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How Do Speech Delays in Autism Differ from Developmental Language Disorder? 

Author: Lucia Alvarez, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

When a child struggles to speak or understand language, it’s natural for parents to question the cause. But how do professionals tell the difference between autism vs developmental language disorder? While both conditions can involve speech and language delays, their roots and broader symptoms differ in meaningful ways. 

Developmental language disorder (DLD) is a type of speech disorder that affects a child’s ability to express themselves or understand spoken language, without other underlying conditions. Children with DLD usually have age-appropriate social skills, enjoy interaction, and show interest in communication, they just struggle to find the words or process what’s being said. In contrast, speech delays in autism are often accompanied by wider social and behavioural challenges. These may include difficulty with eye contact, limited pretend play, or repetitive behaviours, offering early clues that go beyond language alone. 

Clinical Differences to Watch 

Understanding the clinical differences helps clarify whether a child’s difficulty is rooted in autism or DLD: 

Autism-related delays 

Speech and language impairment in autism is typically part of a broader set of challenges. Communication delays may involve both verbal and non-verbal cues, and children often have trouble with shared attention or social responsiveness. 

Language disorder without social delay 

In DLD, speech issues stand alone. Children usually engage socially, follow routines, and enjoy play, signs that help distinguish it from autism in a clinical setting. 

Deciphering autism vs developmental language disorder early can lead to more targeted interventions. Visit providers like Autism Detect for personal consultations and diagnostic guidance. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Delayed Speech or Language Development.

Lucia Alvarez, MSc
Lucia Alvarez, MSc
Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez
Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy. 

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