"My daughter is 4 years old and doesn't speak..."

I understand your concern, although there is not enough information to specifically refer to your case.

Important issues are the daughter's health, her previous balance sheets, blood tests or other if she had any. Your health, pregnancy and childbirth. Existing or coexisting diseases in your and your husband's family. How long was the baby breastfed, what about weaning off the pacifier.

The course of further development, whether she attended an educational institution or not. If so, how was the adaptation process?

In order, your parental patterns, how the speech development process went, what are your reactions, etc.

The complexity of the problem makes it impossible for me to answer unequivocally. I suggest contacting a pediatrician, and then possibly a psychologist and further steps, which may be visits to a speech therapist, neurologist. These are only certain assumptions which, without the missing data listed above, are difficult to verify and determine the course of action.

I think it's worth trying to diagnose it in a GOOD psychological and pedagogical clinic or a Neurospeech therapist.

This may indicate some kind of autism spectrum disorder / Asperger's syndrome, but the description is too short to draw anything from it.

Let's also look at it from another angle:

Since the covid times, the proper development of children has been very much disturbed.

The fact that children talk later and later can be the result and component of many factors. Below I will give a few examples that are not intended to attack anyone (I was not at your house, I do not know what it looked like) but to illustrate the scale of the problem and the seriousness of the situation.

For example, if everyone wore masks, the child might not "encode" that you have to move your mouth to speak, because it could not correctly connect sounds with the appropriate facial expressions, so it had much less chance to learn to speak correctly, what may result in delayed speech development.

Let's add to this growing up in the isolation and fear common in 2020-2022. Again, due to limited contact with the environment (we all experienced it to some extent), the child had no chance to see as many faces and hear as many sounds as in normal (earlier) times.

Going forward,
One interesting fact is that the speech receptors in the brain are located next to the touch receptors of the fingers. Which means that, for example, the so-called sandbox and getting dirty (e.g. touching food, puddings and kids smearing it on the table) is one of the best sensory therapies, and such good tactile stimulation, learning new structures can positively stimulate the speech center in the brain.

And in recent years we lived in fear of the virus, where we disinfected and cleaned everything (or we just had it in the back of our minds that you need to be more clean, isolate yourself from germs, if only out of concern and fear for children), so we could unknowingly disturb their proper development.

Then there are smartphones put under children's noses to do something and give them a moment to breathe. In these smartphones, we have more and more strange and dark fairy tales, the content of which we are unable to fully verify.

There can be many components.

Again, I don't mean to attack anyone or call "bad parenting" here. In order to accurately determine the cause, you must consult with specialists and do an "examination of conscience" for yourself, recreating the child's development process in recent years, looking at many different factors, especially environmental ones.

With a good team at the clinic (psychologist, therapists, speech therapists) you are able to find all these tricks and start changing everyday life so that it is conducive to the child's development. I warn you that this process can be long, require diligent, daily painstaking work with small things and a lot of attention for the child ... But who if not a parent?

I'm telling the National Health Fund right away, please don't count on it - if they ever come to such conclusions, it will be fine, and if they ever create a "systemic" solution for it, it will be a miracle, but before they do it, it will be too late - we will grow up a generation of disabled people /with limited potential…

Regards.

Hello,

If nothing is wrong with her in terms of her general health, I suggest you seek advice from a specialist, a child psychologist, a speech therapist, a neurologist. The fact that a child can be more emotionally expressive only shows that he wants to, but he can't express what he wants to say / convey differently. The sooner you take steps towards diagnosis and treatment, the sooner you will get out of it, but you may not make it before the 1st grade of school. Therapies can last for years and the child has 1-2 years of language development delay, which he has to catch up by speaking. The problem with speaking will impinge on reading problems, here I am asking for patience and a lot of training in time, as my daughter will start to communicate better (after diagnosis). A good specialist will guide you what, when and how to do.

My 4 year old daughter doesn't speak.

When it comes to kindergarten, did the teachers summon you to any meetings with a psychologist? They definitely need the help of a speech therapist. There are also diagnostic centers for ADHD in each commune. Or the help of a child psychologist. I don't understand what's wrong with the NHS. I use it and have no complaints

In the first place, I would go to a psychologist, a psychiatrist and a psychological and pedagogical clinic. Namely, the daughter may have certain disorders that affect these behaviors. I can also give my example here because I have a son who spoke very little very late he was just aggressive he was running away it turned out that he had an autistic child. Autism doesn't have an exact spelling how it manifests each autism is different it could just be a toric disorder with each other it could be a developmental delay. We can really wonder. You have to go to a few doctor's visits to try to do binect and ados tests. Look for the reason why my daughter reads from me, she tells me what the reason is