<s>[INST] my son is 4 yrs old and had speech delay ,but attending speech therapy half hour -2days/weekk,but looks like his IQ is low,seems like he cannot recollect ABC..letters or 123..he attend play school since last 2-years..don t know what to do ..please give me a reply? [/INST] Hi...Thank you for consulting in Health Care magic.I understand your concern. I appreciate that you are trying to teach him and encourage him by putting on rhymes etc.I have few questions and suggestions for you -1. What is his birth weight and current weight?2. When did he start walking?3. Did he cry immediately after birth or did he require any special assistance to take the first breath?4. How long does he see television or tablet or cartoons per day?5. Did any one of the parents' had a speech delay as children?6. How many word s does he speak as of now- I mean his vocabulary consists of how many words?Suggestions:1. I suggest you are doing great by singing rhymes to him.2. Do not use tablet or computer or TV or laptop for doing that.3. Do not force him too much comparing him with others.4. He might get benefited by speech therapy, but before that kindly get back with the answers to my above questions.Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., </s>