A.P. asks from Sanford, FL on February 05, 2012
Preparing for Speech Therapy
My 3 1/2 year old finally had a speech screening (hearing eval was completed at 2 with no concerns). We were referred for an eval. Results of the eval were that he has a significant delay (sigh, it makes me want to cry). Not significant enough to be enrolled in PreK full time, but he needs therapy sessions. No other developmental issues, hearing screening came back fine too. They assure me his case is straight forward (drops the final sound, l sounds like y, etc), but knowing he qualifies for the school district to perform the services makes it feel like it is so much worse. And don't get me started on how I am beating myself up over not doing this sooner, though my husband and I did everything we thought we should short of getting the eval (buying the books/games/DVDs, working with him one on one, correcting him in the home, enrolling him in private Pre-K 3, etc). We felt like we were his parents and we should do all we can before reaching outside. A part of me regrets this now (just a little bit).
So now that the tears have stopped and we have decided to do private therapy for the one on one attention and parent interaction (school district is group sessions and we can't be involved because of confidentiality), what can I expect? They will come to our home once a week for 30 minutes and will increase if needed.
What has been your experience with speech therapy? What should we expect? Deep down, I am so upset. How can I fully let go and move forward? Someone tell me it will get better and he'll be fine...
So What Happened?™
This week will be his first week of therapy. I'm actually excited as his vocabulary is expanding but he is getting harder to understand. I know this will be a good change for all of us. It's been about two weeks since we found out and I haven't cried since, but if I think about it too long, I feel like I could. Just lingering on the guilt I guess. I know its not that bad as he can say the sounds correctly when you ask him to sound the words out. However, if you ask him to repeat the word or sentence, he reverts right back to saying it incorrectly. I find "hope" in that.
I felt bad about him qualifying for services through the school district because the evaluator at the school district made it clear that they had a high threshold and only took the most serious cases when I made the appt. She was warning me to not to get my hopes up because there would have to be a significant delay in order for him to qualify. And sure enough, he ended up qualifying. So trying to back track was a little hard for me. I just needed some reassurance and to hear others experiences. Thanks everyone!
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S.L. answers from New York on February 05, 2012
Try to relax, many, many children need speech therapy. Some receive therapy and make big improvements. Some do not receive therapy and improve anyway but I always say why risk it, get the therapy and maybe by school age they wont need any help. My son needed language therapy, after a year he had made so much improvement the school would not give him any services. He is in first grade now with a great vocabulary!
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M.G. answers from Seattle on February 05, 2012
Speech therapy has been great for my son. Granted my son is 5, autistic and nonverbal however speech therapy has helped him to make connections. By that I mean while no my child does not talk he can and has been as of late, make more word approximations and understands the value of communicating verbally.
Definitely give yourself a break. You are doing what is important and there's no use in beating yourself up over what you didn't do. Do not worry about the school providing services for him because that is actually one of the best things they can do. There is no reason to feel ashamed or embarrassed by the services your son needs, ever.
I'm not certain what will be done at your therapy sessions but here's what happened with my son at 3: Therapist would come, games were initiated, it was all play therapy. At 3 my son didn't utter anything so these were trying times when a therapist would literally keep a toy from him until he used any type of verbal desire for said toy. Now, at the time I thought it was cruel but over the course of a few weeks my son did start to at least make a sound. It may be hard to watch your son struggle, and you may want to answer or do things for him some of the time but know that in the end he will be better off for it.
I wish you the best on this journey.
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R.C. answers from Phoenix on February 05, 2012
I know a little how you feel. My daughter was diagnosed with a lateral lisp at age 5 after having her screened on the request of her pediatrician. I was so busy with my then almost 2 yr old and newborn, that honestly, I didn't really pay much attention to it. My husband and I decided we would wait 6-12 mos and see if it got better on it's own (the speech language pathologist said sometimes they do). Well, almost a year later, it was more noticeable and playmates were starting to make fun of our daughter occasionally. I tried getting her in to the school system for therapy, but since she is home schooled and we couldn't demonstrate poor academic performance, she didn't qualify. So we put her in private therapy last June. It's expensive, but worth every penny. Insurance finally agreed to pay for some of the cost. My daughter is doing fantastic. She self-corrects her speech without prompting and she loves going to therapy for 50 minutes 1 day a week. In just 7 months of therapy, I can tell a HUGE difference in her speech and reading.
So, don't beat yourself up. Some kids need glasses and braces, our kids just happen to need speech therapy. No one has a truly "perfect" kid, but thankfully we can help our kids reach their full potential. I'm proud of you for taking the first step and getting him in to private therapy. It really works! Nurse Midwife Mom of 3
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N.D. answers from Kansas City on February 05, 2012
Sounds like you are on the right road now! The therapist will also most likely give you guidance on how to support progress at home- doing it naturally through daily routines works really well. Good Luck! I'm a Speech-Language Pathologist and I LOVE what I do- most likely the therapist who comes to your house does also- so it won't be something that you dread!
a little side note: actually, "fronting" is not leaving the beginning off words- that is called "initial consonant deletion". Fronting is when a sound that is made towards the back of your mouth is made toward the front- a typical example of fronting would be using /t/ instead of /k/- so "cup" would sound like "tup", or "duck" would sound like "dut". Please know that speech therapists go to graduate school and have both learned knowledge and experience- so it might be best to only take speech advice from someone who has been trained.
Edit: yikes, just re-read my answer- did not mean to sound snarky! I wanted to explain fronting since Brandi had mentioned it and it wasn't quite accurate ;-) I love that people take an interest in what a speech pathologist does- and when they use the lingo it is so cool! Just wanted to make sure I helped give accurate info. Thanks!
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T.O. answers from San Francisco on February 05, 2012
My son has been in speech therapy for over 2 yrs now (he just turned 4). We did private speech for about 6mo. our insurance said they would cover it (they didn't) thousands of dollars later we went through the school dist. I LOVE IT!! and I'm one picky mama!! our son gets two 30min private classes a week. Is there a chance your child could have http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004944/ ?
all the best to you...
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M.B. answers from Austin on February 05, 2012
The important thing is that you ARE getting help..... he will do just fine, and now that he is getting the therapy, you will also learn how to properly help him.
The school district will also be able to easily monitor his progress through the grades, which is another big help.
Please don't keep beating yourself up on this.... 20/20 hindsight is so easy.. we always know WHAT we should have done... what is important is what you are doing now to help in the future.
Hugs!
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K.M. answers from Kansas City on February 05, 2012
My oldest (now 6) was in private speech because of speech delay. He started at 2y 3m and "graduated" at 3y 6m. I felt guilty because we just thought he was a late talker--didn't realize that he had 100% fluid blockage in one ear and 50% in the other. He needed tubes and speech. Don't beat yourself up, though! Just get your son the help he needs and he'll be talking non-stop in no time! Our son is in 1st and has an outstanding vocabulary. You would never know he was in therapy. Kudos to you for getting help. It's much easier to help him at age 3 than at age 6 or 7.
When our speech lady came to the house she would work with both of us (me and my son). She wanted to teach me how to teach him. He viewed it as playtime! He never minded having her here.
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L.C. answers from Washington DC on February 05, 2012
Relax. He will be fine.
My oldest - now in college on a scholarship - had speech therapy when he was younger. He did speech therapy while in part time pre-school and finished up during Kindergarten. He didn't start until age 3.5 and finished up at age 6.
Just do what they tell you and RELAX.
LBC
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S.Z. answers from Miami on February 07, 2012
I am a speech therapist. It sounds to me that you did all the right things, so please don't beat yourself up over his delay. With therapy and you working with him on the home program, he will improve and be ready for school.
:) S.
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