Can ADHD Cause Speech Delay?

It is common for families to have concerns about how a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) may be related to speech disorders and other deficits. It is also typical to think about how ADHD may affect success in school, work, and social-emotional situations. Attention is an important factor to success in many realms, and with the correct diagnosis and support, individuals can thrive.

While ADHD doesn’t directly cause speech disorders, its symptoms can interfere with communication development and effectiveness across age groups. People with a diagnosis of ADHD are at higher risk for speech-related deficits.

What is ADHD?

ADHD is a neurodevelopmental disorder that affects attention, impulsivity, and executive functioning. ADHD affects children and adults alike and has several common subtypes (inattentive, hyperactive-impulsive, combined) of ADHD symptoms that can indirectly impact communication.

How ADHD May Affect Speech and Language

Different symptoms of ADHD can interfere with various aspects of speech and language. The manifestation of these issues differs by age and can include:

• Attention issues can hinder listening and language processing.
• Impulsivity may lead to interrupting or disorganized speech.
• Executive function challenges can affect storytelling, sequencing, and clarity.
• The rate of speech and volume of speech can be affected

ADHD and Speech Challenges at Different Ages

ADHD can affect speech and language differently depending on a person's age.

Understanding age-specific patterns can help caregivers, educators, and individuals with ADHD recognize the signs and seek targeted support. Symptoms can overlap with other disorders such as autism, so it is important to obtain a differential diagnosis from a qualified medical provider.

• In Children: Common ADHD-related delays include late talking, trouble following directions, reduced vocabulary, or pragmatic language difficulties.
• In Teens: Challenges include verbal impulsivity, trouble organizing spoken thoughts, or difficulty with academic presentations and social communication.
• In Adults: Speech issues may show up as word-finding problems, fast/disorganized speaking, or struggling to follow conversations in group settings. These symptoms can impact relationships and work performance.

Does ADHD Cause a Speech Delay or a Speech Disorder?

There is a difference between a true speech-language disorder and speech difficulties caused by ADHD symptoms. There is a significant co-occurrence rate between ADHD and speech disorders. ADHD may mimic or exacerbate issues like:

• Expressive or receptive language delay
• Pragmatic language difficulties
• Language processing challenges

If you experience difficulties with the areas noted above, you would benefit from an evaluation by a speech-language pathologist. Take the first step with Verse!

When to Seek Speech Therapy

Signs that indicate the need for a speech-language evaluation include:

• Trouble expressing thoughts clearly
• Difficulty understanding directions or conversations
• Struggles with problem-solving
• Frequent interruptions or talking over others
• Challenges with academic, social, or professional communication

Contact us for a personalized evaluation if communication struggles are impacting your daily life.

How Speech Therapy Helps People with ADHD

Speech-language pathologists (SLPs) tailor therapy to ADHD-related needs. SLPs help clients through working on activities that:

• Improve focus and turn-taking in conversation
• Build expressive/receptive language strategies
• Provide structure, engagement, and are suited to attention spans
• Support communication goals for school, work, or relationships

Find additional information about Early Language Development Speech Therapy, and Social Communication Disorder Therapy.

Get Expert Support for ADHD and Speech Challenges

ADHD may affect speech in different ways depending on age and context. Early support and speech therapy can make communication more effective and reduce frustration. Take the next step by connecting with a communication specialist today!