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Abstract
Language is the primary tool in behavioral and social interactions which in turn function as the training grounds for developing language. So, initiation social contact is influential in entering and maintaining social interactions and friendships. Unfortunately, many children with delayed language development entered in a cycle of exclusion of peers due to lack of self-esteem or through active exclusion of peers.
language impaired children (5 years old ) were at higher risk to be diagnosed with psychiatric disorders in 7-years follow up study and the risk was still greater even if the language skills had improved.
Many studies have focused on the relationship between D.L.D and problem behaviors and reported that boys with problem behaviors were significantly more likely to have low language scores than boys without problem behaviors.
Many psychiatric disorders had been found to occur as co-morbid conditions to A.D.H.D as conduct disorder (35%), anxiety disorder (25%) and depression (18%). Subgroup of Autistic children presents with psychiatric symptoms and abnormal behavior as hyperactivity, aggression, self-injurious behaviors, stereotype, and anxiety symptoms-especially obsessive-compulsive behaviors. Beside that Autism and A.D.H.D can affect language acquisition and cause D.L.D.
Hard of hearing and deaf children are, more vulnerable than normal hearing children to be victims of physical, emotional, and sexual abuse This increases the risk of mental health problems throughout life .The overall comparison shows significantly more symptoms of anxiety and depression in the deaf group than in the hearing sample of respondents.
Behavior problems, such as over activities, aggressiveness and moodiness, are often perceived by parents of children with SLI, but these tend to resolve as linguistic skills improve.
Maltreated children received more negative and rejecting communications from the mothers and fewer complexes and stimulating language input. In general, severe neglect seems to be a greater risk factor than abuse for communicative handicap. Children with communicative disorders including DLD are more likely than normally developing children to experience abuse.
Proper assessment should be done including good history taking , proper examination, psychometric evaluation and psychological assessment.
Management of these psychological disorders includs psychotherapy and pharmacotherapy that beside to language therapy which differ according to different types of delayed language development.