0 - 3
3 - 5
6 - 9
10 - 13
14 - 18
Adults
Parent's Manifesto
Diagnosis

Ten to Thirteen Years

Physical Findings

The physical features remain the same as those found in the birth to thirty-six months section.  The child is still short in height, below average in weight and with a smaller head than normal.  However, after the age of 10, the facial features are much less obvious.  By adolescence the most easily recognised features are

• Shortened eye openings - the distance between the eyes is wider than the width of the eye opening itself.  The eyes may appear wide set, far apart or small. There may be a fold of skin over the inner corner of one or both eyes, giving the eye a slightly squared off looking inner corner, or may also arise under the eye as an extra fold of skin
• Droopy eyelids
• Thin upper lip

Communication/Language Use

• Low verbal IQ
• May have been considered a developmental receptive language disorder
• Speech problems (stuttering, stammering, hesitation)
• Has trouble following directions using words like he, she, you, they
• Is not responsive to subtle facial and body language
• Problems with word retrieval - can give you the use, colour, where etc. but cannot name the thing eg "the silver thing to make hot water in the kitchen"
• May use a lot of words but quantity of language masks quality and content
• Surface verbal skills do not match the ability to communicate effectively
• Problems with sentence structure
• Problems with word meanings
• Gets lost quickly in conversation and loses interest
• Initially may be seen as intelligent; based on language use