A child who is 20 months old and still can’t speak may have various reasons such as hearing abnormality, autism, mental retardation, etc., or it may be a normal condition.
1. Hearing abnormality: Hearing abnormality leads to delayed speech development. If the child is unable to recognize sounds, has a history of recurrent ear infections, or has a family history of hearing loss, the child needs to be on high alert for hearing abnormality.
2. Autism: Autism may result in a child not being able to speak at 20 months of age, and may be characterized by an inability to see eye-to-eye and stereotypical behavior.
3. Mental retardation: Mental retardation may result in a child not speaking at 20 months of age, and may also be characterized by slow movements and reactions.
4. Normal: It is possible that a child who cannot speak at 20 months of age may be normal. Some children who are late in speaking but have no abnormalities after systematic examination can usually learn to speak gradually after guidance.
Children 20 months still can not speak may have other reasons, it is recommended that timely consultation, improve the relevant examination to clarify the cause of the disease, the standardized treatment, to avoid delays in the condition.