Why doesn't our child speak at four years old as there are no hearing problems chromosomes and MRI normal but still no diagnosis?

Answer 1

There are many possible reasons! What type and on what region of the body was MRI was performed? Have they looked for physical reasons that the child cannot speak such as abnormalties in tongue attachment or just brain function? Did they look at how the brains henispheres were connected and the activity in the language centres?

From a home prespective does the child communicate with you? Has the child trained you to respond to their gestures, such as patting the sofa to get you to sit down next to them? "Saying" Ah ah ah when they want food? Many parents can tell the difference between a tired cry and a hungry or fustrated dry from their small babies, so you need to tell the diffence between crys and attempted speech. Have the gestures become more sophisticated as the child has grown older? If they are communicating with you perhaps it is worth trying Makaton or sign language to enable your child to communicate on some level. Is the child's development normal in other respects? Do they walk, run and have they started to play with others rather than near/next to others? Four year olds should be starting to play with people rather than near them.