| Sumario: | Background: Speech delay in early childhood often reflects underlying neurodevelopmental and emotional imbalance rather than a simple delay in language acquisition. Children with persistent fear, aggression, and behavioural dysregulation often show poor communicative intent, limiting the effectiveness of conventional speech therapy alone. Case Summary: A 3.5-year-old boy presented with severe expressive speech delay (LEST: 11), poor communicative intent, night terrors, aggression, and intense fear of being alone. Based on the totality of symptoms and a psoro-syphilitic background, Stramonium was prescribed in infrequent doses. Outcomes: Over 10 months, improvement followed a clear sequence, emotional stability first, then gradual emergence of speech. The LEST score improved from 11 to 31. Conclusion: This case suggests that addressing mental generals in developmental delays may facilitate speech by resolving deeper emotional blocks, allowing natural development to resume. It highlights the potential role of homoeopathy as an integrative approach in managing paediatric speech delay with significant behavioural dysregulation
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