Down syndrome, also known as Trisomy 21, is a genetic disorder caused by the triplication of the 21st chromosome, leading to various cognitive and motor deficits. The cognitive development in individuals with Down syndrome can vary widely, ranging from mild to moderate intellectual disability, while emotional and social skills may remain relatively intact. Communication challenges are common, as individuals may struggle to express their thoughts verbally despite having a clear understanding of concepts. Some individuals exhibit resistance to change and stubbornness, which may be linked to neurological differences in brain structure. Research into these structural changes and their impact on behavior is ongoing. Speech therapy can aid in improving communication abilities for those affected.