Language difference vs. disorder
A true disorder appears in every language a child speaks. Difficulty only in the newer language is a difference — and differences do not need therapy.
A Haitian Creole–English child's development follows its own well-documented pattern. Our clinicians and our tools are built around that, not around translated English norms.
What sounds and grammar patterns to expect, and what would genuinely be a concern.
Kreyòl has no /θ/ or /ð/, and marks tense with words rather than endings.
Spanish has five vowels; English has around fourteen.
Mandarin is tonal and does not use final consonants the way English does.
Bengali uses subject-object-verb order and no gendered pronouns.
Arabic has three vowels and sounds English does not, and vice versa.
A true disorder appears in every language a child speaks. Difficulty only in the newer language is a difference — and differences do not need therapy.
Kreyòl has no /θ/ sound, so a Kreyòl-English child saying 'tink' for 'think' is transferring, not erroring. We score these patterns separately.
Vocabulary is often split across languages. Counted together, bilingual children match their monolingual peers.
African American English, Caribbean English, and regional Spanish varieties are rule-governed systems, not delayed speech.
Mixing languages in one sentence is a sign of two healthy systems working together, not confusion.
We pair parent interview, language sampling in both languages, and dynamic assessment instead of relying on English-normed tests.
When a caregiver tells our Care Guide that their child hears Kreyòl at home and English at daycare, the follow-up questions change, the milestone comparisons change, and the clinician shortlist changes. That is the difference between translating care and making care navigable.
Try the Care Guide