and thoughts

cash hunters

Why should the Terms of Service be disclosed (quickly)?

“The problem of children with TOS is complex; it is often not just language and speech problems alone. We know that when language development falters, these children have problems in other cognitive areas as well. Children usually find it difficult to understand,” says Constance Fischers. their feelings, thoughts, and orienting themselves.” Visser is Professor by Special Designation and Senior Researcher at Kentalis. On May 25, she held her inaugural lecture at Radboud University Nijmegen, answering the question “How does a neuropsychological perspective on disorders of language development (TOS) contribute to diagnosis and treatment and appropriate education for children and youth with TOS?”

As a parent, can you do something about the Terms of Service?

“I sometimes think: I could have done more myself?” It understands that there are still sometimes biases about terms of service. That you, as a parent, may not read or speak well or it may be because you were brought up in one way or another. Vissers answers this firmly: “In TOS, it’s not about reading too little or not speaking enough with your child. TOS is a neurocognitive impairment in language acquisition. TOS falls into the category of neurodevelopmental disorder, which also includes ADHD and autism. It’s an early brain developmental disorder that results in a brain that is not optimally connected. As a parent, you can’t do anything about it.”

“Once a diagnosis of TOS has been made, it is important to stimulate language development,” Visser stresses. “It is important to expand the world for a child with TOS and stimulate it as widely as possible. At home, in care and education.”

Vissers know that it can be a challenge for parents. “If communication is difficult, you as a parent may sometimes tend to speak less. For example, if there is a lot of frustration. It is important that we keep doing this, to continue the conversation. Immerse your child in a language bath.”

Kentalis shares a number of tips for parents who have children with TOS:

Be expressive. Don’t just say, “Pull your chair,” but show it. This way the child learns the meaning of your words. You can also do this with pictures, images, or objects.

Do not improve your child, but only repeat what he said in the right way

Keep checking with your child if he or she has understood you. Children are easily shy if they do not understand something, and therefore they do not always dare to say it.

A feature of TOS is that it is sometimes difficult to name feelings. As a result, feelings can sometimes rise. Find ways to recognize and name feelings. There are many children’s books that focus on emotions.

Keep talking to and with your child, even if he doesn’t reply much.

Children are more likely to communicate if they are interested in something and can show initiative themselves.

“Don’t worry,” Karen continued, “it’ll work out on its own.” However, it was found that her son suffers from a language development disorder (TOS). Read her story on Parents Now.

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