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      A First-Person Account of Developmental Language Disorder

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          Abstract

          Purpose:

          The aim of this study is to share the lived experiences of an adult with developmental language disorder (DLD) and relate her experience to the evidence base and issues in clinical practice.

          Method:

          We co-wrote a first-person account grounded in the research literature. We organized the account into six main sections: (a) the early signs of DLD; (b) diagnosis; (c) treatment; (d) the impact of DLD on family relationships, social–emotional health, and academic performance; and (e) considerations for practicing speech-language pathologists. We close with (f) the first author's current perspective on life with DLD.

          Conclusions:

          The first author was diagnosed with moderate-to-severe DLD in early childhood, and she continues to exhibit subtle and occasional symptoms of DLD as an adult. At specific points in development, her family relationships were disrupted and her social, emotional, and academic functions were disabled, particularly in the school context. Supportive adults, especially her mother and her speech-language pathologist, helped lessen these impacts. DLD and its consequences also positively influenced her worldview and professional choices. The precise nature of her DLD and her experiences around the disorder will not be true of everyone with DLD. Nevertheless, the broad themes that emerge from her narrative are reflected in the evidence base and thus are likely applicable to many individuals with DLD or other neurodevelopmental conditions.

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          Most cited references62

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          Children with Specific Language Impairment

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            Fourteen-year follow-up of speech/language-impaired and control children: psychiatric outcome.

            To examine the association between early childhood speech and language disorders and young adult psychiatric disorders. In a longitudinal community study conducted in the Ottawa-Carleton region of Ontario, Canada, interviewers administered structured psychiatric interviews to age 19 participants who were originally identified as speech-impaired only, language-impaired, or nonimpaired at age 5. The first stage of the study took place in 1982 when participants were 5 years old, and the latest stage of the study took place between 1995 and 1997 when participants had a mean age of 19 years. This report examines the association between early childhood speech/language status and young adult psychiatric outcome. Children with early language impairment had significantly higher rates of anxiety disorder in young adulthood compared with nonimpaired children. The majority of participants with anxiety disorders had a diagnosis of social phobia. Trends were found toward associations between language impairment and overall and antisocial personality disorder rates. Males from the language-impaired group had significantly higher rates of antisocial personality disorder compared with males from the control group. Age of onset and comorbidity did not differ by speech/language status. The majority of participants with a disorder had more than one. Results support the association between early childhood speech and language functioning and young adult psychiatric disorder over a 14-year period. This association underscores the importance of effective and early interventions.
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              Early Language and Communication Development of Infants Later Diagnosed with Autism Spectrum Disorder

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                Author and article information

                Journal
                Am J Speech Lang Pathol
                Am J Speech Lang Pathol
                AJSLP
                American Journal of Speech-Language Pathology
                American Speech-Language-Hearing Association
                1058-0360
                1558-9110
                July 2023
                17 May 2023
                1 January 2024
                : 32
                : 4
                : 1383-1396
                Affiliations
                [a ]Emerson College, Boston, MA
                [b ]Boys Town National Research Hospital, Omaha, NE
                [c ]O'Connor Hospital, San Jose, CA
                Author notes

                Disclosure: Paula M. Orrego and Karla K. McGregor are members of Raising Awareness of Developmental Language Disorder (RADLD-USA), a volunteer organization aimed at raising awareness of developmental language disorder. Karla K. McGregor is on the board of DLDandMe.org, a volunteer organization aimed at sharing evidence-based information to people living with developmental language disorder, their families, and the professionals who serve them. The authors have declared that no competing financial or nonfinancial interests existed at the time of publication.

                Correspondence to Karla K. McGregor: Karla.mcgregor@ 123456boystown.org

                Editor-in-Chief: Erinn H. Finke

                Editor: Audra Sterling

                Author information
                https://orcid.org/0000-0003-0612-0057
                Article
                23814764000300140072
                10.1044/2023_AJSLP-22-00247
                10473366
                37195674
                84942094-ecc2-4e69-bf67-23d356cebcdb
                Copyright © 2023 The Authors

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 10 August 2022
                : 03 January 2023
                : 10 March 2023
                Page count
                Pages: 14
                Funding
                Paula M. Orrego and Karla K. McGregor would like to thank Renée Reilly for introducing them to each other. All authors are appreciative of helpful feedback from Lisa Goffman and Ron Pomper. Karla K. McGregor acknowledges the National Institutes of Health (Grant R01 DC011742-07) for supporting her work on developmental language disorder. Paula M. Orrego dedicates this clinical focus article to her mother, Margarita Haydee Franco, for following her motherly instincts and tirelessly working to help her daughter navigate a language-heavy world.
                Categories
                clinical-focus, Clinical Focus
                Clinical Focus

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