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Auditory questions, multi -SN or miss Dx Sn

post #1 of 3
Thread Starter 
my son is 4 (a little past)

he is SN but we are as to what the actual issues are or are not....

he has an expressive speech delay ...not lauguage, ONLY the ablity to MAKE the saounds corrcectly and use the sounds correctly.

we suspect SPD and anxiety and maybe AHDH.

We had his IEP yesterday and I am going to paste in here my nots on it from my blog --- then i have some questions at the end ... and always other observations, thought sn suggestions welcome.

i have posted about him here before -- mainly the emotional stuff ...



i have to say i am about that fact that there is not one prefessional we can go to who can tie it all together .... there are so many random puzzle peices and so many differnt people / professional all who can not address anything but thier area ...


We went over where he stand now.

1. His math skills are well beyond his age peers. He can ID all his numeral from 0 to 10 and also link them to the correct set of items and he can create sets when asked (“hand me 5 of that” or or ”make a pile of 4 here and a pile of 7 there”). Also more and less and the basics of addition and subtraction (concept if not accurate answers). he knows teh written numrals and also what they mean. he aslo diminstrated ablity to estimate (I was given the imporession his age peers mostly can't or don't?) and understand a lot of quanitive terns and so on. mathis at or above his peer group

2. His literacy .. such as IDing all his letters, match letters with sounds, and matching words that start with the same sound or rhyme however is not as strong. Now a big part of this MAYBE be that he can’t actually hear / understand the sounds he is supposed to be matching. when he says “bat” and “cat” they don’t “click” to him as rhyming. They also suspect there may be some level of autorty processing “failure” that is that he is not really discrimination what he hears– thus making it hard for him to play “sound games” — all these start with / these rhyme. here he scored well below his age peers (age peers in the fall, much less now). this may alos be effecting his speech

3. he also did not met his age peers level in “naming pictures” in a certain time. This they attributed to focus and feel will improve with maturity as his vocabulary is beyond that of his age peers.

4. in general his dropping off or confusing beginning sounds in words puts him at or over 2 years behind his peers in expressive speech ability. educators would expect most of his peers to be 90 to 95% clear and “understandable to a stranger” SLP is putting Big Brother at maybe 45 % and based on his recent conservation with distant family members, it may be lower.

5. he shows no muscle memory or ablity to generalize a "learned" sound into speech or conservation. he don't not retian a new learned sound.

and the plan for next year:

1.He will go to summer session for speech but not “literacy”. 4 sessions over the summer, one hour each — 3 adults and 5 or 6 kids.
2.he will see the SLP 2x a week from now till the end of the school year
3.he will see the pre-school teacher onene 2x a month the rest of the school year
4.he will see the SLP 2x a week all school year next year
5.he will see the preschool teacher onene 2x a month till his next quarterly assessment to see how he is doing and determine if we all feel he needs to go to 1x a week or not. (I doubt it)
6.For speech we are going to try Auditory feed back — to focuse on him HEARING what he is actually saying not just the mind in his head that he is meaning to say

Other:

1.I am going to make a list of phrases for him that the SLP can work on. The biggest issue now if that he doesn’t generalize. he can make a sound (not all but a lot of them) in isolation, but not in a word and certainly not in a sentence. also the longer he talks the more he “mushes” and not only doesn’t make correct sound the but also just mummers and slurs speech with NO distinct sounds at all.
2.we are going to work on auditory feedback — so he hears what he IS saying and not jsut what his head thinks he is saying. We are going to work on this at home also.
3.the SLP gave me the names of some CDs that have kids songs, typical ones, only sung slooowly to stress each word.
4.I am going to make him some matching / rhyme word games to play here at home.
5.here at home we are going to push a bit more phonics — letters and the sound they match

soooooooooooo in general ---

SPD -- maybe
expressve speech delay -- yes (only actually making the speech sounds, his use of laungae is at or above his age, and his vocublary is above) he just can not Annunciate the words at all ...
ADHD -- maybe
emotional active 4 you boy -- yes
anxiety / social anxiety -- maybe (or is that SPD or is that immaturity)
physical immaturity in the brain / behind in maturity -- we think so Dev ped thinks so
some audority processing issue? -- now maybe -- i have NO KNOWLEDGE about THIS at all, a totally new thing for me to reseach adn OCD over.

and so many questions -- some new / some old
WHY the speech issues
WHY no muscle memory in teh area of speech
WHY no ablity to generalize sounds into common speech
WHY the inablity to hear / recoginze tings liek rhymes or words that start with the same sound

and other WHYs that are not even IEP
WHY the eating
WHY has he still not learned to self sooth AT ALL -- it is still 100% momma and Binki ... and he still really struggles when i am not right here, even when he is with daddy

i feel like my head is gonna explode ...........it doesn't matter how many evals we go to , how many assessments, how much research -- nothing "fits it all together

so my main questions here -- what can you tell me about auditory processing issues?

his hear is just fine.

his understandiing of what is said to him is fine, no concerns at all there. He is able to remember what he "learnes" what he hears (like telling you a fact about whales after we read a whale story). he can follow directions given orally and can have consertavitons. he can follwo storyies (first, next, last) and tell them back to you ....

but for some reason ther eis something sound realted in his head "not matching up" ... he can't maimic sounds, he can't pick out sounds -- if i say three words he can not tell me which two matched in any way ...

i am beyond clueless ... can you point me in the right direction, or some direction to at least get start.

and als always any thoughts or observations welcome.

Aimee
post #2 of 3
Quote:
Originally Posted by Momma Aimee View Post

4. in general his dropping off or confusing beginning sounds in words puts him at or over 2 years behind his peers in expressive speech ability. educators would expect most of his peers to be 90 to 95% clear and “understandable to a stranger” SLP is putting Big Brother at maybe 45 % and based on his recent conservation with distant family members, it may be lower.

5. he shows no muscle memory or ablity to generalize a "learned" sound into speech or conservation. he don't not retian a new learned sound.


<snip>

and so many questions -- some new / some old
WHY the speech issues
WHY no muscle memory in teh area of speech
WHY no ablity to generalize sounds into common speech
These things sound like apraxia. Has that been considered as a diagnosis?

Have you read The Late Talker?
http://www.amazon.com/Late-Talker-Wh...mm_pap_title_0

www.apraxia-kids.org has some great resouces that may be of help to you.

It's so frustrating when you are trying to figure out what's going on. Hugs!
post #3 of 3
Thread Starter 
Quote:
Originally Posted by Lollybrat View Post
These things sound like apraxia. Has that been considered as a diagnosis?

Have you read The Late Talker?
http://www.amazon.com/Late-Talker-Wh...mm_pap_title_0

www.apraxia-kids.org has some great resouces that may be of help to you.

It's so frustrating when you are trying to figure out what's going on. Hugs!
SLP for the school can not dx. BUT she did tell me to ask about apraxia BY NAME at his private assessment. But she noted he does NOT met all the criteria and some of the critera he totally doesn't meet at all ...

but i do have that book on the self, i will dive into it and i will bring it up at the private assessment.
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