3 Year Old Can't Hold Conversation

Updated on April 21, 2015
H.B. asks from La Marque, TX
10 answers

I have a 3 year old step-son. He lives with us full time and I am a stay at home mom so I get a lot of time with him. Over time, I've come to suspect something just isn't right with his development. One of my main concerns right now is his ability to talk to others. I've taken care of a lot of children throughout my life...babysitting, church nursery, etc. I know it's not right to compare but I just see a huge difference in other children that are or was his age. When he's asked a simple question like "what did you do today?" He goes on about random things that make absolutely no sense. He will say stuff such as "you need to be here and you need to get in your truck and we go to aunt (name)'s house, and you need to eat dinner and you go in the pool." (None of this stuff happened that day or even recent.) When we try to re word the question like "did you play with your toys today or did you watch a movie today?" He will respond the exact same way. I'm worried that he may be behind. I took care of a 3 year old boy full time a few years ago and he could tell you every detail of his day and it was all stuff we had done. And then he would respond "what did you do today?" And reply with questions about our answer. Is this normal? Is this something I should be concerned about?

*to respond to some of the questions...
As far as following simple instructions, he struggles with that as well. I try to keep things very simple and give him one step at a time. "Let's go upstairs. Now let's get undressed. Now let's go potty. Now let's get in the bathtub. Now let's brush our teeth." Etc. A lot of times I have to guide him and get him started like help him take off his shirt to show its time to get undressed. Most of the time he stares at me blankly. We also have a lot of issues with defiance. Granted, he's 3 and they test our limits but he has started purposely breaking his siblings toys, as well as his own. He is fully potty trained and a few weeks ago I asked him if he needed to go poop because he was grabbing his butt. He said "no ma'am" (he is very good with manners!!) he kept grabbing so I said "let's just try to poop on the potty so we don't get messy in our pants." He slapped, hit and threw himself off the toilet. He then glared at me right in the eye and pooped right on the bathroom floor. I'm talking he stood there and forced it out. There are a lot of concerns when it comes to his behavior. I have so many questions!! I have made an appointment with his pediatrician to discuss if he the doctor may have concerns. His birth mother isn't an active part in his life. She sees him every so often but usually out of obligation which I know can lead to emotional damage to children especially so young. Kids need their mother!

**does anyone know how to reply to this post without editing it to add more??
As far as a schedule goes, there is a set schedule by the court. Every Thursday over night and then the 1,3 and 5 weekend of every month. Granted, lately she has been doing better. (She has been on drugs in the past and that is when her neglecting comes into play.) but for a while she was not consistent and always had excuses as to why she couldn't (wouldn't) come and pick up the kids. I don't really notice the behavior getting worse or better based on the visits with the birth mom. It's bascially an every day occurence. I have read into ODD. Not sure what RAD is but I will definitely do my research and if t fits the description I will bring it up. One thing about the Internet is it can kind of convince you anything and everything is wrong! Lol but it's definitely worth the research. Also, as far as eye contact goes, he doesn't make good eye contact at all. That could just be his age though. He isn't very affectionate. The only times he shows any emotion is when he's angry and then he hits, bites, breaks things. I try to love on him to show him motherly love and his dad does too. He does not accept it well.

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So What Happened?

I keep forgetting to answer this part. His bio mom gave away her primary rights and sent him and his brother to live with us. The son I'm speaking of was 10 months old at the time so this is really the only life he's known. He doesn't remember a time when he lived with his mother full time I'm the only caregiver he's ever known, and his father of course.

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D..

answers from Miami on

I'm coming on here late. I hope you see this note. I hope that you have talked to his pediatrician. He needs a speech pathologist language evaluation, both receptive AND expressive. And he needs it now.

You haven't said how he acted when he lived in his other home. Did he have similar problems there?

I understand that it's a hard transition to another family, but you can't just wait to see how things go. You have to get him evaluated now. It's very important. He needs early intervention.

Please don't wait. Get him an evaluation now.

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M.D.

answers from Pittsburgh on

I know you say you have an appointment with the ped, but I would also immediately make an appointment with early intervention. They are trained to do developmental assessments, and are likely to be able to help even more than the ped.

At age 3, you may actually be too late for EI, but they can refer you to the agency that is appropriate for his age.

PS - you respond to questions by using the "So What Happened" box under your question.

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J.W.

answers from Houston on

It all sounds normal to me. My son is 4.5 and I would say it is only in the last six months that we can hold a "conversation" so to speak. My daughter could do the same by 2 - 2.5. Everyone develops differently. If he wasn't speaking that would be a concern - but what you described doesn't sound odd to me.

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C.N.

answers from Baton Rouge on

Sounds to me like the three year old who held extended conversations was the exception, and your kid is closer to the average.

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M.R.

answers from Washington DC on

I wouldn't worry about this at this time. I agree with the person who posted that the other boy to whom you refer sounds advanced for his age, rather than your stepson sounding behind for his age.

Your stepson might just have no concept yet of what "today" really means and answers with his random list of stuff he has done (or wants to do, or heard other people saying they did) with no relationship, in his head, to the idea of "today." That would not necessarily indicate a developmental issue at all, unless you see other signals alongside it, and you do not say here that you see any other signs of developmental delays.

It sounds from the post as if he does speak well enough, in terms of putting together sentences that are appropriately complex at three years old.

Have you tried giving him directions and seeing how he responds? A child, by three, is usually able to follow a basic two-part direction such as "Get your book from my bag and bring it to me" and so on. If he can handle those kinds of directions OK he's on track.

I would be more concerned about a three-year-old who wasn't putting together sentences at all, or who had speech issues, or who couldn't follow a simple direction, than one who just didn't get the idea of "tell me about your day today" yet.

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C..

answers from Columbia on

My only concern about what you say in your post is that he is talking in third person - it reads as if he's "playing the part" of the person who was talking to him when he had that experience.

How is he with eye contact? With affection? Does he cuddle? Does he cry appropriately? how does he self-soothe?

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M.D.

answers from Washington DC on

Most toddlers I know (okay, maybe 3 is considered pre-school aged) talk about whatever pops in their mind and makes them happy. So hopping in the car to visit Auntie or eating so you can get to the pool sounds completely logical to me. I'd like to do both of those!

If you're worried, you should ask the pediatrician. They are more trained to help you figure out if something is amiss here.

But to me, it sounds fairly normal.

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A.V.

answers from Washington DC on

How long has he lived with you and his father and what is the situation with his mom? Does she have any sort of a regular schedule and is this behavior more common when she sees him (the defiance)?

I would ask his dad to talk to the pediatrician for an evaluation. Yes, abandonment can absolutely have a role but he may also have other issues that need to be evaluated and addressed. Something you might consider asking about is ODD or RAD.

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G.B.

answers from Oklahoma City on

He's behind because he's been deprived if he lived with mom and is just now living with you. Give him time to be around normal people and see if he catches up.

T.S.

answers from San Francisco on

What does his pediatrician say?

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