Recs for speech therapist to 9 month old infant with speech delay

Anonymous
Anonymous wrote:OP here - DS passed the one they gave him at birth and pediatrician didn’t think he had hearing loss when she examined him. That being said if the therapist ordered it, we would happily do it.


wow. yeah OP - new ped.
Anonymous
UDC. That’s university of the District of Columbia. They have college students who do speech therapy for free. Check with them on age ranges.

Cue the idiots who say college students don’t do anything for free 😩 when companies have been offering unpaid internships for decades. Mind boggling stupidity we have to deal with to be helpful here.
Anonymous
Anonymous wrote:Do the hearing test first and get on the list with strong start. If there are not medical issues (hearing), then I'd start with strong start. The benefit of being in the system is that your kid may qualify for any special preschool programs offered for speech issues (I'm in MD, so don't know about DCPS offerings). Makes getting an IEP easier, etc. Even if you do private, you want to pursue strong start.


In DC, being in Strong Start got us to the top of the wait list at Easter Seals because Strong Start provides services there in house.
Anonymous
It’s not crazy to refer a nine month old struggling with vowels. Even if a speech therapist won’t diagnose CAS this early, they (not a developmental ped or a hearing test) would be the only one who can use speech therapy to help now and eventually (age 3) diagnose.

I’m not saying this is what your child has, but as a mom with a child like yours, if I could go back in time, I would have wanted this on my radar earlier. Reading books like “it takes two to talk” were meaningless until my child could form sounds.

Agree with the others that a hearing test is the next step, but call Early Intervention and get on the waitlist now.
Anonymous
Anonymous wrote:OP here - DS passed the one they gave him at birth and pediatrician didn’t think he had hearing loss when she examined him. That being said if the therapist ordered it, we would happily do it.


Fwiw, my good friend has substantial congential hearing loss that wasn't picked up until kindergarten. My nephew also had issues (due to frequent infections) that weren't picked up until he started seeing an ENT. Fortunately a hearing test with an audiologist is easy/noninvasive.
Anonymous
Anonymous wrote:It’s not crazy to refer a nine month old struggling with vowels. Even if a speech therapist won’t diagnose CAS this early, they (not a developmental ped or a hearing test) would be the only one who can use speech therapy to help now and eventually (age 3) diagnose.

I’m not saying this is what your child has, but as a mom with a child like yours, if I could go back in time, I would have wanted this on my radar earlier. Reading books like “it takes two to talk” were meaningless until my child could form sounds.

Agree with the others that a hearing test is the next step, but call Early Intervention and get on the waitlist now.


I think most people are thinking “of course a 9 month old wouldn’t be saying words” and ignoring that a 9 month old should be able to make certain sounds and if not, that is indicative of a delay.
Anonymous
I used strong start for my 14 yr old and was very happy. He’s now 4 with no speech issues at all
Anonymous
Anonymous wrote:
Anonymous wrote:It’s not crazy to refer a nine month old struggling with vowels. Even if a speech therapist won’t diagnose CAS this early, they (not a developmental ped or a hearing test) would be the only one who can use speech therapy to help now and eventually (age 3) diagnose.

I’m not saying this is what your child has, but as a mom with a child like yours, if I could go back in time, I would have wanted this on my radar earlier. Reading books like “it takes two to talk” were meaningless until my child could form sounds.

Agree with the others that a hearing test is the next step, but call Early Intervention and get on the waitlist now.


I think most people are thinking “of course a 9 month old wouldn’t be saying words” and ignoring that a 9 month old should be able to make certain sounds and if not, that is indicative of a delay.


I think it’s probably extremely difficult and untested to diagnose a language delay in a 9 month old.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:It’s not crazy to refer a nine month old struggling with vowels. Even if a speech therapist won’t diagnose CAS this early, they (not a developmental ped or a hearing test) would be the only one who can use speech therapy to help now and eventually (age 3) diagnose.

I’m not saying this is what your child has, but as a mom with a child like yours, if I could go back in time, I would have wanted this on my radar earlier. Reading books like “it takes two to talk” were meaningless until my child could form sounds.

Agree with the others that a hearing test is the next step, but call Early Intervention and get on the waitlist now.


I think most people are thinking “of course a 9 month old wouldn’t be saying words” and ignoring that a 9 month old should be able to make certain sounds and if not, that is indicative of a delay.


I think it’s probably extremely difficult and untested to diagnose a language delay in a 9 month old.


Quite a few 9 months olds get diagnoses related to oral motor delays, and receive speech therapy. The reason why developmental delay diagnoses exist is to allow kids to get help before it’s possible to give more specific diagnoses.

Finding a therapist can take time. When my young child needed speech we encountered waiting lists at many places particularly those that took insurance. Getting on those waiting lists now while simultaneously getting hearing testing makes sense. It’s not either or.
Anonymous
Please get a hearing test. Any good evaluator or speech pathologist will insist on one. Your ped is giving bad advice. Kids may not be able to hear specific tones. Its not as simple as a newborn test. We did several for each evaluation as things and hearing can also change over time.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:It’s not crazy to refer a nine month old struggling with vowels. Even if a speech therapist won’t diagnose CAS this early, they (not a developmental ped or a hearing test) would be the only one who can use speech therapy to help now and eventually (age 3) diagnose.

I’m not saying this is what your child has, but as a mom with a child like yours, if I could go back in time, I would have wanted this on my radar earlier. Reading books like “it takes two to talk” were meaningless until my child could form sounds.

Agree with the others that a hearing test is the next step, but call Early Intervention and get on the waitlist now.


I think most people are thinking “of course a 9 month old wouldn’t be saying words” and ignoring that a 9 month old should be able to make certain sounds and if not, that is indicative of a delay.


I think it’s probably extremely difficult and untested to diagnose a language delay in a 9 month old.


Quite a few 9 months olds get diagnoses related to oral motor delays, and receive speech therapy. The reason why developmental delay diagnoses exist is to allow kids to get help before it’s possible to give more specific diagnoses.

Finding a therapist can take time. When my young child needed speech we encountered waiting lists at many places particularly those that took insurance. Getting on those waiting lists now while simultaneously getting hearing testing makes sense. It’s not either or.


yeah but in an otherwise healthy baby with no feeding difficulties?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:It’s not crazy to refer a nine month old struggling with vowels. Even if a speech therapist won’t diagnose CAS this early, they (not a developmental ped or a hearing test) would be the only one who can use speech therapy to help now and eventually (age 3) diagnose.

I’m not saying this is what your child has, but as a mom with a child like yours, if I could go back in time, I would have wanted this on my radar earlier. Reading books like “it takes two to talk” were meaningless until my child could form sounds.

Agree with the others that a hearing test is the next step, but call Early Intervention and get on the waitlist now.


I think most people are thinking “of course a 9 month old wouldn’t be saying words” and ignoring that a 9 month old should be able to make certain sounds and if not, that is indicative of a delay.


I think it’s probably extremely difficult and untested to diagnose a language delay in a 9 month old.


Quite a few 9 months olds get diagnoses related to oral motor delays, and receive speech therapy. The reason why developmental delay diagnoses exist is to allow kids to get help before it’s possible to give more specific diagnoses.

Finding a therapist can take time. When my young child needed speech we encountered waiting lists at many places particularly those that took insurance. Getting on those waiting lists now while simultaneously getting hearing testing makes sense. It’s not either or.


yeah but in an otherwise healthy baby with no feeding difficulties?


Investigating won’t hurt.
Anonymous
Anonymous wrote:
Anonymous wrote:OP here - DS passed the one they gave him at birth and pediatrician didn’t think he had hearing loss when she examined him. That being said if the therapist ordered it, we would happily do it.


Fwiw, my good friend has substantial congential hearing loss that wasn't picked up until kindergarten. My nephew also had issues (due to frequent infections) that weren't picked up until he started seeing an ENT. Fortunately a hearing test with an audiologist is easy/noninvasive.


My child passed the newborn hearing screen. Was referred to county services by the pediatrician at one for speech delays. Neither the pediatrician nor the speech therapist suggested the hearing screening. Daycare flagged it around 18 months. Hearing loss doesn’t present itself like most people think. Yes, they can hear you are making a sound (at a mild/medium loss) but it’s unclear depending on the frequency. The earliest intervention possible is key. That’s why it’s being recommended.

Anonymous
I'd find a new ped TBH. I wouldn't trust one that sees a speech delay in a nine month old. This isn't evidence based.
Anonymous
Anonymous wrote:I'd find a new ped TBH. I wouldn't trust one that sees a speech delay in a nine month old. This isn't evidence based.


Are you an SLP?

https://www.asha.org/siteassets/public/communication-milestones-birth-to-6-months.pdf
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