I have an odd situation because I THINK my 6yo's speech issues are transitioning and changing to more Apraxia-like. His fluency.
His SLOWness, the inconsistency of errors.
His official diagnosis of Articulation Disorder was never fully founded, but because he didn't fit "apraxia" when he was younger, they didn't know what else to put -- his only official diagnosis by an SLP outside of the school district was at 2.5yo when they labeled that "AD" and it's carried with him all this time.
For 3yrs he backed nearly every consonant, so it was hard to tell what was going on with him because while he Could say every sound, he didn't in actual speech.
That is no longer the case.
He now can produce every sound.
Within reason and for his age, of course. F/TH/W/any s-combo... there are still huge errors and maybe articulation is still an issue. He's about 70% understood... so he still has Huge issues to combat.
but back to Apraxia... so much of the fluency side of Apraxia fits him.
He says sentences but incredibly slow... it's like processing in a way... his mouth just can't keep up with where his brain wants him to go. He can say the word, but drops the articulation in a sentence; or once he gets the sentence going, all articulation is lost once he tries to sing it. He just can't keep up with fluency. -- Twinkle Twinkle is a great example of one we repeatedly practice because he Wants to sing so badly but cannot keep up with the speed (and the kid has rhythm... just can't make it happen with his mouth).
I have him in private "Speech time" with an SLP student -- who offers no "therapy", of course, just drill drill drill. And when she has a question she goes to her professors, who observe her once every few months. That professor was the first to say... Apraxia.
Then a friend over Xmas who is a licensed SLP said.. Apraxia.
And that was after just a few minutes. She said that in her experience many SLP's get caught up in the functioning of the mouth/lips/tongue and not the later fluency issues. She thinks he's textbook for a 6yo.. She also lives hours away and cannot be daily help in our lives
Doesn't matter with the schools.... because he has graduated out of speech therapy (regardless of diagnosis) because all they care about in NC for kindergarten is the ability to make age-appropriate sounds, which he can make. So he will not get services after this year.
SO MY QUESTION... apologies on the babbling....
Why would I care about a diagnosis?
I have him in speech time 2x a week where I define, not the student, what we do... and I'm scouring the internet for apraxia-therapies and finding a ton of resources.
School puts all speech diagnosis in the same umbrella for therapies for Kindergarten, so school is not a consideration -- YET.
And I have no insurance, and a single-mom, which is why the SLP student has been AH-MAZING this past year.... so much help and wonderful drill, for a fraction of the cost.
But What am I potentially missing out on?
An Actual testing could show not only apraxia, but dyspraxia or a myriad of other options that I'm not aware of, because I'm just a mom.... ?
Would an actual diagnosis help down the road - say a resource teacher at 2nd grade who sees, oh he has apraxia and now we're seeing some learning disorders, and a potential bridge between the two.... ?
Why should I care about an official diagnosis at this point?
Thank you for your ideas because I twist & turn at this. One day I feel like I'm doing great with just the student... other days I am so terrified that I'm missing something and ultimately failing him for the future of his speech (oh the guilt..... hate being broke). Enyhoo... Thank you for any ideas!