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Echolalia Explained, Causes, Types, and Treatment

Repetitive language or echolalia

You must have experienced this once in a while when your child says the same thing over and over again, and sometimes gets on your nerves. But have you ever tried to be in their shoes?  why is the child the way he or she is?

This can be called repetitive language or echolalia, where the child repeats the exact words or phrases persistently. Echolalia is a stage of child development where words or phrases are repeated while learning a language, around age 3, and their language skills can improve and become more accurate by age 4-5 but when it comes to autism the situation is very different.

Children with autism may speak complex grammatical structures repeatedly, and repetitive sentences may have no apparent meaning or purpose. The child may have heard these words somewhere but modified them in a way that did not convey a specific message. 

Why does an Autistic Child use repetitive language or echolalia?

Echolalia
image credit: istock

There can be many reasons which may differ from neurotypical brain functioning because an autistic brain operates differently

  • Communication: Your child wants to communicate using those common words because he finds the right way to communicate difficult.
  • Social Communication: Although it may seem unusual to others, this may be the way autistic children talk or give their opinions in an attempt to engage in social interactions
  • Self-motivation: Repeating familiar words makes them feel that the situation is predictable and safe, which can be otherwise overwhelming or stressful.
  • Language Development: Echolalia bridges a gap between listening and speaking because repeated words or phrases help them process and learn language.
Echolalia
Image Credit: istock

Types of repetitive language or Echolalia:

Child may repeat the phrases as soon as they hear them, immediate echolalia. For example, if a person says, “Come here, please” the kid may respond with, “Come here, please”. This helps autistic children to process and comprehend what is being said.

It entails the delayed repetition of phrases. The child may repeat lines from TV shows, videos, or conversations that took place days or even weeks in the past, Delayed Echolalia. It may be an expression of a coping mechanism, as repeated phrases create an experience of predictability in worrying surroundings.

How can I tell if repetitive language or Echolalia is due to Autism?

Well, that is not just as simple. We must understand that autistic brains usually function in an atypical way than neurotypical brains. That is why, sometimes the response of an autistic child can be bizarre. If you ask a neurotypical child, “Do you want to go out for a walk?” they may repeat after you “Want to go out for a walk?” as part of their early language development. But an autistic child might respond by repeating the whole question, “Do you want to go out for a walk?” This indicates that the child may not fully comprehend the question and is simply echoing the phrase to process it properly.

Similarly, a neurotypical child may respond to a parent saying ‘I am going to store’ with ‘going to store’ in an excited way. But autistic children end up repeating ‘I am going to store’ without fully grasping what is being said.

How can I help my child transition from echolalia to the usual language?

When it comes to managing autism, your patience and support are the most important steps taken for your child’s mental health.

Echolalia
image credit istock
  • Talk to the child and let them know you are there for them. This will build a strong bond with your child.
  • Use visual tools such as graphic charts, visual cues, or schedules to improve understanding and communication and to reduce reliance on echolalia.
  • Create a planned and predictable daily routine that helps children with autism feel more secure
  • Don’t try to suppress it altogether. Instead, add a few words or ask a relevant question to encourage sentence exchange or more understanding.
  • Repetitive language or echolalia may be a response to a sensory perception that can be suppressed by detecting and avoiding stimuli.
  • Collaborate with a professional team for a comprehensive and effective approach to managing language in autism, including.
    • Speech therapists who can help improve expressive speech
    • Occupational therapists help your child develop skills necessary for activities of daily living
    • Special educators who can develop individualized programs with targeted communication goals.

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