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-> Children's Health
amother
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 Tue, Dec 31 2024, 12:35 pm
Ds7 has been getting speech therapy since before two. He still struggles getting his words out when he speaks to us conversationally. Like I can see that he has to think of which words to use instead of it just flowing out.
What does this sound like? And what kind of therapy should I be looking for?
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amother
Candycane
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Tue, Dec 31 2024, 12:39 pm
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You need a new speech therapist. He should have long since been evaluated and you should have been given a concrete diagnosis.
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amother
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Tue, Dec 31 2024, 12:40 pm
| amother Candycane wrote: | | You need a new speech therapist. He should have long since been evaluated and you should have been given a concrete diagnosis. |
He’s been evaluated so many times. I feel like they keep diagnosing him according to their speciality. That’s why I’m crowd sourcing.
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amother
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Tue, Dec 31 2024, 12:42 pm
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SLP here. Have you checked his hearing?
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amother
Myrtle
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Tue, Dec 31 2024, 12:42 pm
Perhaps processing?
Try pausing to give him time to think before responding, not rushing convos, talk calmly etc. So he doesn't feel pressure..
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amother
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Tue, Dec 31 2024, 12:50 pm
Yes, when he was younger he had frequent ear infections with fluid and when we tested he failed the hearing test. He’s had tubes though for a while and his most recent hearing test showed that his hearing is fine.
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amother
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Tue, Dec 31 2024, 12:54 pm
| amother OP wrote: | | Yes, when he was younger he had frequent ear infections with fluid and when we tested he failed the hearing test. He’s had tubes though for a while and his most recent hearing test showed that his hearing is fine. |
Ok, that’s good to hear BH.
It’s obviously hard to say from not seeing him, but it is possible that his early years of decreased hearing negatively affected his language development and may take him some time to catch up.
Is the issue only with expressive language? Do you find that his receptive language (ie comprehension, cognitive abilities, etc.) is ok?
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amother
Moccasin
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Tue, Dec 31 2024, 1:01 pm
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A very good speech therapist can evaluate, id say try seeing an audiologists too
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amother
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Tue, Dec 31 2024, 1:02 pm
| amother Wine wrote: | Ok, that’s good to hear BH.
It’s obviously hard to say from not seeing him, but it is possible that his early years of decreased hearing negatively affected his language development and may take him some time to catch up.
Is the issue only with expressive language? Do you find that his receptive language (ie comprehension, cognitive abilities, etc.) is ok? |
He seems to be understanding what he’s learning. He does need extra prompting sometimes when he’s doing something new but not anything crazy.
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miriamslp
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Tue, Dec 31 2024, 1:14 pm
Really hard to say without seeing him.
I’m guessing:
1. Word retrieval issue- words are at the tip of his tongue but he can’t seem to identify which word he wants to use
2. Low vocabulary- and therefor doesn’t have the ability to name objects, emotions, etc.
3. Descriptions- difficulty describing events or objects
4. Apraxia- a motor planning disorder where there is some interference between what the brain wants to express and what actually is able to come out. In my experience; not every SLP is thoroughly trained to work with apraxics, so if this is his issue, I’d find one that is.
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amother
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Tue, Dec 31 2024, 1:18 pm
| miriamslp wrote: | Really hard to say without seeing him.
I’m guessing:
1. Word retrieval issue- words are at the tip of his tongue but he can’t seem to identify which word he wants to use
2. Low vocabulary- and therefor doesn’t have the ability to name objects, emotions, etc.
3. Descriptions- difficulty describing events or objects
4. Apraxia- a motor planning disorder where there is some interference between what the brain wants to express and what actually is able to come out. In my experience; not every SLP is thoroughly trained to work with apraxics, so if this is his issue, I’d find one that is. |
It’s definitely not number 2. But could be 1,3 and 4. Now what?
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miriamslp
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Tue, Dec 31 2024, 1:32 pm
| amother OP wrote: | | It’s definitely not number 2. But could be 1,3 and 4. Now what? |
Again, it’s hard to say how to treat if you’ve never met the client and if you’re not sure what the diagnosis is.
Word retrieval and descriptions somewhat go hand in hand. You can definitely work on this at home with him and don’t need a speech degree to help him 
You can try riddles and guessing games where you’d each take turns thinking of something and describing it to the other. When it’s your turn, model to him what you’d like him to do as well.
Let’s say you want him to guess that you’re thinking of a dog. First, identify which category it belongs to (animal), then describe how it looks, what sounds it makes, etc.
You can do this with emotions as well.
You can also work on different steps on how to do things, which will help him with his description of different events. For example, how to bake a cake, how to get dressed, etc.
I would also do a lot of reading together. Since you have read the story and know what answers you’re looking for, asking him questions and helping him by prompting his answers would be helpful. You can provide the initial sound of the word to get him started.
Hope this helps! Good luck.
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amother
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Tue, Dec 31 2024, 1:39 pm
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He needs a full evaluation by a neuropsychologist or developmental pediatrician.
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amother
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Tue, Dec 31 2024, 1:48 pm
| amother Magenta wrote: | | He needs a full evaluation by a neuropsychologist or developmental pediatrician. |
Why?
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amother
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Tue, Dec 31 2024, 1:50 pm
| miriamslp wrote: | Again, it’s hard to say how to treat if you’ve never met the client and if you’re not sure what the diagnosis is.
Word retrieval and descriptions somewhat go hand in hand. You can definitely work on this at home with him and don’t need a speech degree to help him
You can try riddles and guessing games where you’d each take turns thinking of something and describing it to the other. When it’s your turn, model to him what you’d like him to do as well.
Let’s say you want him to guess that you’re thinking of a dog. First, identify which category it belongs to (animal), then describe how it looks, what sounds it makes, etc.
You can do this with emotions as well.
You can also work on different steps on how to do things, which will help him with his description of different events. For example, how to bake a cake, how to get dressed, etc.
I would also do a lot of reading together. Since you have read the story and know what answers you’re looking for, asking him questions and helping him by prompting his answers would be helpful. You can provide the initial sound of the word to get him started.
Hope this helps! Good luck. |
Thank you for typing this up! His current speech therapist is working on categorizing everyday objects. We read tons! I guess we just need to keep doing what we’re doing.
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bsy
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Tue, Dec 31 2024, 2:30 pm
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I doubt it's apraxia. That's a motor planning issue with forming sound sequences and affects intelligibility
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amother
NeonOrange
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Tue, Dec 31 2024, 3:11 pm
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Whatever the reason is if you’ve been having therapy for five years without clear direction and minimal results I would suggest finding the best slp you can afford in the area and starting again. It’s absurd that he hasn’t yet been correctly diagnosed.
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amother
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Tue, Dec 31 2024, 3:18 pm
Because it could potentially be a lot of different things that are not all diagnosable by a speech therapist so it might be time to take a more global view.
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