Abstract
Language difficulties are the significant problem of a child with Down's syndrome. It was hypothesized, that the child with Down's syndrome would have great difficulty in all areas of language development. The aim of this clinical research was a case study to find out language problems in a child with Down's syndrome. A three year ten months old boy with Down's syndrome was assessed on a set of checklists ICP Speech, Language and Motor Development at the Institute of Clinical Psychology, University of Karachi, Pakistan from June 2009 to September 2009 (12 weeks). It was found that he had severe problem in both areas of language development (i.e. receptive and expressive language). It included thirteen months of receptive language development and nine months of expressive language development which indicated a lower score than his age. It is recommended that the problems of speech and language in children with Down's syndrome should be treated through the speech and language therapy services. In addition, speech and language therapist should empower parents and communities to overcome these problems.