For the vast majority of children acquiring speech and language skills is an effortless process. However there is a sizeable proportion of children for whom this is not true. Difficulties they experience may be associated with other conditions such as cleft palate or hearing loss or they may have no obvious cause. This book provides a comprehensive picture of the difficulties that occur when speech and language does not develop in the young child. Divided into two sections the first focuses on how such children should be identified and assessed. The second section provides specific insights into communication difficulties in different conditions. Each is written by an expert practitioner and is illustrated with specific examples. Based on best clinical practice and research-based evidence it is a practical guide fully referenced for those who wish to develop knowledge further. It is essential reading for all professionals who work with children particularly those who work in community settings.

Second opinions. Part 1: The referral process and screening. Referrals. Diagnosis. Categorisation and differential diagnoses. Dealing with the differentials. Challenging patient types and circumstances. Part 2: The real life experience. Common issues. Challenging patients and circumstances. Part 3: Non-surgical treatments. Speech and language therapy. The practical management of hormonal treatment in adults with gender dysphoria. Part 4: Surgical treatments for born males. Feminisation of the larynx and voice. Breasts. Genital surgery. Advice for patients undergoing vaginoplasty and vulvoplasty. Part 5: Surgical treatments for born females. Breasts. Phalloplasty. Part 6: Post-op psychological follow up. Relationships. Reversion to former gender role after GRS. Part 7: Legal issues. The Gender Recognition Act. Military service. Religious matters. Fertility issues.