Speech sound difficulties: when a child cannot say “r”
Assessment of pronunciation, speech clarity and practice that carries over into everyday conversation.
Look beyond one sound
Consider age, languages and the type of difficulty. Languages use different sounds, so expectations must be language-specific. Overall clarity and participation matter alongside a single sound.
Assessment comes first
A therapist considers omissions, substitutions and distortions in words and conversation. The need for sessions and appropriate methods are determined individually.
From practice to conversation
Work may progress from a sound to syllables, words, sentences and spontaneous speech. Correct repetition does not automatically mean consistent use in everyday interaction.
Safe home practice
Avoid repeated pressure to say difficult words and do not use objects inside the mouth without professional guidance. Model clear speech and bring examples of confusing sounds to the consultation.
This information is educational and does not replace an individual assessment or care plan. Outcomes vary according to individual needs.
Sources: ASHA