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28 month old ASD son - Who gives the apraxia DX?

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Greetings all, who gives the DX or motor apraxia? motor planning etc?

Is it a doctor or could it be the SLP?

My son is 28 months old w/ a significant expressive language delay.

His receptive appears much higher than his expressive. However, if he

is asked to label objects/flash cards he gets a large amount correct -

However, he will not label those items outside of labeling them

through " asking him what is this " or pointing to a flashcard etc.

All in all - if he used the words he knows through labeling and

prompting he would be talking MUCH better - but somehow the words

don't come out on his own. He is also very squeally, hummy and screams

alots.

He has an ABA home program, and 1 hour of speech and OT a week

Hazel

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it is to my knowledge that it is the SLP that diagnoses apraxia. mine is

hesitant to say

anything about it. i don't know if she's just waiting until he's older to give

us the dx. i

had to flat out ask her if she thought it was moderate apraxia and she said yes.

anyhow, i'm switching therapists as soon as possible because we've been there

since

september and are not getting anywhere with her. she doesn't even seem

comfortable

with him and doesn't talk about what she's doing unless i ask her. well, i'm

off topic

already...

what i wanted to write about was that my son is now almost 30 mo. when he was

around

2, he SCREAMED, with joy and excitement. but it was so loud my husband and i

were sure

we were losing our hearing. he screamed in grocery stores, in the car, whenever

he got

excited. i laughed when i read your son is " screamy " . i know how that is!

he did not start verbalizing outside of prompting until just recently. now when

he's says

BA very clearly, i know i can look down and see him signing milk please. and

today i

taught him to say WAWA for water and he said it whenever he needed his watering

can

refilled. his receptive language is awesome but his expressive is, well, 3

words. PAPA, BYE

BYE, and now, WAWA. thank goodness for sign language. he has about 50 or more

signs.

your son sounds a lot like mine. we just recently started doing the kauffman

method with

him. we don't have the cards but i know about it and i went to school for

hearing and

speech problems so i know how to reduce words to their basic phonemes. all i

wanted to

say about this is he has been very receptive to actually trying to approximate

the reduced

word and will try quite hard. this is the first time i've seen him try to copy

me so much.

this method has been a help. you may want to try this route too if your son is

like mine.

traditionaly EI speech therapy is not cutting it for us. it also seems that the

OT is helping

more than the speech. do you find this too?

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