{"h1":"Conditions That Often Occur Alongside Childhood Apraxia of Speech","faq":[{"a":"No. CAS can occur on its own, but it commonly appears alongside other speech and language delays, motor coordination difficulties, or early literacy challenges. Every child's profile is unique, which is why a whole-child assessment is so valuable.","q":"Does Childhood Apraxia of Speech always come with other conditions?"},{"a":"Speech-sound skills and literacy are closely connected, because reading and spelling rely partly on mapping sounds to letters. Children with CAS may therefore need extra support with early reading and writing as they grow.","q":"Why is CAS linked to reading and spelling difficulties?"},{"a":"Not exactly. CAS is a motor-planning difficulty specific to speech, while developmental coordination disorder (often called dyspraxia) affects whole-body and fine-motor coordination. The two can co-occur, which is why clinicians assess movement and speech together.","q":"Is dyspraxia the same as Childhood Apraxia of Speech?"}],"lang":"en","slug":"what-other-conditions-often-occur-alongside-childhood-apraxia-of-speech","title":"What Other Conditions Often Occur Alongside Childhood Apraxia of Speech?","entity":{"key":"dyspraxia-verbal","kind":"condition","name":"Childhood Apraxia of Speech","slug":"dyspraxia-verbal"},"lenses":[{"kind":"stakeholder","label":"Parent","value":"parent"},{"kind":"domain","label":"Communication","value":"communication"},{"kind":"intent","label":"Definition","value":"definition"},{"kind":"lifecycle","label":"Screen","value":"screen"},{"kind":"route","label":"Book-Assessment","value":"book-assessment"},{"kind":"empowerment","label":"Early Clarity","value":"early_clarity"}],"parent":{"key":"conditions","label":"Conditions"},"related":[{"lang":"en","slug":"how-does-childhood-apraxia-of-speech-affect-a-child-s-motor-development","title":"How Childhood Apraxia of Speech affects motor development"},{"lang":"en","slug":"what-is-childhood-apraxia-of-speech-and-what-does-it-look-like-in-early-childhood","title":"Childhood Apraxia of Speech in Early Childhood"},{"lang":"en","slug":"what-conditions-can-childhood-apraxia-of-speech-be-mistaken-for","title":"What conditions can Childhood Apraxia of Speech be mistaken for?"},{"lang":"en","slug":"how-does-childhood-apraxia-of-speech-affect-a-child-s-communication-development","title":"How Childhood Apraxia of Speech Affects Communication Development"},{"lang":"en","slug":"how-does-childhood-apraxia-of-speech-affect-a-child-s-daily-life","title":"How does Childhood Apraxia of Speech affect a child's daily life?"},{"lang":"en","slug":"what-can-i-expect-as-my-child-with-childhood-apraxia-of-speech-grows-up","title":"What can I expect as my child with Childhood Apraxia of Speech grows up?"}],"summary":"Childhood Apraxia of Speech often co-occurs with other speech and language delays, fine and gross motor coordination difficulties (developmental coordination disorder), early literacy challenges, and sometimes attention or sensory differences. These overlaps mean a child is best understood as a whole, with one joined-up plan — assessed only by clinicians at a Pinnacle centre.","answer_md":"*When a child works so hard to make their mouth say what their mind already knows, that effort rarely travels alone — and understanding the company it keeps is the first step to helping fully.*\n\n## In short\nChildhood Apraxia of Speech (CAS) often appears alongside other developmental differences rather than on its own. The most common companions are other speech and language difficulties, fine and gross motor coordination challenges (sometimes called developmental coordination disorder), literacy difficulties such as reading and spelling delays, and sometimes attention or sensory-processing differences. Recognising these together — not as separate problems — leads to a far more joined-up, effective plan of support.\n\n## What often travels alongside CAS\n**Speech and language**\n- Expressive and receptive language delay — building sentences and understanding language\n- Phonological difficulties (the sound-rule system of speech), separate from the motor-planning core of CAS\n- Difficulties that later affect reading, spelling and writing, because speech-sound mapping and literacy are closely linked\n\n**Motor and coordination**\n- Fine-motor challenges — handwriting, buttons, using cutlery\n- Gross-motor and coordination differences, sometimes recognised as developmental coordination disorder (dyspraxia)\n- Oral-motor differences affecting feeding or chewing in some children\n\n**Learning, attention and sensory**\n- Attention and focus differences\n- Sensory-processing sensitivities\n- These overlaps are common but not universal — every child's profile is genuinely their own\n\nNone of this means a child has \"more wrong\". It simply means their development is best understood as a whole picture, so that [speech therapy](/speech-therapy) and other support reinforce one another.\n\n## When to seek a structured profile\nIf your child shows speech that is hard to understand alongside any motor, attention or early-literacy concerns, a single broad developmental profile is far more useful than chasing each difficulty separately. The aim is one clear map of strengths and support needs across all domains.\n\n## The Pinnacle way\nAbilityScore® is part of Pinnacle’s developmental assessment. Diagnosis, where needed, requires an appropriately qualified healthcare professional — never from an online checklist. Our clinicians look at the whole child, so co-occurring needs are picked up together rather than missed. Learn more about [Childhood Apraxia of Speech](/dyspraxia-verbal), how [the AbilityScore® is established](/ask/what-is-the-abilityscore-and-how-is-it-calculated), and how focused [speech therapy](/speech-therapy) fits a wider plan. Backed by 2.5 billion+ data points and 25 million+ therapy sessions across 70+ centres.\n\n## Trusted sources\nAmerican Speech-Language-Hearing Association (ASHA) guidance on Childhood Apraxia of Speech and its frequent co-occurring conditions; WHO ICD-11 framing of developmental speech and motor differences.\n\n**Next step —** Curious where your child stands across speech, motor and learning? [Book a Pinnacle developmental check](/enroll).\n\nThis is general information, not a diagnosis — individual assessment and diagnosis require an appropriately qualified healthcare professional.","canonical":"https://pinnacleblooms.org/ask/what-other-conditions-often-occur-alongside-childhood-apraxia-of-speech","editorial":{"reviewed_at":"2026-06-11T20:12:18.613642+00:00","reviewed_by":null,"developed_by":"SETU Consortium · Pinnacle Blooms Network"},"alternates":[{"href":"https://pinnacleblooms.org/ask/what-other-conditions-often-occur-alongside-childhood-apraxia-of-speech","lang":"en","indexable":true},{"href":"https://pinnacleblooms.org/ask/what-other-conditions-often-occur-alongside-childhood-apraxia-of-speech-te","lang":"te","indexable":true}],"dimensions":[{"key":"conditions","label":"Conditions"}],"meta_title":"Conditions That Co-Occur With Apraxia of Speech","meta_robots":"index, follow, max-image-preview:large","everyday_tip":"Notice patterns across the day, not just speech: how your child manages buttons, cutlery, balance, listening and play. Jot down a few examples to share — it helps a clinician see the full picture.","published_at":"2026-06-10T10:28:00.07239+00:00","reading_paths":[{"key":"understand","items":[{"lang":"en","slug":"how-does-childhood-apraxia-of-speech-affect-a-child-s-daily-life","title":"How does Childhood Apraxia of Speech affect a child's daily life?","reason":"Linked from this answer"},{"lang":"en","slug":"what-is-childhood-apraxia-of-speech-and-what-does-it-look-like-in-early-childhood","title":"Childhood Apraxia of Speech in Early Childhood","reason":"Linked from this answer"},{"lang":"en","slug":"is-childhood-apraxia-of-speech-considered-a-disability","title":"Is Childhood Apraxia of Speech considered a disability?","reason":"Same topic"},{"lang":"en","slug":"is-childhood-apraxia-of-speech-genetic-or-hereditary","title":"Is Childhood Apraxia of Speech Genetic or Hereditary?","reason":"Same topic"},{"lang":"en","slug":"what-are-common-myths-about-childhood-apraxia-of-speech","title":"What are common myths about Childhood Apraxia of Speech?","reason":"Same topic"},{"lang":"en","slug":"what-are-the-types-or-levels-of-childhood-apraxia-of-speech","title":"What are the types or levels of Childhood Apraxia of Speech?","reason":"Same topic"},{"lang":"en","slug":"what-causes-childhood-apraxia-of-speech-in-children","title":"What causes Childhood Apraxia of Speech in children?","reason":"Same topic"},{"lang":"en","slug":"what-is-childhood-apraxia-of-speech","title":"What is Childhood Apraxia of Speech?","reason":"Same topic"},{"lang":"en","slug":"what-does-current-research-show-about-early-intervention-outcomes-for-childhood-apraxia-of-speech-in-children-under-7","title":"Early Intervention Outcomes in Childhood Apraxia of Speech (Under 7)","reason":"Same topic"},{"lang":"en","slug":"what-is-childhood-apraxia-of-speech-and-what-are-its-icd-11-features-in-early-childhood","title":"What is Childhood Apraxia of Speech and its ICD-11 features?","reason":"Same topic"},{"lang":"en","slug":"what-is-the-icd-11-classification-for-childhood-apraxia-of-speech","title":"ICD-11 Classification of Childhood Apraxia of Speech","reason":"Same topic"},{"lang":"en","slug":"what-is-the-snomed-ct-concept-for-childhood-apraxia-of-speech","title":"SNOMED CT Concept for Childhood Apraxia of Speech","reason":"Same topic"}],"label":"Understand the subject","total":13},{"key":"signs","items":[{"lang":"en","slug":"can-childhood-apraxia-of-speech-be-cured","title":"Can Childhood Apraxia of Speech be cured?","reason":"Same topic"},{"lang":"en","slug":"can-childhood-apraxia-of-speech-be-prevented","title":"Can Childhood Apraxia of Speech be prevented?","reason":"Same topic"},{"lang":"en","slug":"do-boys-show-childhood-apraxia-of-speech-differently","title":"Do boys show Childhood Apraxia of Speech differently?","reason":"Same topic"},{"lang":"en","slug":"do-girls-show-childhood-apraxia-of-speech-differently","title":"Do girls show Childhood Apraxia of Speech differently?","reason":"Same topic"},{"lang":"en","slug":"should-i-be-worried-my-child-might-have-childhood-apraxia-of-speech","title":"Should I be worried about Childhood Apraxia of Speech?","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-childhood-apraxia-of-speech","title":"Early Signs of Childhood Apraxia of Speech","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-childhood-apraxia-of-speech-in-a-1-year-old-boy","title":"Early signs of Childhood Apraxia of Speech in a 1-year-old boy","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-childhood-apraxia-of-speech-in-a-1-year-old-girl","title":"Early Signs of Childhood Apraxia of Speech in a 1-Year-Old Girl","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-childhood-apraxia-of-speech-in-a-12-to-18-month-old","title":"Early Signs of Childhood Apraxia of Speech at 12–18 Months","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-childhood-apraxia-of-speech-in-a-18-to-24-month-old","title":"Early Signs of Childhood Apraxia of Speech at 18–24 Months","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-childhood-apraxia-of-speech-in-a-2-year-old","title":"Early Signs of Childhood Apraxia of Speech at 2 Years","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-childhood-apraxia-of-speech-in-a-2-year-old-boy","title":"Early Signs of Childhood Apraxia of Speech at Age Two","reason":"Same topic"}],"label":"Recognise signs & concerns","total":46},{"key":"causes","items":[{"lang":"en","slug":"how-does-childhood-apraxia-of-speech-affect-a-child-s-motor-development","title":"How Childhood Apraxia of Speech affects motor development","reason":"Linked from this answer"},{"lang":"en","slug":"how-does-childhood-apraxia-of-speech-affect-a-child-s-communication-development","title":"How Childhood Apraxia of Speech Affects Communication Development","reason":"Linked from this answer"},{"lang":"en","slug":"are-boys-more-likely-to-have-childhood-apraxia-of-speech","title":"Are Boys More Likely to Have Childhood Apraxia of Speech?","reason":"Same topic"},{"lang":"en","slug":"are-girls-more-likely-to-have-childhood-apraxia-of-speech","title":"Are girls more likely to have Childhood Apraxia of Speech?","reason":"Same topic"},{"lang":"en","slug":"what-causes-childhood-apraxia-of-speech-in-young-children","title":"What Causes Childhood Apraxia of Speech in Young Children?","reason":"Same topic"},{"lang":"en","slug":"how-does-early-intervention-for-childhood-apraxia-of-speech-advance-un-child-rights-uncrpd-and-the-sdgs","title":"Early intervention for Childhood Apraxia of Speech: advancing UNCRPD and the SDGs","reason":"Same topic"},{"lang":"en","slug":"what-are-the-known-contributing-factors-for-childhood-apraxia-of-speech-in-early-childhood","title":"Contributing factors for Childhood Apraxia of Speech","reason":"Same topic"},{"lang":"en","slug":"what-is-the-cost-effectiveness-of-early-therapy-for-childhood-apraxia-of-speech-in-young-children","title":"Cost-effectiveness of early therapy for Childhood Apraxia of Speech","reason":"Same topic"},{"lang":"en","slug":"what-is-the-prevalence-and-public-health-burden-of-childhood-apraxia-of-speech-among-young-children-in-india","title":"Prevalence and Public-Health Burden of Childhood Apraxia of Speech in India","reason":"Same topic"}],"label":"Explore causes & influences","total":9},{"key":"assess","items":[{"lang":"en","slug":"how-does-abilityscore-track-progress-in-a-child-with-childhood-apraxia-of-speech","title":"How AbilityScore Tracks Progress in Childhood Apraxia of Speech","reason":"Same topic"},{"lang":"en","slug":"how-is-childhood-apraxia-of-speech-assessed-in-a-young-child","title":"How Childhood Apraxia of Speech Is Assessed in a Young Child","reason":"Same topic"},{"lang":"en","slug":"how-is-childhood-apraxia-of-speech-assessed-in-children-under-7","title":"How Is Childhood Apraxia of Speech Assessed in Children Under 7?","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-0-100-mean-for-a-child-with-childhood-apraxia-of-speech","title":"What an AbilityScore of 0–100 Means in Childhood Apraxia of Speech","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-100-200-mean-for-a-child-with-childhood-apraxia-of-speech","title":"What an AbilityScore of 100–200 means for Childhood Apraxia of Speech","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-200-300-mean-for-a-child-with-childhood-apraxia-of-speech","title":"AbilityScore 200–300 in Childhood Apraxia of Speech","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-300-400-mean-for-a-child-with-childhood-apraxia-of-speech","title":"What does an AbilityScore of 300–400 mean for a child with Childhood Apraxia of Speech?","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-400-500-mean-for-a-child-with-childhood-apraxia-of-speech","title":"What an AbilityScore of 400–500 means for a child with Childhood Apraxia of Speech","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-500-600-mean-for-a-child-with-childhood-apraxia-of-speech","title":"What an AbilityScore of 500–600 means in Childhood Apraxia of Speech","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-600-700-mean-for-a-child-with-childhood-apraxia-of-speech","title":"What does an AbilityScore of 600–700 mean for a child with Childhood Apraxia of Speech?","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-700-800-mean-for-a-child-with-childhood-apraxia-of-speech","title":"What an AbilityScore of 700–800 means in Childhood Apraxia of Speech","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-800-900-mean-for-a-child-with-childhood-apraxia-of-speech","title":"AbilityScore 800–900 in Childhood Apraxia of Speech","reason":"Same topic"}],"label":"Understand assessment","total":16},{"key":"therapy","items":[{"lang":"en","slug":"what-can-i-expect-as-my-child-with-childhood-apraxia-of-speech-grows-up","title":"What can I expect as my child with Childhood Apraxia of Speech grows up?","reason":"Linked from this answer"},{"lang":"en","slug":"what-conditions-can-childhood-apraxia-of-speech-be-mistaken-for","title":"What conditions can Childhood Apraxia of Speech be mistaken for?","reason":"Linked from this answer"},{"lang":"en","slug":"can-a-child-with-childhood-apraxia-of-speech-attend-a-mainstream-school","title":"Can a child with CAS attend mainstream school?","reason":"Same topic"},{"lang":"en","slug":"can-a-child-with-childhood-apraxia-of-speech-attend-a-regular-school","title":"Can a Child With Childhood Apraxia of Speech Attend Regular School?","reason":"Same topic"},{"lang":"en","slug":"can-a-child-with-childhood-apraxia-of-speech-grow-up-to-live-independently","title":"Can a Child With Childhood Apraxia of Speech Live Independently?","reason":"Same topic"},{"lang":"en","slug":"how-can-we-support-communication-development-in-a-child-with-childhood-apraxia-of-speech","title":"How can we support communication development in a child with Childhood Apraxia of Speech?","reason":"Same topic"},{"lang":"en","slug":"how-is-childhood-apraxia-of-speech-diagnosed-in-a-child","title":"How Is Childhood Apraxia of Speech Diagnosed in a Child?","reason":"Same topic"},{"lang":"en","slug":"how-is-childhood-apraxia-of-speech-supported-through-therapy","title":"How Childhood Apraxia of Speech Is Supported Through Therapy","reason":"Same topic"},{"lang":"en","slug":"my-child-with-childhood-apraxia-of-speech-has-an-abilityscore-of-0-100-what-should-we-do-next","title":"AbilityScore® for Childhood Apraxia of Speech: next steps","reason":"Same topic"},{"lang":"en","slug":"my-child-with-childhood-apraxia-of-speech-has-an-abilityscore-of-100-200-what-should-we-do-next","title":"AbilityScore 100–200 with Childhood Apraxia of Speech: what to do next","reason":"Same topic"},{"lang":"en","slug":"my-child-with-childhood-apraxia-of-speech-has-an-abilityscore-of-200-300-what-should-we-do-next","title":"CAS in the AbilityScore 200–300 Band — What To Do Next","reason":"Same topic"},{"lang":"en","slug":"my-child-with-childhood-apraxia-of-speech-has-an-abilityscore-of-300-400-what-should-we-do-next","title":"AbilityScore 300–400 with Childhood Apraxia of Speech: what to do next","reason":"Same topic"}],"label":"Explore therapy & support","total":63},{"key":"home","items":[{"lang":"en","slug":"how-can-i-support-my-child-with-childhood-apraxia-of-speech-at-home","title":"How to Support Your Child with Childhood Apraxia of Speech at Home","reason":"Same topic"}],"label":"At home & in everyday life","total":1}],"what_to_watch":"Speech that is hard to understand combined with clumsiness or coordination difficulty, trouble with handwriting or early reading, or attention differences — these together suggest a whole-child developmental profile rather than one isolated issue.","authority_links":[{"url":"https://www.asha.org/public/speech/disorders/childhood-apraxia-of-speech/","label":"ASHA: Childhood Apraxia of Speech"},{"url":"https://icd.who.int/","label":"WHO ICD-11"}],"last_reviewed_at":"2026-06-10T10:28:00.07239+00:00","meta_description":"Childhood Apraxia of Speech often appears with language delay, motor coordination, literacy and attention differences. Learn what travels alongside CAS.","related_materials":[],"related_techniques":[]}