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My DS is 17 months old, and has no words yet. Sounds, yes, but no words. He uses a bit of sign, though not a lot. He points to what he wants or will take my hand and lead me to what he wants, then point. He knows a few different animal sounds, and a couple of body parts (nose, mouth, tummy, toes). He's also great with his receptive language...I can tell him it's time to change his diaper and he runs for his room, time for lunch and he runs to the kitchen, time to go bye-bye and he gets his coat and brings it to me, etc.

Anyway, at his 15 mo WBV his ped was concerned about his lack of words and referred him to EI, which I was fine with. Here at least EI for birth to 3 is just people that come into your home or meet you somewhere, play with your child for a while with different toys, etc. Gives the child new experiences, new stuff to focus on...the idea is to give them stimulating things to WANT to talk about, assuming the child's hearing is fine (which DS' is). I don't see an issue with this - DS loves new people and new experiences, and the service is free because of our income level, so no biggie.

Except that I met the speech lady the other day for the first time when she came to evaluate DS and I REALLY don't like her. DS was having a very quiet day, plus they could only squeeze him in literally RIGHT before nap time, so he was tired anyway. She acted so frustrated that he wouldn't do anything for her. She'd get out a bunch of plastic fruit and then ask DS to hand her the apple (or orange, or whatever), and then give him precisely .01 seconds to do it while he was happily immersing himself in all the toys she'd brought. Then she'd mark something down on her chart and whisk away all the things he was looking at and dig something else out and do it all over.

When she got done she made no pretense out of telling me that DS' speech development is in the 6-9 month range. I told her I didn't believe her because I'd never seen a 9 month old that could identify the rooms in his/her house, go to them when asked, as well as identify body parts, make animal sounds, etc. I DO agree that DS is slightly delayed in his speech development, but not by that far. She kind of shrugged her shoulders and kept repeating that he's at 6-9 months.

The early childhood specialist who also saw him to evaluate him on other levels of development puts him at 18-21 months and says he's obviously very bright, very sweet, social, happy, etc. So in her opinion it's just his speech that is an issue right now, although her opinion is that he's still very young and that given his intelligence and other development, that the speech will pretty much just take off one day and go, that because I SAH with him and his needs are always met he's hasn't had much need to learn to speak.

I know this is getting super long, so I apologize, but I guess my question is given my dislike for the speech therapist, and given DS' development in other areas, should I just let them know I want to discontinue EI for the time being and let DS be? See what happens by the time he turns 2? Or, do I need to address his delay now and tolerate the speech lady? What have been your experiences with your kiddos?
 

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My now 3 yo DD hardly spoke a word b/f 19 months. And I mean, nothing. Our ped is very laid back and said that the avg age for speech beginning was 2 yo. We were way more concerned than he was. He didn't think anything of it as long as she was able to communicate some way (which it sounds like your son is more than able to do!!!)

At around 19 months she could say "uh-oh, no-no, doggy, daddy mommy" etc but no linking or phrases. Her receptive was also strong and she could do animal sounds.

Somewhere around the 2 year mark she TOOK OFF. She's nearly 3 now (will be in June) and her vocabulary daily ASTOUNDS me. She is, IMO, very bright and can explain things very clearly and with detailed stories and descriptions.

I think your ped was jumpin' the gun. I'm actually shocked that he made that suggestion for a 15 mo!!! And I think the speech lady is an IDIOT. I think your DS is absolutely normal. Don't stress, give him time.
 

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Similar experience here - pediatrician recommended speech therapy for ds at 18 mos. because he had no words. Somewhere around 21 mos. ds had a language burst and now at 27 mos. has countless words and 5+ word sentences!
He does have some pronunciation issues, and we did sign up for EI and have a therapist come once a week. She's great and ds loves her. He gets her undivided attention and they play happily for an hour.
When we signed up there were several therapists to "choose" from. EI has also called once a month to see how things are going. Why don't you request a different therapist? We were actually told "if you don't "click" with the therapist and want to request a new one...". I imagine it's pretty common.
Good luck!
 

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My ds was 16 months when he started speech therapy. His evaluation put him at 7-8 months when it came to speech. It's possible that the evaluator meant that it was just his speaking level was at the 6-9 month level when it comes to his expressive language.

All in all, I think you need to contact the agency you're working with about getting a new therapist. Our therapist is actually discourged from bringing toys in and she also follows ds's lead on everything. If he seems interested, they work with it until he's bored. If he's not at all interested, then they move on.

Good luck.
 

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Discussion Starter · #5 ·
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Originally Posted by K1329 View Post
Similar experience here - pediatrician recommended speech therapy for ds at 18 mos. because he had no words. Somewhere around 21 mos. ds had a language burst and now at 27 mos. has countless words and 5+ word sentences!
He does have some pronunciation issues, and we did sign up for EI and have a therapist come once a week. She's great and ds loves her. He gets her undivided attention and they play happily for an hour.
When we signed up there were several therapists to "choose" from. EI has also called once a month to see how things are going. Why don't you request a different therapist? We were actually told "if you don't "click" with the therapist and want to request a new one...". I imagine it's pretty common.
Good luck!
I actually thought of that and already checked. There's just the one lady for 3 counties here. She's supposed to come every other week for an hour to play with DS. I asked her on her way out the door when I should expect her again, and she said (honestly!) not to hold my breath because she sees lots of kids and she'll get to us when she can.

Honestly, the more I think about it the more I'm ready to just call her boss (who was here that day and kept shooting her mean looks) and tell her that either I want to see only the early childhood specialist (who will also work with speech although she's not a therapist and who I really like) or they can just forget it for now and if he's still not talking by 2 we'll reevaluate. Since her boss was here I'm actually hoping she got a good talking to later since she actually apologized for the therapist's behavior when she left.

And then part of me thinks that I should give her a couple of times with DS and watch and see how they do...for all I know I might think she's horrible but DS might really like her.
 

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Honestly the EI lady really doesn't sound professional at all - that 'don't hold your breath' attitude when you asked her when you'd see her again, and what you described as her way of dealing with your DS, coupled with her lack of desire/ability to actually explain to you what she meant by 6-9 month range.. I would be very inclined to call her supervisor and let them know what happened, and ask for someone else to deal with (even if you don't think there is anyone else - you never know!) It doesn't have to be like you're complaining about her as such, just that you're confused by her/her attitude.

And FWIW my DD is 15 months and has no words yet either. Her receptive language is great - she can follow quite detailed instructions (when she feels like it!), and she has probably 150-200 signs, which she uses all the time, often combining into 3-4 sign 'sentences'. She's pretty advanced in terms of her gross and fine motor skills, so my feeling is just that she's focusing on developing those right now, and is less interested in working on speaking, but she will when she's ready. I'm also a SAHM - she gets constant interaction and chatter from me, and she also gets her needs met just about all the time, nearly immediately, so I also buy the idea that she just doesn't *need* to speak right now.

If she still weren't saying anything by 2 I would definitely want to re-evaluate then, but my gut feeling is that everything's fine and she's working on things in her own way. I bet your DS is too - but trust your own instincts. Remember that kids do have their own timetables for things, and they don't always conform to the charts and things that doctors love so much. Yes, it's useful to know the average ages for various milestones, but any assessment of a child should be more holistic than just that. Look at the bigger picture; is your DS healthy and happy? meeting or even exceeding milestones in other areas? It's unlikely that there's anything to worry about if so. But I do understand how easy it is to feel insecure or pressurised because of something like that
 

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My DS1 was similar, he pointed, grunted, made noise, and understood everything I said just wasn'y ready to speak and didn't say much more than a word or 2 by 20 months and it wasn't until 2.5 that his speach took off. Now he just.doesn't.stop.talking!

So I say reevaluate at 2. A friend of mind made me feel so much better when venting my concerns. She said som AP kids don't speak early on because mama understands when they need something because they're so attached, and it doesn't take much more than a grunt or pointing for mama to understand exactly what they want.
 

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Our ds is also 17m and only uses about 3 words with any regularity (mama, daddy, snack) and those not even every day. We don't do any signs. But his receptive language is AMAZING. He can follow complex commands and points and leads me where he needs help with something. He will mock words that we say occasionally but doesn't initiate "conversation" very often. It sounds a lot like your ds. I do think about his lack of words but I'm not worried about it and if I'm referred to a therapist at his next well baby visit, I'll probably decline for a few months or so. Fwiw, most people say boys talk later. I definitely wouldn't go back to the lady you don't like. Your ds will pick up on that and it would probably be a waste of time. Give him a little more time if that's what your instinct is.
 

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Why is this considered a delay? My 18 month old has only a few barely understandable words but points, grunts signs, etc. As far as I'm concerned she is normal and it has never once crossed my mind that she might be delayed ????

As for the specialist - how does the saying go... "give a boy a hammer and he will soon find that everything needs hammering"? LOL.
 

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I actually thought of that and already checked. There's just the one lady for 3 counties here. She's supposed to come every other week for an hour to play with DS. I asked her on her way out the door when I should expect her again, and she said (honestly!) not to hold my breath because she sees lots of kids and she'll get to us when she can.

If there is only one therapist, and I didn't click with her, I'd wait and reevaluate at 2. It sounds like he might be 2 by the time she makes it back anyway! lol
My ds loves his therapy session - this is the main reason I've kept with it at such, imo, an early age. I do feel it helps his speech, but I also believe many of the advances he's made he would have made on his own. Also, after watching months of these sessions, you can use most of the techniques on your own in casual conversation with your son. I think in your situation I'd wait, but, perhaps research some techniques to encourage speech.
 

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It sounds like the therapist is stretched too thin across 3 counties and she's probably getting a bit burnt out. Not excusing her behavior, of course it was completely unacceptable, but it might put a different perspective on it to think about how many clients she must be trying to see on any given day.

Regarding your DS, I wouldn't stress about it if you feel he is developing at a comfortable rate in other areas. If you do like and feel comfortable with the ec specialist, I would totally go that route. She probably has a lot of knowledge even though she isn't specifically a speech therapist.
Hugs mama. I know navigating the whole services thing isn't easy.
 
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