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therapist would also have the opportunity to work with preschoolers, noted Elizabeth. "By age five, a child ought to have the majority of his language. They go through a constant learning process from one to five and after that, refine what they’ve learned. We need to start (speech therapy) with two, three and four year olds. That’s the cream of the crop in learning...Children are usually pretty receptive then. They haven’t set their speech patterns so firmly.”
One of the points Elizabeth has to look out for is the difference between dialect and speech problem. Around Rappahannock County, she said, many children — and their parents—omit the final consonant from a word, particularly a final D, T or G. She must determine if the child can pronounce the final sound. “Can they do it if they’re stimulated? If they can, then it’s not a speech problem,” she explained.
The speech therapist had some advice for parents of pre-schoolers who worry about their child’s stuttering. Three and four year olds go through a period of “normal disfluent speech” when stuttering is not unusual. Ignore stuttering at this stage, Elizabeth recommended. “Don’t become
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