Echolalia Autism: Definition, Causes, Symptoms, Treatment (explained!)
- Last Updated: Jun 29th, 2018
- Posted by: admin
- Category: Speech Therapy
Echolalia is the natural occurrence which is a part of language acquisition in infants. “It’s a bread!” said the mother, to this, the child repeated, “It’s a bread!”
In this article, you will read everything you should know about echolalia. It’s types, purposes, happenings in the brain, symptomps, treatment and much more.
Echolalia(echologia or echophrasia) is the condition which is interpreted as people unsolicitedly repeating noises and phrases that they hear. The word “echolalia” comes from the Greek which was first recorded in the year 1880-85.
The meaning of “echo” is “to repeat”, and laliá means “speech” or “talk”. It is a type of echo phenomena, which is related to echopraxia, i.e. automatic mimicry of movements done by another person.
Both of them are referred to as the subsets of imitative behaviour. Whereas sounds or actions are imitated being unaware. They might not be able to communicate effectively as they might struggle while expressing their thoughts.
In a single sentence, we can say that:
“Echolalia is the situation in which the person repeats the phrases or sound whatever they hear.”
People with Echolalia repeats the sound which they hear at the same time called as immediate echolalia or maybe after a period of time called as delayed echolalia.
For example, people suffer from repetitive speech disorder may repeat the question instead of answering it. Suppose that a question is asked to a child “Do you want to do dance” the child says “dance” instead of answering it with “Yes” or “No”.
Echolalia is the unsolicited repetitions of words or phrases made by another person. It is the term used to describe when someone repeats what someone else has said.
Is Echolalia Normal?
Yes, Sometimes Echolalia is normal, as it very normal part of language development. Small children who just start to speak use this constantly. If you will ask any question to them mostly they will repeat the last word of the question, instead of answering it. But children come out of this problem when they grew up.
In some cases, children don’t move past this echolalia stage and continue to repeat the words and phrases. These Children only repeat what others have said and very rarely come up with their own thoughts.
For example, A person having echolalia might repeat the question rather than answering it. In many cases, echolalia is also designated as an attempt to communicate, learn, or practice the language. In the extreme form, it is automatic as well as effortless.
People may get demented between Echolalia and Tourette Syndrome. But the reality says both of them are disparate from each other. Where the speaker suddenly starts yelling or blabbering random things as part of their twitch. In such cases, the speaker loses his control over what or when they say it. Echolalia sometimes considered as a sign of autism, any other neurological condition, a visual impairment or even a developmental disability.
The chances of having echolalia further into childhood are common for children with autism or any other developmental delays. Especially if the child is experiencing delayed speech development. One needs to identify why and how the child may be using echolalia. It will help in created a custom treatment plan for the child. Consulting an expert Speech-language-pathologist can be helpful to pinpoint the cause and treat the language delay.
What does it mean when this stage surpasses toddler years? How does it function?
When Echolalia Stops?
Children between the age of 1-2 years are most founded on this problem. and nothing wrong is there as that’s the way they are learning. When they grow up to age 2 you will found them that they are using their own utterances. At this age they will continue to imitate you when you ask a complex question to them, they will also use their own utterances.
At the age of 3 years, only pretty minimal echolalia is seen. Children at this age start creating their own simple sentences to communicate. While they repeat some words in their sentences. You will still see a little echolalia but the child speech contains their own thoughts and sentences.
Delayed Echolalia is the disorder in speech when the children start quoting the movies and TV Shows. It is very normal but relying on it too heavily can be a problem. This is most common because the children try to do acting like them. Or rehearsing certain scenes that they liked. But if the children are stuck on one scene or quote and repeat it over and over again then there may be a problem.
Difference Between Echolalia and Echopraxia
Echolalia is the Condition in which Someone repeats the words or phrases what someone other had said. Echopraxia is also similar to the echolalia but the only and the major difference is that in echopraxia someone repeats the actions of someone other.
Echopraxia is the involuntary repetition of another person actions. It is recognized as a core feature of Tourette syndrome and is considered as a complex tic.
Echolalia in Children
3-year-old repeats instead of answering:
At a playgroup, there is a 3-year-old girl, and the manager of the playgroup concerns with the parents of the girl regarding the speech of the girl. They said that if they ask any question to the girl, rather than answering the question the girl repeat the question. Parents of the girl also say the same that at home also the girl repeat the question but not always. Only sometimes she repeat the question but mostly tries to give the answer.
Causes & Risk Factor for Echolalia in adults
Echolalia is experienced by every child as they learn a spoken language. Most children develop their own independent thoughts as they age. But some of them continue to repeat words or phrases they hear. If the child is having some communication disabilities, they hold on to mimic what they hear for much longer. Autistic children are more susceptible to echolalia.
Some people may experience this issue if they are distressed or anxious. While others experience it every time. This may cause them to remain mute as they are unable to express their thoughts.
Echolalia may be experienced by those adults suffering from severe amnesia or head trauma, as they try to regain their speaking abilities after that trauma.
Two basic forms of echolalia are Immediate and delayed Echolalia. Their presence tells something about the child trying to process language.
This type refers to repeating the words, phrase or an entire sentences immediately after someone has just said. For example, If someone asks a child “Are you thirsty” the child might answer “thirsty” however the possibility is that the child may be really thirsty or not. Frustration, as well as meltdowns, can often be the outcomes of Immediate echolalia. The reason being the inability of the child to convey his needs and desires.
This type refers to repeating the words, phrase or an entire sentences after a certain time passes, which varies from hours to years later. Diagnosing this type is really difficult as it happens after a certain time passes. The listener might be unaware of the original words or sentences uttered. The listener may not even notice the delayed echolalia, unless the speaker’s syntax, vocabulary, and the message is different than the normal.
Functional and Non Functional Echolalia
For some of the Autistic children, Echolalia is the reiteration of the meaningless phrases or sounds. The non-functional echoing of the words or the phrases in logical order can be very misleading to the parents. A child may be able to recite any speech but have no understanding of what is the meaning of that speech.
Functional Echolalia is the appropriate use of the phrases for a real purpose. For example, suppose that the child hears a line “Got Lunch”, and later when he is hungry, he may say the same what he heard “Got Lunch”. In this case, also the child uses the memorized phase but this time in a functional manner.
It is quite difficult to identify the functional versus nonfunctional echolalia because sometimes memorized phrases may sound appropriate.
Repeating the phrases and noises heard before are the main symptoms of echolalia. The symptoms can be either immediate, i.e repeating words or phrases right away after hearing them. Whereas it can also be delayed, i.e. repeating words or phrases hours or days after hearing them.
Some other signs are:
- frustration during conversations
- Unusually irritable, especially if asked questions.
Diagnosis of Echolalia
Echolalia can be diagnosed by a professional while conversing with the person with echolalia. If that person struggles to do anything other than repeating what they have been asked to, then they may have echolalia. Some autistic children are regularly tested for this as they go for speech lessons.
Echolalia varies from being minor to severe on the basis of professional diagnosis. After identification of its stage and appropriate treatment will be prescribed.
Treatments for Echolalia
There are certain treatment options available for treating Echolalia. It may be treated using any of the method or the combination of the available methods:
Some people with echolalia attend regular speech therapy sessions. So that they can learn how to express their own thoughts in front of people.
For intermediate echolalia, a behavioural intervention called “cues-pause-point” is often used. In this treatment, the speech therapist asks the echolalic person to answer some questions correctly. Tells them to answer if they’ll point to them on time. Then, the questionnaire starts, such as “What’s your age?” After a pause, the speaker is prompted to answer. A cue card will be there having the correct answer.
Antidepressants or anxiety medications can be prescribed by a professional to combat the side effects of echolalia. These are only meant to calm the patient, doesn’t treat echolalia. Since the symptoms may increase due to stress or anxiety, the calming effect will be helpful to reduce the severity of the condition.
Family members may help people with echolalia to develop their communication skills. Many texts and online training programs are available for helping parents to get positive responses from their echolalic child. Encourage the child to use their limited vocabulary. This may help them to learn to communicate more effectively.
What is Echolalia in Autism?
Echolalia is the repetition of words, phrases, and sentences when the person repeats the phrases he heard before is called as echolalia. It may also be a sign of Autism, a neurological condition, a visual impairment or a developmental disability. It is a unique form of speech, and if any children are autistic it may be one of the first ways the child will use speech to communicate.
People with Autism are Often Echolalic.
Many Children with Autism use complex and adult words, but these words are said in the same tone and in the same order as they have heard in the TV shows, movies, books, or from another source.
Echolalia as a self-Simulation: When the children imitate the sound of human speech without knowing the meaning of those words or sentences. They use echolalia to calm themselves when they are anxious or cope with overwhelming sensory challenges.
Memorized phrases: Memorized phrases can also be used as the tool for self-talk, let us take an example, a child might talk himself using phrases which he/she heard from parents, teachers or from any other source.
Prefabricated Phrases: Some people also use prefabricated phrases while communicating. People use this when it is difficult for them to formulate their own speech patterns. For a number of children with autism, echolalia is the first step towards more typical forms of spoken communication.
On the contrary, autistic children use the delayed type for other purposes, which are:
Self-stimulation: Autistic children tend to use echolalia to entertain themselves with things they are interested in. It also serves a purpose of keeping them from social interactions. This can be used by Caretakers to redirect their behaviour into a constructive one.
Communicating the Mood: Since spontaneous language hasn’t developed yet in an autistic child. They associate language given to them with emotions at certain times. They later use these phrases or words to express their emotion. He is trying to communicate his sadness that his father is going even though he can’t use the correct words. They associate certain words with the feelings and later repeat them to express their emotion. If it happens, try to redirect their emotions. For example, “I know your sadness but daddy will be back soon.” Children tend to become more echolalic due to the pressure to communicate their feelings, which leads to stress.
Processing Memories: It refers to the use of echolalia in order to process the memories which comes to the surface of their mind. For example, a child may remember something said by their teacher after school and repeat it to organize and manage the memories.
Aphasia is related to brain damage due to which the person’s ability to understand spoken or written speech and language function deteriorate rapidly. Due to these symptoms, the person gets the tendency to repeat everything he hears. In transcortical aphasias, echolalia is very common when deterioration starts happening. After a stroke echolalia tends to recover in perisylvian aphasias. It may have the similar function as in infant learning to speak.
Dementia may be one of the consequences of a Brain injury or brain disease. It is a chronic mental process disorder including memory. They have the tendency for the impaired reasoning. They can no longer produce spontaneous speech, leading to echolalia due to the memory loss and comprehensive loss capacity.
Read more – Why Dementia and Hearing Loss are linked?
Distinguishing twitches for Tourette syndrome (TS) are Echolalia and echopraxia. The echolalic repetitions of people with TS are basically echoes from within their own “twitch repertoire”. The inadequate imitation-control mechanism makes a healthy mirror neuron system (MNS) vulnerable to interferences”, as pointed by evidence.
Tourette’s is another common syndrome with echo phenomena (echolalia and echopraxia). The person has the tendency to repeat involuntarily whatever they listen. It becomes frustrating due to the inability of the person to control what they say and when they say it.
Epilepsy is characterized by seizures. Occasionally, epileptic people after losing consciousness can wake up having echolalia.
Echolalia and Schizophrenia
Schizophrenia is characterized by a chronic and severe mental disorder. It has psychotic symptoms. Due to these symptoms, differentiation between reality and delusions/hallucinations disappears. Delayed echolalia may be there in people, from things they hear, hours, days or even years later.
Outlook and Prevention
Echolalia is considered a natural part of language development in infants. It’s not favourable to prevent it completely. To do so, parents must encourage their children to use other forms of communication. Exposure to a wide variety of words and phrases will be beneficial for the child. Most children overcome their echolalia naturally.
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